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Chiropractic care and ochronotic arthropathy
M A Mestan1, G L Bustin, L A Wagner
1mmestan@parkercc.edu
Journal of Manipulative and Physiological Therapeutics
|October 16, 1999
Summary
Chiropractic care effectively managed symptoms of ochronotic arthropathy, a rare metabolic disorder. Spinal radiographs are key for diagnosis, and chiropractic treatment offers a viable approach for symptom reduction.
Area of Science:
- Medical Case Study
- Rheumatology
- Metabolic Disorders
Background:
- Ochronotic arthropathy is a rare metabolic disorder characterized by the deposition of homogentisic acid, leading to joint degeneration.
- Diagnosis often relies on characteristic radiographic findings, particularly in the spine.
Observation:
- A 59-year-old woman presented with low back, knee, and ankle pain, exhibiting scleral pigmentation and urinary homogentisic acid.
- Orthopedic evaluation noted nonspecific joint pain, with spinal radiographs revealing typical ochronotic arthropathy changes.
Findings:
- The patient received chiropractic manipulation, physiotherapy, bracing, and exercises.
- This multimodal treatment approach successfully reduced symptom severity and frequency of acute exacerbations.
Implications:
- Chiropractic care presents a viable non-pharmacological option for managing the symptomatology of ochronotic arthropathy.
- Radiographic analysis of the spine is crucial for diagnosing this rare metabolic condition.