Neff Shawn M, Okamoto Casey S
Veterans Administration Medical Center, Martinsburg, WV.
J Chiropr Med. 2017 Mar;16(1):78-82. doi: 10.1016/j.jcm.2016.10.006. Epub 2016 Dec 6.
The purpose of this case report was to describe chiropractic management of thoracic pain in a patient with a stable thoracic aortic aneurysm.
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.
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.
This patient was successfully treated for thoracic spine pain with a course of chiropractic care using a mechanical adjusting instrument.
本病例报告旨在描述对一名患有稳定型胸主动脉瘤患者的胸椎疼痛进行整脊治疗的情况。
一名89岁男性出现轴向中背部和上背部疼痛，主要集中在T8和T1脊柱节段水平。对现有影像资料的回顾显示升主动脉有一个稳定的动脉瘤样扩张，直径为4.3厘米。
由于胸椎疼痛本质上是肌肉骨骼问题，且胸主动脉瘤稳定，因此使用脉冲调整仪器进行了手法操作。使用数字评分量表对患者的疼痛进行测量。在治疗过程中，患者的胸椎疼痛有所改善。
该患者通过使用机械调整仪器进行一个疗程的整脊治疗，成功缓解了胸椎疼痛。
