Son PMR & Chiropractic clinic

Persistent Thigh Pain Misdiagnosed as a Spinal Problem — Atypical Femoral Fracture Associated with Long-Term Osteoporosis Treatment by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Today’s case is about an 80-year-old female patient who had visited several clinics for thigh and hip pain . She was repeatedly told that the cause was lumbar disc herniation or spinal stenosis , and received multiple spinal and gluteal injections without much relief. She came to our clinic after being referred by another patient who had been under my care. Given the findings, I referred her to a university hospital for further imaging and management. 👩‍⚕️ Case Summary 80-year-old female Long history of osteoporosis medication; currently on Denosumab (Prolia) injections Complained of bilateral thigh pain worsening over several weeks Previous   lumbar disc  and spinal stenosis , but pain persisted despite injections 🔍 X-ray Findings Radiographs o...

Musculoskeletal Pain in Parkinson’s Disease: Why It’s So Common by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Parkinson’s disease (PD) is not simply a disorder of tremor and slow movement. It is a neurodegenerative condition in which dysfunction of the brain’s motor control system directly affects the structure and function of the musculoskeletal system . Clinical studies show that 45–60% of patients with Parkinson’s disease experience musculoskeletal pain , and low back pain is the most frequent complaint. Unlike pain caused by mechanical injury to muscles or joints, this pain arises mainly from abnormal postural control and altered muscle tone due to central nervous system dysfunction. Why the Spine Becomes Distorted and Back Pain Worsens 1. Abnormal Postural Reflexes and Muscle Tone Imbalance Due to basal ganglia dysfunction , postural reflexes become weakened and muscular rigidity increases. As a result, characteristic postural deformities appear, s...

A Holistic View of Chronic Musculoskeletal Pain by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Different healthcare specialists interpret chronic pain through the lens of their own fields of expertise: Temporomandibular joint (TMJ) specialists emphasize that jaw misalignment can be the central cause of widespread musculoskeletal imbalance. Podiatrists often argue that postural and alignment problems begin at the feet, leading to compensatory pain throughout the body. Upper cervical chiropractors believe that subtle misalignments of the atlas and axis (C1–C2) are the most critical factors affecting the entire body’s neuromusculoskeletal function. Functional medicine physicians focus on the impact of nutrition, diet, inflammation, and toxic exposure on the body’s structural and metabolic balance. Psychiatrists point out that emotional trauma and psychological stress can manifest as physical (somatic) symptoms. These diverse perspectives demons...

Structure Shapes Function, and Function Reshapes Structure by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul — An Integrative View of the Cranio-Cervical-Mandibular Complex and Upper Cervical Chiropractic In human physiology, structure and function are inseparable . Every system — musculoskeletal, neurological, endocrine, and immune — maintains health through a constant dialogue between structural stability and functional adaptability. “Structure governs function, and function influences structure.” This is not just a textbook principle — it is the living truth observed daily in clinical practice. 🦴 The Cranio-Cervical-Mandibular Complex (CCMC) The cranium, upper cervical spine (C1–C2), and mandible are often described separately in anatomy textbooks. Yet, in reality, they form a functional triad — dynamically interconnected through neural, muscular, and fascial systems. The atlas (C1) and axis (C2) serve as the pivot for head balance and neurologic...

Chronic Cervical Radiculopathy Resolved by Upper Cervical Chiropractic and Integrative Care by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul — A 4-Year Case of Persistent Neck and Shoulder Pain — Patient Overview Age/Sex: 30s, male Occupation: Food delivery worker (prolonged driving and repetitive upper limb use) Duration: 4 years of persistent symptoms Chief Complaints Severe left-sided cervical radicular pain radiating into the shoulder Aching shoulder and upper arm pain aggravated during sleep Pain worsening when standing or bending forward (e.g., using the restroom) Difficulty in neck extension (looking upward) Sleep disturbance and significant impairment in daily activities Previous Treatments MRI: Mild degenerative changes, no significant herniation or nerve compression Interventions: Two epidural disc procedures Six sessions of injection therapy Manual therapy for 8 months Oral medications for more than ...

Misalignment of the Cranio-Cervical-Mandible Complex: Symptoms and Management by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul The Cranio-Cervical-Mandible Complex (CCMC) refers to the functional unit formed by the cranium (head), upper cervical spine (neck), and temporomandibular joint (jaw/TMJ) . When these structures fall out of alignment, patients may experience not only TMJ pain or neck stiffness but also headaches, dizziness, tinnitus, and posture-related issues . Common Symptoms of CCMC Misalignment Head and Neck Problems Chronic headaches and migraines Stiffness in the neck and suboccipital area Pain or discomfort when moving the neck TMJ and Jaw Symptoms Jaw clicking, popping, or deviation when opening the mouth Pain or tightness in the jaw muscles during chewing Facial asymmetry related to temporomandibular joint dysfunction (TMD) Neurological and ENT Symptoms Cervicogenic dizziness or balance disturbances T...

Differences in Musculoskeletal Care Between Korean and Western Patients: by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul The Limitations of a Soft Approach and the Need for Tailored Treatment 1. Cultural and Systemic Differences in Patient Response Clinical outcomes in musculoskeletal disorders are not determined solely by pathology but are strongly influenced by healthcare systems and cultural expectations . Healthcare accessibility : In Korea, the National Health Insurance system allows patients to access frequent and diverse treatments such as injections, physical therapy, and manual therapy at relatively low cost【1】. In Western countries, higher medical expenses and limited accessibility often lead patients to rely more on self-management and exercise 【2】. Patient expectations : Korean patients generally demand immediate symptom relief , while Western patients are more accustomed to gradual, long-term improvement【3】. Accumulated treatment exposure : ...