Neck Injury from Chiropractic Treatment: Rehabilitation and Diagnosis Options - Rehabilitation

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Hello doctor, I injured my neck during a chiropractic adjustment.
I was lying down when my neck was pulled, and the force was quite strong.
It has been three months, and my neck still hasn't healed.
Initially, the most painful area was the muscles on one side of my jaw, and now I sometimes experience throat pain.
At night, I occasionally wake up feeling like I can't breathe properly.
I'm not sure if this pulling could have affected my throat.
If I need to get checked, can a rehabilitation specialist evaluate my condition?

Xiao An, 20~29 year old female. Ask Date: 2006/11/03

Dr. Chen Xianchang reply Rehabilitation


1.
A visit to a major hospital is required for an electromyography (EMG) examination.
2.
This examination can determine whether there is cervical nerve root compression and assess its severity.
If the condition is more severe, surgical intervention may be considered.
Generally, cervical traction can be performed in the rehabilitation department.

Reply Date: 2006/11/03

More Info


Neck injuries resulting from chiropractic treatment can be quite complex and may lead to a variety of symptoms, including pain, discomfort, and even neurological issues. Given your situation, it’s important to approach this matter with a comprehensive understanding of potential injuries and the appropriate steps for rehabilitation and diagnosis.

Firstly, the mechanism of injury you described—being pulled on the neck—can indeed lead to several types of injuries. These may include muscle strains, ligament sprains, or even more serious conditions such as cervical disc herniation or nerve compression. The symptoms you are experiencing, such as pain in the jaw, throat discomfort, and breathing difficulties, could be indicative of several underlying issues. For instance, muscle tension in the neck can lead to referred pain in the jaw and throat, while nerve compression could potentially affect your breathing if it impacts the phrenic nerve or other related structures.

In terms of rehabilitation, it is crucial to seek a thorough evaluation from a healthcare professional who specializes in musculoskeletal injuries. A physical medicine and rehabilitation (PM&R) specialist, often referred to as a physiatrist, can provide a comprehensive assessment of your condition. They may recommend imaging studies such as an MRI to evaluate the soft tissues, including muscles, ligaments, and discs, as well as a CT scan if bony structures need to be assessed. These imaging modalities can help identify any structural damage that may have occurred due to the chiropractic treatment.

Rehabilitation typically involves a multidisciplinary approach. Physical therapy is often a key component, focusing on restoring mobility, strength, and function to the affected area. A physical therapist can design a tailored exercise program that addresses your specific symptoms and limitations. This may include stretching and strengthening exercises, manual therapy techniques, and modalities such as heat or cold therapy to alleviate pain and inflammation.

In addition to physical therapy, it may be beneficial to consult with an ear, nose, and throat (ENT) specialist if you continue to experience throat pain or breathing difficulties. They can rule out any potential complications related to the injury that may affect your airway or vocal cords.

As for your question regarding whether a rehabilitation department can perform the necessary evaluations, the answer is generally yes. Rehabilitation specialists are trained to assess and manage musculoskeletal injuries, and they can coordinate care with other specialists as needed. If your symptoms persist or worsen, it may be advisable to seek a second opinion or consult a different healthcare provider who can offer a fresh perspective on your treatment options.

In conclusion, while chiropractic treatment can be beneficial for many individuals, it is essential to be aware of the potential risks involved, especially with aggressive techniques. Given your ongoing symptoms, it is crucial to pursue a thorough evaluation and appropriate rehabilitation to ensure a full recovery. Don't hesitate to advocate for yourself in seeking the necessary diagnostic tests and treatments, and consider exploring different healthcare providers if you feel your current treatment plan is not addressing your needs effectively.

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