CRPS 20 year history

[pudding_bowl]

WOW - so I saw her 2 days ago and thought, ok lets do the spinal thing!
She was so positive - really painful with gentle mobilisations of the neck
She just came to see me and said after leaving she had to go home and have a diazepam because the pain was so bad and her sister feared she was having a stroke. She won't let me mobilise her spine again... but it shows there was a huge spinal component to her pain.

[quorthon]

it had happened that to me mate too....I was moblising a 75 year male's neck (NO MANIPULATION i swear loool) and 1 day after the session he had Vertebral artery signs like blurred vision,dizziness and drop attacks....I t was a huge pitfall for me, because when i first took his history he denied any symptoms like that in the past....Then i thought,that we really must be cautious when we "generate" FORCES(simple mobilisation and overpressures to manipulation and thrusts) to the patient....Its always better for the patient to start with his own FORCES (self-mobilisation), and then consider further progression