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Positive Patient Outcome After Spinal Manipulation in a Case of Cervical Angina

By |February 8, 2018|Cervical Angina|

Positive Patient Outcome After Spinal Manipulation in a Case of Cervical Angina

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SOURCE:   Man Ther. 2009 (Dec); 14 (6): 702–705

Steven R. Passmore, Andrew S. Dunn

Veterans Affairs of Western New York Health Care System,
Buffalo, New York, USA.


 

Introduction

When angina pectoris is suspected but adequately ruled out, upper anterior chest pain and related symptoms may be attributed to cervical angina, particularly in the presence of radiculopathy and myelopathy (Nakajima et al., 2006). Cervical angina is theorized to involve the C6, C7, or T1 nerve roots, and possibly the medial and lateral pectoral nerves (Jacobs, 1990; Freccero and Donovan, 2005). While the prevalence of cervical angina is not completely clear, it is described as a virtually unknown and neglected clinical syndrome that may not be uncommon but is under diagnosed (Nakajima et al., 2006; Christensen et al., 2005). Aside from cardiac enzyme and exercise tolerance testing, Christensen et al. (2005) suggest cervical angina is potentially recognized from true angina through manual palpation of the spine and thorax.


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