Andrew M. Rodgers, DC; Kim B. Khauv, DC, MPH
The purpose of this case report was to describe a patient presenting with back pain subsequently diagnosed with thoracic schwannoma.
A 45-year-old male presented to a chiropractic practice with mid-back, low back, and sacroiliac pain. Orthopedic examination revealed joint dysfunction in the thoracic–sacroiliac region with normal findings on neurologic examination. An initial diagnosis of thoracic spinal pain and sacroiliac sprain and strain was made. At approximately 7 weeks of treatment, because of the patient’s persistent pain, chest magnetic resonance imaging (MRI) was ordered by the chiropractic physician.
Interventions and Outcomes
The chest MRI revealed an intradural extramedullary mass at the T5 level creating a marked compression of the spinal cord. A thoracic MRI was conducted 2 days later confirming the presence of the tumor. The patient was successfully treated with spinal surgery to remove a schwannoma.
Mechanical spinal pain is a common symptom in patients presenting to chiropractic offices and may present concurrent with other pathology. In the presence of unresolved persistent thoracic pain, clinicians should investigate other potential causes.
Citation: Rodgers AM, Khauv KB. Thoracic Schwannoma in an Adult Male Presenting WithThoracic Pain: A Case Report. J Chiropr Med. 2017 Sep;16(3):242-245. doi:10.1016/j.jcm.2017.02.002. Epub 2017 May 12. PubMed PMID: 29097955; PubMedCentral PMCID: PMC5659782.
With over 20 years experience, Dr. Kim Khauv is an award winning American Chiropractor, trained at University of California Los Angeles (UCLA) in public health and prevention, National Board certified, corrective care chiropractor who has published and presented research nationally and internationally in chiropractic care, wellness, and prevention. He provides safe, effective, and evidence-based chiropractic care to his patients at his private practice serving Taguig, Makati, Bonifacio Global City, Metro Manila, Philippines. He was a US Navy chiropractor providing chiropractic care to active duty military members at Navy Medical Center San Diego for over 5 years. Conditions that have responded well to chiropractic care are headaches, migraines, neck pain, back pain, pregnancy related back pain, sciatica, and auto injuries. Call today to start enjoying life again.