NZer1 wrote:To paraphrase what has been said in general,
Dr, You have observed symptoms that occur after some injuries that may have happened to the upper spine, at this time technology does not identify the cause of the symptoms.
There is however changes from what is perceived as the normal structure by xray and or MRI that have been observed "after the fact".
Some people with these changes have symptoms and others have none. Some develop symptoms over time/years.
There are people with a dx of MS who have history that includes injury and they may have Venus dysfunctions at the same time.
To date there is no connection between the symptoms and the causes that have been theorized.
There is no consistency in cause and effect, although assumptions have been made that there is a percentage change of co-incidence.
That chance is not enough to predict symptoms occurring.
The symptoms commonly spoken of in this discussion are very similar to Transverse Myelitis which has been related to spinal cord disease with various theories of causation.
I am personally getting to a place in my thinking that we have possibility of symptom management if we investigate spinal structure and alignment, as well as, vascular flows from the brain. That there has been damage done one way or another and that 'may' be treated to delay the symptom progression.
It also in some cases may enable regeneration to some types of the damage done by these problems and the scaring and healing process that has followed over time.
At this time the flows of blood and CSF are suspected to be altered in people with injury and or malformation of vessels carrying these fluids and this is being researched.
As you recall, Dr. Raymod Damadian just did the upright MRI study that showed that of the eight MS case he carefully scrutinized and scanned were all connected to serious cervical and head trauma. One case involved truama dating back thirty years. The symptoms in all cases started after eight years on average as I recall.http://www.fonar.com/news/pdf/PCP41_damadian.pdf
When I was new in practice I had an Amish lady patient who came in for low back and hip pain. She had four children. She looked slightly short for her size but she was not a dwarf. She also waddled in a peculiar way when she walked like and old man with two bad hips. I was stunned when I took her low back x-rays. Both of her hips were out of the acetabulum (hip sockets) and had formed new joints. When I questioned her further she told me that when she was a young child she was thrown out of a buggy (wagon) which then rolled over her lower torso upper leg area. The Amish at the time didn't go to medical doctors so they treated her at home with bed rest and salves to soothe the pain and reduce the swelling in her legs. Apparently the injuries healed to the point that she could walk and didn't interfere with her four pregnancies and raising four children. The point is there was no direct evidence as to what knocked her hips out of whack because she didn't go to the doctor and no one took x-rays at the time. I suppose the hips could have gotten knocked out of their sockets for a multitude of remotely possible reasons but there was nothing else in her case history that came close. Sometimes the obvious stares you in the face and you have to go with your gut instincts. My guess was that it was most likely due to the carriage accident decades ago.
Dr. Thomas Milhorat, a neurosurgeion has done a great deal of research into Chiari malformations and tethered cords which he connected to scoliosis and MS.
Dr. David Harsfield Jr., a medical radiologist who has been doing cases studies along with Dr. Scot Rosa, an AO chiropractor, said he hasn't seen a case of MS yet that wasn't associated with a Chiari malformation. They also did a study connecting Chiari malformation to trauma as well as upper cervical connective tissue tearing and subsequent misalignment and instability. All this was determined after the fact (trauma) with no prior evidence as most patients don't anticipate getting into accidents so they typically don't have studies prior to the accident.
Lastly, in this regard, there is no direct evidence to support a case for CCSVI either as the venous insufficiency is likewise discoverd many years after the fact.
Suppositions and hypotheses are made in health care everyday but you try to back it up with evidence, logic and biological plausibility.