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      Symptoms of spinal dysfunction mimicking systemic diseases (Ogundana Syndrome): a review of 35 cases treated with manual therapy over 30 years

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          Abstract

          Objective and Method: Symptoms manifesting in other parts of the body signaling the existence of spinal dysfunction (Ogundana Syndrome) in patients (N = 35, age range 20-56yrs; mean age 36yrs) diagnosed to have systemic diseases but treated with manual therapy were identified after a 30 year case note review.

          Results: Incipient parkinsonism (general edema and expressionless mask face), stroke (weakness of one side of the body), tinnitus (headache with noise in one or both ears), breast cancer (breast pain) and dyspnea (difficulty in breathing) were some physician diagnoses and clinical symptoms presented. One percent rate occurrence was noted affecting significantly more females (74%) than males (26%, P<0.001). This involved people with family history of back pain (66%) engaged in low income occupations (farming 40%, trading 25%, artisans 15% and civil servants 20%). Symptoms got better after vertical oscillatory pressure therapy to appropriate spinal regions. Duration of treatment was influenced by duration of spinal dysfunction prior to therapy and age of younger patients.

          Conclusion: One percent of patients with spinal dysfunction misdiagnosed to have systemic diseases due to misleading symptoms are finally referred for physiotherapy of manifesting symptoms. Manual therapy to the appropriate vertebro-geographic region(s) relieves the symptom (s) without prejudice to existing diagnosis.

          Most cited references16

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          Relationship between low back pain and life-stressing events among Nigerian and Caucasian patients

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            The Neurology of Spinal Pain

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              The peripheral nervous system

              LH Mathers (1985)
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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                March 2013
                February 2014
                : 1
                : 1
                : 1-7
                Affiliations
                [1] 1Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University (OAU) Ile-Ife & OAU Teaching Hospitals Complex and E.M.O Physiotherapy Clinic Ile-Ife, Nigeria
                [2] 2Bodija Physiotherapy Clinic, Bodija, Ibadan & Department of Physiotherapy, OAU Teaching Hospitals Complex and Dean Faculty of Basic Medical Sciences OAU Ile-Ife, Nigeria
                Author notes
                CORRESPONDING AUTHOR: Michael O. Egwu, Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife Nigeria egwumo@ 123456yahoo.com
                Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
                Article
                fmch20130100
                10.15212/FMCH.2013.0100
                abe702e3-f723-43d8-b488-16adc8ff1c21
                Copyright © 2013 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                Categories
                Original Research

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                Spinal dysfunction,Systemic diseases,Manual therapy,Mimicking symptoms,Ogundana Syndrome

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