Question
QUESTION: my friend was seeing a chiropractor after a recent car accident to which after had an onset of pain in her low back that radiated into her upper legs. after 7 weeks of tx the pain had not subsided at all, so she was sent for an mri and was then diagnoxed with anterolisthesis and some disc tears and herniation. she then went and saw a physiologist who sent her for xrays to see if there was movement and/or fractures with the anterolistheses which there was no movement, but were fractures.
L4-5 has an annular tear in the disc, and small central protursion
L5-S1 is the level of anterolisthesis and uncovering of the disc, as well as large left paracentral and lateral disc protrusion creating moderate to severe left and moderate right exit foramina attenuation. there is no central spinal canal stenosis(this was from the mri report).
my question is, should the chiropractor continue treatment at this time knowing these issues, and knowing the 7 weeks of treatment already given have not improved her situation at all? Thanks!
ANSWER: No.

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QUESTION: Your response to my question was no that a chiropractor shouldn't be continuing treatment. Can you elaborate a little so I can tell her why? Thank you so much!

Answer
The answer I provided was not meant to be rude albeit simple. The answer to Why? is actually contained in your question "knowing these issues, and knowing the 7 weeks of treatment already given have not improved her situation at all?"  I would look for other alternatives long before seven weeks went by, particularly in light of the new information provided, some of which, contraindicates further manipulation (at least on the face of it). How many times should one do the same thing and expect a different outcome? At's time to let an MD (I assume you meant Physiatrist ((an MD who specializes in physical medicine and rehab)) rather than physiologist) take over the case.