Chiropractic management of Ehlers-Danlos syndrome: a report of two cases.

Objective: To discuss 2 patients with Ehlers-Danlos syndrome seeking chiropractic evaluation and management of their disabling musculoskeletal pain and associated disorders.

Clinical Features: Two disabled patients diagnosed with Ehlers-Danlos syndrome had spinal pain, including neck and back pain, headache, and extremity pain. Commonalities among these 2 cases included abnormal spinal curvatures (kyphosis and scoliosis), joint hypermobility, and tissue fragility.

Chiropractic management of chronic chest pain using mechanical force, manually assisted short-lever adjusting procedures.

Objective: To discuss a case involving a patient with chronic chest pain, dyspnea, and anxiety. Although resistant to previous treatment regimens, the condition responded favorably to chiropractic manipulation of the costosternal articulations.

Clinical Features: A 49-year-old man had chronic chest pain, dyspnea, and anxiety for over 4 months.

A novel method for assessing elbow pain resulting from epicondylitis.

Objective: To describe a novel orthopedic test (Polk's test) which can assist the clinician in differentiating between me- dial and lateral epicondylitis, 2 of the most common causes of elbow pain. This test has not been previously described in the literature.

Clinical Features: The testing procedure described in this paper is easy to learn, simple to perform and may provide the clinician with a quick and effective method of differentiating between lateral and medial epicondylitis.

Chiropractic treatment of postsurgical neck syndrome with mechanical force, manually assisted short-lever spinal adjustments.

Objective: To describe a case of postsurgical neck pain, after multiple spinal surgeries, that was successfully treated by chiropractic intervention with instrumental adjustment of the cervical spine.

Clinical Features: A 35-year-old woman had chronic neck pain for over 5 years after two separate surgeries of the cervical spine: a diskectomy at C3/4 and a fusion at C5/6. Surgeries were performed 6 months apart in an attempt to resolve persistent neck pain and spasm of the cervical musculature.

Chiropractic treatment of coccygodynia via instrumental adjusting procedures using activator methods chiropractic technique.

Objective: To discuss a case of coccygodynia that responded favorably to conservative chiropractic adjusting procedures with the Activator Methods Chiropractic Technique (AMCT) and the Activator II Adjusting Instrument (AAI II).

Clinical Features: A 29-year-old woman had unremitting coccygeal pain of 3 weeks' duration. The problem began after she had moved heavy boxes while at work.

Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique.

Objective: To describe a case of symptomatic lumbar disc herniation, successfully treated via chiropractic intervention using Activator Methods Chiropractic Technique.

Clinical Features: A 26-yr-old man suffered from a chronic multisymptom complex composed of low back pain, left groin pain, left leg pain, left foot drop and associated muscle weakness with atrophy. The symptoms had persisted for more than 2 yr after an athletic injury.

Treatment of cervical disc protrusions via instrumental chiropractic adjustment.

Objective: To discuss the case of a patient suffering from posttraumatic cervical syndrome involving multiple protrusions of cervical intervertebral discs that was treated successfully with conservative, instrumental chiropractic adjusting procedures.

Clinical Features: A 42-yr-old woman suffered from acute neck and arm pain after traumatic injury sustained in an automobile accident. Radiological examination exhibited a complete reversal of the cervical lordosis, and magnetic resonance imaging of the cervical spine revealed intervertebral disc protrusions, ranging in size from 1-4 mm, at four separate segmental levels.

Chiropractic treatment of frozen shoulder syndrome (adhesive capsulitis) utilizing mechanical force, manually assisted short lever adjusting procedures.

Objective: To describe treatment of frozen shoulder syndrome (adhesive capsulitis) via conservative chiropractic treatment to the shoulder joint, utilizing specific contact, low force, instrumental adjusting procedures. A case report, providing an illustrative example of the same, is presented along with a review of the relevant literature.

Clinical Features: A 53-yr-old woman suffered severe shoulder pain of over 6 months' duration.

Conservative treatment of torn medial meniscus via mechanical force, manually assisted short lever chiropractic adjusting procedures.

Objective: To present the first reported case of successful chiropractic intervention in treatment of a torn medial meniscus of the knee, the meniscal tear being documented by magnetic resonance imaging (MRI).

Clinical Features: A 54-yr-old woman complaining of right knee pain of several months' duration with accompanying marked functional impairment was diagnosed as having a tear in the posterior horn of the ipsilateral medial meniscus, verified by MRI studies of the same. Independent consultation with three medical specialists resulted in the unanimous decision that surgical intervention for the purpose of meniscectomy provided the only therapeutic approach indicated for the problem.