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Chiropractic Research

Case Reports

Cervicogenic Headache Alleviating by Spinal Adjustment in Combination with Extension-Compression Traction

Author(s): Eric Chun Pu Chu, Valerie Kok Yan Chu, Andy Fu Chieh Lin
Cervicogenic headache (CGH) is a type of secondary headache where the symptoms originate from a dysfunction in the cervical spine. Mechanical cervical spine pathologies and dysfunction in the neck muscles may lead to CGH. This report presents a case of a female with fluctuating headache related to cervical disorders. Her headache was concurrently eliminated with resolution of the cervical disorder following spinal adjustment in combination with extension-compression traction. The efficacious response was attained over a year after completion of treatment. Strategies to release the strain of the supporting cervical extensors can be beneficial for alleviating CGH.

Post poliomyelitis syndrome

Eric Chun Pu Chu1 and Kary Ka Wai Lam21New York Chiropractic and Physiotherapy Center, New York Medical Group, Hong Kong, People’s Republic of China2Downtown Chiropractic Limited, Hong Kong, People’s Republic of China 
Abstract: Most developed countries eliminated paralytic poliomyelitis (polio) in the 1970s to 1980s. It was believed that after recovery from acute paralytic poliomyelitis, the physical condition of survivors would remain stable for the rest of their lives. However, the elimination of polio does not equate the end of medical management of polio. Hundreds of thousands of polio survivors worldwide are still at risk of developing the late effects of the disease. Here, we report a case of post-polio syndrome who attended our clinic for the presence of new weakness and neuromuscular problems six decades after recovery from paralytic polio. It is essential that health professionals be aware of these conditions and have an understanding of the underlying pathophysiology of the symptoms.
Chu ECP, Lam KKW. Post-poliomyelitis syndrome. Int Med Case Rep J. 2019;12:261-264. doi: 10.2147/IMCRJ.S219481. eCollection 2019. PubMed PMID: 31496835; PubMed Central PMCID: PMC6690913.

Lumbosacral transitional vertebra as a potential contributing factor to scoliosis  

Eric Chun Pu Chu, Kevin Hsu Kai Huang, and John Sing Fai Shum
New York Chiropractic and Physiotherapy Centre, 41/F Langham Place Office Tower, 8 Argyle Street, Mongkok, Hong Kong, China; and Hong Kong Advanced Imaging, 12/F Langham Place Office Tower, 8 Argyle Street, Mongkok, Hong Kong, China.
Lumbosacral transitional vertebrae (LSTVs) are the most common congenital anomaly of the lumbosacral spine that presents either as L5 sacralisation or S1 lumbarisation. Although most of the LSTVs are of minor clinical importance, these anomalies may contribute to disruptions in biomechanics and alterations in spinal and paraspinal structures. Here, we present two cases of adolescent idiopathic scoliosis to illustrate some overlooked effects of a unilateral LSTV on spinal deformity. Cure correction was not attained in both cases. While a unilateral LSTV was on a different side of their lumbosacral spine, it is incidentally noticed that the direction of the curve was convex on the contralateral side of the LSTV. Most likely, unilateral LSTVs on certain occasions could cause the growing spine to curve and rotate. The aim of this report is to demonstrate an overlooked association between minor anomalies and the growing spines, which may be important to tailor an appropriate treatment plan.
Chu EC. Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: a report of two cases. Asia Pacific Chiropractic Journal. 2020 July; 1. doi: 10.46323/2021007.

Adjacent Segment Disease

Adjacent segment pathology

Chiropractic Case Reports: Chiropractic Case Report
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