OSteopath/Chiropractor
Posted: Sun Aug 30, 2009 4:51 pm
Just a quick question...Has anyone's MS symptoms suddenly increased after back/neck manipulation? I have had MS for 14 years but very very midly, sensory probs only. My first real relapse came days after having my back clicked (I suffered from a numb left thigh and a burning/weak leg). I recovered back to normal after this then about 6 months later I had a course of physio sessions where on one occasion my neck was forcefully clicked. Now previous to this and during my last attack I had MRI's that were totally clear but a few weeks after the neck manipulation I had a lesion C4/C5. I know for me personally that I had symptoms soon after both manipulation sessions. I am not suggesting this to be the cause of my MS but if we are going with the CCSVI theory could these type of treatments put extra pressure into the venous system etc? I am very worried that I have been misaligned and that my condition will continue to deteriorate now. I am thinking of having NUCCA treatments but kind of scared now that it might make the situation worse. I got this from a website:
The association of multiple sclerosis and spinal cord injury after spinal manipulation has been reported in literature. Kewalramani et al reported a case of 46-year-old male patient with a history of left sixth cranial nerve palsy and diagnosis of multiple sclerosis. His patient experienced tingling and burning sensation of right wrist, which radiated to right leg and foot with time. He underwent cervical manipulation, which was immediately followed by increase in the cervical pain. He had progressive deterioration in his neurological status. Myelogram showed widening of spinal cord at C5/C7 with obliteration of root sleeves at C4/C6. He was treated by multiple laminectomy from C4 to C7. Bluish discolouration was noted over the posterolateral aspect of the spinal cord and haematomyelia was confirmed after myelotomy. Kewalramani et al speculated that this patient might have had an underlying vascular or coagulation abnormality induced by multiple sclerosis that resulted in haematomyelia following cervical manipulation.
Any thoughts?
The association of multiple sclerosis and spinal cord injury after spinal manipulation has been reported in literature. Kewalramani et al reported a case of 46-year-old male patient with a history of left sixth cranial nerve palsy and diagnosis of multiple sclerosis. His patient experienced tingling and burning sensation of right wrist, which radiated to right leg and foot with time. He underwent cervical manipulation, which was immediately followed by increase in the cervical pain. He had progressive deterioration in his neurological status. Myelogram showed widening of spinal cord at C5/C7 with obliteration of root sleeves at C4/C6. He was treated by multiple laminectomy from C4 to C7. Bluish discolouration was noted over the posterolateral aspect of the spinal cord and haematomyelia was confirmed after myelotomy. Kewalramani et al speculated that this patient might have had an underlying vascular or coagulation abnormality induced by multiple sclerosis that resulted in haematomyelia following cervical manipulation.
Any thoughts?