Objective: To present a case of Chiropractic BioPhysics (CBP) protocol of care used on a patient with fatigue, Tourette’s syndrome, tardive dyskinesia, and Calcinosis, Raynaud’s, Esophageal thickening, Sclerodactyly, and Telangiectasia (CREST) syndrome.
Clinical Features: A 45-year-old male with a history of fatigue, Tourette’s syndrome, tardive dyskinesia, and CREST syndrome presents to a CBP chiropractic office. The patient stuttered while he spoke and had an uncoordinated stagger as he walked. The patient had tremors in his arms and hands. Postural analysis and A-P cervico-thoracic x-ray showed a 16° right lateral tilt of C5-T4 segments relative to vertical, a 20° left cervico-dorsal (mid-neck scoliosis) angle, a 22mm right lateral translation of C2 relative to T4. Lateral cervical showed a 20° cervical lordosis with a 20° atlas plane angle. All measurements were based on CBP® protocol for x-ray line drawing.
Intervention and Outcome: The patient received CBP care over a 12-month period receiving approximately 108 treatment sessions. Mirror image® adjustments, mirror image exercises, and mirror image traction were used to reduce the patient’s spine and postural subluxations, in addition to a 7mm heel lift for his right shoe. The patient was seen 3 times a week for the first 12 weeks then was seen 2 times a week thereafter for a year. After a few months of care the patient’s wife reported improvements in his energy level and that the tremors were decreasing. After a year of care the patient was markedly improved. Follow-up radiograph showed a C5-T4 lateral tilt angle to vertical of 5° to the right (an 11° improvement), the cervico-dorsal angle was 8.5o to the left (11.5o improvement), and the lateral translation of C2 relative to a vertical line up through the center of T4 vertebra was 6mm to the right (16mm improvement).
Conclusion: Reductions of the patient’s abnormal posture and radiographic spinal subluxations using CBP protocol of care may have been responsible for improved neurological issues such as Tourette’s syndrome, tardive dyskinesia, CREST syndrome, and fatigue. Link to PDF version
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