Tuesday, November 29, 2011

Chest Pain - Heart Problem or Middle Back Problem

I found this of interest, because over the years of practice I have had individuals present or referred by a Cardiologist suffering from Chest Pain (Sternum and/or Anterior Rib Cage).  As the Case study indicates, Chest Pain may be a serious indicator of heart attack and/or cardiovascular disease and should be thoroughly ruled out.  However, as was the case with many of the patients with Non-Cardiac Chest Pain, chiropractic treatment was a safe and effective treatment option.  Dr. Press
Management of Non-cardiac Chest Pain With Chiropractic Care: A Case Report and Brief Review
Stephen R. Cooper, DC ; Mark T. Pfefer, RN, MS, DC
Topics in Integrative Health Care 2011, Vol. 2(3) ID: 2.3005

The purpose of this report is to discuss the outcome of a patient with non-cardiac chest pain treated with chiropractic spinal manipulation combined with instrument-assisted soft tissue mobilization.

Introduction: Chest pain is the fourth most common presentation in emergency rooms in the United States. The direct and indirect costs of chest pain are high in terms of disability, medication, repeated hospital admissions and physician visits, and costly diagnostic procedures.

Clinical features: The case of a 45 year-old male presenting to a chiropractic clinic with complaints of chest pain is discussed. Although the source of this chest pain was likely non-cardiac, cardiac risk factors were present and were addressed as well.

Intervention and outcome: The patient was treated with manual thoracic spinal manipulation and instrument-assisted soft tissue mobilization with complete resolution of chest pain at 3 weeks and no chest pain at 1 month and 3 month follow-up visits. Conservative cardiac prevention approaches were encouraged with good outcome.

Conclusion: This case points out the promising role the combination of chiropractic manipulation and instrument-assisted soft tissue mobilization may have in the management of non-cardiac chest pain arising from musculoskeletal dysfunction.

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