Sunday, February 20, 2011
Multiple Sclerosis and Upper Cervical Care: Case 3
Editor's Note: This is the fourth 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: This 46-year-old female first experienced symptoms of MS at age 44, when she noticed memory and cognitive problems (inability to formulate thoughts or words), frequent urination and loss of bladder control (loss of muscular control to begin and end urination). She was diagnosed with MS after an MRI showed active brain lesions. Her symptoms remained constant without worsening until the addition of sensory deficits (painful tingling) in her arms and legs, two years after her diagnosis.
Exam: At her initial (upper cervical) chiropractic examination, this subject reported feeling continuous, painful tingling and loss of sensation in both arms and legs during the previous month. She complained of a weakness in her legs that she described as "a rubbery feeling." She also had difficulty with cognition and bladder control for the previous two years. She complained of generalized stiffness and aching in her neck. Cervical extension was reduced and painful. Analysis of cervical radiographs revealed right laterality and right posterior rotation of atlas. Computerized thermal imaging showed 0.5ºC thermal asymmetries.
Outcome: Within the first week of upper cervical care, this subject reported improved bladder control (resumption of muscular control during urination) and a decrease in numbing, tingling, and pain in her left leg and right hand. One month later, her leg strength returned and numbness was noted only in her left hand. In addition, memory and cognitive ability returned to normal. After two months of care, bladder control, sensitivity, and strength in her extremities returned to normal. After four months of upper cervical care, this subject reported the absence of all MS symptoms. A follow-up MRI showed no new lesions as well as a reduction in intensity of the original lesions. During the subsequent six months, this patient was examined once per month with digital infrared imaging. An adjustment was necessary on three visits. At each of those three occasions, a minor reoccurrence of symptoms also existed, which was corrected following each adjustment. No other flare-ups occurred.
Summary: Most of this patient's MS symptoms (except one month of sensory deficits) had been present for two years prior to the start of upper cervical care. After the intervention of upper cervical chiropractic care, the patient's MS symptoms gradually improved over several months. After one year of care, this individual primarily remained asymptomatic.