10/10/08

28-years-old male with neck pain and dizziness / vertigo after vehicular collision Clinical features.

【Clinical features】

A twenty-one year old male presented with complaints of upper neck pain and dizziness /vertigo subsequent to a vehicular collision that occurred 5 days prior. While driving a mountain bike , a car crossed into his lane of traffic. The symptom has nothing changed since he got this accident.

【Clinical findings】

・Cervical ROM was restricted and revealed chief complaint.

・Complete neurologic examination revealed no apparent abnormalities.

・Cervical compression makes chief complaint worse.

・Post-traumatic spinal dysfunction at C0/1 and C1/2,

・Traumatic strain injuries of the sub-occipital musculature

【Treatment and outcome】

Chiropractic care was initiated utilizing chiropractic spinal manipulation targeted to vertebral dysfunction and soft tissues of the upper cervical spine. In addition, Active Range of Motion and proprioceptive ball exercises of the cervical spine that incorporated vestibulo-occular activities were provided to the patient from the 4th visits of care. Through 8 weeks of care(within 10 visits), the patient reported progressive improvement to more than 80%.

【Conclusion】

This case study suggest that chiropractic care can relieve neck pain with dizziness / vertigo caused by traffic accident. Management including chiropractic spinal manipulation, active soft tissue release technic, and proprioceptive rehabilitative exercise were effective in this case.

Chiropractic in Tokyo (Setagaya)

Spinal care center

Posted at 10,10,08
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