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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 > > > ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%