• Fedorchuk C
• Beinlich C
• Lightstone D

• Arthritis, Reactive / therapy
• Child
• Chiropractic Biophysics Technique
• Female
• Kyphosis / therapy
• Subluxation

Objective: To report on the improvement in arthritic pain, disability, and quality of life in a 10-year-old female with reactive arthritis following correction of cervical and lumbar kyphosis through chiropractic.

Clinical Features: A 10-year-old female presented with chief complaints of difficulty performing activities of daily living due to moderate, neck pain, and mid-back pain secondary to reactive arthritis. She had sought care by several medical doctors and specialists who prescribed medications. Initial spinal radiographs revealed abnormal spinal alignment, subluxations and postural distortions. Cervical kyphosis was identified from C3-C7 and lumbar kyphosis was identified from L1-L2. Using outcome assessments, patient reported high-intensity pain and decreased quality of life.

Interventions and Outcomes: Initial care involved 20 Chiropractic BioPhysics® sessions over seven weeks involving Mirror Image® chiropractic adjustments, exercises, and tractions. The patient had not made any other lifestyle or healthcare changes or modifications. Post-care spinal radiographs revealed correction of spinal alignment, subluxations and posture.  Cervical and lumbar kyphoses were corrected. Using outcome assessments, the patient reported complete resolution of neck and mid-back pain and improvements in quality of life. The patient continued regular, maintenance chiropractic adjustments 1 to 2 times per month for another 3 years. Follow-up exams showed maintained resolution in her pain levels and that she was able to perform activities of daily living ADL without limitation.

Conclusion: Chiropractic BioPhysics® is effective for correction of abnormal spinal alignment, subluxations and posture and improvement in neuromusculoskeletal symptoms such as pain, stiffness, and decreased function in activities of daily living. This study also suggests that spinal correction using CBP® combined with regular, maintenance chiropractic adjustments may be effective in helping non-musculoskeletal or immune disorders.

Author keywords: Reactive arthritis; Reiter’s syndrome, cervical spine, lumbar spine, Chiropractic BioPhysics®, CBP®, Mirror-Image®, Autoimmune, Vertebral Subluxation, spinal alignment, posture, adjustment, spinal manipulation

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