Neuromuscular scoliosis in the presence of spina bifida occulta and a transitional lumbosacral vertebra: A case report

Self Cite

Osteochondromas are benign bone tumors that occur only rarely in the scapula. We report a case of an eightyear-old boy with dorsal scapular osteochondroma that initially presented as middle back pain, scoliosis, and a winged scapula. Unlike in most reported cases, the patient did not report severe pain. The chiropractor reviewed his previous radiograph and ordered a computed tomography scan, which revealed a bony mass on the dorsal aspect of the left scapula consistent with an osteochondroma. Given the patient's age and lack of symptoms, a conservative chiropractic treatment plan, focusing on posture, flexibility, and close monitoring, was adopted. Scapular mobilization, spinal adjustment, and a tailored exercise program provided symptomatic relief from scoliosis and improved mobility. Follow-up evaluations revealed further enlargement of the osteochondroma without accompanying symptoms. This study highlights the importance of considering a broad range of differential diagnoses in pediatric patients with atypical or unclear presentations. This study also demonstrates the potential benefits of conservative chiropractic management in patients with osteochondroma-induced musculoskeletal issues.

Section: Discussionmentioning

confidence: 99%

Dorsal Scapular Osteochondroma in the Chiropractic Clinic: A Case Report and Literature Review

Chu,

Sabourdy

2023

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“…Chiropractors in Hong Kong utilize manual techniques such as spinal manipulation and soft tissue mobilization to address musculoskeletal dysfunction and reduce pain [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. According to a 2013 survey undertaken by the Census and Statistics Department of the Hong Kong Special Administrative Region, more than half (53.6%) of the 33,700 individuals who received chiropractic care had previously tried other forms of treatment.…”

Section: Chiropractic As An Effective and Low-risk Therapymentioning

confidence: 99%

“…[3] Chiropractors in Hong Kong are legally authorized to diagnose and treat musculoskeletal conditions. As conservative spine specialists and primary care practitioners, numerous studies have reported that chiropractors in Hong Kong provide non-invasive care for prevalent neuromusculoskeletal conditions and injuries [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. However, their inability to officially certify patients' incapacity limits the utility of chiropractic services.…”

Section: Introductionmentioning

confidence: 99%

Recognizing Hong Kong Chiropractors’ Sick Leave Authority: Valuing a Conservative Approach to Workers’ Compensation

Lin¹,

Chu²,

Chu³

et al. 2023

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Although registered under Hong Kong's legislative framework, chiropractors are not able to certify sick leave, restricting the effectiveness of their services for patients with musculoskeletal issues requiring time away from work. This paper explores the evolution of chiropractic regulation in Hong Kong, the growth of the profession, and the tardy recognition of chiropractors' power to issue sick leave certificates. The chiropractic profession and its patients have long lobbied for this authority, but the government has been slow to respond. This document presents a comprehensive analysis of the benefits and restrictions of allowing chiropractors prescriptive authority for sick leave and requests that this change in policy be considered. Developing responsible criteria for chiropractors to prescribe sick leave within their scope of practice could legitimize chiropractic's position in the population's health and interdisciplinary pain care while lowering the burden on injured workers.

“…Chiropractors use a whole-body approach, recognizing the interconnectedness between the musculoskeletal, nervous, and overall health systems [16]. Hong Kong chiropractors understand how imbalances in the spine or joints, including scoliosis, can affect functions elsewhere in the body [17][18][19][20][21][22][23][24]. This holistic perspective is essential in preventive care, as it helps patients understand how various lifestyle, biological, and environmental factors influence their health in interconnected ways [13].…”

Section: Chiropractors Provide Holistic Education and Counselingmentioning

confidence: 99%

Prevention-Focused Care: The Potential Role of Chiropractors in Hong Kong’s Primary Healthcare Transformation

Lin¹,

Cunliffe²,

Chu³

et al. 2023

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Hong Kong's healthcare system is moving toward preventive and primary care to address the complicated demands of the aging population. Chiropractic professionals are in an advantageous position to support a prevention-focused strategy by identifying musculoskeletal problems early, reducing risks, and promoting healthy lifestyles. This article examines how the involvement of chiropractors in public health programs could improve population health in Hong Kong and boost primary care. The inclusion of chiropractors in district health centers and other initiatives would offer safer and more cost-effective choices for treating functional problems and chronic pain. Chiropractors should be involved in policymakers' attempts to create a sustainable healthcare system that meets Hong Kong's long-term healthcare requirements.