Thursday, February 17, 2011
Multiple Sclerosis and Upper Cervical Care: Case 2
Editor's Note: This is the third of a seven post series where I will be sharing five case reports on patients with Multiple Sclerosis that received upper cervical care and the results that occurred. The full article with all the reports can be read at length here.
History: After this 33-year-old male noticed visual changes at age 30, he was examined by a neuro-opthalmologist and showed 20/30 vision in the right eye (according to the Snellen eye chart examination). After an MRI showed three brain lesions (MS plaques), he was diagnosed with MS. The year following his diagnosis, this subject showed minimal deterioration in his condition. However, during the subsequent two years, he experienced chronic progression of MS symptoms. In addition to vision loss, he suffered from loss of bladder control, constipation, loss of balance, sensory deficits in his extremities, and L'hermitte's sign. Three years after the MS diagnosis, he was reexamined by his neuro-opthalmologist who noted his optic nerves appeared pale and his vision had deteriorated to 20/400 in the right eye and 20/200 in the left eye. He was declared legally blind. A follow-up MRI showed ten lesions, one active. This subject began upper cervical care soon after the second MRI.
Exam: During this patient's initial examination, he reported wearing sunglasses at all times, even indoors, due to light sensitivity. L'hermitte's Sign was present. Sensitivity was reduced in his hands and feet. Heat aggravated his symptoms. He showed inability to balance on one foot bilaterally and to walk heel-to-toe in a straight line. As a result, he reported frequent falls on hiking trails. He reported difficulty with bladder control (he urinated six times per night) and constipation (averaging four to five days without a bowel movement). He also suffered with memory loss (he carried a tape recorder to remind himself of errands, etc.), insomnia, and fatigue. Most of his MS symptoms had progressively worsened during the second and third years following his diagnosis and had been constant for at least one year. Analysis of cervical radiographs revealed left laterality of atlas. Computerized thermal imaging showed thermal asymmetries as high as 0.8ºC.
Outcome: After the first upper cervical adjustment, L'hermitte's Sign was absent and balancing on his left leg improved (both symptoms had been present for one year or greater). One week later, he reported that due to less light sensitivity, he was able to leave his sunglasses off, even outdoors. Upon visual reexamination one month later, he tested 20/160 bilaterally. Six months later, balancing on both left and right legs improved, so he was able to resume hiking while carrying a heavy backpack. He also was able to take hot showers and sit in jacuzzis because heat no longer aggravated his symptoms. In addition, normal sensation returned to his extremities, bladder control improved (urination occurred once per night), and constipation improved (one bowel movement per day).
Summary: During the two years prior to (upper cervical) chiropractic care, this patient experienced a progressive worsening of MS symptoms. Most symptoms had been present constantly for at least one year prior to the start of upper cervical care. After the intervention of (upper cervical) care, this subject reported immediate correction of some symptoms as well as gradual improvement of other symptoms over several months. One year after beginning care, this patient reported an overall correction and/or improvement in MS symptoms.