Archive for category Extremity Adjusting

Abstract

OBJECTIVE:

To report on a female patient who presented for chiropractic care with Morton’s neuroma.

CLINICAL FEATURES:

A 63-year old female who presented with a 10 year history of Morton’s neuroma in her right foot.

INTERVENTION AND OUTCOME:

Over a one month period, specific chiropractic care using the Activator Method Chiropractic Technique was provided to the patient for the correction of vertebral subluxation. Over this period, the patient experienced a resolution in presenting symptomatology as well as improvements with digestion, sleep and mobility. Patient subjective change was measured using a subjective outcomes survey. Improvements were noted in the subjective and objective outcome measures over the one month period.

CONCLUSIONS:

Subjective and objective improvements in physical wellbeing were documented in a patient with resolution of Morton’s neuroma following chiropractic care for vertebral subluxation.


Annals of Vertebral Subluxation Res. January 4, 2016, pp. 1-5

Author information: Brian Lanoue, BHSc, Thea Treahy-Geofreda, BHSc, David Russell, BSc (Psych.), BSc (Chiro.); New Zealand College of Chiropractic, 6 Harrison Rd, Mt Wellington, Auckland 1060, New Zealand.

 

Read More

Abstract

OBJECTIVE:

To describe the chiropractic care of a geriatric patient with complaints of cervicalgia, arm paraesthesia and adhesive capsulitis using Activator Methods Chiropractic Technique (AMCT).

CLINICAL FEATURES:

A 67-year-old male presented to the New Zealand College of Chiropractic, Chiropractic Centre with severe cervicalgia, right arm paraesthesia of two years duration, and adhesive capsulitis of his left shoulder of 20 years duration. His cervicalgia was constant and rated 8/10 at its worst on the Numeric Pain Scale, and his left shoulder abduction was restricted to 90°.

INTERVENTION AND OUTCOME:

The patient’s vertebral subluxations were addressed using Activator Methods Chiropractic Technique. After 4 visits spread over 4 weeks he regained the full range of motion in his left shoulder and the cervicalgia subsided to 1/10 with no right arm paraesthesia.

CONCLUSION:

The findings of this case suggest that chiropractic care using Activator Methods protocol for reduction of vertebral subluxations had a positive effect on cervicalgia and adhesive capsulitis in an elderly patient with a complex clinical history.


A Vertebral Subluxation Res. October 8, 2015, pp 163-166.

Author information: David (June-ki) Ham, BSC, Tae Bum Lim, Graham Dobson, DC.  New Zealand College of Chiropractic, 6 Harrison Rd, Mt Wellington, Auckland 1060, New Zealand.

Read More

Abstract

OBJECTIVE:

To describe a novel orthopedic test (Polk’s test) which can assist the clinician in differentiating between me- dial and lateral epicondylitis, 2 of the most common causes of elbow pain. This test has not been previously described in the literature.

CLINICAL FEATURES:

The testing procedure described in this paper is easy to learn, simple to perform and may provide the clinician with a quick and effective method of differentiating between lateral and medial epicondylitis. The test also helps to elucidate normal activities of daily living that the patient may unknowingly be performing on a repetitive basis that are hindering recovery. The results of this simple test allow the clinician to make immediate lifestyle recommendations to the patient that should improve and hasten the response to subsequent treatment. It may be used in conjunction with other orthopedic testing procedures, as it correlates well with other clinical tests for assessing epicondylitis.

CONCLUSION:

The use of Polk’s Test may help the clinician to diagnostically differentiate between lateral and medial epicondylitis, as well as supply information relative to choosing proper instructions for the patient to follow as part of their treatment program. Further research, performed in an academic setting, should prove helpful in more thoroughly evaluating the merits of this test. In the meantime, clinical experience over the years suggests that the practicing physician should find a great deal of clinical utility in utilizing this simple, yet effective, diagnostic procedure.


J Chiropr Med. 2002 Summer;1(3):117-21. [PMID:19674572]

Author information: Polkinghorn BS. Private Practice of Chiropractic, Santa Monica, CA.


Free PMC Article

Read More

Abstract:

The objective of this article is to describe  several cases (n = 3) in which patients with plantar fasciitis,  associated with heel spurs, were successfully treated via chiropractic  adjustments, emphasizing the correction of posterior calcaneal  subluxation.

This particular group of patients presented with heel pain  varying from 2 months to over 4 years in duration. Radiological  confirmation of heel spur was evident in each case. Previously  unsuccessful treatment regimens included oral anti-inflammatants,  steroid injections, orthotics, and sustaining physical therapy. Two of  the patients had been deemed candidates for surgical removal of the  spurs but had declined to pursue that option, electing instead to use  chiropractic care and conservative management in an effort to resolve  the condition.

All patients were treated with short-lever mechanical force,  manually assisted chiropractic adjusting procedures, with special  emphasis to the foot, ankle, and calcaneus. Although the specific nature  of the relevant subluxations varied with each patient, a common  denominator with this particular patient population group was the  occurrence of a posterior subluxation of the calcaneus. All adjustments  were delivered via the use of an Activator Adjusting Instrument and were  comfortably tolerated by each patient. Said treatment resulted in a  complete resolution of all symptoms in this studied group of patients,  with no recurrence being demonstrated over a protracted follow-up period  of time.

