Case Studies

Real Results

CATEGORY:

sports injury – tailbone, spinal injury/dysfunction, organ (visceral) dysfunction – urinary bladder

SYMPTOMS:

  • low back pain, sacrum/coccyx (tailbone) pain, urinary bladder – loss of control

PRESENTATION:

  • 25 year old male, very active in many sports, was employed at time of injury who’s job in an auto plant required extensive forward lumbar flexion and heavy lifting
  • symptoms are due to a snowboarding incident where he landed on his sacrum/coccyx (tailbone), thus injuring his low back and pelvis
  • low-back pain was local (ie. no complaints of shooting or sciatic type pain was reported); pain was especially elicited by forward flexion of the lumbar spine (bending forward of low back)
  • tailbone pain (sacrum/coccyx) was elicited by sitting on hard surfaces
  • incidentally, in conjunction with the injury, he started to experience frequency in urination where he felt the urge to urinate every 20min or so and woke up 6-8 times a night to relieve himself.
  • loss of bladder control (i.e. could not hold back urinating)
  • Urination stream was weak
  • Treating physician diagnosis via x-ray revealed a T12 compression fracture;
  • ultrasound was unremarkable for any urinary bladder or kidney dysfunction (i.e. everything was “normal”)
  • pain killers, anti-inflammatories and a back brace (belt) were prescribed; as well as taking time off work and a modified work assignment
  • no solution was offered in regards to the frequency of urination
  • client had been going for chiropractic treatments for 2 years and was told to perform stretches for his low back with no appreciable results; no change was made to the urinary dysfunction

THERAPY MANAGEMENT:

Low-back and tailbone pain

  • neuro-functional therapy and advanced manual massage techniques that included myofascial release, nerve and rib fixation release, joint mobilization, and spinal biomechanics techniques were employed
  • areas treated were lumbar spine (low back) and sacrum and ilium bones and joints (SI joints) and iliofemoral joints (hip/pelvic joints), ligaments and nerves as well as related muscles (ie. iliopsoas, lumbar paraspinals, quadratus lumborum, gluteals including piriformis and gemelli – to name a few)

urinary bladder dysfunction

  • neuro-functional manual techniques, visceral manipulation (to relieve organ fixations), as well neural manipulation (to relieve nerve fixations) were employed
  • areas treated were spinal nerves, urinary bladder, kidneys and pelvic bones

OUTCOME:

Low-back and tailbone pain

  • client was able to gradually decrease and stop taking pain meds to manage his condition;
  • no longer required a back brace
  • regained full range of motion with his lumbar spine pain-free
  • was able to sit pain-free on firm surfaces
  • was able to resume both his full duties at work; as well as his active lifestyle, including all sports

urinary bladder dysfunction

  • client regained full control and normal function of his bladder (i.e. could hold the urge if needed, no dribbling, normal frequency and strength of stream was back to normal);
  • no longer had the need to wake up at night to urinate

CATEGORY:

Motor vehicle accident – concussion, vertigo, rib fixations, disc herniation, neuropathy

SYMPTOMS:

  • head swelling, numbness on posterior skull, dizziness/vertigo, memory loss at times, difficulty swallowing (including liquids and frequent choking even with saliva), slurred speech at times, rib bruising with pain (anterior chest), difficulty breathing, restricted range of motion in the neck and shoulders, limited activities of daily living (mopping, vacuuming, lifting laundry, sleeping, driving, most sports and recreational activity)

PRESENTATION:

