腰痛・肩こり・頭痛・骨盤矯正に「スパイナルケア」用賀・桜新町２分！
10/09/25
2010年9月
【Clinical features】
A 25-years-old female, who has been working as a typist, had a headache of approximately 3-years duration that were located on the left upper cervical region. Prior medical intervention included pharmaceutical procedures without improvement of symptoms.
【Clinical findings】
・Static palpation with diffused tenderness to complaint area .
・Seated cervical spine range of motion was limited by an increase of her symptom.
・Cervical compresson test made her symptom worse.
【Treatment and outcome】
Treatment plan included patient education in posture and an in-office stretching program progressing to home therapy was reviewed with the patient. She noticed an increase in signs and symptoms after her first 2 visits followed by a decrease in her primary signs and symptoms during visits 3-5. She was released to home therapy and supportive chiropractic manipulation with continued positive response.
【Conclusion】
Management of cervicogenic headaches with chiropractic manipulation and rehabilitation is discussed. Management strategies including education of proper biomechanics, rehabilitation and chiropractic manipulation were effective in this case.
10/09/10
2010年9月
【Clinical features】
A 60-years-old male has been suffering from increasing pain in his lower back and right hip for a year. When he was asked about past injuries, he explained how, about 30 years ago, he had several injuries on his low back and sprained his joint on playing football. At first, the pain in his low back and right hip was spontaneously improved, but since last year the pain came back again and gradually getting worse.
【Clinical findings】
・X-rays showed mild degenerative changes in his L5/S1 segment.
・The range of motion in his low back and right hip were slightly restricted.
・Tightness and sensitivity of piriformis, gluteus minimus, and multifidus muscles.
【Treatment and outcome】
Treatment plan consisted of chiropractic manipulation and sof tissue technics to his low back spine. Within 3 visits, he experienced increasing improvement. She had a total of 6 visits (1 months), after which her symptoms were 90% recovered. The patient was advised to have chiropractic care once per 2 months in order to maintain his painless condition.
【Conclusion】
This case study suggest that chiropractic care can relieve chronic low back and hip pain caused by previous repetitive injuries. Spinal dysfunction and a tightness of the hip stabilization muscles appeared to be the cause of patient's symptoms and previous injuries often has negative impact on normal neuromuscloskeletal function. Management including chiropractic manipulation and soft tissue technics were effective in this case.
10/09/05
2010年9月
45歳女性 二子玉川在住
右腰から右下肢にかけての痛みを訴え来院。1週間前から思い当たる原因もなく現れた。痛みは右殿部を中心にして、下肢（特に大腿後面）が重だるいように痛む。時々、ズキっと腰が痛むこともある。症状は、お風呂に入ると若干楽になるような気がする。痛みは体を前に曲げたり反らせたりするとふとした拍子に痛む。3年前の初産から、時々このような痛みが出てくる。一日の中でもっともひどいのは夕方から夜。整形外科ではレントゲン、MRIにて椎間板ヘルニアと診断された。
【初診時の症状】
・体を反らすと痛み誘発
・仙腸関節（骨盤の関節）の圧痛あり
・腰全体の張り感あり
【施術後の経過】
仙腸関節と呼ばれる、骨盤の関節をチェックし、動きの悪い部分を調節した。治療直後から症状は4分の１以下に軽減し、気にならなくなった。その状態を維持してもらうためにエクササイズを行い、5日後に再来院してもらった。5日間は特に酷い痛みはなく、時々、ズキと痛む程度であった。2回目も初回と同じような調節を行い、3回目以降は症状が無くなったので、２～３週ペースのメンテナンスへ移行した。
【担当カイロプラクターからのコメント】
今回の症状は「仙腸関節症候群」と呼ばれる症状で、骨盤の関節が痛みの原因でした。通常、下肢にしびれが出る腰痛として、椎間板ヘルニアが思い当たると思いますが、この症状はヘルニアのようにしびれは出ますが、正座の後のような感覚ではなく、「重だるいような」とか、「鈍く痛むような」、「膜が張ったような」という表現されることが多いのが特徴です。カイロプラクティック治療によって、関節のひっかかりを取ると、比較的簡単に改善することが多い症状です。今回のケースのように、産後の骨盤のねじれや、ゆるさによっても出やすくなります。
足の痛みでお困りの方はこちらへ
10/09/04
2010年9月
【Clinical features】
A 38-years-old female visited us because she had pain and tightness in her neck and right arm. When she was asked about past injuries, she explained how, about 20 years ago, she had a traffic accident and hit on her right shoulder. At first, the pain in her right shoulder was spontaneously improved, but over the years she developed neck and arm pain on the same side. By the time of her first visit, She had seen several MDs for treatment on her neck and arm in the past, and she was taking non-steroidal anti-inflammatory drugs prescribed by her GP.
【Clinical findings】
・blood pressure, pulse, sensation, reflex and muscle tests. All were normal.
・The range of motion in her neck and right shoulder were restricted.
・Trigger points are found in muscles of scalene and deltoid.
【Treatment and outcome】
Treatment plan consisted of chiropractic manipulation to her entire spine, trigger point therapy and rehabilitative exercise program. Within 5 visits, she experienced increasing improvement. She had a total of 8 visits(2 months), after which her symptoms were 80% recovered. The patient was advised to have chiropractic care once per 1 month in order to maintain her painless condition.
【ConclusionTreatment and outcome】
This case study suggest that chiropractic and rehabilitative care can relieve neck pain,
neck/shoulder stiffness and arm pain caused by trigger point. Spinal dysfunction and a weakness of the inner spinal stabilization muscles appeared to be the cause of patient's symptoms and if it becomes chronic, the situation is likely to produce trigger point. Management including , trigger point therapy, core and spinal stabilization exercises, and chiropractic manipulation were effective in this case.
- １．首・頭・肩の問題
- ２．腰・背中の問題
- お尻の痛み（臀部痛）
- ぎっくり腰（急性腰痛）
- 側弯症
- 背部痛
- 腰痛
- ３．四肢（腕・手・ふともも・足）の問題
- ４．骨盤の問題
- ５．姿勢矯正
- ６．症状の予防（メンテナンス）
- ７．その他の症状
- ８．適応外症状（病院紹介）
- ９．English case report
- 25-years-old female with cervicogenic headache
- A 60-years-old male with low back pain and right hip pain.
- 右腰から右下肢にかけての痛み
- A 38-years-old female with headaches, right arm and neck pain
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