Automobile performance history

R.T. was a 48-year-old man who came to the clinic with a report of numbness and "pins and needles" in his right forearm and hand. This had been present for several months. He gave a history of an automobile accident approximately 1 year previously. He had undergone an MRl 1 month previously that demonstrated a herniation ofthe intervertebral disc between C6-C7, with apparent impingement on the foramen. He had a history of a mild elevation of his blood pressure, which was controlled with verapamil. He had been scheduled for surgery for the cervical disc for the following week and requested that a trial of manipulation be performed in an attempt to prevent surgery. 

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