Background Coflex interlaminar stabilization (CIS) is a second-generation interspinous implant that promotes intersegmental flexion following decompression for moderate to severe lumbar spinal stenosis. We describe the management of a patient with persistent spinal pain syndrome-2 (PSPS-2) status-post CIS implant presentingto…
Objectives This case report describes the use of flexion-distraction as a chiropractic treatment for a 46-year-old woman experiencing acute-onset migraine headaches. Clinical Features A 46-year-old woman with acute-onset migraine headaches sought an evaluation at our chiropractic clinic. She reported experiencing…
Objectives To describe the clinical presentation and management of a patient with degenerative cervical myelopathy (DCM) during pregnancy. Case Presentation A 34-year-old female, who was 21-weeks pregnant, presented for chiropractic evaluation with acute left upper-back pain. Intervention and Outcome For…
Background Lhermitte’s sign is a nonspecific historical and exam finding that carries with it a differential diagnosis of cervical myelopathy, multiple sclerosis, intradural tumors, or other central nervous system pathology. Regardless of the suspected diagnosis, further diagnostic investigation is indicated…
Patient-provider communication can lead to unhelpful ideas and beliefs about a patient’s condition, negatively impacting their clinical outcome. A 34-year-old male Veteran presented for an evaluation of high impact chronic low back pain. Previous interactions with various healthcare providers resulted…
Introduction Brief action planning (BAP) is a collaborative tool to support patients’ self-management goal setting and action planning. BAP facilitates patient self-reflection, and provides opportunity to establish goals of their own priority. Case presentation A 55 year-old female with recentonset…