A chiropractor is examining and treating a patient, Anais, who is a model and dancer. Anais complains of mid-back pain, especially when modeling, and occasional lower back pain during her menstrual cycle. She also mentions having Raynaud disease, hyperthyroidism, and allergies to nuts and soy.
The chiropractor conducts a physical examination, checking Anais' spine, shoulders, hips, and legs for any abnormalities or areas of tenderness. The examination reveals a slight curve in her thoracic and lumbar spine, tenderness in her muscles, and an asymmetry in her hips.
The chiropractor then proceeds to adjust Anais' spine, using a gentle and controlled technique to relieve pressure and tension in her muscles and joints. Throughout the treatment, the chiropractor provides guidance and reassurance, encouraging Anais to relax and breathe deeply.
After the treatment, Anais reports feeling better, with reduced mid-back pain and a sense of relaxation. The chiropractor concludes the session by recommending follow-up appointments to continue addressing Anais' spinal health and overall well-being.
Here are the key facts extracted from the text:
1. The patient is a model and dancer who experiences back pain.
2. The patient's back pain is usually in the middle of their back, just below the bra line.
3. The patient experiences back pain every day, but it varies in intensity and duration.
4. The patient sometimes experiences dizziness and lightheadedness, possibly due to dehydration.
5. The patient drinks a lot of water, but sometimes forgets to do so when traveling or having a long day.
6. The patient does ballet, jazz, modern, and contemporary dance.
7. The patient has performed in dance competitions and has auditioned for roles, including a callback for the musical "Rent".
8. The patient experiences menstrual cramps, which are worse in the lower back.
9. The patient's menstrual cycle is irregular, but birth control has helped to regulate it.
10. The patient has a soy allergy and is severely allergic to all nuts and sunflower seeds.
11. The patient has been hospitalized for food allergies.
12. The patient has Raynaud's disease, which causes numbness and tingling in their fingertips and toes when exposed to cold temperatures.
13. The patient was diagnosed with Raynaud's disease after experiencing symptoms while running track and cross-country.
14. The patient has hyperthyroidism, which was discovered during a hospital visit for unrelated reasons.
15. The patient has not sought treatment for their hyperthyroidism and does not take medication for it.
16. The patient has broken their left foot three times and has broken multiple toes from dancing.
17. The patient was born naturally and was breastfed as a child.
18. The patient has not had any major traumas or broken bones besides their foot and toes.
19. The patient has been adjusted by a chiropractor before, but it has been three years since their last adjustment.
20. The patient's spine shows a slight curvature, and their SI joint is tender.
21. The patient's lumbar spine is tender, and their muscles are tight.
22. The patient's hips are asymmetrical, with the right side being more prominent than the left.
23. The patient's shoulders are relaxed after the chiropractic adjustment.
24. The patient's neck does not usually crack, but it did during the adjustment.
25. The patient has a recurring dream about someone cutting into their arm and finding wires.