Tuesday, February 22, 2011

Multiple Sclerosis and Upper Cervical Care: Case 4


Editor's Note: This is the fifth of a seven post series where I will be sharing five case reports on patients with MS that received upper cervical care and the results that occurred. The full article with all the reports can be read at length here.

CASE 4

History: This 55-year-old female was diagnosed with MS nine years ago at age 46 after an MRI confirmed active brain lesions. Her symptoms included painful paresthesia of her left arm, fatigue, mental confusion, insomnia, and lack of coordination of her right arm and leg. All symptoms progressively worsened over the nine-year period. Seven years after her diagnosis, a follow-up MRI confirmed the addition of new active lesions. Due to the fatigue, confusion, and pain, she had been on disability leave from work for several years.

Exam: During this patient's initial exam, she complained of extreme pain in her left arm, requiring multiple doses per day of pain medication (neurontin). She also took daily medication for sleeping (klonopin) and energy level (amantadine) due to her insomnia and fatigue. Her handwriting coordination (right-handed) was poor so she preferred using a computer. Cervical radiographs depicted a misalignment of her atlas to the right and posterior. Computerized thermal imaging revealed thermal asymmetries of 0.5ÂșC.

Outcome: During the first week of upper cervical care, this subject noticed an increase in energy level. One month later, she no longer noticed arm pain. Consequently, she consulted with her neurologist to reduce her pain medication. Her pain medication was reduced by two-thirds and she had no occurrences of arm pain. This patient also reported a continued increase in energy level and a renewed sense of mental clarity, so she considered looking for a part-time job. She felt "more alert and energized" and her "mind was clear." Four months after the start of upper cervical care her condition continued to improve without any relapses.

Summary: For the nine years prior to upper cervical care, this patient suffered from a chronic, progressive worsening of MS symptoms. Since the intervention of upper cervical care, this individual experienced improvements in MS symptoms and required less medication.

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