Sandman K, Sandman T  J Manipulative Physiol The  1981;4: 19-20


 

ABSTRACT: A case is presented in which a 35-year old female, with previously diagnosed rheumatoid arthritis located predominately in the upper extremities and cervical spine, presented to a chiropractic college clinic for evaluation and possible therapy. The prior diagnosis was confirmed through routine physical, orthopedic and roentgenologic examination, however, since the patient was a potential candidate for manipulative therapy, it was decided that the routine films should be supplemented with flexion-extension studies and tomographic studies to evaluate for cervical spine erosion and potential for pathologic atlanto-axial subluxation. The case was determined to have erosive cervical spine changes and an increased atlanto-dental interval (ADI), thus contraindicating manipulative therapy. It was concluded that routine examination procedures may not be sufficient for evaluating this condition prior to manipulative therapy.

Please Note

We are sorry but we can offer no international Paypal orders. These must be made by Fax. Any inadvertent international Paypal orders placed will be refunded less $20 transaction fee.

P.O. Box 1357
Sparta, NC 28675
Phone: 336-793-6524
Fax: 336-372-1541
Email: sotousa@skybest.com

Shipping Charges

$1.00 - $50.00 = $18.00
$50.01 - $100.00 = $22.00
$100.01 - $150.00 = $27.00
$150.01 - $200.00 = $32.00
Over $200 or more and orders including books ask for shipping charges