Publications by authors named "Colin R Lai"

Cervical epidural hematoma (CEH) is a rare and potentially fatal condition in which blood accumulates in the epidural space of the cervical spine. A 64-year-old man presented to a chiropractor with a two-week history of sudden-onset neck pain, shoulder pain, occipital headache, and numbness in the shoulders and upper extremities. He had recovered from a mild course of coronavirus disease 2019 (COVID-19) illness one month prior.

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Prostate cancer is a common type of cancer in men and may metastasize to the spine and pelvis, causing back and/or radicular pain that appears to be musculoskeletal. This presents a diagnostic challenge and can be complicated by a lack of routine screening for prostate cancer. In two similar cases, elderly males (ages 78 and 82) with no known history of cancer and no previous prostate-specific antigen screening presented to a chiropractor with chronic, worsening radiating low back pain.

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Article Synopsis
  • - Breast cancer is the leading cancer in women and can lead to spinal metastasis, which may occur years after initial treatment; this case involved a 41-year-old woman with a history of breast cancer experiencing worsening low back pain.
  • - The chiropractor diagnosed vertebral metastasis after an MRI, which led to a referral to an oncologist; while awaiting further treatment, the patient found relief through gentle spinal therapies approved by the oncologist.
  • - The case highlights the importance of a collaborative medical approach for patients with a history of breast cancer experiencing spinal pain, underscoring the need for cautious use of conservative therapies under oncology guidance.
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BACKGROUND Pancoast tumors, also called superior sulcus tumors, are a rare type of cancer affecting the lung apex. These tumors can spread to the brachial plexus and spine and present with symptoms that appear to be of musculoskeletal origin. CASE REPORT A 59-year-old Asian man presented to a chiropractor in Hong Kong with a 1-month history of neck and shoulder pain and numbness that had been treated unsuccessfully with exercise, medications, and acupuncture.

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