Grier A, Proctor D  Pain Clinic  1988 ;2: 163-168


ABSTRACT: The management of chronic arthritis experienced by many patients as a manifestation of systemic lupus erythematosus (SLE) presents clinicians with a challenge. The objective of this paper is to review and define SLE, its signs and symptoms, chiropractic care and manipulation. In addition a review of the multidisciplinary approach to management of SLE patients, which can include chiropractic care, is provided. Goals for assessment of treatment are outlined. Chiropractic management of lupus patients includes manipulation, range of motion exercise techniques, massage, heat and/or ice and lifestyle counseling. Therapeutic goals must be determined and continually reassessed. Objective indicators of the efficacy of manipulative therapy include increased joint range of motion and a demonstrable decrease in medication intake. Subjective indicators include a decrease in pain, decreased fatigue, and an increase in general well-being. A case history is presented where chiropractic treatment was used.

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