Hiro,
1)Don't manip
2)Check cervical ligaments before going any further
3)MRI
4)I strongly suggest you get insurance
5)Rib removal alters the whole mechanics of the body.
Regards
Brooke
Physio Brisbane,Aust
>From: "Hiro Wood" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: <[log in to unmask]>
>CC: <[log in to unmask]>, <[log in to unmask]>
>Subject: Treatment of C2 fracture
>Date: Fri, 14 Apr 2000 23:21:39 +0900
>
>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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