Multimodal chiropractic care of pain and disability for a patient diagnosed with benign joint hypermobility syndrome: a case report.
OBJECTIVE
The purpose of this case report is to describe multimodal chiropractic care of a female patient diagnosed with benign joint hypermobility syndrome (BJHS) and a history of chronic spine pain.


METHODS
A 23-year-old white female presented for chiropractic care with chronic low back pain, neck pain, and headaches. The patient was diagnosed with BJHS, including joint hypermobility of her thumbs, elbows, right knee, and lumbopelvic region. A 6-year history of low back pain and varicose veins in her posterior thighs and knees were additional significant diagnostic findings of BJHS.


RESULTS
The treatment consisted of spinal and extremity manipulation, Graston technique, and postisometric relaxation combined with sensory motor stimulation and scapular stabilization exercises. The patient was seen 15 times over an 18-week period. After 18 weeks of care, the Revised Oswestry Low Back Questionnaire and Headache Disability Index demonstrated clinically important improvements with her low back pain and headache; but little change was noted in her neck pain as measured by the Neck Disability Index.


CONCLUSIONS
This patient with BJHS who had decreased disability and spine pain improved after a course of multimodal chiropractic care.
Assistant Professor, Research Clinician Cleveland Chiropractic College, Overland Park, KS.
Richard G
RG
Strunk
Professor, Research Director Cleveland Chiropractic College, Research, Overland Park, KS.
Mark T
MT
Pfefer
Student, Cleveland Chiropractic College, Overland Park, KS.
Derrick
D
Dube
Chiropractic; Joint hypermobility; Low back pain; Manipulation; Neck pain