Abstract
OBJECTIVE:
The purpose of this case report is to describe the clinical presentation and chiropractic management of Tietze syndrome.
CLINICAL FEATURES:
A 34-year-old woman presented with unexplained left-sided chest pain. Electrocardiogram and radiographs were taken at a medical emergency department to rule out cardiovascular and pulmonary causes, and pain medication did not relieve her pain. Physical examination showed tenderness on palpation and swelling of the second and third chondrosternal joints, as well as thoracic joint dysfunction. Heart and lung pathology was ruled out, and chondrosternal joint swelling was present, Tietze syndrome was diagnosed.
INTERVENTION AND OUTCOME:
A treatment plan aimed at restoring normal thoracic and rib joint movement and decreasing inflammation of the chondrosternal joints resulted in lower pain levels. Treatment consisted of diversified high-velocity, low-amplitude chiropractic manipulation; Activator technique; and cryotherapy.
J Chiropr Med. 2011 Mar;10(1):60-3. [PMID:22027210]
Author information: Gijsbers E, Knaap SF. Chiropractor, Private Practice, Hoofddorp, The Netherlands.
More in this category:
Improvement in Physical Functioning, Overall Quality of Life & Drug Reduction in a 75-Year-Old Female with Neuropathy, Insomnia & Vertebral Subluxations: A Case Report »
Resolution of Lower Limb Sensory Polyneuropathy In A 63-Year-Old Male Receiving Activator Methods Chiropractic Technique For The Correction Of Vertebral Subluxation »
Improved Ambulation, Quality of Life and Decreased Pain in a 64-Year-Old Female with Polymyalgia Rheumatica & Multiple Neuromusculoskeletal Symptoms Undergoing Chiropractic Care »
Improved Spinal Range of Motion, Quality of Life, Dysponesis & Dysautonomia in a 75-year-old male Following Activator Methods Chiropractic Technique for the Correction of Vertebral Subluxation: A Case Report »
Improvement in Chronic Musculoskeletal Arm Pain and Headaches in an 89- Year-Old Male Receiving Chiropractic Care Involving Torque Release Technique and Activator Methods Chiropractic Technique: A Case Report. »
Changes in Quality of Life in 7 Older Adult Patients Receiving Activator Methods Chiropractic Technique »
Resolution of Morton’s Neuroma in an Elderly Patient Receiving Activator Methods Chiropractic Technique to Correct Subluxation: A Case Study »
Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series »
Resolution of Cervicalgia, Paraesthesia and Chronic Adhesive Capsulitis in a 67-Year-Old Male: A Case Study »
Improvement in Mobility, Emotional Wellbeing & Quality of Life in an Older Adult Following Subluxation Based Chiropractic Care: A Case Report »
Use of localized human growth hormone and testosterone injections in addition to manual therapy and exercise for lower back pain: a case series with 12-month follow-up. »
Symptomatic & Cognitive Improvement Following Chiropractic Care in a Patient with Concussion and Vertebral Subluxation: A Case Report »
Chiropractic management of a veteran with lower back pain associated with diffuse idiopathic skeletal hypertrophy and degenerative disk disease »
Chiropractic spinal manipulative therapy for a geriatric patient with low back pain and comorbidities of cancer, compression fractures, and osteoporosis »
Resolution of Breech Presentation Confirmed by Ultrasound Following Webster’s Technique »
Management of Non-cardiac Chest Pain With Chiropractic Care: A Case Report and Brief Review »
Intermittent low back pain referred from a uterine adenomyosis: a case report »
Chiropractic management of a 5-year-old boy with urinary and bowel incontinence »
Resolution of Breech Presentation Using an Activator Adjusting Instrument to Administer Webster’s Technique in Three Women Undergoing Chiropractic Care »
Chiropractic care of a 6 year old girl with neck pain; headaches; hand, leg and foot pain; and other nonmusculoskeletal symptoms »
Treatment of Paroxysmal Supraventricular Tachycardia using Instrument-Assisted Manipulation of the Fourth Rib: A 6 Year Study »
Chiropractic Treatment of Temporomandibular Disorders Using the Activator Adjusting Instrument and Protocol »
Chiropractic Management of Ehlers-Danlos Syndrome: A Report of Two Cases »
Chiropractic Management Of Chronic Chest Pain Using Mechanical Force, Manually Assisted Short-Lever Adjusting Procedures »
A Novel Method For Assessing Elbow Pain Resulting From Epicondylitis »
Chiropractic Treatment of Postsurgical Neck Syndrome With Mechanical Force, Manually Assisted Short-Lever Spinal Adjustments »
Chiropractic Treatment of Coccygodynia via External Instrumental Adjusting Procedures utilizing Activator Methods Chiropractic Technique. »
Grand Rounds Discussion: Patient with acute low back pain »
Treatment of Symptomatic Lumbar Disc Herniation Utilizing Activator Methods Chiropractic Technique »
Posterior Calcaneal Subluxation: An Important Consideration in Chiropractic Treatment of Plantar Fasciitis (Heel Spur Syndrome) »
Instrumental Chiropractic Treatment of Frozen Shoulder Associated With Mixed Metastatic Carcinoma »
Chiropractic Treatment of Frozen Shoulder Syndrome (Adhesive Capsulitis) Using Mechanical Force Manually Assisted Short Lever Adjusting Procedures. »
Conservative Treatment of Torn Medial Meniscus via Mechanical Force, Manually Assisted Short Lever Chiropractic Adjusting Procedures. »
Treatment of Bell’s Palsy by Mechanical Force, Manually Assisted Chiropractic Adjusting and High-voltage Electrotherapy »
Treatment of Bell’s Palsy by Mechanical Force, Manually Assisted Chiropractic Adjusting and High-voltage Electrotherapy »
Vertebral Subluxation and Otitis Media: A Case Study »
Treatment of Chronic Sciatica by Mechanical Force, Manually Assisted, Short Lever Adjusting and a Video Assisted Stretching Program: A Quantitative Case Study »
Low Force Chiropractic Care of Two Patients with Sciatic Neuropathy and Lumbar Disc Herniation »
Activator Adjusting For Acute Torticollis »