Chiropractic Literature Essay

There are many types of spinal cord injuries (SCI). Patients with SCI can symptoms that range from mild neurologic impairment (such as numbness and tingling of extremities or neck pain) to devastating total body paralysis depending on the extent of damage and where in the spinal cord the damage occurs. Management of airway, breathing and circulation are key with SCI patients, as well as immediate immobilization. With proper care and intervention, chances of survival are greatly improved.

     This essay is not intended to criticize any emergency medical or hospital staff. I am writing this essay out of concern for patients who come into the emergency room that may have a jeopardized spinal cord resulting from an injury or suspected injury to their cervical spine. I am a certified emergency medical technician, farm-medic instructor and currently a medical diagnostic student doing clinicial's. In the United States each year there are approximately 10,000 reported cervical spine injuries that come into emergency rooms. Motor vehicle accidents account for approximately 45%, falls approximately 30%, the remaining 25% from sports and miscellaneous. Although only a small amount of

Chiropractors are health-care professionals that contribute a lot to people seeking a health lifestyle. Chiropractors go through safe procedures that can help increase mobility, relieve pain, and optimize performance. A majority of chiropractors treat families however they treat them one-on-one allowing them to form a bond with each person and understanding what that person likes and dislikes. The history of chiropractic first startedoff when Daniel David Palmer made his first chiropractic adjustment on a janitor who couldn’t hear very well. A few days after that adjustment, the janitor cameback and told Palmer that his hearing seemed to improve. The correction to the janitor encouraged Palmer to open a school of chiropractic two years later. “Chiropractic” actually is derived

DOI: 9/18/2000. Patient is a 59-year-old female technician who sustained a work-related injury due to being jostled and jolted in the back of a golf cart which ran over a pothole. As per OMNI, she was diagnosed with post cervical protrusions, facet syndromes with headaches, lumbar facet syndrome and status post right shoulder repair/resection.

Per the Agreed Medical Re-Examination report dated 09/29/15, whole person impairment rating is 5%. Future medical care includes access to follow-up visits for monitoring of his condition for the next calendar year, with continued provision of pharmacological agents. Should patient experience a significant acute symptoms flare-up within the next calendar year, re-instatement of brief courses of traditional PT, acupuncture,

Since opening for business over 22 years ago, American Health Chiropractic in Milford, Ohio has helped hundreds of patients find back pain, neck pain, and leg pain relief through chiropractic treatments. Their effective treatment plans are catered to each individual for optimal results. If you’re looking for chronic back pain relief or relief from recent work injuries, here are three reasons to visit American Health Chiropractic for effective pain treatment:

The conventional surgical process executed on slipped disc patient is discectomy or laminectomy. In contradiction of the common belief, operation is not a cure and maximum will struggle with similar issues again. Recurring conditions, as per surgeons might necessitate supplementary surgical interventions. Recurring disc herniation is not uncommon at all and can occur straight after back surgery or some years later, although they are most common in the first three months after surgery. Furthermore, after surgery, the patient is at higher risk of further relapses (15% to 20% chance). Some patients ended up having 2 or more surgeries on the same or a neighboring segment. The first few years after the operation, one might feel very comfy and calmed. The ill-starred realism is that the efficiency of the spinal surgery does not last. Pain, paresthesia, stiffness and numbness are most likely to come back haunting

Failed back surgery syndrome (FBSS) or postlumbar surgery syndrome are terms used to describe unsatisfactory outcome after lumbar spine surgery. 1 FBSS is persistent or recurring low back pain, with or without sciatica following one or more lumbar operations. 2 The rate of the FBSS increases in the last two decades despite of the advances in surgical technology. 3, 4 A recent systemic literature review of discectomies for lumbar disc herniation demonstrate 5%–36% of patients after 2 years had FBSS below the age of 70 years. 5, 6 Another retrospective cohort study of 35,558 patient in south korea, received lumber disc surgery, re-operation rate at 5 years was 13.4%. 7

Patients with CSM generally experience symptoms for an extended period of time and also attempt conservative management before obtaining surgical consultation. While spinal ischemia can often be resolved by decompression, it is not uncommon to have permanent ischemic damage to the cord. In this case, post-operative neurological improvement will be minimal or even non-existent. Consequently, the operation becomes a preventive measure as opposed to a curative one. In our study, one patient did not improve post-operatively. At the three-month follow-up visit, there was notable myelomalacia without residual spinal cord compression on MRI. Since the ischemic changes did not resolve post-operatively, we believe this to be the result of long-standing pre-operative damage to the cord., At the very least, surgery served to stabilize the myelopathy and prevent further ischemic damage and clinical

