Conservative Management of Mechanical Neck Pain in a Helicopter Pilot

Babak Alagha

Abstract:

Acute and chronic spinal symptoms such as neck pain may limit flying performance significantly and disqualify the pilot from flight duty. Mechanical neck pain is very common among pilots because of their exposure to vibration, +G Z forces, helmet weight, poor neck posture during air combat maneuvers, previous neck injuries, and poor treatment plans for such injuries. Successful treatment of such injuries requires appropriate therapeutic procedures as well as an aeromedical assessment. The aim of this case study was to demonstrate the benefits of conservative procedures such as spinal manipulation and mobilization therapy (SMMT) and exercise therapy (ET) in treating chronic mechanical neck pain in an Iranian commercial helicopter pilot.

Alagha B. Conservative management of mechanical neck pain in a helicopter pilot. Aerosp Med Hum Perform. 2015; 86(10): 907 – 910.

Chiropractic and rehabilitation management of a patient with extraforaminal entrapment of L4 nerve with balance problem.

Babak Alagha; Department of Aerospace and Subaquatic Medicine, Aja University of Medical Sciences, Tehran, Iran

Abstract:

Disc herniation is one of the most common causes of low back pain with radicular pain. Among various types of disc herniation, the extraforaminal disc herniation is a rare cause of lumbar radiculopathy. The aim of presenting this case study is to demonstrate the benefits of Chiropractic care including spine and extremity manipulation and rehabilitation in the treatment of a rare case of extraforaminal L4 nerve entrapment causing severe L4 radiculopathy and chronic mild low back pain (LBP).

Alagha B., Chiropractic and rehabilitation management of a patient with extraforaminal entrapment of L4 nerve with balance problem; Journal of Back and Musculoskeletal Rehabilitation, 28 (2015) 603–607 603 DOI 10.3233/BMR-140557

Stress Fracture of the Base of the First Metatarsal Bone.

Abstract: In this article, we present a rare case of stress fracture of the base of the first metatarsal bone in a young runner. The goal is to illustrate the importance of the history and investigations in the management of foot pain in athletes.

 

Alagha B., Padhiar N. Stress Fracture of the Base of the First Metatarsal Bone. Published in peer-reviewed Rheumatology network journal published in USA, August 29, 2012

Partial tear of plantar fascia in a professional dancer

 

Abstract: Plantar fascia is one of the most important structures in the foot because it plays an important role in support and maintaining the foot arch. The aim of this case study is to present an uncommon case of partial tear of plantar fascia in a 41-year-old female professional dancer who primarily presented with symptoms of plantar fasciitis. She was successfully treated conservatively. Method: The partial tear of plantar fascia in this patient was treated by Aircast and followed by extensive stretch exercises and physiotherapeutic procedures.

 

Alagha B., Padhiar N. Partial tear of plantar fascia in a professional dancer. Journal of Musculoskeletal Research, April 2015; 18 (1): 1572001-1 to 1572001-5; DOI: 10.1142/S021895771572001X

Hypoxia Symptoms During Altitude Training in Professional Iranian Fighter Pilots.

 

Abstract: Susceptibility to hypoxia is influenced by a multitude of factors, including fatigue, physical activity, illnesses, ambient temperature, rate of ascent, destination altitude, medications and alcohol. As our literature review did not reveal any previous study addressing the possible relationship between age and susceptibility to hypoxia, the purpose of this study is to address and clarify this relationship.

 

Alagha B., Ahmad beigy S., Moosavi S., Jalali S Hypoxia Symptoms During Altitude Training in Professional Iranian Fighter Pilots. The Air Medical Journal, Jan-Feb 2012; 31(1):28-32.

DOI: 10.1016/j.amj.2011.05.005; PMID:22225561