Adjacent segment disease, a known complication of spinal fusion, can also be caused by degenerative changes in the neck. Now, chiropractors from Chiropractic Doctors Association of Hong Kong (CDAHK) and Open University teamed up to explore spinal alignments and neurological pathology with the hopes of improving treatment.
The team published a new paper in Journal of Family Medicine and Primary Care outlining their findings (1).
Many clinical studies have shown degeneration make you pain in the neck (2-10), headache (11-14), dizziness (15-17), numbness (18-20), and stomach problems (21-23). All spinal surgeries changing motion across a joint can add additional stress on the adjacent vertebrae. These conditions can easily compress nerves, causing pain.
“The patient with neck pain can be caused by a spinal surgery performed 30 years earlier. The chronic conditions are often hard to manage.” Described by Dr Eric Chun-Pu Chu, investigator at New York Medical Group (NYMG) and chairman of CDAHK.
Bone spurs, scoliosis (24-27), disc degeneration, spinal stenosis, spinal instability, are only a few of the radiographic abnormalities (28-41) seen in the neighboring segments. The goal was to find the biomechanical balance that can relieve discomfort and avoid unneeded surgery.
Chiropractic adjustment was used to release restriction, as well as soft tissue mobilization was applied to alleviate stiffness (42). The AI Robotic Rehabilitation (MID®) was administered to decompress the spine. The patient reported diminished symptoms and restored strength.
Patients with neck pain by spinal fusion who are gradually developing neurological impairments are candidates for minimally invasive surgery. The current study aimed to bridge the gap between primary and tertiary care in the treatment of degeneration.
Elderly patients with degenerative pain are demanding better healthcare (43-45). Before considering surgery, patients should always think conservative therapy as an option.
1) Chu EC. Adjacent segment pathology of the cervical spine A case report. Journal of Family Medicine and Primary Care. 2022 February; 11(2):787-789. doi: 10.4103/jfmpc.jfmpc_1380_21.
2) Chu EC. Preventing the progression of text neck in a young man: A case report. Radiol Case Rep. 2022 Mar;17(3):978-982.
3) Chu EC, Wong AY, Lee LY. Craniocervical instability associated with rheumatoid arthritis: a case report and brief review. AME Case Rep. 2021;5:12.
4) Chu EC, Wong AY, Lin AF. Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120977844.
5) Chu ECP, et al. Atlantoaxial Rotatory Subluxation in a 10-Year-Old Boy. Clin Med Insights Arthritis Musculoskelet Disord. 2020;13:1179544120939069.
6) Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. J Family Med Prim Care. 2020 May;9(5):2517-2520.
7) Chu EC, Lo FS, Bhaumik A. Secondary atlantoaxial subluxation in isolated cervical dystonia-a case report. AME Case Rep. 2020;4:9.
8) Chu ECP, Lo FS, Bhaumik A. Remission of recalcitrant dermatomyositis following a chiropractic adjustment. J Family Med Prim Care. 2019 Nov;8(11):3742-3744.
9) Chu ECP, Bellin D. Remission of myasthenia gravis following cervical adjustment. AME Case Rep. 2019;3:9.
10) Chu EC, Pong JC. Spontaneous resolution of myopic retinoschisis. AME Case Rep. 2019;3:3
11) Chu EC. Remission of Headache and Neck Pain Following Chiropractic Manipulative Treatment in a Patient with Neurofibromatosis. Chiropractic Journal of Australia. 2022 February; 49(1):8-18.
12) Chu EC, Chu V, Lin AF. Cervicogenic Headache Alleviating by Spinal Adjustment in Combination with Extension-Compression Traction. Arch Clin Med Case Rep 2019; 3 (5): 269-273. 2019; 3(5):269-273.
13) Chu ECP, Lin AFC. Neck-tongue syndrome. BMJ Case Rep. 2018 Dec 4;11(1).
14) Chu ECP, Ng M. Long-term relief from tension-type headache and major depression following chiropractic treatment. J Family Med Prim Care. 2018 May-Jun;7(3):629-631.
15) Chu EC, Wong AY. Cervicogenic Dizziness in an 11-Year-Old Girl: A Case Report. Adolesc Health Med Ther. 2021;12:111-116.
16) Chu EC, Zoubi FA, Yang J. Cervicogenic Dizziness Associated With Craniocervical Instability: A Case Report. J Med Cases. 2021 Nov;12(11):451-454.
17) Chu ECP, Chin WL, Bhaumik A. Cervicogenic dizziness. Oxf Med Case Reports. 2019 Nov;2019(11):476-478.
18) Chu EC, et al. Vascular Thoracic Outlet Syndrome: A Case Report. J Contemp Chiropr. 2021 December; 4(1):142–145.
