Narrative: A 52-year-old female presented to a Chiropractor with both pain and weakness in the right side of the neck, as well as the upper limb, following a rollercoaster ride one week prior. The patient was examined clinically and found to show a mixture of both upper and lower motor neuron signs, and the subsequent MRI scan revealed a paracentral disc herniation compressing the spinal cord at C7-T1.
This case report describes how the radiologic characteristics of the offending anatomy were used to rationalise this clinical presentation and ultimately warrant a trial of conservative care in light of standard clinical guidelines.
Importantly, this case report demonstrates how a thorough examination of radiologic findings, beyond routine diagnosis, can open effective and alternative healthcare pathways which successfully and safely bypass significant surgical or pharmacological intervention.
Author keywords: Chiropractic; Sacro-Occipital Technique (SOT); Traumatic Spinal Cord Compression; imaging.
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