Case: T1 paraplegic
M age 59
Motorbike accident in 2011
Coma 7wks, rehab 13 months hospital.
Fracture C6 ( healed) T3 T4 ( remain damaged), multiple ribs, femur, pelvis, radius ulnar and right scapular.
Many surgeries including multiple spinal surgery’s over the years since the accident.
Main area of concern: he has radiating nerve pain into the left pectoral area, above the nipple line. Gets red and itchy and pain is unbearable at times. Pain medication doesn’t help.
My treatment has been very low force and soft tissue focused. He remains in the chair and we really focus on his neck and upper thoracic. Using activator at c1 and c5, gentle holds and gentle distraction of cx spine ( *he notices the most difference when we do distraction) and soft tissue release of the traps, infra spinatus and some gentle diaphragm release.
Since starting care his range of motion in his neck has increased drastically which has improved ability to drive, exercise and other daily activities.
The nerve pain has decreased but does come back on a regular basis. His arm and shoulder movement pattern has improved and he reports being able to breathe deeper and not being as short of breath. He has also been able to lay on his back when in bed more - before it was too uncomfortable/ painful.
He has been under care for 2 months noting good changes for the first 4-5 weeks. In the last couple of weeks he has been getting really bad migraines and dizziness which is completely new for him.
I am wondering if I have the right approach to treatment or am I potentially overwhelming his nervous system ?
Any advice would be greatly appreciated
Thanks everyone