Adjacent segment disease, a known complication of spinal fusion, can also be caused by degenerative changes in the neck. Now, chiropractors from the Chiropractic Physicians Association of Hong Kong (CDAHK) and the Open University have teamed up to explore spinal alignments and neurological pathology in hopes of improving treatment.
The team has published a new article in the Journal of Family Medicine and Primary Care outlining their findings (1).
Numerous clinical studies have shown that degeneration causes neck pain (2-10), headaches (11-14), dizziness (15-17), numbness (18-20) and problems with stomach (21-23). All spine surgeries that alter movement through a joint can add additional stress on adjacent vertebrae. These conditions can easily compress the nerves, causing pain.
“The patient with neck pain may be caused by spinal surgery performed 30 years earlier. Chronic illnesses are often difficult to manage. Described by Dr. Eric Chun-Pu Chu, researcher at New York Medical Group (NYMG) and president of CDAHK.
Bone spur, scoliosis (24-27), disc degeneration, spinal stenosis, spinal instability are just some of the radiographic abnormalities (28-41) seen in neighboring segments. The goal was to find the biomechanical balance that can relieve discomfort and avoid unnecessary surgery.
A chiropractic adjustment was used to release the restriction, as well as soft tissue mobilization was applied to alleviate the stiffness (42). AI Robotic Rehabilitation (MID®) was administered to decompress the spine. The patient reported reduced symptoms and regained strength.
Patients with spinal fusion neck pain who progressively develop neurological disorders are candidates for minimally invasive surgery. The current study aimed to bridge the gap between primary and tertiary care in the treatment of degeneration.
Elderly patients with degenerative pain demand better health care (43-45). Before considering surgery, patients should always consider conservative treatment as an option.
1) Chu EC. Pathology of the adjacent segment of the cervical spine Apropos of a case. Journal of Family Medicine and Primary Care. 2022 February; 11(2):787-789. doi: 10.4103/jfmpc.jfmpc_1380_21.
2) Chu CE. Prevention of text neck progression in a young man: about a case. Radiol Case Rep. 2022 Mar;17(3):978-982.
3) Chu EC, Wong AY, Lee LY. Craniocervical instability associated with rheumatoid arthritis: about a case and brief review. AME Case Rep. 2021;5:12.
4) Chu EC, Wong AY, Lin AF. Isolated neck extensor myopathy associated with cervical osteoarthritis: case report and brief review. Clin Med Insights Arthritis Musculoskeletal Disorder. 2020;13:1179544120977844.
5) Chu ECP, et al. Atlanto-rotatory subluxation in a 10-year-old boy. Clin Med Insights Arthritis Musculoskeletal Disorder. 2020;13:1179544120939069.
6) Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. J Family Med Prim Care. 2020 May;9(5):2517-2520.
7) Chu EC, Lo FS, Bhaumik A. Secondary atlanto-axial subluxation in isolated cervical dystonia – a case report. AME Case Rep. 2020;4:9.
8) Chu ECP, Lo FS, Bhaumik A. Remission of recalcitrant dermatomyositis following chiropractic adjustment. J Family Med Prim Care. 2019 Nov;8(11):3742-3744.
9) Chu ECP, Bellin D. Remission of myasthenia gravis after cervical adjustment. AME Case Rep. 2019;3:9.
10) Chu EC, Pong JC. Spontaneous resolution of myopic retinoschisis. AME Cas Rep. 2019;3:3
11) Chu EC. Remission of headache and neck pain after chiropractic manipulative treatment in a patient with neurofibromatosis. Australian Chiropractic Journal. 2022 February; 49(1):8-18.
12) Chu EC, Chu V, Lin AF. Cervicogenic headache relieved by adjustment of the spine in combination with extension-compression traction. Arch Clin Med Case Rep 2019; 3 (5): 269-273. 2019; 3(5):269-273.
13) Chu ECP, Lin AFC. Neck-tongue syndrome. BMJ Case Rep. 2018 Dec 4;11(1).
14) Chu ECP, Ng M. Long-term relief of tension headaches and major depression after chiropractic treatment. J Family Med Prim Care. 2018 May-June;7(3):629-631.
15) Chu EC, Wong AY. Cervicogenic dizziness in an 11-year-old girl: case report. Adolesc Health Med Ther. 2021;12:111-116.
16) Chu EC, Zoubi FA, Yang J. Cervicogenic vertigo associated with craniocervical instability: case report. Case J Med. 2021 Nov;12(11):451-454.
17) Chu ECP, Chin WL, Bhaumik A. Cervicogenic vertigo. Oxf Med case reports. 2019 Nov;2019(11):476-478.
18) Chu CE, et al. Vascular thoracic outlet syndrome: case report. J Contemp Chiropr. 2021 December; 4(1):142–145.
