Re: Case history: Tarlov cysts

June 21, 2011

Hi , Blocking her pelvis participates with the sacral occipital breathing mechanism. It would be slow enough that any cysts 'nudged' would glide away from any point of pressure. The fibrous coating of these puppies are similar to the ganglion covering, very tough and unlikely to 'pop'. Nonetheless, I would be hesitant to use any side posture thrust. Once past the pelvis, your techniques should have no problem. SunnySunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com From: drscott@...Date: Tue, 21 Jun 2011 07:00:01 -0700Subject: Case history: Tarlov cysts

Case history: Tarlov Cysts.

An 55 –year-old patient presented yesterday with a recent history of Tarlov cysts. These are described as interspinal parineural cysts growing within the sacrum around the spinal nerves.

She is experiencing excruciating back pain with leg pain which seems radicular in nature. She is on various medications including morphine.

She is scheduled to be treated with a new method in Kansas City.

As an aside, she said, “They’ve got some crazy neurosurgeons there and I’m going to get me one.” ["Wilbert on"]

The surgical method includes draining the fluid filled sac, refilling the sack with the patient’s fat from a donor site, and encasing the cyst in bovine pericardial membrane. I have of course told her that this is exactly what I would’ve suggested!

A question for you fellow chiropractors is, “Should I adjust her?”

[side posture or drop table? SOT or activator? Plain or menthol? Filter/flavor, pack or box?]

I would like to hear from you folks who are fairly new in practice.

(What’s the matter McFly, chicken?)

Hint:

The upside is alleviating the patient’s discomfort and enhancing the quality of her nervous system function. The downside being harming her or risking a lawsuit.

Take a moment to answer the question.

I’ll let you know what happened in a follow-up e-mail later today.

http://www.tarlovcystfoundation.org/TarlovCystInformation.asp

Thanks for playing.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

June 21, 2011

y, how do you get all the fun patients?

Given the medical history and diagnosis confirmed by imaging, I would be cautious about traditional manipulation. Blocking or Activator to relieve Pelvic torsion secondary to the lesion may be helpful. Cold laser to reduce inflammation likewise. Unfortunately, there may not be much to offer this challenging patient. R Johansen D.C. PC,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818----- Case history: Tarlov cystsDate: Tue, 21 Jun 2011 07:00:01 -0700

Case history: Tarlov Cysts. An 55 –year-old patient presented yesterday with a recent history of Tarlov cysts. These are described as interspinal parineural cysts growing within the sacrum around the spinal nerves.She is experiencing excruciating back pain with leg pain which seems radicular in nature. She is on various medications including morphine. She is scheduled to be treated with a new method in Kansas City. As an aside, she said, “They’ve got some crazy neurosurgeons there and I’m going to get me one.” ["Wilbert on"]The surgical method includes draining the fluid filled sac, refilling the sack with the patient’s fat from a donor site, and encasing the cyst in bovine pericardial membrane. I have of course told her that this is exactly what I would’ve suggested!A question for you fellow chiropractors is, “Should I adjust her?” [side posture or drop table? SOT or activator? Plain or menthol? Filter/flavor, pack or box?]I would like to hear from you folks who are fairly new in practice.(What’s the matter McFly, chicken?)Hint:The upside is alleviating the patient’s discomfort and enhancing the quality of her nervous system function. The downside being harming her or risking a lawsuit.Take a moment to answer the question.I’ll let you know what happened in a follow-up e-mail later today.http://www.tarlovcystfoundation.org/TarlovCystInformation.aspThanks for playing. E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

____________________________________________________________57 Year Old Mom Looks 27!Mom Reveals $5 Wrinkle Trick That Has Angered Doctors!FDXNews8.com

June 21, 2011

Ron,

I’ll bite.

Why would you be cautious about traditional manipulation?

Please be specific.

I get the same comment from neurosurgeons regarding adjusting their fusion patients.

They can water ski safely but stay away from those chiropractic twisty turny things.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Ron Johansen <drjohansen@...>

Date: Tue, 21 Jun 2011 16:07:51 GMT

Abrahamson <drscott@...>

Cc: < >

Subject: Re: Case history: Tarlov cysts

y, how do you get all the fun patients?

Given the medical history and diagnosis confirmed by imaging, I would be cautious about traditional manipulation. Blocking or Activator to relieve Pelvic torsion secondary to the lesion may be helpful. Cold laser to reduce inflammation likewise. Unfortunately, there may not be much to offer this challenging patient.

R Johansen D.C. PC,DABCO

Chiropractic Life Center

12762 SE Stark Street

Portland Oregon 97233

Voice 5032557746,Fax 5032550818

----- Case history: Tarlov cysts

Date: Tue, 21 Jun 2011 07:00:01 -0700

Case history: Tarlov Cysts.