  • 54 year old female,
  • MRI disc herniation indicated: at C4-C5, small focal disc herniation in the left paramedian area. There may well be abutment of the left exiting nerve.
  • At C5-C6, endplate osteophytes with moderate diffuse disc buldge. There is marked encrochment of the canal with slight flattening of the cord along its anterior aspect. Marked osteophytes at the unconvertebral joints with marked bilateral foraminal stenosis
  • palpatory pain and tenderness of the anterior and posterior cervical musculature bilaterally, with moderate myofascial restrictions
  • palpatory pain and tenderness of the left shoulder region, including moderate myofascial restrictions in the rotator cuff region
  • palpatory moderate to severe pain and tenderness of the anterior chest region (especially left side), including left sternocostal and costrochondral joints (pain also noted posteriorly in the same costovertebral joints)
  • numbness and tingling in bilateral hands
  • FUNCTIONAL RESTRICTIONS SUMMERIZED:
  • moderate difficulty performing activities of daily living, including bearing weight, (ie. While carrying groceries or a large purse) and driving
  • moderate to severe sleep difficulties (wake up 3-4 times per night due to chocking, rib and/or neck pain)
  • limited range of motion of the cervical spine bilaterally, including forward flexion and bilateral rotation accompanied by moderate to severe pain
  • cervical rotation degree restrictions accompanied by pain: left 45; right 60; forward 80, right lateral 20
  • using Jamar Hand Dynamometer: weakness in left hand grip strength 45/57 lbs; right hand 65/65 for her age category 
  • moderate pain in low back with extended standing and sitting
  • treating physician gave prescribed pain and anti-nausia medication with no significant change in symptoms
  • physiotherapy and chiropractic were suggested and pursued but had little to no change in symptoms

THERAPY MANAGEMENT:

  • neuro-functional manual techniques of associated somato and visceral structures, including active myofascial release, joint mobilization, neurofunctional treatment
  • manual articular therapy was applied to cervical, thoracic and lumbar spine and rib fixations
  • craniosacral techniques
  • maxillofacial joint techniques (to relieve fixations between the both the upper and lower jaw and the cranial bones)
  • neural manipulation (to relieve nerve fixations of both the cranial nerves involved)
  • neurofunctional medical acupuncture addressed chronic pain and hypersensitivity issues
  • trigger point therapy for muscles associated with the neck (cervical spine) were also treated (both anterior and posteriorly)
  • muscles of the shoulder (upper thoracic and scapula) were also addressed, including rib fixations
  • home stretching, core strengthening, hydrotherapy, along with body awareness

OUTCOME:

PROGRESS OF CLIENT’S COMPLAINTS SUMMERIZED:

  • concussion: head swelling had full recovery
  • no longer any numbness in the back of the head
  • chocking happens very infrequently
  • full recovery from dizziness/vertigo
  • memory loss is no longer an issue
  • no longer has a constant dazed feeling
  • altered voice talking/reading (especially with head flexion) no longer an issue
  • marked improvement with deep breathing
  • 95%+ recovery of pain in ribcage even with motion (ie. Sleeping, rotation, palpation/contact)
  • 95%+ improvement of cervical range of motion (including while driving)
  • no longer experiencing any numbness and tingling in the hands (even with excercise)
  • regained full strength in arms and legs
  • almost regained full ability of activities of daily living

CATEGORY:

joint dysfunction – frozen shoulder (adhesive capsulitis); headaches; psycho-emotional disorder

SYMPTOMS:

  • shoulder pain with decreased range of motion, depression, anxiety, irritable sleep, brain fog, lack of creativity

PRESENTATION:

  • 53 year old male, working professional in project management within a top ranking company;
  • had also recently developed what was diagnosed as adhesive capsulitis (“frozen shoulder”) in his left glenohumeral joint, that generated pain which affected many of his activities of daily living; this was the reason for seeking therapy; range of motion limited to 10 degrees of internal rotation, 20 degrees of external rotation and 100 degrees of abduction;
  • client experience moderate to severe local pain
  • was prescribed by his treating physician for treating the “frozen shoulder” pain medication, anti-inflammatories and muscle relaxants and well as a regime of physiotherapy and chiropractic, all of which yielded little to no appreciable results
  • was diagnosed by his treating physician with depression many years ago, was prescribed and taking selective serotonin reuptake inhibitors (SSRIs) and sleeping pills 
  • there is a history of minor headaches, otherwise he was in relatively good health;
  • previously played guitar and wrote music but had lost the desire and ambition to do so;

THERAPY MANAGEMENT:

adhesive capsulitis (“frozen shoulder”)

  • neuro-functional and advanced manual massage techniques that included myofascial release, joint mobilization and medical electro-acupuncture
  • areas treated were cervical spine (neck) and upper body shoulder joints, ligaments and nerves as well as related organs

depression

  • neuro-functional manual techniques, as well as a 30-session medical electro-acupuncture treatment protocol was used
  • areas treated were cranial nerves and bones as well as spinal nerves

