Mignelli John, Tollefson Lauren J, Stefanowicz Eric
Chiropractic Department, D'Youville College.
J Can Chiropr Assoc. 2021 Apr;65(1):121-126.
To describe the case of a 21-year-old female with previously diagnosed neurofibromatosis type 1 (NF1) with neck, scapular, lumbar, and temporomandibular discomfort along with headaches.
The patient had chronic tightness and pain in the cervicothoracic region as well as pain in the lumbar spine at the site of prior neurofibroma removal. Radiographs demonstrated multilevel osseous changes. In addition to NF-1, she was diagnosed with cervical myalgia, tension-type headaches, and chronic temporomandibular joint disorder.
Treatment consisted of a course of manual therapy including cervical flexiondistraction, myofascial release, patient education on workplace ergonomics, and an at-home active care plan. The patient experienced a reduction in pain and headache frequency.
Manual therapy in the form of cervical flexion-distraction with myofascial release and education on workplace ergonomics were effective in reducing neck and thoracic pain as well as reducing headache frequency in a 21-year-old with NF-1.
描述一名21岁女性病例，该患者先前被诊断为1型神经纤维瘤病（NF1），伴有颈部、肩胛部、腰部和颞下颌部不适以及头痛。
患者在颈胸区域有慢性紧绷感和疼痛，以及先前切除神经纤维瘤部位的腰椎疼痛。X线片显示有多处骨质改变。除NF-1外，她还被诊断为颈部肌痛、紧张型头痛和慢性颞下颌关节紊乱症。
治疗包括一个疗程的手法治疗，其中有颈椎屈伸牵引、肌筋膜松解、关于工作场所人体工程学的患者教育以及家庭主动护理计划。患者疼痛减轻，头痛频率降低。
对于一名患有NF-1的21岁患者，采用颈椎屈伸牵引结合肌筋膜松解的手法治疗以及工作场所人体工程学教育，在减轻颈部和胸部疼痛以及降低头痛频率方面是有效的。
