Chiropractic & Pain Case Studies
Omid Ghalambor, MD, DABA, FIPP, DABIPP, DABPM
Case 3
Case 3 Details
- 28 year Supervisor Auto body repair shop
- Initial consultation 10/27/16
- Found us by “Google search”
- Chief Complaint “Low Back Pain"
- Reported pain being there on and off for about a year
- Started without any known trigger event
- Worsened since 3-4 months prior
- Prescribed muscle relaxant (Flexeril) 10 mg po qhs and hydrocodone 7.5-325 mg po tid prn.
- Saw Dr. K in Allen for three months to get Airrosti treatments
- Pain was reported as Sharp in the low back, constant, occasionally radiating to both legs
- Worse with sitting, driving, standing up holding his daughter
- Had tried Ibuprofen and Massage in addition to Airrosti treatments.
- Upon Exam he was unable to sit comfortably
- Rated the pain as 9/10.
- Pain upon percussion of the low lumbar region.
- Normal neurological exam.
What if Patient’s symptoms continue?
- First Lumbar Bilateral L5-S1 Transforaminal Epidural Steroid Injection 11/01/2016 > 30% Relief
- Second Lumbar Bilateral L5-S1 Transforaminal Epidural Steroid Injection 11/29/2016 > 50% Relief
- Third Lumbar Bilateral L5-S1 Transforaminal Epidural Steroid Injection 12/27/2016 > 70% Relief
Case 2
Case 2 Details
- 65 year old female
- Referred by Dr. Morgan Spine Surgeon for a “Cortisone Injection”
- Complaining of severe Neck Pain on the left
- Max 8/10 VAS
- Past Medical History positive for low back pain under care of local Chiropractor in McKinney with great response.
- Depression, GERD, Migraines, High Cholesterol
- Worsened since 3-4 months prior
Cervicogenic headaches / C2-3 Update
- After patient’s back pain responded well to chiropractic care, she started getting adjustments on her neck.
- After two sessions of adjustments, patient’s neck pain worsened to the point that she needed to go to the ED.
- At the ED, X-ray of the cervical spine was performed and was negative for any “Red Flags”
- Patient was discharged with NSAIDs, flexeril and hydrocodone.
- She was then referred to Dr. Morgan spine surgeon and MRI of the Cervical Spine was ordered.
- No indication for surgery based on imaging and normal neurological exam
- Surgeon suggested a Cervical epidural steroid injection
- Upon exam, cervical facet loading on the left was extremely painful.
- Palpation of the cervical facet joints was also uncomfortable.
- Patient was scheduled for fluoroscopic guided cervical facet joint injection both for diagnostic and therapeutic purposes
- Patient was recommended to return back to her chiropractor for continued adjustments, keep working on her alignment as well as therapy for best long term outcome.
Cervicogenic headaches