OUTCOME:

depression

  • client was able to gradually decrease and stop taking SSRI’s and sleeping pills under the supervision of his caring physician 
  • was able to resume playing the guitar and with greater mental clarity was able to start writing music once again
  • head aches were decreased to infrequent and mild

adhesive capsulitis (“frozen shoulder”)

  • client reported no pain in his shoulder or neck
  • client regained full range of motion and regained full strength along with being able to carry out all normal activities of daily living
  • range of motion: 55 degrees of internal rotation,40 degrees of external rotation and 120 degrees of abduction;

CATEGORY:

psycho-emotional – depression, anxiety

SYMPTOMS:

  • chest pain, irritable, poor sleep, feeling ‘blue’, low energy, anger

PRESENTATION:

  • 45 year old female, working mom caring for a husband and 3 children (ages 5-14)
  • was diagnosed by his treating physician with depression many years ago, was prescribed and taking two types of selective serotonin reuptake inhibitors (SSRIs) 
  • there is a history of constant headaches, chest pain and low back pain associated with kidney stones, otherwise he was in relatively good health;

THERAPY MANAGEMENT:

Depression, anxiety, low energy

  • neuro-functional manual techniques, as well as a 30-session medical electro-acupuncture treatment protocol was used
  • areas treated were cranial nerves and bones as well as spinal (peripheral) nerves

OUTCOME:

depression, anxiety, low energy

  • client was able to gradually decrease and minimize taking SSRI’s under the supervision of her caring physician
  • she no longer complains of chest pain
  • she has a much more positive outlook on life, she mentioned that even her husband and friends noticed her being less irritable and much happier, and is able to deal with and cope better even under stressful situations
  • energy levels increased as well improved sleep

CATEGORY:

joint dysfunction – carpal tunnel syndrome (CTS)

SYMPTOMS:

  • wrist pain, loss of strength, decreased range of motion

PRESENTATION:

  • 58 year old female, former Registered Practical Nurse, was diagnosed with bilateral carpal tunnel syndrome, she complained of constant numbness and tingling in her hands as well as pain and weakness when gripping items such as a pot or even a book
  • symptoms began as mild to infrequent and were progressively more intense and constant
  • anti-inflammatories were prescribed by her treating physician as well as suggesting surgery;
  • phalen’s test was positive bilaterally;
  • grip strength test using a calibrated Jamar unit; results: right 45lbs and left 62lbs (mean right 65.8lbs left 57.3 for her age group);
  • there is a history of headaches, heart murmers and diabetes;

THERAPY MANAGEMENT:

Carpal tunnel syndrome

  • neuro-functional and advanced manual massage techniques that included myofascial release and joint mobilization
  • areas treated were the neck (cervical spine and related muscles), upper body shoulder joints (glenohumeral joint), ligaments and nerves as well as related organs, including the elbow and wrist joint and related carpal bones, ligaments and nerves

OUTCOME:

Carpal tunnel syndrome

  • client no longer had numbness or tingling, nor pain in her hands within 4 treatments
  • assessed grip strength was improved to right 66lbs and left 66lbs
  • she was able to resume full use of her hands and one year later is still symptom free

CATEGORY:

organ (visceral) dysfunction – asthma

SYMPTOMS:

  • chest pain, not able to take full breath (ie. lungs could not fill to normal capacity)

PRESENTATION:

  • 7 year old male, very active, complained of, (commonly after playing sports) stomach pain, chest pain, wheezing, lips would turn blue and frequently experienced shortness of breath, he was diagnosed with asthma by his treating physician
  • both blue (reliever) and orange (preventer) colored puffers (inhalers) were prescribed by his treating physician;
  • there is also a history of no urinary bladder control with above average frequency to urinate

THERAPY MANAGEMENT: (with parental consent and presence during treatment)

Asthma

  • neuro-functional and advanced manual massage techniques that included myofascial release and joint mobilization
  • areas treated were the anterior chest/sternum area, lungs and diaphragm, ligaments and nerves as well as related organs, including the rib cage

OUTCOME:

Asthma

  • client no longer complained of stomach pain, chest pain, wheezing, lips did not turn blue and no longer experienced shortness of breath;
  • both blue (reliever) and orange (preventer) colored puffers (inhalers) were discontinued within 10 treatments