19) Chu ECP. Alleviating cervical radiculopathy by manipulative correction of reversed cervical lordosis: 4 years follow-up. J Family Med Prim Care. 2021 Nov;10(11):4303-4306.
20) Chu C. Cervical Radiculopathy Alleviating by Manipulative Correction of Cervical Hypolordosis. Journal of Medical Cases. 2018 May; 9:139-141.
21) Chu ECP, Lee LYK. Cervicogenic dysphagia associated with cervical spondylosis: A case report and brief review. J Family Med Prim Care. 2021 Sep;10(9):3490-3493.
22) Chu EC, Butler KR. Resolution of Gastroesophageal Reflux Disease Following Correction for Upper Cross Syndrome-A Case Study and Brief Review. Clin Pract. 2021 May 21;11(2):322-326.
23) Chu ECP, Shum JSF, Lin AFC. Unusual Cause of Dysphagia in a Patient With Cervical Spondylosis. Clin Med Insights Case Rep. 2019;12:1179547619882707.
24) Leung K, Huang K, Chu EC. Chiropractic management as conservative care for adolescent idiopathic scoliosis: A cases report. Asia-Pac Chiropr J. 2021 September; 2(2).
25) Pu Chu EC, et al. Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: A retrospective chart review. Clin Pract. 2020 Sep 4;10(3):1258.
26) Chu EC. Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: a report of two cases. Asia Pacific Chiropractic Journal. 2020 July; 1.
27) Pu Chu EC, Kai Huang KH. Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis. J Family Med Prim Care. 2017 Apr-Jun;6(2):447-449.
28) Chu EC, Wong A. Change in Pelvic Incidence Associated With Sacroiliac Joint Dysfunction: A Case Report. Journal of Medical Cases. 2022 January; 13(1):31-35.
29) Chu ECP, et al. Chiropractic care for low back pain, gait and posture in a patient with Parkinson’s disease: a case report and brief review. AME Case Rep. 2021;5:34.
30) Chu ECP, Wong AYL. Chronic Orchialgia Stemming From Lumbar Disc Herniation: A Case Report and Brief Review. Am J Mens Health. 2021 May-Jun;15(3):15579883211018431.
31) Chu E. Thoracolumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis. European Journal of Molecular and Clinical Medicine. 2021 April; 8(3):2834-2840.
32) Chu ECP. Taming of the Testicular Pain Complicating Lumbar Disc Herniation With Spinal Manipulation. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320949358.
33) Chu EC. Regression of Lumbar Disc Herniation Following Non-surgical Treatment. European Journal of Molecular & Clinical Medicine. 2020 July; 7(1):27-79. doi: 10.5334/ejmcm.275.
34) Chu ECP, Lam KKW. Post-poliomyelitis syndrome. Int Med Case Rep J. 2019;12:261-264. doi: 10.2147/IMCRJ.S219481.
35) Chu ECP, Chan AKC, Lin AFC. Pitting oedema in a polio survivor with lumbar radiculopathy complicated disc herniation. J Family Med Prim Care. 2019 May;8(5):1765-1768.
36) Chu EC, Yip AS. A rare presentation of benign acute childhood myositis. Clin Case Rep. 2019 Mar;7(3):461-464.
37) Chu C. Subsiding of Dependent Oedema Following Chiropractic Adjustment for Discogenic Sciatica. European Journal of Molecular & Clinical Medicine. 2018 March; 5(1):1-4. doi: 10.5334/ejmcm.250.
38) Chu C, Wong RS. Chiropractic pain control in myelofibrosis: A case report. New Horizons in Clinical Case Reports. 2017 August; 2:7-9.
39) Chu C. Chiropractic Care for Postlaminectomy Syndrome. International Journal of Medical and Health Science. 2017 July; 6(3):185-187.
40) Chu C. Staphylococcus aureus Bacteremia Complicated by Psoas Abscess. American Journal of Medical Case Reports. 2015 November; 3(11):383-386.
41) Chu C, Bellin D. Insufficiency Fracture of the Tibial Plateau: A Disease of Rare Diagnosis. Journal of osteoporosis and physical activity. 2015 May; 3(2).
42) Chu ECP, et al. Exploring scraping therapy: Contemporary views on an ancient healing – A review. J Family Med Prim Care. 2021 Aug;10(8):2757-2762.
43) Chu E. Smart Rehabilitation Clinic. Journal of Contemporary Chiropractic. 2022; 5(1):7-12.
44) Chu EC. Chiropractic and Future of Healthcare in Asia. J Contemp Chiropr. 2021 November; 4(1):138-141.
45) Chu EC. Hong Kong poised for rapid healthcare change. Asia-Pac Chiropr J. 2021 September; 2(2).
45) Chu EC. The scalable approach to the Chiropractic patient journey. Asia Pacific Chiropractic Journal. 2022 February; 2(5):2-8.