Case report – “CK”

“CK” is a 64 year old white male (DOB 6/1949) with severe Psoriatic Arthritis including back pain and generalized joint stiffness. Psoriasis had been present since at least 10/1998, and despite methotrexate and other medications, he first developed back pain in 9/2000 and symptomatic Psoriatic Arthritis of both hands in 6/2002. Enbrel biologic injections were added in 1/2003 and seemed initially miraculous. He described the effect of the first injection, within a few hours, to be like that of the Tin Woodsman in the Wizard of Oz getting oil to his frozen joints so that he could move them again. Both the Psoriasis and Psoriatic Arthritis were stable and mild while on Enbrel and oral methotrexate. When CK moved out of town around 2007, he was lost to follow up.

When CK returned in 12/2012, he was much worse, apparently from his rheumatologist stopping Enbrel 6 months earlier, under the impression that the Enbrel wasn’t doing much for him. He was on injectable methotrexate and low dose prednisone 5 mg every morning. Resuming high dose Enbrel and adding Celebrex to his methotrexate eventually allowed him to stop the prednisone by 7/2013 with his Psoriasis almost disappearing. The persistent back pain was definitely improved and still very significant, requiring episodic spinal cortisone injections for a condition thought to be a combination of Psoriatic Arthritis and Osteoarthritis.

CK had been schooled elsewhere in the 0-10 Universal Pain scale and rated his improved arthritic pain at a score of 7. This wasn’t changing much and it seemed reasonable to try Nexalin with a session on 10/14/2013. While lying down, CK reported the unexpected and highly unusual sensation that his back pain actually decreased instead of worsening, and by the end of a single Nexalin treatment his pain score was down to 4. Unfortunately, CK still lives far out of town and could not return for a month. He then reported that the spinal cortisone injection during that month had worked better than any previous injection. He got a second Nexalin treatment on 11/11/2013 and reported that his initial back pain score of 5 went down to a Zero by the end of the session. Some back stiffness was still present, apparently from some residual Psoriatic Arthritis. He hasn’t moved any closer to town and it will be necessary to wait before trying a third session.

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