Chiropractic Management of a Patient With Thoracic Pain and a Stable Thoracic Aortic Aneurysm: A Case Report.
作者信息
Neff Shawn M, Okamoto Casey S
机构信息
Veterans Administration Medical Center, Martinsburg, WV.
出版信息
J Chiropr Med. 2017 Mar;16(1):78-82. doi: 10.1016/j.jcm.2016.10.006. Epub 2016 Dec 6.
Abstract
OBJECTIVE
The purpose of this case report was to describe chiropractic management of thoracic pain in a patient with a stable thoracic aortic aneurysm.
CLINICAL FEATURES
An 89-year-old man presented with axial mid- and upper back pain localized predominantly at the T8 and T1 spinal segmental levels. A review of available imaging revealed a stable aneurysmal dilatation of the ascending aorta, which measured 4.3 cm.
INTERVENTION AND OUTCOME
Because the thoracic pain was musculoskeletal in nature and the thoracic aortic aneurysm was stable, mechanical manipulation was provided using the Impulse adjusting instrument. The patient's pain was measured utilizing a numeric rating scale. The patient's thoracic pain improved over the course of treatment.
CONCLUSION
This patient was successfully treated for thoracic spine pain with a course of chiropractic care using a mechanical adjusting instrument.
摘要
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