Does anyone have experience treating spasmodic dystonia of the vocal cords? I just saw this patient for the first time. She's a singer and speaker. Gradual onset after COVID or after the COVID shot. She's not sure. I treated the tight muscles of the SCM as well as points for the vagus nerve. Then in prone did a perfusion treatment of her neck from UB 10 to T-1. I suggested her seeing a neurologist to rule out Parkinsons. She's also on a statin for high calcium (not for high cholesterol) She's 67 and has a healthy lifestyle. Thanks in advance!
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Posting for Lolane.
Patient: 68-year-old female
Chief Complaint:
• Left-sided periorbital neuralgia for approximately 2 years.
• No history of trauma or identifiable mechanism of onset.
Symptoms:
• Random, sharp “zapping” sensations both superior and inferior to the left orbit.
• Episodes are brief but frequent and bothersome.
• Pain can occur spontaneously without any apparent trigger.
Mechanical Triggers:
Palpation or light touch can reliably reproduce symptoms in several areas, including:
• Along the nasolabial fold
• Frontal sinus/supraorbital region
• Above the left eye
Activities of daily living that commonly trigger the pain include:
• Washing her face
• Touching her face
• Brushing her teeth
• Rubbing alongside her nose
• Occasionally blinking
Treatment Attempted:
Thus far I have tried:
• Upper quarter perfusion techniques
• Temporalis treatment
• Facial nerve treatment
• Motor point needling of the periocular musculature
• Craniosacral therapy
• Fascial release of ...
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