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Cervical cord injury after massage
Tzu-Han Lee1, Jan-Wei Chiu, Rai-Chi Chan
1Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taiwan.
American Journal of Physical Medicine & Rehabilitation
|August 25, 2011
Summary
Neck massage can lead to serious cervical cord injury, resulting in herniation of the nucleus pulposus and compressive myelopathy. This case highlights potential dangers despite the benefits of massage.
Area of Science:
- Neurology
- Neurosurgery
- Physical Medicine and Rehabilitation
Background:
- Massage therapy is widely recognized for its therapeutic benefits.
- Cervical spine manipulation, while common, carries inherent risks.
- Understanding potential iatrogenic complications is crucial for patient safety.
Observation:
- A 47-year-old gentleman sustained a cervical cord injury following neck massage.
- Magnetic resonance imaging revealed a herniated nucleus pulposus and compressive myelopathy.
- The patient underwent surgical intervention and subsequent rehabilitation.
Findings:
- Despite six months of intensive rehabilitation, the patient experienced persistent hand dysfunction.
- Minor ambulation problems also remained post-intervention.
- The case demonstrates a direct correlation between neck massage and severe spinal cord injury.
Implications:
- This case underscores the critical need for caution during neck massage procedures.
- Healthcare providers should thoroughly assess risks before recommending or performing neck manipulation.
- Further research into safe massage techniques for the cervical region is warranted.
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