The conservative management of heel spur syndrome may be  effectively implemented through the use of specific chiropractic  adjusting procedures in selected patients presenting with this  particular problem Attention to the possibility of posterior subluxation  of the calcaneus should be emphasized during the chiropractic  examination process. Although other pedal subluxations can be involved  as well, the posterior calcaneus is often a common denominator in the  subluxation complex associated with this condition. The use of a  mechanical force, manually assisted short-lever adjusting technique,  such as with an Activator Adjusting Instrument, can provide effective  delivery of the chiropractic treatment. Further study, involving larger  patient populations, should be provided to more thoroughly investigate  this treatment on a wider scale.


Chiropr Sports Med 1995b; 9(2):44-51.

Author information: Polkinghorn BS. Private practice of chiropractic. Santa Monica, CA, USA.

Read More

Abstract

Patients often present themselves for  chiropractic treatment with conditions that may include  contraindications for manipulative therapy. This report describes  successful chiropractic treatment of acute shoulder pain involving a  patient who presented with mixed metastatic carcinoma affecting the  humerus, scapula, and clavicle using an Activator Adjusting Instrument.

The successful outcome of the case demonstrates the possible value of  instrumental chiropractic adjustment in treating neuromusculoskeletal  cases where a forceful, high-velocity adjustment or manipulation would  be contraindicated because of the underlying osseous pathology involved.  Further study into this possibility should be provided to help train  those physicians who are called upon to treat these cases and to help  further define risk management protocols for the chiropractic  profession.


Chiropr Tech 1995; 7(3):98-102.

Author information: Polkinghorn BS. Private practice of chiropractic. Santa Monica, CA, USA.

Read More

Abstract

OBJECTIVE:

To describe treatment of frozen shoulder syndrome (adhesive capsulitis) via conservative chiropractic treatment to the shoulder joint, utilizing specific contact, low force, instrumental adjusting procedures. A case report, providing an illustrative example of the same, is presented along with a review of the relevant literature.

CLINICAL FEATURES:

A 53-yr-old woman suffered severe shoulder pain of over 6 months’ duration. The patient had been diagnosed as having adhesive capsulitis and had undergone a variety of different treatment regimens without obtaining relief, including various NSAIDs, analgesics and physical therapy. At the time of her presentation, her condition had progressed to the point of near total immobility of the shoulder joint, accompanied by severe pain with resulting marked restriction in her normal activities of daily living.

INTERVENTION AND OUTCOME:

The patient’s shoulder was conservatively managed with chiropractic adjustments to the affected shoulder joint, as well as to the cervicothoracic spine. Treatment consisted of mechanical force, manually assisted short lever chiropractic adjustments, delivered via an Activator Adjusting Instrument. Successful resolution of the presenting symptomatology was achieved.

CONCLUSION:

Chiropractic care may be able to provide an effective mode of therapeutic treatment for certain types of these difficult cases. Low force instrumental adjustments, in particular, may present certain benefits in these cases that the more forceful manipulations and/or mobilizations cannot. As such, further formal investigation of this type of therapeutic intervention for treatment of frozen shoulder may be warranted on a larger scale.


J Manipulative Physiol Ther. 1995 Feb;18(2):105-15. [PMID:7790781]

Author information: Polkinghorn BS. Private practice of chiropractic. Santa Monica, CA, USA.

Read More

Abstract

OBJECTIVE:

To present the first reported case of successful chiropractic intervention in treatment of a torn medial meniscus of the knee, the meniscal tear being documented by magnetic resonance imaging (MRI).

CLINICAL FEATURES:

A 54-yr-old woman complaining of right knee pain of several months’ duration with accompanying marked functional impairment was diagnosed as having a tear in the posterior horn of the ipsilateral medial meniscus, verified by MRI studies of the same. Independent consultation with three medical specialists resulted in the unanimous decision that surgical intervention for the purpose of meniscectomy provided the only therapeutic approach indicated for the problem. However, the patient was reticent to undergo said surgical procedure and chose, instead, to utilize chiropractic care and conservative management in an effort to resolve her condition without having to resort to surgery.

INTERVENTION AND OUTCOME:

The patient received chiropractic treatment to the knee via mechanical force, manually assisted short lever chiropractic adjusting procedures (MFMA) utilizing an Activator Adjusting Instrument. Auxiliary treatment included the use of homeopathic therapy as an adjunct to chiropractic care. Said treatment resulted in a complete resolution of the patient’s disability, the patient recovering full function of the knee joint and achieving an asymptomatic status without having to submit to surgical intervention and its possible adverse sequelae.

CONCLUSIONS:

Conservative management of meniscal tears via chiropractic treatment may provide a therapeutically effective and financially cost containing alternative to routine meniscectomy in certain cases involving torn medial menisci of the knee.


J Manipulative Physiol Ther. 1994 Sep;17(7):474-84. [PMID:7989881]

Author information: Polkinghorn BS. Private practice of chiropractic. Santa Monica, CA.

Read More