Introduction: This paper presents a case report of chiropractic management of a patient with myofascial cervicalgia as a sequela to carotid endarterectomy.
Case Presentation: An 83 year old male presented with a chief complaint of chronic right anterior neck pain and an associated tender mass. His surgical history includes a right carotid endarterectomy performed 32 months prior to initial chiropractic consult.
Management and Outcome: The patient was treated weekly with Instrument Assisted Soft Tissue Mobilization (IASTM) of the right cervical spine musculature and instrument assisted manipulation of the right first costovertebral joint. The patient’s pain resolvedafter five visits without sustained soreness or other side effects following treatment.
Discussion: Post-surgical pain is a common problem with a high degree of morbidity and a high overall cost effect. Myofascial adhesions are a well-documented cause of postsurgical pain. IASTM was effective and safe in treatment of pain and adhesion in a patient with chronic pain following carotid endarterectomy.
Author keywords: Fascia; Therapy, Soft Tissue; Chiropractic; Endarterectomy, Carotid; Chronic Pain
Author affiliations: SMN: Staff Chiropractor, Martinsburg Veterans Affairs Medical Center, Martinsburg, WV; Adjunct Faculty, Palmer College of Chiropractic; ALS: Student, Palmer College of Chiropractic
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