Scoliosis Causing Cervical Dystonia in a Chiropractic Office

Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life...

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Published in:	Curēus (Palo Alto, CA) Vol. 15; no. 3; p. e35802
Main Authors:	Chu, Eric Chun-Pu, Lee, Wai Ting, Tam, Damien Ming Yan, Ng, Natalie Y, Nur, Aimen B
Format:	Journal Article
Language:	English
Published:	United States Springer Nature B.V 05.03.2023 Cureus
Subjects:	Chiropractic medicine Congenital diseases Dystonia Integrative/Complementary Medicine Learning disabilities Magnetic resonance imaging Manipulative therapy Neck pain Nonsteroidal anti-inflammatory drugs Occupational Health Osteopathic Medicine Patients Physical therapy Posture Quality of life Scoliosis Spinal manipulation Spinal stenosis Teenagers adolescent idiopathic scoliosis (ais) idiopathic scoliosis cervical dysonia primary dystonia chiropractic therapy focal dystonia
ISSN:	2168-8184, 2168-8184
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Abstract	Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required.
AbstractList	Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required. Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required.Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required. Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required.
Author	Tam, Damien Ming Yan Lee, Wai Ting Nur, Aimen B Ng, Natalie Y Chu, Eric Chun-Pu
AuthorAffiliation	2 Chiropractic Department, EC Healthcare, Kowloon, HKG 4 Chiropractic Department, EC Healthcare, Mong Kok, HKG 1 New York Medical Group (NYMG) Chiropractic Department, EC Healthcare, Hong Kong, HKG 3 Chiropractic Department, EC Healthcare, Yuen Long, HKG
AuthorAffiliation_xml	– name: 1 New York Medical Group (NYMG) Chiropractic Department, EC Healthcare, Hong Kong, HKG – name: 2 Chiropractic Department, EC Healthcare, Kowloon, HKG – name: 4 Chiropractic Department, EC Healthcare, Mong Kok, HKG – name: 3 Chiropractic Department, EC Healthcare, Yuen Long, HKG
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Cites_doi	10.1002/da.20538 10.1212/wnl.53.7.1439 10.4045/tidsskr.17.1031 10.1017/s0317167100051982 10.1007/s00586-009-1243-y 10.25122/jml-2021-0418 10.1038/s41598-023-28520-4 10.1589/jpts.34.467 10.1067/mmt.2003.15 10.1007/s11832-008-0092-2 10.1002/14651858.CD004315.pub3 10.5152/balkanmedj.2012.029 10.1016/j.clinph.2012.07.009 10.1002/mds.25475 10.1016/j.jmpt.2004.05.008 10.4081/cp.2020.1258 10.1212/01.wnl.0000049932.22065.60 10.1007/s00415-013-7220-8 10.21037/acr.2020.03.03 10.3390/children8090735 10.4055/cios.2019.11.3.344 10.1186/s12891-019-2408-4 10.1186/1746-1340-14-1 10.4103/jfmpc.jfmpc_52_17 10.1007/s00415-004-0444-x 10.7916/fhnv-v355
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Keywords	adolescent idiopathic scoliosis (ais) idiopathic scoliosis cervical dysonia primary dystonia chiropractic therapy focal dystonia
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SubjectTerms	Chiropractic medicine Congenital diseases Dystonia Integrative/Complementary Medicine Learning disabilities Magnetic resonance imaging Manipulative therapy Neck pain Nonsteroidal anti-inflammatory drugs Occupational Health Osteopathic Medicine Patients Physical therapy Posture Quality of life Scoliosis Spinal manipulation Spinal stenosis Teenagers
Title	Scoliosis Causing Cervical Dystonia in a Chiropractic Office
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