Chiropractic management of a patient with myasthenia gravis and vertebral subluxations

J Manipulative Physiol Ther. 1999 Jun;22(5):333-40. doi: 10.1016/s0161-4754(99)70066-7.


Objective: The chiropractic management of a patient with myasthenia gravis and vertebral subluxation is described. We discuss the pathophysiology, clinical features, and treatment of patients with these diseases.

Clinical features: The 63-year-old male patient suffered from complaints associated with the disease myasthenia gravis along with signs of vertebral subluxation. The patient had an initial complaint of dysphagia. In addition, the patient experienced swelling of the tongue, nausea, digestive problems, weakness in the eye muscles, difficulty breathing, myopia, diplopia, and headaches. Balance and coordination problems resulted in walking difficulties.

Intervention and outcome: Contact specific, high-velocity, low-amplitude adjustments were applied to sites of patient subluxation. Myasthenia gravis is no longer debilitating to the patient; he is medication free and has resumed a "normal life."

Conclusion: The clinical aspects of the disease, including the possible role of chiropractic intervention in the treatment of patients suffering from myasthenia gravis, are also discussed. This case study encourages further investigation into the holistic approach to patient management by chiropractors vis-a-vis specific adjustments of vertebral subluxation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / pathology
  • Chiropractic / methods*
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / diagnosis
  • Joint Dislocations / etiology
  • Joint Dislocations / therapy*
  • Lumbosacral Region / diagnostic imaging
  • Lumbosacral Region / pathology
  • Male
  • Manipulation, Spinal / methods*
  • Middle Aged
  • Myasthenia Gravis / complications
  • Myasthenia Gravis / diagnosis
  • Myasthenia Gravis / therapy*
  • Radiography
  • Treatment Outcome