CATEGORY:

pyscho-emotional – post traumatic stress disorder (PTSD)

SYMPTOMS:

  • panic attacks and nightmares

PRESENTATION:

  • 42 year old working female;
  • was diagnosed by her treating physician with post traumatic stress disorder (PTSD)
  • experienced constant panic attacks and shortness of breath for several years;

THERAPY MANAGEMENT: (with parental consent and presence during treatment)

post traumatic stress disorder (PTSD)

  • viscero-emotional technique, neuro-functional manual techniques,
  • areas treated were cranial nerves and bones, intracranial structures, as well as the cervical spine and spinal (peripheral) nerves

OUTCOME:

post traumatic stress disorder (PTSD)

  • client no longer experiences random panic attacks and
  • she no longer complains of having any nighmares after six treatments

CATEGORY:

joint dysfunction – temporomandibular joint (TMJ), rib fixations

SYMPTOMS:

  • jaw pain with or without chewing, frequent headaches, jaw popping noise, chest pain and tenderness that prevented her full active lifestyle potential

PRESENTATION:

  • 23 year old female, pharmacy technician
  • had a 6 year history of jaw pain
  • had tried physiotherapy and acupuncture for pain relief over the history of her pain
  • was prescribed a mouth guard by her treating physician
  • client reports frequent clenching due to stress
  • applying heat and massaging the outside of the jaw seemed to help decrease some of the symptoms
  • range of motion test: she was able to place three vertical fingers between her teeth (within normal range) but with pain at end range

THERAPY MANAGEMENT:

temporomandibular joint (TMJ) dysfunction and rib fixations

  • neuro-functional manual techniques, craniosacral techniques (to relieve jaw bone and cranial bones and suture fixations)
  • maxillofacial joint techniques (to relieve fixations between the both the upper and lower jaw and the cranial bones)
  • neural manipulation (to relieve nerve fixations of both the cranial nerves involved, namely the trigeminal nerve and facial nerve)
  • manual articular therapy was applied to rib fixations
  • muscles associated with the neck (cervical spine) were also treated (both anterior and posteriorly)
  • muscles of the shoulder (upper thoracic and scapula) were also addressed, including rib fixations

OUTCOME:

temporomandibular joint (TMJ) dysfunction and rib fixations

  • client no longer had jaw pain but popping noise remained
  • headache frequency was reduced to rarely experiencing any
  • chest pain and tenderness were no longer reported
  • able to return to full active lifestyle

CATEGORY:

sports injury

  • groin, joint injury – knee; muscle strain

    SYMPTOMS:

    • constant groin pain, knee pain with running after 5km or swimming a short distance

    PRESENTATION:

    • 38 year old female, triathlete (recreational)
    • symptoms of groin and pelvic pain were had a gradual onset whereby the pain became constant
    • knee pain had a sudden onset due to a fall; pain was local to site of injury
    • client was not able to run nor swim without moderate pain, cycling brought out mild to moderate pain
    • treating physician diagnosed a muscle strain in the groin area; anti-inflammatories and muscle relaxants were prescribed
    • weakness and groin pain was noted with both hip flexion and adduction

    THERAPY MANAGEMENT:

    groin pain

    • neuro-functional therapy and advanced manual massage techniques that included myofascial / GTO release, joint mobilization, strain/counter-strain and trigger point therapy
    • areas treated were pelvic bones including the sacrum and related joints (SI joints and pubic symphysis) as well as related muscles (ie. pectineus, iliopsoas,– to name a few)

    knee pain

    • manual articular manipulation (to relieve joint fixations), joint mobilization, as well as neural manipulation (to relieve nerve fixations) were employed
    • areas treated were the patella (knee cap); tibiofibular joint; tibiofemoral joint; knee related muscles and ligaments including popliteus, IT-band and adductor magnus; and the subtalar joint (ankle joints)

    OUTCOME:

    groin pain

    • client was able to stop taking meds to manage her condition;
    • she regained full strength with hip flexion and adduction

    knee pain

    • client was symptom free – knee pain was no longer a complaint even with activity
    • was able to resume being a triathlete symptom free
    • performance increased – she was able to reduce her overall marathon time by over 10 minutes
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