Objective: To discuss the evaluation and treatment used in the resolution of a case of double crush syndrome. Clinical features: A 63-yr-old male suffered from a 36-month history of right anterior leg numbness and recurrent lower back pain. Onset of initial complaint followed a slip and fall on ice. A clinical diagnosis of double crush syndrome was made after appropriate testing was performed. Intervention and outcome: The patient was put on a 6-wk treatment plan at a two visit per week frequency. Treatment consisted of spinal manipulation and H-wave current electrotherapy. Follow-up at 6, 8, 12, 26 and 52 wk revealed complete resolution of the right anterior leg numbness and reduced occurrence of lower back pain. Conclusion: Chiropractic treatment consisting of manual manipulation and physiotherapy can be an effective treatment regimen in the successful treatment of double crush syndrome. For cases of double crush syndrome, chiropractic consideration should be given.