Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Using SOT Blocks to Remove Symptoms from Astrocytoma Surgery

770 views

Published on

I had amazing results with a patient who had spinal cord tumor surgery, with resultant buzzing in her legs, along with a myriad other symptoms. The buzzing consistently stopped by applying SOT blocks. Learn how here.

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

Using SOT Blocks to Remove Symptoms from Astrocytoma Surgery

  1. 1. RELIEF OF NEUROLOGICAL SYMPTOMS SECONDARY TO SURGICAL REMOVAL OF THORACIC ASTROCYTOMA BY CATEGORY 1 BLOCK PLACEMENT: A CASE REPORT WILLIAM J. BORO, DC, CC, DICS
  2. 2. INTRODUCTION
  3. 3. PURPOSE OF THIS PRESENTATION  To describe the clinical course, treatment, and positive response of a female patient suffering from symptoms secondary to postsurgical laminectomy and resection of a thoracic pilocytic astrocytoma.  The application of Sacro-Occipital Technique™ Category I blocks immediately and repeatedly relieved severe, constant paresthesia, a sense of buzzing, in her lower extremities.  Provide a theoretical understanding of why Category I block placement was effective in this case.
  4. 4. WHAT IS A PILOCYTIC ASTROCYTOMA?  AKA Juvenile pilocytic astrocytoma  Most common CNS neoplasm of childhood  Cases over the age of 30 are rare  Low grade, localized and slow-growing  Considered benign with a favorable prognosis Intramedullary Diseases of the spine and spinal cord, p. 225 Intradural extramedullary Diseases of the spine and spinal cord, p. 209 Epidural www.stritch.luc.edu
  5. 5. PATIENT HISTORY
  6. 6. PATIENT INFORMATION  5’5”, 115 pound, 28 year old nulliparous female  Two weeks of upper back pain at night  Electric shocks down left side when moving head  Foot jerked off the gas pedal when turning head to change lanes  Surgical removal of 4” long thoracic pilocytic astrocytoma with T4-T7 laminectomy  10% of tumor was left in situ  Post surgery unable to walk for 2 weeks
  7. 7. PATIENT SYMPTOMS POST-LAMINECTOMY PRIOR TO CHIROPRACTIC TREATMENT  Constant low back pain & rib instability  Neuropathy  Pain and numbness in both legs  Pain and cramps in both feet  Paresthesias (e.g.,Buzzing in legs)  Difficulty with activities  Pushing or getting in and out of car  Sitting at a table  Visceral dysfunction  Constipation with inability to defecate without pharmaceutical intervention  Projectile vomiting  No menstrual periods  Vaginal numbness
  8. 8. COMMON POST-SURGICAL OUTCOMES  Total recovery time from 3-12 months  Some patients develop new numbness or tingling pain which sometimes is worse than the pain before surgery From spinalcordtumor.org  In 2014 study of 69 patients, neurological states  Improved in 23.2%  Unchanged in 68.1%  Aggravated in 8.7%  Functional outcomes  Good in 75.4%  Fair in 14.5%  Poor in 10.1% From Neurological Outcome after Surgical Treatment of ISCT (Lee, Cho, Kwon)
  9. 9. TREATMENT
  10. 10. CHIROPRACTIC PHYSICAL THERAPY  Cranium  Full spine  Extremities and ribs  Soft tissue release techniques around the incision  Visceral adjustments  SOT Category III, II and I blocking  Aquatherapy  Physical Therapy
  11. 11. CATEGORY I BLOCKING RESULTS  There was an immediate (within 5 minutes) cessation of the “buzzing” in her legs  Cessation of buzzing lasted up to 12 hours  Patient took blocks home and has been able to do more activities of daily living with less buzzing
  12. 12. DISCUSSION
  13. 13. DURAL ATTACHMENTS  The dura attaches firmly to the cranium and the sacrum  There are also attachments in the cervical and lumbar spine
  14. 14. ADVERSE MECHANICAL TENSION IN THE CENTRAL NERVOUS SYSTEM  Alf Breig states that if tension is created in the pons cord tract it can result in symptoms of neurological deficit or excitation and hyper- or hypo-function of various organs  “…symptoms from a localized lesion may be relieved to a greater or lesser extent when the pons cord tract is rendered slack.”
  15. 15. WHAT CAUSES COMPRESSION TINGLING?  Mechanical deformation  Oxygen lack  Accumulation of local metabolites  Lowering of threshold to stimulation of the nerve by any of the above causes  Combination of these causes Pins & Needles, Weddell, 1946
  16. 16. WHAT DOES CATEGORY I BLOCKING ACCOMPLISH? Category I  Corrects rotational malposition of pelvis  Relaxes paraspinal musculature  Calms proprioceptors  Affects spinal dural tension and traction on spinal nerves  Removes dural torque  Aligns dural ports  Frees minor dural port constrictions
  17. 17. SO HOW DOES IT WORK?  Tensions, torsions and deformations created by spinal and dural scar tissue cause buzzing and increased sensitivity around the laminectomy scar  Blocking:  Releases cord tension and torsion  Creates better CSF fluid circulation  Increases removal of waste metabolites  Improves oxygenation  Category I blocking creates a relative flexion/extension release of the sacrum
  18. 18. CSF CHANGES AFTER BLOCKING COURTESY OF VINCENT ESPOSITO, DC, CSCP
  19. 19. CONCLUSION
  20. 20. REDUCTION OF SYMPTOMS  More feeling in feet  Diminished low back pain  Increased rib stability  Marked improvement in balance  No longer needing a walker  Relief of buzzing paresthesia within 5 minutes using blocks  Reduced need of medications  Improved bowel function  Menstrual periods began again
  21. 21. CONCLUSION  It appears that there may be a subset of patients suffering from paresthesia secondary to post surgical spinal cord tumor removal and laminectomy who will respond to the application of Category I blocking.  This patient’s response to care suggests a potential boon to others who suffer from this horrible condition.  Caution about generalizing these results to other patients is advised.  Condition has improved, the improvement is sustained, and that when symptoms recur, they respond quickly to this application is suggestive that this therapy is the cause of improvement.  It is hoped that this study will generate greater interdisciplinary interest and cooperation so that patients suffering with this condition may have an alternate choice of treatment with reduced need of prescription medications.

×