Hi Frank,
I’m having a difficult time reducing paresthesia symptoms with a client. I was hoping you may have some suggestions. Here’s where we’re at:
A. 49 year old female
B.. Medical transcriber works night shift.
C. Hx of bone spurs in both hip joints plus bursitis.
D. Hip pain has resolved or subsided following SRT.
E. Recent complaint of paraesthesia left arm into hand.
F. MRI results.CONCLUSION:
1. C6-C7 left preforaminal HNP with underlying broader-based spondylotic protrusion. Mild flattening of the ventral lateral cervical cord by the HNP. Biforaminal stenosis evere at the left foraminal entrance and at least moderate grade on the right. Abutment with likely impingment of the exiting C7 nerve roots.
2. C5-C6 spondylotic protrusion with more focal protrusion/HNP left-sided mildly effacing the left hemicord. Biforaminal stenosis that appears moderate to severe bilaterally with abutment and likely impingement of the C6 nerve roots.
3. C4-C5 bilobed sponylotic protrusion abutting the cervical cord and resulting in moderate to severe biforaminal stenosis with abutment and likely impingement of the C5 nerve roots.
G. Has received 5 SRT weekly treatments.
TX 1 – L3 R primary, also worked C1 R.
TX 2 – L3 R primary, also worked C5 L.
TX 3- T7 R primary, also worked CO L
TX 4 – T5 R primary, also worked C4 L
TX 5 – T8 R primary, also worked CO L.
Client gets relief, but is temporary and dependent upon positioning of the C-spine. She will report reading a book then turning her head setting off the paraesthesia.
H. Client has received trigger point injections in the left trapezius 3-4 wks. ago. No relief.
I. Client received epidural injections C6 & C7 bilaterally 1 wk. ago. Temporary relief.
J. Client will often find relief with her left arm draped over her head or with her head craned like a chicken.
K. Positioning for Core Clockwork exercises sets off the paraesthesia.
I’m wondering if different sequencing during SRT would help. I’m currently using the standard inferior to superior. I’m also wondering if seeing her more frequently would help.
Thanks,
Cathy
