Cervical spondylolisthesis: a case report

Article Abstract:

Spondylolisthesis refers to a partial forward dislocation of one of the vertebrae in the lumbar (lower) portion of the spine. Spondylolisthesis of the cervical portion (neck region) of the spine is rare; since 1951, only 72 cases have been reported. The diagnosis is often difficult to make because the condition is easily confused with a fracture or dislocation of a vertebra. One of the major diagnostic features of this condition is the presence of spina bifida occulta (a defect in the spine). This article describes the case report of a 36-year-old man who had headaches, neck pain and stiffness caused by spondylolisthesis. The patient thought that his condition was related to a fall that he had suffered 16 years earlier. Neck X-rays showed that the patient had spina bifida occulta. He was treated by his chiropractor, who performed several adjustments in an attempt to restore range of motion of the neck. The patient improved over the following two weeks, but had two episodes where his condition became worse. A computed tomography scan (CT scan) was recommended to determine if a nerve in the neck was being pinched by a bone, but the patient refused and was not available for future evaluation. The fact that this condition is uncommon and that its symptoms can resemble those produced by a fracture or dislocated vertebra make it a difficult condition to diagnose. However, once a proper diagnosis is made, it can be treated with specific adjustments and exercises to increase the mobility of the affected area. (Consumer Summary produced by Reliance Medical Information, Inc.)

Health aspects, Abnormalities, Diagnosis, Practice, Spine, Spinal adjustment, Spondylolisthesis

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Chiropractic and cognitive counseling in chronic pain: a case report

Article Abstract:

Cognitive counseling stresses the flexibility of the scientific method, opposes all dogma, and maintains that rigid absolutism is at the center of emotional disturbance. Chronic pain is a difficult treatment problem for all health care professionals. It is suggested that pain can be a function of past conditioning experiences, expectations, irrational beliefs, and various personality and psychological factors. Chronic pain is defined as long-standing discomfort, usually caused by injury, that is resistant to usual treatments and has persisted beyond the expected healing time. A case is presented of a 46-year-old woman who injured her neck and lower back in a car accident. After chronic pain for five years, she was finally treated with a course of chiropractic manipulation, counseling, biofeedback, relaxation techniques, as well as medication from a psychiatrist and physical therapy including administration of transcutaneous electrical nerve stimulation (TENS). After nine months of this treatment, she reported considerable improvement. The author believes the success of the treatment was due to the multidisciplinary approach, and that the catalyst was the counseling. (Consumer Summary produced by Reliance Medical Information, Inc.)

Psychological aspects, Case studies, Intractable pain, editorial

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