OBJECTIVE: The purpose of this case report was to describe chiropractic management of thoracic pain in a patient with a stable thoracic aortic aneurysm. CLINICAL FEATURES: An 89-year-old man presented with axial mid- and upper back pain localized predominantly at the T8 and T1 spinal segmental levels. A review of available imaging revealed a stable aneurysmal dilatation of the ascending aorta, which measured 4.3 cm. INTERVENTION AND OUTCOME: Because the thoracic pain was musculoskeletal in nature and the thoracic aortic aneurysm was stable, mechanical manipulation was provided using the Impulse adjusting instrument. The patient's pain was measured utilizing a numeric rating scale. The patient's thoracic pain improved over the course of treatment. CONCLUSION: This patient was successfully treated for thoracic spine pain with a course of chiropractic care using a mechanical adjusting instrument.
OBJECTIVE: The purpose of this case report was to describe chiropractic management of thoracic pain in a patient with a stable thoracic aortic aneurysm. CLINICAL FEATURES: An 89-year-old man presented with axial mid- and upper back pain localized predominantly at the T8 and T1 spinal segmental levels. A review of available imaging revealed a stable aneurysmal dilatation of the ascending aorta, which measured 4.3 cm. INTERVENTION AND OUTCOME: Because the thoracic pain was musculoskeletal in nature and the thoracic aortic aneurysm was stable, mechanical manipulation was provided using the Impulse adjusting instrument. The patient's pain was measured utilizing a numeric rating scale. The patient's thoracic pain improved over the course of treatment. CONCLUSION: This patient was successfully treated for thoracic spine pain with a course of chiropractic care using a mechanical adjusting instrument.
Entities:
Keywords:
Aortic Aneurysm; Back Pain; Chiropractic; Manipulation; Spinal; Thoracic
Authors: M A Coady; J A Rizzo; G L Hammond; D Mandapati; U Darr; G S Kopf; J A Elefteriades Journal: J Thorac Cardiovasc Surg Date: 1997-03 Impact factor: 5.209
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