PCOS Messages for February, 2002: Re: Ganglion,for Renee

Re: Ganglion,for Renee

From: Renee (anonymous@obgyn.net)
Fri, 08 Feb 2002 07:43:13 -0800

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Reply: anonymous: "Re: Ganglion,for Renee&Barbara"

Barbara,

I didn't say that you didn't have a ganglion. You asked what could be causing the tingling. Several people gave some options, I gave some more options, and suggested that it be assessed by a physician, since they all had different treatments.

As far as chiropractors go, I know that they are trained extensively in the spine, and that they believe that many visceral ailments can be treated by adjusting the vertebrae around the origin or the spinal nerves that supply those organs. I feel, however, that they are often going outside their scope of practice. I worked with a PT who was also a chiropractor. She said that they were taught to do pelvic exams in school. I'm sorry, but I don't think that's the role of a chiropractor. I wouldn't go to my opthalmologist for a pap, I wouldn't go to a neurologist for a pregnancy, I wouldn't go to to a family practitioner to have a heart bypass, and I wouldn't go to a chiropractor for a non-spine or spinal nerve related condition. Though they all received training in these things in their schooling and residencies, it's not what they're best at.

However, everyone can make that choice for themselves. It's your body, and you're responsible for it. You can see whomever you want for it. That's the same mantra I use for PCOS related concerns as well.

And, I never said ganglions can't be cured. All I said is that many problems get harder to treat the longer they are there. For example, if a nerve is getting pinched coming out of the spine, the longer it's pinched (and being damaged), the longer it takes to recover after the problem is resolved (eg: surgery), and the greater liklihood that it won't come back 100%. If pain limits movement, the structures around the involved joints can stiffen. It then becomes harder to regain the strength and flexibility the longer it goes on before the pain is relieved. I also never said a ganglion is a cyst. I think you're mixing up messages.

Regarding my parenthetical that research to support chiropractic beyond the acute stage, here's a quote from the Agency for Health Care Policy and Research's guideline on acute low back pain. These guidelines were developed by a large team of professionals from all related disciplines (including chiropractors) based on a reading of all available research. They did 15 guidelines on many different topics, and are well regarded. In fact, the ones in my field (there are 2) can be used in court as a standard of care. From the executive summary: "Manipulation seems helpful for patients with acute low back problems without radiculopathy when used within the first month of symptoms. If no symptomatic and functional improvement has been noted after 1 month of manipulative therapy, this treatment should be stopped and the patient reevaluated." Radiculopathy is radiating pain down through the nerve from the spine to the arm or leg.

I think people mis-read my e-mail, and blended what I said with what other people said, and got angry at me. I went back and re-read what I wrote to be sure I didn't write something I didn't remember, but I didn't. I didn't write most of what people are accusing me of saying.

Renee

Barbra Camara wrote: >
> Hello Renee,
>
> I feel compelled to write this.
> I felt somewhat challenged when reading your post about tingling
> hands,and my response to that post.
> I felt as if you were somewhat DOUBTING,THAT I INDEED HAD A GANGLION,and
> that you found it hard to believe that it was treated successfully by a
> chiropractor.
>
> I think sometimes,it is best not to post such a message,as you did,by
> stating that it was basically impossible to have a ganglion cured.
> I post messages when I am CERTAIN about something.I didn't make a false
> statement there.I feel as if you are doubting my credability.
>
> I was just giving information from MY OWN EXPERIENCE,and wanted to give
> someone advice that it could be a ganglion.Mine started without any
> cyst...just tingly and numb.
> Then it progressed to a lump.
> Was successfully treated back in 1996 without surgery.
>
> Doctors and chiropractors may argueably disagree on treatments,thus,one
> of the main reasons that chiropractors get the negative feedback,while
> doctors who don't look at the cause,rather just treat the symptoms get
> the glory!
> I know this is a little off the topic here,but like to make myself
> clear,as not to mislead anyone into thinking that chiropractors are cure
> alls.
> I was just pointing out what tingly hands may be,as the ganglion was the
> reason for mine.It may just as well resolved on it's own without
> chiropractic care.
>
> Some information on a ganglion,which is VERY COMMON,
> Ganglion cysts are the most common masses seen in the hand and wrist.
> They usually appear on the back of the wrist, but can also occur on the
> palm side or at the
> base of the fingers. They arise from the tissue which lines the joints
> or tendons and fill with fluid. They can increase in size during
> periods of irritation and often resolve
> spontaneously. Ganglion cysts are benign and are not cancerous.
>
> --
> Sincerely,
> Barbra Camara
>

-- Renee Cordrey, MSPT, MPH, CWS

---

Don't follow in the footsteps of the masters. Seek what they sought. --Zen saying

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