Miller Sara C, Cox James M, Olding Kurt J
Family Chiropractic & Acupunture, P.C., Portsmouth, Virginia.
Cox Chiropractic Medicine, Inc., Fort Wayne, Indiana.
J Chiropr Med. 2019 Sep;18(3):225-228. doi: 10.1016/j.jcm.2019.03.003. Epub 2020 Aug 21.
This case reports discusses the case of a 43-year-old man with concurrent cervical spine radiculopathy and herpes zoster shingles infection.
A 43-year-old man with left sided C6 radiculopathy was seen and treated for the clinical diagnosis of C5-C6 disc herniation. Ten days before seeking care he had received influenza and pneumococcal vaccinations. A week after vaccination, he noticed tingling, aching, and fatigue in his left arm. A week later, a rash appeared on his left arm. This was diagnosed via Teladoc as shingles; ibuprofen was prescribed, as too much time had elapsed for antiviral medication.
Chiropractic spinal manipulation using Cox distraction protocols for a C5-C6 disc herniation was given 5 times over a time period of 5 weeks. This treatment resolved the patient's left arm pain, provided 50% relief for his neck pain, and decreased his left arm rash. Four spinal manipulations were given over the next 12-week period, resulting in 80% reduced neck pain, complete resolution of left arm pain, and faint herpetic rash. The patient stated that he felt he had returned to his level of health before the incident.
Concurrent upper extremity radicular pain accompanied by herpes zoster cutaneous rash is described. Chiropractic spinal manipulation using Cox spinal distraction protocols saw resolution of the patient's complaints. Considered to be an uncommon dual occurrence, radiculopathy and herpes zoster infection deserve clinical discussion and evaluation of treatment protocols.
本病例报告讨论了一名43岁男性同时患有颈椎神经根病和带状疱疹感染的病例。
一名患有左侧C6神经根病的43岁男性因C5 - C6椎间盘突出症的临床诊断前来就诊并接受治疗。在寻求治疗前10天，他接种了流感疫苗和肺炎球菌疫苗。接种疫苗一周后，他注意到左臂有刺痛、酸痛和疲劳感。一周后，他的左臂出现了皮疹。通过Teladoc诊断为带状疱疹；由于服用抗病毒药物的时间已经过去太久，所以开了布洛芬。
针对C5 - C6椎间盘突出症，采用Cox牵引方案进行了5次脊椎按摩治疗，为期5周。这种治疗缓解了患者的左臂疼痛，颈部疼痛减轻了50%，左臂皮疹也有所减轻。在接下来的12周内又进行了4次脊椎按摩治疗，颈部疼痛减轻了80%，左臂疼痛完全缓解，疱疹皮疹也变淡了。患者表示他感觉自己已经恢复到发病前的健康水平。
描述了同时出现上肢神经根性疼痛并伴有带状疱疹皮肤疹的情况。采用Cox脊椎牵引方案进行脊椎按摩治疗使患者的症状得到缓解。神经根病和带状疱疹感染被认为是一种罕见的并发情况，值得进行临床讨论和治疗方案评估。
