Hello world! from Japan
It's a long time since I posted last.
Could you teach me the treatment of C2 fracture patient?
1.Patient's profile
76 years old retired male.He can drive a car and sometimes plow.
2.History
When he was 20 years old,he suffered from TB(tuberculosis) and had his rib1
to rib 6 removed by operation.
When 30 years old,he dropped from 4 meter height head over heels and had C2
(cervical) fractured.Mybe compression fracture I guess.No paralysis until
now.
He had been often told 'miracle',I heard.
When 40 years old,he suffered from vertebral compression fracture but
location
is unknown.
3.Other disease
(1)Arrhythmia (herat disease) for 20 years
(2)DM
(3)Hepatitis
(4)Intractable Dermatitis
4.Main complaint
(1)When he is driving a car,he cannot rotate his head in either way easily
and
also has such a temporary spasm in his both thighs that he is afraid of
being
unable to put on the brake.But he has no spasm in the morning.
(2)Paresthesia in left 1st and 2nd finger.
5.Evaluation
(1)Structure
Neck is rightside bending on the trunk.
(2)Active movement
a)neck FB(forward bending)--ROM is severely limitted.5 to 10 degree.
b)neck SB -----Both is severly limitted and left is more limitted.
c)neck Rot.----same as neck SB.
6.Treatment
At first I hesitated to treat him aggresively to hear he had C2 fractured
before and he had many other internal diseases.
So I only did craniosacral therapy - inhibitive distraction for 10 minutes
in each three times.
He was pleased with my treatment.The result was slightly good.Recently he
wanted me to make him much better while he was alive.Fortunately he has
placed
his hopes on my treatment while other past patients not so much.
But I have only received Paris S1 course and no supervisor for my
treatment.
7.Question
May I advance passive motion test ie.mid cervical sidebending?Does it hurt
fractured C2 bone?Is there any 'must not'?Had I better join medical
incident
insurance,which is recommended by Japan PT association,before going ahead?
What influence will take place to his musculoskeletal condition when he had
his rib1 to 6 removed?
Thanks in advance.
Hiro
Japan
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