Compensations caused by spinal adjustments?
Hello, Doctor.
I have fallen and undergone spinal manipulation (to straighten my spine) and pelvic sacroiliac realignment, and I have also worn a rigid corrective brace.
This means that the curvature of my lumbar spine has changed (almost straightened), and the size and shape of my pelvis, as well as its anterior and posterior tilt, have also altered, resulting in weakness of my back muscles and gluteal muscles.
I have lost muscle tone and feel like a sponge, swaying from side to side, accompanied by dizziness.
No matter how I try to engage my muscles, they remain loose.
The change in the curvature of my lumbar spine has also made the first rib under my clavicle protrude, causing compression, scapular winging, and neck and shoulder pain.
My upper arms feel weak, and I fear I am on the verge of paralysis.
I really want to live; is there anyone who has researched this area and has treatment options? I also have mild scoliosis and lumbar spondylolisthesis, with my pelvis and upper body misaligned.
My entire body, lacking muscle tension, rotates like a wrung-out towel, causing unbearable pain.
I feel a sense of bone separation, and my pelvis has been adjusted to tilt forward, causing discomfort in my gluteal muscles, with my muscles unable to tighten, leading to a forward lean, and my ribs also shifting forward.
This is a condition resulting from structural changes in my skeleton after spinal manipulation.
In the southern region, I have seen doctors for two years, being referred from one specialty to another, without any conclusions or methods provided.
They respond by saying there are no fractures or severe nerve compressions and that they have never encountered a case like mine! I beg you to help me! I would be immensely grateful.
Miss Zhou, 40~49 year old female. Ask Date: 2016/04/09
Dr. Shi Guozheng reply Orthopedics
You can consult a rehabilitation specialist to determine if rehabilitation therapy is necessary.
Reply Date: 2016/04/09
More Info
It sounds like you are experiencing a complex set of symptoms following chiropractic adjustments and other treatments. Your description indicates that you have undergone significant changes to your spinal alignment and pelvic structure, which may have led to muscle weakness, discomfort, and other issues. Let's break down your concerns and explore potential avenues for treatment and management.
Understanding Your Symptoms
1. Muscle Weakness and Imbalance: The changes in your lumbar spine and pelvis can lead to muscle imbalances. When certain muscles become weak or inhibited, others may become overactive, leading to discomfort and dysfunction. This can manifest as the feeling of instability you described, where your body feels like it lacks muscle tone and control.
2. Postural Changes: The adjustments you received may have altered your posture significantly. If your pelvis is tilted or rotated, it can affect the alignment of your spine and ribcage, leading to compensatory patterns in your muscles. This can cause pain in the shoulders, neck, and upper arms, as well as contribute to feelings of dizziness or imbalance.
3. Nerve Compression: You mentioned that your first rib is prominent and may be causing pressure. This could lead to thoracic outlet syndrome, where nerves and blood vessels are compressed, resulting in pain and weakness in the arms.
4. Scoliosis and Spondylolisthesis: The mild scoliosis and spondylolisthesis (slipping of one vertebra over another) you mentioned can further complicate your situation. These conditions can lead to chronic pain and instability if not properly managed.
Recommendations for Management
1. Comprehensive Evaluation: It’s crucial to have a thorough evaluation by a healthcare professional who specializes in musculoskeletal disorders, such as a physical therapist or a chiropractor with experience in complex cases. They can assess your posture, muscle strength, and spinal alignment to develop a tailored treatment plan.
2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can help you strengthen weak muscles, improve your posture, and develop strategies to manage pain. They may incorporate exercises that focus on core stability, pelvic alignment, and overall body mechanics.
3. Chiropractic Care: If you continue to see a chiropractor, ensure that they are aware of your complete medical history and current symptoms. They may need to adjust their approach based on your feedback and the changes in your condition.
4. Pain Management: If pain is significant, consider discussing pain management options with your healthcare provider. This could include medications, injections, or alternative therapies such as acupuncture.
5. Lifestyle Modifications: Incorporating gentle exercises, such as yoga or swimming, can help improve flexibility and strength without putting too much strain on your body. Additionally, maintaining a healthy weight can reduce stress on your spine and pelvis.
6. Second Opinions: If you feel that your current healthcare providers are not addressing your concerns adequately, seeking a second opinion from a specialist in orthopedic medicine or a spine specialist may provide new insights and treatment options.
Conclusion
Your situation is undoubtedly challenging, and it’s understandable to feel frustrated after not receiving clear answers or effective treatment. It’s important to advocate for yourself and seek out professionals who will take your concerns seriously and work collaboratively with you to find a solution. Remember, recovery can take time, and a multidisciplinary approach may be necessary to address the various aspects of your condition. Stay persistent in seeking the care you need, and don’t hesitate to explore different avenues until you find a treatment plan that works for you.
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