Posted On: September 27, 2017
This is the twentieth 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 started as a chiropractor in Lake Forest, Il in 1988. I integrated physical therapy into my practice in 1990.
This is a case to help people understand the scope and breadth of what a chiropractor who is board certified in orthopedics can do in Illinois. Most people do not know that in Illinois chiropractors are licensed as chiropractic physicians under the Medical Practice Act (the same act that licenses medical doctors). The chiropractic physician has the ability to treat and diagnose in Illinois. A chiropractor cannot prescribe drugs or perform surgery.
This is a case where a woman in her late thirties came to me after falling on the outstretched hand when roller blading without wrist guards. A classic injury, in medicine, known as a FOOSH injury. She had wrist pain but not a lot of swelling. There was no visible bony deformity. She could flex and extend her wrist fully though she had some pain with extension. When I palpated her wrist she had exquisite tenderness at the base of her thumb in an area known as the anatomic snuff box.
I explained to her that she may have broken her wrist, to which she exclaimed, “no way.” I told her that we will take x-rays but in this type of injury that it only reveals a fracture 50% of the time. I told her if the x-ray was negative that an MRI is warranted to rule out a specific type of fracture. We took the x-rays and they were negative for fracture. I placed her in a thumb spica immobilizer and scheduled an MRI.
A couple of days later when she had the MRI, I got a call from the radiologist confirming my suspicion that she had a scaphoid fracture. He asked me if I was going to send her to an orthopedic surgeon. I told him that I knew how to cast and I would give her the option of either going to the surgeon or having me do it. She chose the later. I put her in a short arm thumb spica cast and monitored with serial x-rays until we had signs of bony heeling on x-ray.
In ten weeks she had early signs of healing so I removed the cast and examined her wrist. She no longer had he scaphoid area tenderness but she had a very stiff wrist and a good amount of forearm atrophy. She was placed back in thumb spica immobilizer and physical therapy was started.
After a month or so of physical therapy, she had regained full pain free function of her wrist. All in all it was a good outcome and the patient was able o return to he active lifestyle.
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