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rheumatoid arthritis

Use of spinal manipulation in a rheumatoid patient presenting with acute thoracic pain: a case report

June 16, 2015

Background: There is limited research related to spinal manipulation of uncomplicated thoracic spine pain and even less when pain is associated with comorbid conditions such as rheumatoid arthritis. In the absence of trial evidence, clinical experience and appropriate selection of the type of intervention is important to informing the appropriate management of these cases. Case

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Dietary intervention in rheumatoid arthritis

August 15, 2014

Rheumatoid arthritis is a disabling disease prevalent in modern society. Dietary prevention may be possible in a subgroup of individuals who appear to suffer food intolerance; dietary intervention, as an adjunct to other management strategies, may be useful in modifying the inflammatory response. The former suggestion is supported by anecdotal evidence; the latter by some

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Atlanto-axial subluxation: a case report

August 14, 2014

One of the causes of death in rheumatoid patients is cord compression following atlanto-axial subluxation. Dislocations in the cervical spine are common with patients who have rheumatoid arthritis. Anterior subluxation occurs in up to 35%, followed by vertical subluxation in 22.2%, lateral subluxation in 20.6% and rarely posterior subluxation. A case report is presented to

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Congenital laxity of the transverse atlantal ligament producing atlanto-axial subluxation: a case report

August 14, 2014

An anterior atlanto-dental interspace (ADI) of greater than 3mm in an adult indicates atlanto-axial subluxation (AAS) and instability. A number of pathological processes are known to cause AAS. Trauma, specifically injuries with a component of hyperflexion, may produce sprain or avulsion of the transverse atlantal ligament (TAL). More often, however, the odontoid process will fracture

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