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Published on: February 5, 2019
Chiropractic care of a pediatric patient with myasthenia gravis
Joel Alcantara1, Gregory Plaugher, H Jason Araghi
1Research Director, International Chiropractic Pediatric Association, Media, Pa, and Research Associate, Gonstead Clinical Studies Society, Santa Cruz, Calif, USA.
Insights
Chiropractic care may benefit pediatric patients with myasthenia gravis (MG). A 2-year-old girl with MG experienced complete symptom resolution after 5 months of chiropractic treatment for vertebral subluxation complexes.
Area of Science:
- Pediatric chiropractic care
- Neuromuscular disorders
- Myasthenia Gravis (MG) management
Background:
- Myasthenia Gravis is a chronic autoimmune neuromuscular disease.
- Pediatric cases of MG present with significant challenges in management.
- Conventional treatments for MG do not always provide complete symptom relief.
Observation:
- A 2-year-old girl diagnosed with myasthenia gravis presented with ptosis and generalized muscle weakness.
- Diagnostic workup included negative MRI and antibody tests, but a positive Tensilon test confirmed the MG diagnosis.
- Chiropractic care was initiated with parental consent for the pediatric patient.
Findings:
- The patient received chiropractic adjustments targeting vertebral subluxation complexes in the upper cervical and sacral spine.
- High-velocity, low-amplitude adjustments were utilized in the treatment approach.
- After five months of consistent chiropractic intervention, the patient's myasthenia gravis symptoms completely subsided.
Implications:
- This case suggests that chiropractic intervention may be a beneficial adjunct therapy for pediatric patients with myasthenia gravis.
- Further research into chiropractic's role in managing neuromuscular conditions beyond musculoskeletal complaints is warranted.
- Chiropractic care may offer a non-pharmacological approach for specific pediatric conditions, potentially improving quality of life.
Objective:
To describe the chiropractic care of a pediatric patient with complaints associated with myasthenia gravis. Clinical features A 2-year-old girl was provided chiropractic care at the request and consent of her parents for complaints of ptosis and generalized muscle weakness (ie, lethargy), particularly in the lower extremities. Prior to entry into chiropractic management, magnetic resonance imaging of the brain and acetylcholine receptor antibody tests were performed with negative results. However, the Tensilon test was positive and the diagnosis of myasthenia gravis was made by a pediatrician and seconded by a medical neurologist. Intervention and outcome The patient was cared for with contact-specific, high-velocity, low-amplitude adjustments to sites of vertebral subluxation complexes in the upper cervical and sacral spine. The patient's response to care was positive and after 5 months of regular chiropractic treatment her symptoms abated completely.
Conclusion:
There are indications that patients suffering from disorders "beyond low back pain" as presented in this case report may derive benefits from chiropractic intervention/management.
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