Research Reports - Chiropractic care of a patient with heterotopic ossification after traumatic brain injury

J Chiropr Med. 2014 Dec;13(4):260-5

Morgan WE(1), Morgan CP(1)

OBJECTIVE: The purpose of this case report is to describe the use of chiropractic
care for a patient with neurogenic heterotopic ossification of the anterior
longitudinal ligament in the cervical spine and soft tissues of the right hip
after a traumatic brain injury and right femur fracture.
CLINICAL FEATURES: A 25-year-old military officer was referred to a
hospital-based chiropractic clinic with complaints of pain and stiffness of the
neck and back along with reduced respiratory excursions that began several months
after a motor vehicle accident in which he had a traumatic brain injury. The
patient had a fractured right femur from the accident, which had since been
treated surgically, but had complications of heterotopic ossification in the soft
tissues of the hip. His overall pain level was 3 of 10 on a verbal pain scale
during use of oxycodone HCL/acetaminophen. Chest excursion was initially measured
at .5 cm.
INTERVENTION AND OUTCOME: With the intent to restore respiratory chest motion and
to reduce the patient's back and neck pain, the patient was placed on a program
of chiropractic and myofascial manipulation, exercise therapy, and respiratory
therapy. After a year of care, the patient rated overall pain at 3 of 10 verbal
pain scale level but was no longer taking medications for pain and an increase in
respiratory chest excursions measured at 3.5 cm.
CONCLUSION: This case demonstrated that chiropractic treatment provided benefit
to a patient with heterotopic ossification concurrent with musculoskeletal pain.

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