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Nervous System Under Attack

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 20-21. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/20/493544/LBORC-NUFA-Poster-Abstracts-2023-Students)

Keywords:

case report [514]
long covid [9]
male [479]
nervous system [169]
neuropathy [13]
OMT [2951]
osteopathic manipulative treatment [2973]
spinal stenosis [7]

Abstract:

Introduction/Background: Spinal stenosis is a disorder that causes increased fatiguability with extension-based activities and impairment of activities of daily living. Axonal sensorimotor neuropathy is a subtype of Guillain-Barre Syndrome characterized by acute onset of distal weakness, loss of deep tendon reflexes and sensory symptoms. Long COVID includes a wide range of new, returning, or ongoing health problems experienced after COVID-19 infection. All three disorders can alter neurologic function via different pathophysiology. Case: A 57-year-old male presented to the OMM clinic with complaints of chronic headache, chronic low back pain, chronic memory impairment, depression, and anxiety. History was notable for axonal sensorimotor neuropathy and acute respiratory failure due to COVID-19 infection four months prior. Hospitalization was followed by increased fatigue, cognitive impairment, depression, and anxiety. Osteopathic structural examination was significant for decreased respiratory excursion and decreased amplitude of the cranial rhythmic impulse during early evaluation. Multiple osteopathic manipulative treatment (OMT) techniques were employed in treatment. Due to recent progressive weakness in the lower extremities, a lumbar MRI was ordered that revealed severe spinal stenosis at the L2-L3 level. Osteopathic evaluation and treatment is ongoing, and a neurosurgery consultation is pending. Results: OMT successfully contributed to pain reduction, fatigue mitigation, improved cognition, and increased ability to perform activities of daily living for the patient compared to baseline subjective reports. Discussion: Our case study suggests that OMT can play an integral role in the management of symptoms for patients with spinal stenosis, axonal sensorimotor neuropathy, Long COVID, or a combination of these diagnoses. Limitations of this study include not having objective baseline measurements of quality of life and of the ability to perform activities of daily living to confirm subjective findings.


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