Posted On: May 31, 2017
This is the eleventh case review from my past practice. 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 have practiced chiropractic and physical therapy on Chicago’s North Shore for almost 30 years. I started as a chiropractor in Lake Forest, Il in 1987. I integrated physical therapy into my practice in 1990.
This is case of a 55 year-old woman complaining of chronic daily headaches. She had been diagnosed as having migraines and was taking a lot of over the counter medications as the triptans had not been developed yet. She did not get an aura or have any known triggers. The headaches would get severe enough to where she would have lay down, though I don’t think she was photophobic.
Interestingly enough she had been involved in a whiplash injury when she was in her twenties, where she injured her neck. She originally was from Europe and had been worked up and managed there.
Like many headache patients she did not have any neurologic signs. Her upper and lower extremity deep tendon reflexes were normal. She had no sensory changes and had good upper extremity strength. She did have limited and painful cervical ranges of motion.
X-rays of her cervical spine revealed some degenerative disc disease with spondylosis (bone spurring) at C5/C6. This kind of degenerative change is common post whiplash injury.
I diagnosed her with cervicogenic headaches. Although in retrospect I could have called it a chronic whiplash related disorder as well, except that this phrase hadn’t been coined as of yet.
I proceeded to treat her with chiropractic manipulation, myofascial release and cervical spine exercises (range of motion, stretching and strengthening). She made an awesome recovery and got virtually headache free. It did take 3-4 months, but the treatment had long lasting effects.
Years later she came back to my clinic with temporal area headaches. She had tenderness over the temporal artery. I ran a sed rate and it was high. I diagnosed her this time with temporal arteritis and sent her to a rheumatologist colleague of mine, who placed her on an oral corticosteroid and she recovered again.
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