chiropractic management of a geriatric patient with idiopathic neuralgic amyotrophy: a case report.

Chiropractic management of a geriatric patient with idiopathic neuralgic amyotrophy: a case report NA is a poorly known clinical entity amongst health care providers and poses challenges in timely and proper diagnosis. Recognition of NA is important for patients to be best managed and for more optimal patient outcomes to be achieved.

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What is a neuropathic amyotrophy?

Idiopathic neuralgic amyotrophy (NA) is a rare disorder of unknown etiology that mimics many common conditions with acute pain and weakness around the shoulder. This condition has several confusing descriptors, including acute brachial neuritis/plexitis/neuropathy/radiculitis and shoulder girdle neuritis/syndrome. 1, 2, 3 Parsonage and Turner coined the term neuralgic amyotrophy in the late 1940s. 4 Subsequently, some clinicians refer to the condition as Parsonage-Turner syndrome. 5 The term neuralgic amyotrophy works well as a descriptor because it does not presume a clear etiology and site of pathology, yet describes the clinical presentation. 1, 3, 4, 6 Characterized by severe pain followed by muscle weakness, atrophy, and variable sensory deficits, the diagnosis is made from the history and physical examination findings and confirmed by clinical neurophysiology testing.

Is neurogenic amyotrophy a self-limiting condition?

With a careful history and physical examination, the diagnosis may be made without the need for ancillary investigations. Neuralgic amyotrophy is a self-limiting condition requiring reassurance and monitoring.