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The purpose of this report is to describe the outcomes of chiropractic care for a patient after surgery for cauda equina syndrome. Following surgery for cauda equina syndrome caused by a herniated lumbar disc at L5/S1, a 28-year old woman presented for chiropractic care with an 18-month history of lower back pain. She had bilateral L5 and S1 dermatome pain and paraesthesia; saddle anesthesia; bilateral leg weakness in the L4, L5, and S1 myotomes; and urinary incontinence. The patient received a variety of chiropractic manipulative tech