Guest guest Posted October 25, 2011 Report Share Posted October 25, 2011 Dan: Does he lose consciousness suddenly or does it come on gradually? Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 10/25/2011 9:45 AM, cote@... wrote: Good morning all, I have a 27 y.o. male with a 2 year progressing symptoms, when standing still his legs will start going numb, starts in the Ishial area and works its way down, if he stands long enough he will loose consciousness. It only happenens if he stands still for more then 5 minutes or so. At first it would only be random and occasional but now its every time he stands. He as had lumbar MRI with no positive findings, he had a full cardiac work up with no positive findings, he was sent to OHSU for neuro testing and they found nothing. Any ideas? I will start adjusting him today and I will see how much that will affect his problem. Thanks, Cote DC Silverton Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2011 Report Share Posted October 25, 2011 I would check for Piriformis Syndrom..He may sciatic nerve entrapment there. The fainting could be vasovagal reaction to discomfort in legs and or long term standing. Schneider DCPDX On Tue, Oct 25, 2011 at 9:45 AM, <cote@...> wrote: Good morning all, I have a 27 y.o. male with a 2 year progressing symptoms, when standing still his legs will start going numb, starts in the Ishial area and works its way down, if he stands long enough he will loose consciousness. It only happenens if he stands still for more then 5 minutes or so. At first it would only be random and occasional but now its every time he stands. He as had lumbar MRI with no positive findings, he had a full cardiac work up with no positive findings, he was sent to OHSU for neuro testing and they found nothing. Any ideas? I will start adjusting him today and I will see how much that will affect his problem. Thanks, Cote DC Silverton -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2011 Report Share Posted October 25, 2011 Dan: Does he experience any of the classic signs of vasovagal syncope during an episode, such as paleness of the skin, lightheadedness, tunnel vision, nausea, tinnitus, feels hot yet his skin is cold and clammy, slurred speech? You might also consider Postural Orthostatic Tachycardia Syndrome (http://en.wikipedia.org/wiki/Postural_Orthostatic_Tachycardia_Syndrome). Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 10/25/2011 10:59 AM, Schneider wrote: I would check for Piriformis Syndrom..He may sciatic nerve entrapment there. The fainting could be vasovagal reaction to discomfort in legs and or long term standing. Schneider DC PDX On Tue, Oct 25, 2011 at 9:45 AM, <cote@...> wrote: Good morning all, I have a 27 y.o. male with a 2 year progressing symptoms, when standing still his legs will start going numb, starts in the Ishial area and works its way down, if he stands long enough he will loose consciousness. It only happenens if he stands still for more then 5 minutes or so. At first it would only be random and occasional but now its every time he stands. He as had lumbar MRI with no positive findings, he had a full cardiac work up with no positive findings, he was sent to OHSU for neuro testing and they found nothing. Any ideas? I will start adjusting him today and I will see how much that will affect his problem. Thanks, Cote DC Silverton -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2011 Report Share Posted October 25, 2011 Dan: If your patient does, in fact, have POTS (Postural Orthostatic Tachycardia Syndrome), here are the dietary recommendations: Drinking more water improves symptoms for nearly all patients. Most patients are encouraged to drink at least 64 ounces (two liters) of water or other fluids each day. Alcohol has been shown to drastically exacerbate all types of orthostatic intolerance due to its vasodilation and dehydration properties. In addition to its adverse effects, it interacts unfavorably with many of the medications prescribed for POTS patients. Eating frequent, small meals can reduce gastrointestinal symptoms associated with POTS by requiring the diversion of less blood to the abdomen. Increasing salt intake, by adding salt to food, taking salt tablets, or drinking sports drinks and other electrolyte solutions (most doctors recommend drinking Gatorade or Pedialyte), is a treatment used for many people with POTS; however, salt is not recommended for all patients. Increasing salt is an effective way to raise blood pressure in many patients with orthostatic hypotension by helping the body retain water and thereby expanding blood volume. Different physicians recommend different amounts of sodium to their patients.[10][17] Diets high in carbohydrates have been connected to impaired vasoconstrictive action. Eating foods with lower carbohydrate levels can mildly improve POTS symptoms. Caffeine helps some POTS patients due to its stimulative effects; however, other patients report a worsening of symptoms with caffeine intake. Tilting of the head of the bed to an angle of roughly 30 degrees can also help reduce symptoms. Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 10/25/2011 11:20 AM, Lyndon McGill wrote: Dan: Does he experience any of the classic signs of vasovagal syncope during an episode, such as paleness of the skin, lightheadedness, tunnel vision, nausea, tinnitus, feels hot yet his skin is cold and clammy, slurred speech? You might also consider Postural Orthostatic Tachycardia Syndrome (http://en.wikipedia.org/wiki/Postural_Orthostatic_Tachycardia_Syndrome). Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 10/25/2011 10:59 AM, Schneider wrote: I would check for Piriformis Syndrom..He may sciatic nerve entrapment there. The fainting could be vasovagal reaction to discomfort in legs and or long term standing. Schneider DC PDX On Tue, Oct 25, 2011 at 9:45 AM, <cote@...> wrote: Good morning all, I have a 27 y.o. male with a 2 year progressing symptoms, when standing still his legs will start going numb, starts in the Ishial area and works its way down, if he stands long enough he will loose consciousness. It only happenens if he stands still for more then 5 minutes or so. At first it would only be random and occasional but now its every time he stands. He as had lumbar MRI with no positive findings, he had a full cardiac work up with no positive findings, he was sent to OHSU for neuro testing and they found nothing. Any ideas? I will start adjusting him today and I will see how much that will affect his problem. Thanks, Cote DC Silverton -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2011 Report Share Posted October 25, 2011 He may be a chronic Category II + upper Cervical. May need to be adjusted then pelvis stabilized with a trochanteric belt and home care instructions. Yes, check piriformis. Occ, C1, can especially affect vagus. Possibly cranial issues also. All of these can and will affect adrenals. If he's not taking minerals, get him on some good minerals. All the dietary recommendations from Dr. McGill also. Could also be more serious issues; be really sure you've cleared the spinal and cranial issues.Please let us know how he does. Janet L Rueger, DCcertified in CraniopathyCertified BodyTalk Practitioner149 Clear Creek Dr., # 105Ashland, OR, 97520541-690-6799bodytalk@... On Oct 25, 2011, at 9:45 AM, cote@... wrote: Good morning all, I have a 27 y.o. male with a 2 year progressing symptoms, when standing still his legs will start going numb, starts in the Ishial area and works its way down, if he stands long enough he will loose consciousness. It only happenens if he stands still for more then 5 minutes or so. At first it would only be random and occasional but now its every time he stands. He as had lumbar MRI with no positive findings, he had a full cardiac work up with no positive findings, he was sent to OHSU for neuro testing and they found nothing. Any ideas? I will start adjusting him today and I will see how much that will affect his problem. Thanks, Cote DC Silverton Quote Link to comment Share on other sites More sharing options...
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