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CASE STUDY

 

Improved Ambulation, Quality of Life and Decreased Pain in a 64-Year-Old Female with Polymyalgia Rheumatica & Multiple Neuromusculoskeletal Symptoms Undergoing Chiropractic Care

 

Carolyn DeSimone, D.C.
 

Annals of Vertebral Subluxation Research ~ April 24, 2017 ~ Pages 72-80

 

Abstract


Objective: To describe the outcome of chiropractic care of a 64-year-old patient with Polymyalgia Rheumatica, Stenosing Tenosynovitis in bilateral thumbs, and paresthesia in left hand, using Activator technique.

Clinical Features:
Patient presented with neck, back, right knee, right foot, right elbow, and right and left thumb pain. She presented with a walker to ambulate and needed assistance to get up and down. She presented with a positive Finkelstein’s, Allen’s, Lateral Collateral Ligament test, Romberg’s test, Milgram’s test, and hypoesthesia on the left hand. She was diagnosed with Polymyalgia Rheumatica.

Interventions and Outcomes:
Along with co-management from her Rheumatologist and General Practitioner, the patient was adjusted twice per week using Activator technique for the first four months of care, before incorporating Functional Rehabilitation treatments twice per week in addition. After six months of care, the patient was able to ambulate by herself without the use of a walker, and perform activities of daily living (ADLs), along with her extended activities of daily living.

Conclusion:
With the use of functional rehabilitation and Activator technique, the patient’s condition was improved in order for patient to gain independence and ambulation.

Keywords:
Polymyalgia rheumatica, chiropractic, vertebral subluxation, adjustment, Stenosing Tenosynovitis, Paresthesia, Activator technique