title: Conservative approach to tardive dyskinesia-induced neck and upper back pain.
abstract: The management of schizophrenia typically involves the use of antipsychotics (neuroleptics). Use of such medications, however, can result in tardive dyskinesia, or the involuntary contracture of muscles, and associated symptomatic somatic dysfunction. The authors present a case of a 29-year-old woman who presented to a family medicine clinic for ongoing management of schizophrenia with noticeable tardive dyskinesia and complaints of neck and upper back pain. Conventional management of tardive dyskinesia involves either a change in or reduction of the offending antipsychotic. In the present case, the patient received osteopathic manipulative treatment in addition to conventional care for the management of her neck and upper back pain. Although not curative, osteopathic manipulative treatment can provide palliative relief for patients with tardive dyskinesia.
authors.affiliation: Pacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, Washington, USA. jreifsnyder@pnwu.edu
authors.forename: Jeremy W
authors.initials: JW
authors.lastname: Reifsnyder
authors.forename: Melicien A
authors.initials: MA
authors.lastname: Tettambel
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D001416:Back Pain / Q000209:etiology / Q000628:therapy*; D005260:Female; D006220:Haloperidol / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D026301:Manipulation, Osteopathic / Q000379:methods; D009069:Movement Disorders / Q000150:complications* / Q000209:etiology; D019547:Neck Pain / Q000209:etiology / Q000628:therapy*; D012559:Schizophrenia / Q000188:drug therapy
chemical_list: D014150:Antipsychotic Agents; D006220:Haloperidol