Chiropractic Care in a Patient With Hereditary Spastic Paraplegia and Chronic Pain

Abstract

Hereditary spastic paraplegia (HSP) is a rare neurodegenerative disorder, which is challenging to diagnose and is known to be associated with more than 73 genes. Neurodegenerative disorders are characterized by progressive spasticity and weakness of the lower limbs. Here, we report the case of a 13-year-old girl with a history of HSP who presented to a chiropractic clinic with chronic low back pain and rehabilitation for lower extremity weakness. She had been receiving non-steroidal anti-inflammatory drugs and baclofen for spasticity. Full-spine radiography revealed borderline acetabular dysplasia in the right hip. After nine months of chiropractic therapy, the patient reported reduced lower extremity spasticity and pain as well as improved strength and functionality. As non-invasive therapies have minimal side effects, chiropractic therapy can be used alongside or in combination with other treatments as an additional option for the longterm management of HSP.

Unmasking Acute Lymphoblastic Leukemia in a Chiropractic Patient With Musculoskeletal Complaints

“…Differentiating between musculoskeletal and systemic causes of pain presents challenges for healthcare providers, as they can manifest similar symptoms [17][18][19][20][21][22][23]. In our case, the patient's initial presentation of neck and back pain and lower extremity numbness and tenderness was consistent with a musculoskeletal origin.…”