Dear Wendy
Robin
Amy
John
Thank you very much for your posts.
To my delight my patient with neck pain(C5-C6 herniated by MRI) has gotten
better recently!!
I didn't mobilize.
My treatment is only mechanical traction(15 minutes,2 times a day),posture
education,isometric neck muscle exercise.
I'm very happy because the patient has gotten better without my poor skill
of manipulation.
I could have a prognosis of this patient with conviction owing to your posts.
And other patient rushes to me to ask for my treatment,so I think
I must not have a time to sleep.
Thank you again for all your help.
Sincerely,
Hiro Wood
Japan
At 9:49 PM 98.4.15 +0900, Hiro Wood wrote:
>Would you teach me how to treat such case as below.
>
>
>1.Patient's profile
> 55 years old male.
> occupation:taxi driver
>2.History
> 18 Mar.1998 he developed aching from neck to shoulder without apparent
>reason.
> He cannot go to work for the pain.
> At 31 Mar. he had a numbness from his shoulder to top of his finger.
>3.Examination by orthopedist
> (1)cervival spine
> Motion is stiff toward all direction.
> Neck pain is aggravated by right side bending.
> Tendernss exsists from right M.Trapezius to posterior axillaris.
>(2)pathologic reflex
> Wartenberg(-) Hoffman(-) Babinski(-)
>(3)MMT (Daniel)
> Upper extremiy ;all normal
>(4)Sensation
> hypesthesia in right C6-C7 dermatome area
>(5)Tinel sign (-) Phalen test (-)
>(6)ROM of shoulder is full range.
>(7)X-ray
> shoulder;normal
> neck;clasification in spine canal at C5 level (OPLL suspected)
>(Plan)
> Further inspection by MRI is needed.
>---------------------------------------------------------------------
>(Question)
> It seems that this case is wanting in more other assesments by PT.
> But we cannnot do anything without referral.
> I think I will be unable to get refferal of this patient
> because Japanese medical doctor don't know what PT can do.
>
>Would you teach me what treatment PT can do?
>Indication for manual therapy,exercise,education?
>Can PT remove the pain?
>I am now studying back pain treatment from books for myself.
>
>Sincerely,
>
>HIRO WOOD
>JAPAN
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