Posted On: May 1, 2017
I am going to continue with my series on interesting cases from the past.I am Dr. David Johnson a chiropractor and physical therapist in Highland Park and Lake Bluff. I am the director of North Shore Spinal and Sports Rehabilitation. I started as a chiropractor in Lake Forest, Il in 1988. I integrated physical therapy into my practice in 1990. I have close to thirty years of experience in the field of chiropractic and rehabilitation and I want to share some of my more interesting experiences.
When I first started off in the field of chiropractic my first clinic was Chiropractic of Lake Forest and I ran an advertisement in the local paper that said, “Thorough Evaluation and Quality Care”. I have always believed in this simple concept and have practiced it my entire career. My initial exams even today, in the midst of managed care, typically last an hour. I don’t believe a doctor can thoroughly evaluate some ones situation in less time.
Now on to the case I want to review. A woman in her mid-forties presented to my clinic with lower back pain. She explained that her pain was severe and was limiting her ability to do her job as an administrative assistant. She went on to explain that she had go days and bad days. When I tried to pin her down on activities she may be doing to provoke her pain, she explained that it didn’t really matter what she did, her pain would come and go randomly and had been doing so over the last month or so.
I inquired about he past history and she said other than having a benign mitral valve prolapse she was healthy. She had not had any surgeries other than a recent root canal, which she said went fine about two months ago.
Her vital signs were normal. She had no neurologic involvement. She was in distress and had a hard time even getting on and off the table. All of her ranges were painful. Her x-rays were negative for frank pathology.
I proceeded to provide palliative care, which consisted of physical therapy modalities to include interferential electric stimulation and ice. Being a chiropractor I naturally mobilized her spine in areas that I had identified as having articular restrictions.
The next day she came in and was miraculously healed. I couldn’t believe it as people don’t typically respond that rapidly. I was right and she came in on her third visit and was worse than ever. Something didn’t feel right with me about the case so I ordered a lumbar MRI.
The MRI revealed a spinal infection at the L5/S1 level. It turns out she hadn’t taken prophylactic antibiotics before her root canal. She was admitted into the hospital and received over a month of IV antibiotics and recovered.
Years later I ran into her at a café in Lake Bluff and she was happy and healthy. She made a point to thank me for what I had done. I was humbled as I was simply doing my job.
North Shore, Dr. J and the staff were great. I started out with a pinched cervical nerve which was causing extreme pain and numbness in my arm. Surgery had been ruled out by the neurosurgeon after an MRI. My physical recommended a regimen of physical therapy which I undertook with NorthShore in November. At that time I had consistent pain in the range of 8-9 out of 10. I had trouble sleeping, driving and performing most normal daily activities due to the constant pain. I have now been through two series of physical therapy sessions with North Shore over a couple of months and the pain and numbness are completely gone. Based on my experience I would highly recommend North Shore for physical therapy treatment and the staff is extremely friendly and helpful as a bonus! Jon HeintzelmanJonathan Heintzelman
All aspects of the rehab program were done with professionalism. Intake evaluation, exercise program, massage therapy and exit evaluation were all excellent and yielded excellent results for me. All of the staff are friendly and efficient. Dr. Johnson, Jeannette, Cyprian and Mary are friendly and make an otherwise difficult experience much more tolerable. I have gone to them on two occasions over the last several years for different injuries and, in both instances, my problems were resolved. I highly recommend them.Lee Eddy
I was a patient 6 years ago, with lower back pain and herniation. My PT was excellent and I was back to exercise and resolution of pain and herniation. Recently I have had hip pain and and tingling down my leg. My evaluation with DR Johnson was very thorough and spot on. The PT with Dre was incredible. I am now pain free with a resolution of the tingling as well. I will definitely return for any future problems that may arise!Barbara Bank