Musculoskeletal Medicine and PainCase Report

Conservative Approach to Tardive Dyskinesia–Induced Neck and Upper Back Pain

Jeremy W. Reifsnyder, DC, OMS IV, and Melicien A. Tettambel, DO
Notes and Affiliations
Notes and Affiliations

Received: September 13, 2012

Accepted: March 25, 2013

Published: August 1, 2013

J Osteopath Med; 113(8): 636-639

The management of schizophrenia typically involves the use of antipsychotics (neuroleptics). Use of such medications, however, can result in tardive dyskinesia, or the involuntary contracture of muscles, and associated symptomatic somatic dysfunction. The authors present a case of a 29-year-old woman who presented to a family medicine clinic for ongoing management of schizophrenia with noticeable tardive dyskinesia and complaints of neck and upper back pain. Conventional management of tardive dyskinesia involves either a change in or reduction of the offending antipsychotic. In the present case, the patient received osteopathic manipulative treatment in addition to conventional care for the management of her neck and upper back pain. Although not curative, osteopathic manipulative treatment can provide palliative relief for patients with tardive dyskinesia.

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