Subluxation Based Chiropractic Care of a Patient with Anderson Fabry’s Disease and the Effect of Treatment on The Patient’s Quality of Life.


Objective: The objective if this case study is to raise awareness of Anderson-Fabry’s disease (FD) in the chiropractic community and the impact of chiropractic interventions on quality of life.

Clinical Feature: A 46-year-old woman diagnosed with Anderson-Fabry’s disease (FD) presented with substantial neck pain, cervical radiculopathy, vertebral subluxations, multiple disc herniations, neuropathy in the extremities, low back pain and symptoms all complicated by FD. The quality of life of the patient pre and post intervention was measured.

Intervention and Outcome: Contact-specific, high velocity, low amplitude adjustments (ie, Gonstead technique) were applied to sites of vertebral subluxations. The patient reported a substantial decrease in low back pain as well as neck pain after chiropractic intervention. The patient also demonstrated a marked increase in SF36 quality of life assessment scores.

Conclusion: The chiropractic care of individuals with FD as well as multiple musculoskeletal conditions is within the realm of possibility. Marked resolution of the patient’s symptoms was obtained along with the reduction of vertebral subluxation findings despite the patient’s co morbidity FD. According to the outcome assessment tool that measures general health and quality of life (RAND SF36 v1), the patient demonstrated an increase on post findings in both physical and mental component summary scores.

Key Indexing Terms: Cervical Spine, Fabry’s disease, Lumbar Spine, Chiropractic, Subluxation

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