９．English case report｜用賀・桜新町・二子玉川・三軒茶屋エリアの整体・マッサージ

10/11/09

20-year-old male with right ankle sprain

20-year-old male with right ankle sprain

Clinical Features:

A 20-year-old male, who has been playing football, had suffered from right ankle

sprain yesterday. He went to see a medical doctor and radiographs didn't indicate

any sign of fracture. Pharmaceutical procedures was given to him in order to

reduce inflammation, and referred to our clinic.

Clinical findings:

・Observation - Swelling was found on the symptomatic site.

・ Palpation - Pain was located anteriorly over the anterior tibiofibular ligament

and lateral aspect of ankle soft tissue (peroneus tertius muscle)

・ Orthopedic exam - Pain was elicited through a variety of tests designed to

stress ankle articulation through diastatic forces.

Intervention and Outcome

Treatment plan included chiropractic manipulation, active release technic,

physiotherapy modalities, and rehabilitation was offerd. Care must be taken to

avoid stressing the supporting ligaments during the early course of therapy. Initial

treatment is aimed at reducing pain and inflammation using modalities such as

microcurrent and P.R.I.C.E. principles. Treatment over subsequent weeks

involves progressive resistance exercises, proprioceptive challenges, plyometric

exercises and sport-specific agility drills, while maintaining cardiovascular fitness.

Conclusion

The most common mechanism of ankle sprain is forced external rotation in a

dorsiflexed foot. Practitioner should also be cognizant of the indolent nature of

this injury and possibility for sequelae. Anterior ankle pain and pain with a deep

squat or during the push-off phase of gait are typical of this injury. Radiographs

to rule out fracture and evaluate the extent of the injury may be necessary.

Conservative therapy involving chiropractic manipulation, active release technic,

physiotherapy modalities, and rehabilitation was effective for this case of Grade I

and II injuries, while Grade III injuries require a surgical intervention.

Symptom information

Posted at 10,11,09
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10/11/02

Piriformis syndrome

Forty-year old male with right lower extremities pain ( Piriformis syndrome )

Clinical feature:

A 40-year-old male works as an executive business person. The patient has experienced chronic pain for the past few months. Pain is experienced in the right gluteal/buttock region; the pain travels inferior along the lateral side of the leg and down along the fibula to ankle. This is experienced with a verbal numerical rating scale at an intensity level of 8, often as a dull, throbbing ache that can travel distally to heal.

Clinical findings:

・ Hip joint ROM - elevation & internal rotation revealed the symptom.

・Palpation - Piriformis muscle became tight and tender. Trigger point were found.

・Neurological examination - Within normal findings.

Treatment and outcome:

Treatment plan consisted of chiropractic manipulation, stretching, and deep soft tissue massage. Intensively ,The patient was treated 8 times over 2 months period during which time he experienced progressive 90% relief. At the end of 10 visits the patient's symptoms had resolved, and released from chiropractic care. Instead, self-exercise care was commenced at home continually.

Conclusion:

This study demonstrates the application of chiropractic manipulation with a stretching program to ameliorate chronic piriformis syndrome. This protocol was greatly improved with the addition of a daily self-stretching exercise.

spinalcare

Posted at 10,11,02
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10/10/22

Migraine headache

26-years-old female with chronic migraine headache

Clinical features:

A 26-year-old woman had chronic migraine headache for 5 years. She had no history of trauma and the symptom persisted despite taking several prescribed medicine. Her symptom were accompanied by nausea and visual aura of "spots" when severe.

Clinical findings:

・ROM - Cervical rotation and lateral flexion was slightly restricted.

・Palpation - Several tenderness point was found in Suboccipital musculature.

Treatment and outcome:

Treatment plan included chiropractic manipulation, patient education in nutrition, and an in-office stretching program progressing to home therapy was reviewed with the patient. Within 5 visits, her symptom began to subside. She had a total of 10 visits (2 months), after which her symptoms were 80% recovered. The patient was advised to have chiropractic care once per 1 months in order to maintain her good condition.

Conclusion:

In this case, the chronic recurrent migraine almost resolved over a 24-week period with use of chiropractic manipulation, lifestyle modification, and rehabilitation in this patient.

Symptom information

Posted at 10,10,22
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桜新町店の情報

	桜新町店	用賀店	浅草店
月	休診	10:00～ 20：00	9:00～ 18：00
火	10:00～ 20：00	9:00～ 19:00	休診
水	10:00～ 20：00	10:00～ 20：00	9:00～ 18：00
木	休診	10:00～ 20：00	9:00～ 18：00
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土	10:00～ 18：00	10:00～ 18：00	休診
日	10:00～ 18：00	10:00～ 18：00	9:00～ 18：00