Research

JOURNAL OF HONG KONG CHIROPRACTIC NEWS

Improvement in Chronic Muscle Fasciculations With Dietary Change: A Suspected Case of Gluten Neuropathy
J of Chiro Med. 2014 (Sep 4); 13 (3). 188-191 ~

A 28-year-old man had muscle fasciculations of 2 years. The fasciculations began in his eye and progressed to the lips and lower extremities. In addition, he had gastrointestinal distressand fatigue. The patient was previously diagnosed as having wheat allergy at the age of 24 but was not compliant with a gluten-free diet at that time. Food sensitivity testing revealed immunoglobulin G–based sensitivity to multiple foods, including many different grains and dairy products. The working diagnosis was gluten neuropathy.

BMJ Chiropractic
BMJ Case Rep. 2018 Dec 4;11(1). pii: e227483. doi: 10.1136/bcr-2018-227483. PubMed PMID: 30567193; PubMed Central PMCID: PMC6301534.

Neck-tongue syndrome (NTS) is a rarely reported disorder characterised by paroxysmal episodes of intense pain in the upper cervical or occipital areas associated with ipsilateral hemiglossal dysaesthesia brought about by sudden neck movement. The most likely cause of this clinical entity is a temporary subluxation of the lateral atlantoaxial joint with impaction of the C2 ventral ramus against the articular processes on head rotation. NTS is an under-recognised condition that can be debilitating for patients and challenging for the treating physicians. Here, we report a 47-year-old man who fulfilled the International Classification of Headache Disorders, third edition criteria for a diagnosis of NTS was treated successfully with a chiropractic approach. There are currently no consensus guidelines for dealing with this disorder. Reassuringly, chiropractic care for uncomplicated NTS appears highly effective.

Cervical Radiculopathy Alleviating by Manipulative Correction of Cervical Hypolordosis.
J Med Cases. 2018 May; 9:139-141.

The purpose of this report is to present an interesting case of cervical radiculopathy in a patient with a prominent cervical hypolordosis treated by chiropractic adjustment. A 55-year-old office worker with severe neck pain and numbness of the right arm sought chiropractic treatment. Following 12 sessions of cervical adjustment, the patient experienced complete alleviation from radiculopathy and full restoration of cervical curvature. Neck pain is common and the cause is usually multifactorial. About 88% of uncomplicated neck pain is self-limiting. Conservative treatment is advocated as initial modality for most patients. Cervical radiculopathy, however, is a potential problem because nerve impingement can cause disability due to numbness or paresthesia, and even weakness, requiring surgical intervention. The best chance for sensorimotor recovery is with prompt intervention to decompress the pinched nerve. Instead of watchful waiting, early application of chiropractic adjustment may help release nerve impingement, and avoid medications and operations in patients with neglected nerve compression.

Subsiding of Dependent Oedema Following Chiropractic Adjustment for Discogenic Sciatica.
Euro J Mol & Clin Med. 2018 March; 5(1):1-4.

A 40-year-old woman presented with unbearable sciatic nerve pain which restricted her in doing daily activities. She also had bilateral leg swelling for some time and no apparent physical causes could be found after being reviewed by a cardiologist. The patient subsequently sought chiropractic care to relieve her pain. She unexpectedly experienced a beneficial outcome from spinal adjustment in which both sciatic nerve pain and leg oedema were simultaneously resolved. It is reasonable to say that ease of mobility from pain relief and increased lymphatic return from sympathetic responses can help eliminating leg oedema following spinal adjustment.

Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis.
J Family Med Prim Care. 2017 Apr-Jun;6(2):447-449. doi: 10.4103/jfmpc.jfmpc_52_17. PubMed PMID: 29302566; PubMed Central PMCID: PMC5749105.

Adolescent idiopathic scoliosis (AIS) remains the most common and potentially severe form of scoliosis during the rapid growth period. It is generally accepted that AIS is a multifactorial disease controlled by genetic, hormonal, neuromuscular, and environmental factors. Herein, we describe a case of 12-year-old scoliotic girl with a double curve of initially 26° thoracic and 23° lumbar, seeking chiropractic care. The therapy was provided three times/twice a week for 6 months. Adjustments of the spine through chiropractic, both soreness and mobility, were shown to improve. A total correction in Cobb angle of 6° (23%) in the thoracic curve and 7° (30%) in the lumbar curve was illustrated on consequent radiographs. This case highlights the advantage of chiropractic adjustment of early scoliosis primarily because the medical community does not offer any treatment for such a mild scoliosis. Further, randomized trial is warranted to support this viability for AIS.

Chiropractic pain control in myelofibrosis: A case report.
New Horizon in Clin Case Rep. 2017 August; 2:7-9

A 58-year-old man old man presented with MF for several years and had undergone splenectomy and targeted therapy with ruxolitinib. During the last 3 years of his life, he suffered from intractable bone pain that was resistant to medical, analgesic and physical therapies. However, significant pain alleviation was achieved shortly after starting chiropractic treatment. Patient’s condition continued to deteriorate and he died of septic complications.

Chiropractic Care for Postlaminectomy Syndrome.
Int J of Med and Hea Sci. 2017 July; 6(3):185-187.

A 44-year-old wheelchair-dependent woman had been troubled by aching in right low back for 4 months, after bending over to pick up a stack of papers. The patient had posterior decompression (L4/5 and L5/S1) for disc herniation 10 years earlier. Her pain, being rated as 8/10 on the pain scale, travelled down the right buttock and right calf. It was provoked with prolonged sitting, bending and straining. Relief was achieved with getting up to stretch or with lying down.

A rare presentation of benign acute childhood myositis
Clin Case Rep. 2019 Jan

Benign acute childhood myositis is a self‐limiting muscle disorder characterized by
calf pain with an isolated finding of elevated serum creatine kinase, being preceded
by an influenza‐like illness. The classic clinical and laboratory features may allow
for a correct diagnosis. This report describes some accompanying symptoms which
are not usually perceived. An incorrect diagnosis could lead to unnecessary
treatments.