Neurofibromatosis
Neurofibromatosis type I: Von Recklinghausen's
disease; clinical and imaging features.
Gajeski, B, Kettner, N, Awwad, E, Boesch R, J Manipulative
Physiological Therapeutics February 2003: Vol. 26 – No.
2
This is the case of a 45-year-old female diagnosed with
neurofibromatosis type 1 (NF-1), with constant low back pain
(4 months duration), headaches and cervical spine pain with
bilateral upper extremity paresthesias. Multiple skin lesions
and spinopelvic postural imbalances were present.
Spinal adjustments
of the lumbopelvic region (exercise and physical therapy were
also given) led to a reduction in pain and paresthesia with
improved function.
Chiropractic management of Neurofibromatosis
(von Recklinghausen’s
disease): a case study. Bedell, LL, Proceedings of the national
conference on chiropractic pediatrics. International Chiropractors
Association, Arlington, VA, October 1993, Palm Springs, California,
and November, 1993, Palm Beach, Florida.
This is the case of
a 13-year-old white female patient with neurofibromatosis (Von
Recklinghausen’s disease).
Chiropractic care was administered
to reduce secondary symptomatology and improve posture. Symptoms
included neck and lower back pain, pain in the right temple,
and severe aching pain in her lower mid-dorsal region. She
also experienced loss of sleep, amenorrhea and a low energy
level, poor muscle tone, anorexia nervosa and depression.
The
child was diagnosed with NF at age five by a Public Health
Department nurse who noticed that her fine and gross motor
skills were slower than normal.
Chiropractic care: a 5mm heel
lift was placed on side of sacral inferiority, which was also
the side of lumbar body rotation. Patient received spinal adjustments
and Logan Basic once a week for one month and twice a month
for two months. The heel lift was raised to 7mm after three
months.
Patient reported less back pain and more energy. The
effects of the anorexia have been reversed as she has gained
20 lbs. in the past year. She resumed her menses with the help
of hormones. Her doctor reports, “Her general appearance
has improved greatly and she looks healthier”.
Copyright
2004 Koren Publications, Inc. & Tedd Koren,
D.C.