In the summer of seventh grade, I was provided a job to mow, pull weeds, and provide other yard care work. This job was for a well known gentleman in my town. His house was massive and beautiful and he owned quite a bit of land. As I continued to talk to him, I found out that he was a chiropractor and he also owned and sold real estate. Right when I got home I began researching chiropractors and what they do and I was fascinated even though I had never been to one before. After awhile, I began playing football and realized that my hips and back were becoming oddly sore. Therefore I asked my parents what I should do about the situation. After doing what I was told and still not feeling much better, they suggested a chiropractic appointment.

The patient is a fifty-six-year-old male who was admitted on 10/3/16. His reason for admission was his involvement in a motor vehicle accident where his car was t-boned by another vehicle. Upon arrival to the emergency department, his chief complaint was his inability to detect sensation from the nipple line down, and his inability to move his extremities. He was otherwise alert, oriented and able to breathe on his own. After an assessment confirmed his inability to feel anything from the chest down, a portable x-ray of his chest was ordered, but this did not show any acute findings. Multiple computed tomography scans were then ordered for his head, cervical spine, abdomen and pelvis, chest and thoracic spine; but all of these scans resulted in no acute findings. However, a computed tomography scan of the lumbar spine did show spinal stenosis secondary to disc protrusion, and magnetic resonance imaging scans were then ordered for the cervical, thoracic, and lumbar spine. The magnetic resonance scans showed multiple compression fractures from the C3 to C5 vertebrae, with ligament injuries from C5 to C7, bruising of the spinous process of C6, mass bone bruising and soft tissue injuries at C3 and C4 with edema, severe spinal stenosis with cord compression at C3 and C4, and cord contusion at T2. The patient was then

On the 19th December the patient was transferred from Daisy Hill Hospital to a specialist Neurosurgical unit in the Royal Victoria Hospital. On admission to the neurosurgical unit the Glasgow Coma Scale (GCS) was 14/15 and she had no neurological deficits with the nerve, spinal cord, or brain function, although she was still complaining of neck stiffness and pain in head. Although the CT scans showed no evidence of subarachnoid haemorrhage, due to her very strong history the patient was referred for further imaging through angiogram techniques. This included use of catheters inserted under the skin to provide a contrast material which was detected through the use of magnetic resonance imaging scans (M.R.I). The results for these again showed no evidence of a recent bleed.

However, there are some important concepts such as avoidance of axial loading when prescribing exercises to patients with disc pathology as this is strongly related to degenerative changes although there is no gold standard tool for measuring lumbar compression load (Hung, Y.J.et al., 2014). Hours spent sitting significantly increased the prevalence of disc herniation. Sitting is also associated with loss of the lumbar lordosis, intervertebral disc (IVD) compression, and height loss, possibly increasing the risk of lower back pain (Fryer, J.C., Quon, J. A., & Smith, F. W. (2010). Hence, offering variable positions when exercising patients best minimizes seated exercises. Little is known about the correlation between the extent of disc herniation and clinical signs and symptoms, neither were there any reported correlation between improvement in functions nor the pain reduction as visually reported, other than the reduction in sizes of disc herniation among the four segment levels (L2 –L3 = n 6, L3-L4 n=17, L4- L5 n= 51 c, and L5- S1 n= 4), indicative of morphological regression of herniated disk during their repeated MR as reported by the research of Unlu, Tasci, Tarhan, Pabuscu, & Islak in 2008. Hence, physical assessment and a thorough physical therapy

Further, moving into disability step, AVPU (Alert, Voice, Pain and Unresponsive) was used to assess his level of consciousness (Jevon 2008). He was alert but appeared confused and complained of a severe headache describes as “being hit on the back of the head with a hammer” with a pain score of 10/10. A severe headache is common problem presenting with Mr Devi’s condition after stroke due to increased intracranial pressure resulting from trauma with oedema or haemorrhage (Gould and Dyer 2011).

In a patient who presents unstable hemodynamic conditions, prompt surgical neck exploration is necessary. The optimal surgical approach depends on the anatomical zone of the injury. Most injuries can be reached through an anterior sternocleidomastoid incision. Sometimes, a median sternotomy, supraclavicular incision, transverse cervical collar incision or manipulations of the mandible are necessary to reach the origin of the vessel injury (11).