Category: Pain Rehabilitation; Neurodegenerative Disease (e.g. MS, Parkinson's disease); Complementary Integrative Rehabilitation Medicine
Track: Pain Rehabilitation | Neurodegenerative Disease (e.g. MS, Parkinson's disease) | Complementary Integrative Rehabilitation Medicine
The purpose of this report is to introduce: (1) the concept that Post-Concussion Syndrome (PCS) can be the result of structural abnormalities and (2) existing therapies that directly treat the central nervous system can reduce or eliminate PCS symptoms. This case study is on a three-month isolated treatment and recovery of a young adult male debilitated for 18 months by the accumulative effects of six sports-related concussions of which the first was sustained as a pre-teen and the last one as a collegiate athlete.
Design : Medical chart review and follow-up contact. Post-Concussion Symptoms Checklist (PCSC) and Quality of Life Survey (QofL) were used as self-reporting baseline of subjective experiences with periodic measurements. Biomarkers (hours of sleep, oxygen saturation, pupil reactivity vs fixation) were used as quantitative measures. Daily notes from medical records captured the responses to treatment through the entire therapeutic process. [Long term follow up is planned at 6 month intervals].
Setting : Outpatient private practice clinic in the Midwest. Private referral source.
Participants (or Animals, Specimens, Cadavers) : Convenience sample subject
Interventions : Upledger-CranioSacral Therapy; Chikly-Lymphatic Drainage, Wanveer-Glial and glymphatic release/drainage techniques. Clinical application is unique and adjusted in response to presentation of symptoms and body tissue reactions.
Results : Baseline scores of PCSC and QofL showed a significant impact upon function and quality of life in all realms from PCS. Suicidal ideation with hopelessness and anxiety were major psycho-emotional factors. Client reported a 90-95% reduction in the number and/or severity of symptoms after 11 treatment sessions based on periodic scores on the PCSC and QofL.
Based on manual palpation at initial visit, it was determined that 75% of ribs were not expanding with breaths, rib cage was distorted and pulled anterior from spine, and oxygen saturation was significantly lowered (91%). Oxygen saturation was restored to 97-99% by the 2nd session following manual therapies to rib cage. Initial palpation indicated significant edema at base of head and posterior neck suggesting that fluids surrounding the vertebral bodies and lymphatic pathways were not draining. The sensation of head pressure and pain caused by the edema was reduced by 90% in 1st session, exacerbated by subsequent activity, but normalized after the full treatment series. Manual lymphatic drainage was most effective in reducing headache and pressure pain. Client reported after 1st session that he slept through the night (12 hours) for the first time in 14 months and overall sleep patterns normalized early in the treatment process. Nausea abated by 2nd session. Pupils were initially fixed and dilated and showed a 50% positive response following the first session and restored to normal reactivity, specifically with repeated sphenoid decompression technique. Measurable positive effect or reduction in sensory, cognitive, physical, and emotional symptoms was obtained. A full elevation of his mood and restoration of hopefulness for healing emerged and was maintained as evident by his reporting on the PCSC.
Summarization of the treatment process was detailed. Each session revealed measurable positive improvements in specific symptoms
This single case study highlights the unique and individualized nature of PCS, as well as the nature of the therapies utilized. The non-invasive techniques used in this case treat the central nervous system directly and highlight the emerging science of a fluid model of human anatomy. Proper assessment of symptoms was aided by full body, manual palpation of all anatomical systems. Persistent symptoms from head injury or concussion may be in part due to stagnation and congestion of the lymphatics, cerebral spinal, and interstitial fluids. Fascia restrictions and osseous compression may have contributed to the fluid congestion. These therapies were applied with measurable, positive results in a relatively short period of time and with a comparably low financial impact. Long term outcomes are pending the collection of data for this patient.
Susan Kratz– Clinical Director, Special Therapies, Inc., Waukesha, Wisconsin