Andrew M. Rodgers, DC; Kim B. Khauv, DC, MPH
Abstract
Objective
The purpose of this case report was to describe a patient presenting with back pain subsequently diagnosed with thoracic schwannoma.
Clinical Features
A 45-year-old male presented to a chiropractic practice with mid-back, low back, and sacroiliac pain. Orthopedic examination revealed joint dysfunction in the thoracic–sacroiliac region with normal findings on neurologic examination. An initial diagnosis of thoracic spinal pain and sacroiliac sprain and strain was made. At approximately 7 weeks of treatment, because of the patient’s persistent pain, chest magnetic resonance imaging (MRI) was ordered by the chiropractic physician.
Interventions and Outcomes
The chest MRI revealed an intradural extramedullary mass at the T5 level creating a marked compression of the spinal cord. A thoracic MRI was conducted 2 days later confirming the presence of the tumor. The patient was successfully treated with spinal surgery to remove a schwannoma.
Conclusions
Mechanical spinal pain is a common symptom in patients presenting to chiropractic offices and may present concurrent with other pathology. In the presence of unresolved persistent thoracic pain, clinicians should investigate other potential causes.
Citation: Rodgers AM, Khauv KB. Thoracic Schwannoma in an Adult Male Presenting WithThoracic Pain: A Case Report. J Chiropr Med. 2017 Sep;16(3):242-245. doi:10.1016/j.jcm.2017.02.002. Epub 2017 May 12. PubMed PMID: 29097955; PubMedCentral PMCID: PMC5659782.
Dr. Kim "Doc Kim" Khauv, your Metro Manila chiropractor, has helped many people live healthier and happier lives.
With over 20 years of experience, Dr. Kim B. Khauv, DC (Doc Kim) is the only American chiropractor in the Philippines that has worked for the United States Navy as a chiropractor (taking care of active duty military service members and wounded warriors) and holds a Master's Degree in Public Health with emphasis on health promotion and prevention from The Fielding School of Public Health at the University of California, Los Angeles.
He is also an award-winning chiropractor currently licensed in the State of California, as well as National Board Certified Doctor of Chiropractic in the United States of America. He is a "Registered Chiropractor" with the Philippines Institute of Traditional and Alternative Health Care (PITAHC). He has earned a Bachelor’s Degree from California State University in Fullerton (CSUF), a Master’s Degree in Public Health from the Fielding School of Public Health at University of California in Los Angeles (UCLA), and Doctor of Chiropractic degree from Life Chiropractic College West (LCCW).
Previously, Doc Kim was 1 out of 24 United States Navy chiropractors in the world, proudly provided chiropractic care to active duty military members at Naval Medical Center San Diego and had a private practice in San Diego, California. Doc Kim currently holds an Adjunct Faculty position as Assistant Professor at Life Chiropractic College West teaching Public Health course to senior chiropractic students. He is an approved instructor by the Board of Chiropractic Examiners of California to teach both online and live Continuing Education courses to chiropractors in Metro Manila, Philippines in the subjects of Chiropractic Adjustive Technique, Law & Ethics, and chiropractic Public Health.
Doc Kim was an elected Section Councilor of the Chiropractic Health Care section (CHC) of the American Public Health Association (APHA) and served as Membership Chair. His chiropractic research has been accepted and presented nationally and internationally at APHA, Association of Chiropractic College’s annual Research Agenda Conference (ACC-RAC), International Society of Quality of Life Research, and World Chiropractic Federation (WFC). He has also published research on chiropractic care and public health education. He has been awarded the Distinguish Service Award (2015) and Rising Star Award (2013) from the APHA's CHC section.
While attending LCCW, he founded a non-profit called Well-Balanced World, 501(c)(3), with the sole purpose of providing affordable chiropractic care to underserved populations and charitable chiropractic care on international mission trips to Cambodia and the Philippines.
Dr. Kim Khauv, at Well-Balanced Chiropractic Wellness Center, now provides safe, effective, and evidence-based chiropractic care to patients from Makati, Rockwell, Manila, Paranaque, Alabang, Fort Bonifacio, Global City, Pasig, Ortigas, Mandaluyong, Greenhills, San Juan, and Quezon City, Metro Manila, Philippines.