• Newman C

• Case Reports
• Chiropractic
• Diversified Technique
• Female
• Paresthesia
• Subluxation, Thoracic / diagnosis
• Surveys and Questionnaires
• Thermography / instrumentation
• Thoracic Vertebrae / abnormalities

Objective: This case study describes the effects of subluxation-based chiropractic care on the management of a patient presenting with symptoms of general intermittent paresthesia in the upper extremities due to T4 syndrome.

Clinical Features: A 34-year-old Caucasian female presented with the chief complaint of intermittent general paresthesia of the upper extremities, which occurred regularly upon rising in the mornings. The patient claimed that her symptoms began when she fell off of the monkey bars at a playground, hitting her chin, at the age of nine-years-old. Upon thorough evaluation, the cause was
determined to be from vertebral subluxation in the upper thoracic region of the spine, referring symptoms into the upper extremities.

Interventions and Outcomes: The patient received specific segmental chiropractic care via the Diversified Technique for reduction of vertebral subluxation. Objective data was recorded and analyzed using Tytron C3000 rolling thermography and cervical radiographs. SF-36 general health surveys were utilized to document patient progress. 

Conclusion: This case study demonstrates the efficacy of subluxation-based chiropractic care for the management of a 34-year-old female patient with T4 syndrome. Patients presenting with T4 syndrome experience paresthesia in all digits of the hand, which ascend into the forearm, following a glove-like distribution.

Keywords: T4 syndrome, chiropractic, Diversified Technique, paresthesia, tingling, upper extremity, adjustment, Tytron, SF-36, vertebral subluxation

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