Outcomes in Head Neck and Face Pain

Patient  Chronicity Years  Other Tx  # treatments  # weeks  Pain in  0-10 VAS  Pain out 0-10 VAS
RB  .5  MD,PT  15  12*  9.5  4-5 * 
DB  MD,PT,ND, BOWEN  10 
SC  MD,ND  12  2
MC  MD,DC,PT  1
SC DC,PT  2
AC  ACUTE  DC,MD  14  12  0
RD .25  DC,MD,PT,LAc  11  3
KD  .75    0
CD  2.5  MD,DC,PT,ND,LAc  14  0
LD  MD,PT,DC,LAc  25  12  8.5  1-3
FE  10  MD,PT,LAc 11  0-3
MF MD,PT  1
FG  28  DC,LAc  10  10  2-3
SH  DC  5-7  3-4
RH  10  MD  3-8  1-2
KL  MD,PT,DC  0
JL DC,LMT  4
LL  .75  DC  15  10  0-3
SL  new  DO  20  12  1-2
RL 10  DO,ND  5-7  0
LL  DC  3-4
DMC  20  LMT,DC,MD  12  0
MM NEW  MD  15  0
RM  NEW  MD  2
FN  .25  DC  0
VN  MD,DC  4-9  0-2
JP  MD  24  20  0
DP    3
MP  DDS,DC,MD  28  20  10  3
CP  .6  DC  6-10  0-4
AP  .5  MD,PT  13  4-5  1-2
CP  MD,PT  11  2
GP  20  MD,PT  12  4-8  0-2
KR  MD,DC  34  20  1-3
KR  N/A    1 DAY  3-5  0-1
LS  10  MD,PT,DC  0-2
SS  MD,PT,DC  16  12  6-7  0-2
BJS  NEW    11  10  0
RS  MD,DC  14  0
LS  .5  ND,DC  10  12  0-3
CS  MD,DC  10  0
LT  MD,DC,PT  33  12  5
MT  .5  MD  2
TT  MD,DO  1 DAY  0
KT  MD  5-7  0-2
LT  MD  2
LW    0-4
CW  MD,PT  10  12 
SW  MD,PT,DC,DDS  31  24  0-2
DW  MD,DC  0-1
Averages  4.7 years  11.2  7.9 weeks  6.8/10  1.5/10
* Injuries were severe following MVA. Patient discontinued treatment due to cost.

All but two of the patients with chronic cervical pain experienced significant and lasting pain reduction.  Six of them return for occasional maintenance two to three times a year.

The chronic cervical patients required an average of 11.2 treatments, minimum of 1 and maximum of 34.

The average duration of treatment was 7.9 weeks, minimum of one day, maximum of five months.

The pain was reduced from an average of 6.8 to an average of 1.5.

The average length of chronicity was 4.7 years, minimum of 1 year and a maximum of 28 years.  A large number of these patients had pain chronicity of 2 to 5 years.

The one patient who didn't benefit significantly had her pain reduced from an 8 to a 5/10 during treatment but the improvement wouldn't hold.  After 33 treatments in twelve weeks, treatment was abandoned. Her injury was four years old and she had been refractory to all other methods of treatment including injections and other mechanical and electro-therapies.

Range of motion was increased in all of these patients but we didn't pull this information from the charts. Increases in flexion/extension of 20º to 30º after the first twenty-minute session were and are common.  Approximately 80% of this increase persists until the patient is seen again four days later and eventually becomes permanent.

88% (44/50) of these patients had failed with some other therapy.

Many patients had used two or more of these therapies with minimal to no permanent effect.


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