19) Chu ECP. Alleviating cervical radiculopathy by manual correction of reversed cervical lordosis: 4-year follow-up. J Family Med Prim Care. 2021 Nov;10(11):4303-4306.
20) Chu C. Cervical radiculopathy relieving by manipulative correction of cervical hypolordosis. Journal of Medical Cases. May 2018; 9:139-141.
21) Chu ECP, Lee LYK. Cervicogenic dysphagia associated with cervical osteoarthritis: about a case and brief review. J Family Med Prim Care. 2021 Sep;10(9):3490-3493.
22) Chu EC, Butler KR. Resolution of gastroesophageal reflux disease after correction for upper cross syndrome – A case report and brief review. Convenient wink. 2021 May 21;11(2):322-326.
23) Chu ECP, Shum JSF, Lin AFC. Unusual cause of dysphagia in a patient with cervical spondylosis. Clin Med Insights Case Rep. 2019;12:1179547619882707.
24) Leung K, Huang K, Chu EC. Chiropractic management as conservative care for adolescent idiopathic scoliosis: case report. Asia-Pac Chiropr J. 2021 September; 2(2).
25) Pu Chu CE, et al. Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: a retrospective chart review. Convenient Wink. 2020 Sep 4;10(3):1258.
26) Chu EC. Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: about two cases. Asia-Pacific Chiropractic Journal. 2020 July; 1.
27) Pu Chu CE, Kai Huang KH. Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis. J Family Med Prim Care. 2017 April-June;6(2):447-449.
28) Chu EC, Wong A. Alteration in pelvic incidence associated with sacroiliac joint dysfunction: a case report. Journal of Medical Cases. 2022 January; 13(1):31-35.
29) Chu ECP, et al. Chiropractic care for low back pain, gait and posture in a patient with Parkinson’s disease: about a case and brief review. AME Case Rep. 2021;5:34.
30) Chu ECP, Wong AYL. Chronic orchialgia from lumbar disc herniation: case report and brief review. Am J Mens Health. 2021 May-Jun;15(3):15579883211018431.
31) Chu E. Thoraco-lumbar disc herniation: a hidden cause of monosymptomatic nocturnal enuresis. European Journal of Molecular and Clinical Medicine. April 2021; 8(3):2834-2840.
32) Chu ECP. Taming testicular pain complicating lumbar disc herniation with spinal manipulation. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320949358.
33) Chu EC. Regression of lumbar disc herniation after non-surgical treatment. European Journal of Molecular and Clinical Medicine. 2020 July; 7(1):27-79. doi: 10.5334/ejmcm.275.
34) Chu ECP, Lam KKW. Post-poliomyelitis syndrome. Int Med Case Rep J. 2019;12:261-264. doi: 10.2147/IMCRJ.S219481.
35) Chu ECP, Chan AKC, Lin AFC. Pitting edema in a poliomyelitis survivor with lumbar radiculopathy complicated by herniated disc. J Family Med Prim Care. 2019 May;8(5):1765-1768.
36) Chu EC, Yip AS. A rare presentation of benign acute myositis in children. Clin Case Rep. 2019 Mar;7(3):461-464.
37) Chu C. Collapse of dependent edema following chiropractic adjustment for discogenic sciatica. European Journal of Molecular and Clinical Medicine. March 2018; 5(1):1-4. doi: 10.5334/ejmcm.250.
38) Chu C, Wong RS. Chiropractic control of pain in myelofibrosis: about a case. New horizons in clinical case reports. August 2017; 2:7-9.
39) Chu C. Chiropractic care for postlaminectomy syndrome. International Journal of Medical and Health Sciences. July 2017; 6(3):185-187.
40) Chu C. Staphylococcus aureus bacteremia complicated by psoas abscess. American Journal of Medical Case Reports. November 2015; 3(11):383-386.
41) Chu C, Bellin D. Tibial plateau insufficiency fracture: a rare diagnostic disease. Journal of Osteoporosis and Physical Activity. May 2015; 3(2).
42) Chu ECP, et al. Exploring Scratch Therapy: Contemporary Views of Ancient Healing – A Review. J Family Med Prim Care. 2021 Aug;10(8):2757-2762.
43) Chu E. Smart Rehabilitation Clinic. Journal of Contemporary Chiropractic. 2022; 5(1):7-12.
44) Chu CE. Chiropractic and the future of health care in Asia. J Contemp Chiropr. November 2021; 4(1):138-141.
45) Chu EC. Hong Kong is on the verge of rapid change in healthcare. Asia-Pac Chiropr J. 2021 September; 2(2).
45) Chu EC. The evolutionary approach to the chiropractic patient journey. Asia-Pacific Chiropractic Journal. 2022 February; 2(5):2-8.