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Chiropractic management of a geriatric patient with idiopathic neuralgic amyotrophy: a case report.

Objective: The purpose of this paper is to describe chiropractic management of a patient with neuralgic amyotrophy (NA) and to provide discussion regarding presentation, differential diagnosis, management and prognosis of idiopathic NA. Case presentation: An 85 year old Caucasian male presented to a...

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Published in:Journal of the Canadian Chiropractic Association Vol. 61; no. 1; pp. 45 - 53
Main Authors: Gliedt, Jordan, Goehl, Justin M., Smith, Derek P., Daniels, Clinton J.
Format: case study pictorial tables/charts Journal Article
Published: Canadian Chiropractic Association Mar2017
Online Access:View this record in EBSCOhost
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      dt: Mar2017
      vid: 61
      iid: 1
      pid: 8889
      pub: Canadian Chiropractic Association
      place: Toronto, Ontario
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        atl: Chiropractic management of a geriatric patient with idiopathic neuralgic amyotrophy: a case report.
      aug:
        au:
          Gliedt, Jordan
          Goehl, Justin M.
          Smith, Derek P.
          Daniels, Clinton J.
        affil: Phoenix Veterans Affairs Health Care System
      sug:
        subj:
          Chiropractic
          Ribs Pathology
          Pain
          Scapula Physiology
          Brachial Plexus Neuritis Diagnosis
          Gerontologic Care
          Male
          Aged, 80 and Over
          Diagnosis, Differential
          Therapeutic Exercise
          Brachial Plexus Neuritis Prognosis
          Brachial Plexus Neuritis Symptoms
          Brachial Plexus Neuritis Prevention and Control
          Aged, 80 & over
          Male
      ab:
        Objective: The purpose of this paper is to describe chiropractic management of a patient with neuralgic amyotrophy (NA) and to provide discussion regarding presentation, differential diagnosis, management and prognosis of idiopathic NA. Case presentation: An 85 year old Caucasian male presented to a chiropractic clinic with right periscapular and lateral rib cage pain. The patient had previously sought evaluation and treatment from multiple health care providers and underwent multiple interventions without relief. Intervention and outcome: The patient was managed with a course of chiropractic care and an ongoing home exercise program was carried out. The patient reported lospontaneous resolution of pain approximately 14 months post onset. Summary: NA is a poorly known clinical entity amongst health care providers and poses challenges in timely and proper diagnosis. Recognition of NA is important for patients to be best managed and for more optimal patient outcomes to be achieved.
        Objectif : Ce document a pour objectif de décrire la prise en charge chiropratique d'un patient atteint d'amyotrophie névralgique (AN), ainsi que de discuter de la présentation, du diagnostic différentiel, de la prise en charge et du pronostic d'AN idiopathique. Exposé de cas : Un homme blanc de 85 ans se présente à une clinique de chiropratique en se plaignant de douleur périscapulaire droite et latérale à la cage thoracique. Le patient s'était déjà fait évalué et traité par nombre de fournisseurs de soins de santé et avait subi de nombreuses interventions, sans soulagement. Intervention et résultat : Le patient a reçu des soins chiropratiques et on lui a créé un programme d'exercices à domicile. Le patient a déclaré une disparition spontanée de la douleur environ quatorze mois après l'apparition des symptômes. Résumé : L'AN est une entité clinique mal connue des fournisseurs de soins de santé, ce qui complique le fait de parvenir à un diagnostic exact avec rapidité. Il est important de reconnaître l'AN pour assurer une prise en charge optimale des patients et obtenir des résultats optimaux.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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