Spinal Cord Injury Incurred by Neck Massage

Annals of Rehabilitation Medicine, 2012 · DOI: 10.5535/arm.2012.36.5.708 · Published: October 1, 2012

Spinal Cord Injury Alternative Medicine Rehabilitation

Simple Explanation

A 43-year-old man experienced paralysis after receiving a neck massage. This was due to compressive myelopathy at the C6 level, ossification of the posterior longitudinal ligament (OPLL), and a herniated nucleus pulposus (HNP) at the C5-6 level. The patient underwent rehabilitation for three years, which resulted in improved motor power, enabling him to walk and drive with adaptations. This highlights the potential for recovery even after severe spinal cord injuries. The case underscores the importance of caution when applying manipulation techniques, like massage, especially in patients with OPLL. Even relatively young individuals are not immune to minor trauma.

Study Duration

3 Years

Participants

One 43-year-old man

Evidence Level

Level 4, Case Report

Key Findings

1
Neck massage can lead to spinal cord injury, particularly in individuals with pre-existing conditions like OPLL and HNP.
2
OPLL is a predisposing factor for myelopathy from minor trauma and increases the risk of HNP.
3
Rehabilitation can lead to significant improvements in motor function and independence after spinal cord injury.

Research Summary

This case report describes a 43-year-old man who developed tetraplegia following a neck massage due to underlying OPLL and HNP. The patient underwent extensive rehabilitation and regained the ability to walk and drive with adaptations. The report highlights the potential risks associated with massage therapy, particularly in individuals with pre-existing spinal conditions. It emphasizes the need for caution and awareness of contraindications. Despite the severity of the initial injury, the patient experienced significant improvements in motor function and independence following a comprehensive rehabilitation program, demonstrating the potential for recovery.

Practical Implications

Clinical Awareness

Clinicians should be aware of the potential risks of massage therapy, especially in patients with OPLL or other spinal conditions.

Patient Education

Patients with OPLL should be educated about the risks of minor trauma, including massage, and the potential for spinal cord injury.

Massage Therapist Training

Massage therapists should be trained to identify risk factors and contraindications for massage therapy and to use appropriate techniques.

Spinal Cord Injury Incurred by Neck Massage

Simple Explanation

Key Findings

Research Summary

Practical Implications

Clinical Awareness

Patient Education

Massage Therapist Training

Study Limitations

Your Feedback

Was this summary helpful?

Spinal Cord Injury Incurred by Neck Massage

Simple Explanation

Key Findings

Research Summary

Practical Implications

Clinical Awareness

Patient Education

Massage Therapist Training

Study Limitations

Your Feedback

Was this summary helpful?