An 55 –year-old patient presented yesterday with a recent history of Tarlov cysts. These are described as interspinal parineural cysts growing within the sacrum around the spinal nerves.

She is experiencing excruciating back pain with leg pain which seems radicular in nature. She is on various medications including morphine.

She is scheduled to be treated with a new method in Kansas City.

As an aside, she said, “They’ve got some crazy neurosurgeons there and I’m going to get me one.” [ " Wilbert on " ]

The surgical method includes draining the fluid filled sac, refilling the sack with the patient’s fat from a donor site, and encasing the cyst in bovine pericardial membrane. I have of course told her that this is exactly what I would’ve suggested!

A question for you fellow chiropractors is, “Should I adjust her?”

[side posture or drop table? SOT or activator? Plain or menthol? Filter/flavor, pack or box?]

I would like to hear from you folks who are fairly new in practice.

(What’s the matter McFly, chicken?)

Hint:

The upside is alleviating the patient’s discomfort and enhancing the quality of her nervous system function. The downside being harming her or risking a lawsuit.

Take a moment to answer the question.

I’ll let you know what happened in a follow-up e-mail later today.

http://www.tarlovcystfoundation.org/TarlovCystInformation.asp

Thanks for playing.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

____________________________________________________________

57 Year Old Mom Looks 27!

Mom Reveals $5 Wrinkle Trick That Has Angered Doctors!

<http://thirdpartyoffers.juno.com/TGL3142/4e00c2074ca9212693ast06vuc> FDXNews8.com <http://thirdpartyoffers.juno.com/TGL3142/4e00c2074ca9212693ast06vuc>

June 21, 2011

Adjust her . Worsening of her current Sx is pretty unlikely, while getting her some relief is more likely. Particularly since she's going to have surgery anyway, theres not much to lose here. I'd go side posture and go from there.

ph Medlin D.C.

From: drjohansen@...

Sent: Tuesday, June 21, 2011 9:07 AM

drscott@...

Cc:

Subject: Re: Case history: Tarlov cysts

y, how do you get all the fun patients?

Given the medical history and diagnosis confirmed by imaging, I would be cautious about traditional manipulation. Blocking or Activator to relieve Pelvic torsion secondary to the lesion may be helpful. Cold laser to reduce inflammation likewise. Unfortunately, there may not be much to offer this challenging patient. R Johansen D.C. PC,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818----- Case history: Tarlov cystsDate: Tue, 21 Jun 2011 07:00:01 -0700

Case history: Tarlov Cysts. An 55 –year-old patient presented yesterday with a recent history of Tarlov cysts. These are described as interspinal parineural cysts growing within the sacrum around the spinal nerves.She is experiencing excruciating back pain with leg pain which seems radicular in nature. She is on various medications including morphine. She is scheduled to be treated with a new method in Kansas City. As an aside, she said, “They’ve got some crazy neurosurgeons there and I’m going to get me one.” ["Wilbert on"]The surgical method includes draining the fluid filled sac, refilling the sack with the patient’s fat from a donor site, and encasing the cyst in bovine pericardial membrane. I have of course told her that this is exactly what I would’ve suggested!A question for you fellow chiropractors is, “Should I adjust her?” [side posture or drop table? SOT or activator? Plain or menthol? Filter/flavor, pack or box?]I would like to hear from you folks who are fairly new in practice.(What’s the matter McFly, chicken?)Hint:The upside is alleviating the patient’s discomfort and enhancing the quality of her nervous system function. The downside being harming her or risking a lawsuit.Take a moment to answer the question.I’ll let you know what happened in a follow-up e-mail later today.http://www.tarlovcystfoundation.org/TarlovCystInformation.aspThanks for playing. E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com____________________________________________________________57 Year Old Mom Looks 27!Mom Reveals $5 Wrinkle Trick That Has Angered Doctors!FDXNews8.com

June 27, 2011

Thank all of you aggressive young chiropractors or your opinions about this patient.

I did indeed to adjust her low back, very carefully, using side posture meat and potatoes, chiropractic adjusting.

Because I am so dang skilled, she responded immediately with reduced discomfort and a sense of better overall motion.

She brought in her MRI scan which was frightening. The cysts appeared to have extruded out of the foramena like foam insulation. She told me that the people at ’s Hopkins use a method where they inject glue into the cyst cavity which prevents re-infiltration of fluid. The problem is that if a future complication occurs, they then have to deal with removing the glue.

She is looking into the Kansas City treatment this fall.

She might take a plane, she might take a train, no matter what it takes she plans to get there just the same....

Kansas City, here she comes.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Abrahamson <drscott@...>

Date: Tue, 21 Jun 2011 07:00:01 -0700

Oregon DC'S < >

Subject: Case history: Tarlov cysts