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Post MVC Cervical Disc Herniation, Lumbar Discopathy And Comorbidity of Severe Dilated Cardiomyopathy with LVEF of 25% and RVEF of 31%

January 2024

Authors:

Michael Beshara

University at Buffalo, State University of New York

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This is a case of a 50-year-old female who presented to a Doctor of Chiropractic following an MVC. Diagnostic imaging was performed which reveals C5/C6 disc herniation. On cervical compression testing she had neck pain that radiated down the right upper extremity into the right hand. For several months she was comfortable lying on her back and then had more difficulty due to heart failure. Imaging was carried out an it was determined that she had left and right ventricular ejection fraction insufficiency. Cox Table technique was carried out even when she had the Life Vest on. The patient could easily lie prone even though she could not lie supine. The patient does have a family history of heart failure and there does not appear to be any other etiology. An internal defibrillator will be placed. It appears that she will then be a candidate for an LVAD. It is important for Doctors of Chiropractic to understand and be able to manage patients with comorbidities.

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