The diagnosis of PHASA was later confirmed by a hospital neurologist with extensive experience in headache diagnostics.
After 7 manual therapy sessions consisting of spinal manipulative therapy at the lumbosacral area conducted by an experienced chiropractor, the patient reported remission of her PHASA, which remained as such at a 12-month follow-up.
This case study generates the observational hypothesis that a patient with PHASA may respond to chiropractic spinal manipulative therapy. The underlying mechanisms for this symptom amelioration are, however, unclear.
This case study generates the observational hypothesis that a patient with PHASA may respond to chiropractic spinal manipulative therapy. The underlying mechanisms for this symptom amelioration are, however, unclear.
The purpose of this report is to describe the successful management of plantar fasciitis (PF) using only extracorporeal shockwave therapy.
A 26-year-old male former athlete presented with insidious right posterior medial foot pain of 3 months' duration. He reported a past history of similar symptoms 12 years previously and was successfully treated with tape, ice, and electric stimulation. For the current episode, he attempted to manage with orthotics, motor nerve stimulation, and ice, and when that was insufficient, he sought care in our clinic. Initial history and evaluation found provocation of pain and functional limitations while wearing dress shoes, running, and playing basketball. Examination found palpatory tenderness at the medial aspect of the distal right calcaneus, and pain with right ankle dorsiflexion. Radiographs were unremarkable. Patient presentation and exam findings supported a working diagnosis of PF.
Treatment was applied with a Richard Wolf WellWave low-energy shockwave therapy unit with focused dosage of 4000 shock pulsations at 10-mm depth to the site of pain. Treatment was applied 11 × over 5 weeks, after which the patient reported a complete resolution of pain and resumption of all activities.
Extracorporeal shockwave therapy appeared to be an effective treatment approach for the management of this patient's PF.
Extracorporeal shockwave therapy appeared to be an effective treatment approach for the management of this patient's PF.
The main objective of the present study was to investigate the electromyographic (EMG) activity of gluteus medius (Gmed) and gluteus maximus (Gmax) muscles during functional exercises in subjects with chronic ankle instability (CAI) vs healthy controls.
Seventeen subjects (age, 24.4 ± 2.03 years) with CAI and 17 healthy controls (age, 24.6 ± 2.57 years) were recruited for the present study. For all participants, after testing maximum voluntary isometric contraction of the Gmed and Gmax muscle, EMG activity of these muscles was recorded during functional exercises, such as the Y Balance Test and the single-leg squat with and without Swiss ball.
EMG activity of Gmed and Gmax was found to be significantly (
< .05) reduced during all functional exercises in subjects with CAI when compared with healthy controls. No significant differences (
.05) were observed in the EMG activity of both muscles across different functional exercises.
Our findings indicate that EMG activity of hip muscles is significantly reduced in CAI subjects, which might give an indication regarding the inclusion of hip muscle strengthening (Gmax and Gmed) in the rehabilitation of CAI. Moreover, Gmed and Gmax muscle activity did not vary during the different functional exercises within each group, which might indicate that activation pattern of these muscles are not sensitive to the type of functional task.
Our findings indicate that EMG activity of hip muscles is significantly reduced in CAI subjects, which might give an indication regarding the inclusion of hip muscle strengthening (Gmax and Gmed) in the rehabilitation of CAI. Moreover, Gmed and Gmax muscle activity did not vary during the different functional exercises within each group, which might indicate that activation pattern of these muscles are not sensitive to the type of functional task.
The aim of this study was to assess the knowledge and use of medicinal plants in the treatment of neurological diseases in the Rif region of northern Morocco.
An ethnobotanical survey was carried out in the Rif (northern Morocco) from 2016 to 2018. In order to gather information about indigenous medicinal plants and local ethnomedical knowledge, 625 local traditional herbalists and users of these plants were interviewed. The data were collected through semistructured interviews and group discussions, analyzed, and compared by quantitative ethnobotanical indices such as family importance value, relative frequency of citation, plant part value (PPV), fidelity level, and informant consensus factor (ICF) .
Data were collected from 31 medicinal plant species belonging to 14 botanical families. Asteraceae and Lamiaceae were the most commonly reported medicinal plants, with 5 species each. Concerning the diseases treated, epilepsy problems have the highest ICF (0.99). The survey revealed that leaves were the most used part of the plants (PPV= 34.7%), and the most commonly used preparation was an infusion (41.6%).
There exists indigenous ethnomedical knowledge of medicinal plants in the Moroccan Rif to treat neurologic diseases. Derazantinib cell line Based on our findings, we recommend that phytochemical and pharmacologic research be considered to discover potential treatments from these documented plants.
There exists indigenous ethnomedical knowledge of medicinal plants in the Moroccan Rif to treat neurologic diseases. Based on our findings, we recommend that phytochemical and pharmacologic research be considered to discover potential treatments from these documented plants.
The occurrence of cervical vertebral erosion due to vertebral artery (VA) abnormalities such as tortuosity/loop formation and pseudoaneurysm is rare, but both abnormalities are potentially fatal. There are few reports of cervical vertebral body erosion due to VA abnormality. We report a case of a 92-year-old woman who presented to her primary care physician with neck pain and was referred for chiropractic care.
The patient complained of headaches, left-sided neck pain, limited range of motion with radiating pain, and bilateral weakness of the upper extremities. On examination, cervical ranges of motion were decreased with moderate pain, along with sensory, motor, and deep tendon reflex deficits. The initial magnetic resonance imaging report obtained was nonconclusive. Axial T2, sagittal T1, sagittal T2, coronal T2, sagittal STIR, and axial GE sequences of the cervical spine were obtained for a reread. A reread of the magnetic resonance images suggested a diagnosis of a tortuosity of the VA, resulting in a chronic erosion of the C5 vertebral body; however, a pseudoaneurysm of the VA would be considered a possible differential cause for the vertebral body erosion.Derazantinib cell line
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