Military Case Study 1
Male 26 Military Veteran, currently employed, currently married
Patient History and Symptoms: Patient presented to CCC with chief complaint of numbness in both hands. He rated the discomfort a 3 out of 6 with 6 being the worst. The onset was gradual and first noticed over a year ago. He stated the discomfort is worse when he wakes up in the morning and aggravated by resting his arms on a counter top. He also stated that he has a secondary complaint of hyper vigilance. He rates the symptom a 2 out of 6. The onset was gradual and first noticed over a year ago. He stated the symptom is staying the same. He also stated a tertiary complaint of headaches. He rated the discomfort as 1 out of 6. He also has low mental energy and an inability to organize his thoughts. While working at the gun range he experiences ringing in his ears. Patient has a history of head injuries while wrestling in high school. He stated he has previously been assaulted and was hit on the left side of his head with a hammer. In 2012 he was in a motorcycle accident. In 2013 he was deployed for 9 months. He stated he was in close proximity to 3 blasts while he was deployed. No treatment was administered.
Treatment: Phase 1
Patient received 5 chiropractic treatments to restore normal nerve function. Over the course of treatment passive mobilization was used to restore the cranial respiratory mechanism. Chiropractic treatments were administered to T2, T5, C3, radial head and the temporal mandibular joint to restore neuromechanical function. He received 5 low-level laser treatments to restore neuromuscular function and balance meridians. The following muscles were autogenically inhibited bilateral pectoralis major sternal, bilateral pectoralis major clavicular, masseter, temporalis, and external pterygoids. The liver meridian was found to be deficient and the circulation sex meridian was found to be in excess. He received 5 neurofeedback treatments to balance brainwaves. The neurofeedback protocol used was #3 with yellow lenses left eye at 14Hz and right eye at 18Hz directed at site F3/4. The following nutrients were taken to support serotonin, GABA, and taurine: ascorbic acid, pyriodoxal 5'-phosphate, (6S)-5-methyltetrahydrofolic acid, methylcobalamin, zinc busglycinate chelate, L-selenomethionine L-tryptophan, taurine, and L-theanine. The following nutrients were taken to modulate Cortisol: Phosphatidylserine, Phosphatidylcholine, and DMAE Bitartrate. The follow nutrients were taken to support the adrenal glands: Vitamin A, Vitamin C, Thiamin, Riboflavin, Niacinamide, Vitamin B-6, Pantothenic Acid, Amino Acid Chelate, Sodium Citrate, Adrenal Cortex, Licorice Root, Ginseng Root. The following nutrients were taken to support healthy levels of Omega 3s: Eicosopentaenoic acid, and Docosahexaenoic acid. The following nutrients were taken to restore the normal intestinal flora: Lactobacillus Acidophilus, Lactobacillus Rhamnosus, Lactobacillus Bulgaricus, Bifidobacterium Breve, Bifidobacterium Longum.
Results: Patient states an increased sense of calm. He reports that he no longer feels "up tight" and he is better able to "go with the flow". He states he no longer has trouble falling asleep at night and he wakes up feeling rested and remembers having dreams throughout the night. He also states that his hands are no longer numb when he wakes up in the morning but he still has some tenderness in the muscles around his elbow.