Saturday, November 7, 2009
Case 3: Upper Cervical Care and Meniere's Disease
by Michael T. Burcon, D.C.
HISTORY: Thirty five year old female presented with history of vertigo, swallowing difficulties, nausea, cervicalgia, cephalgia, double vision, occasional deafness, weakness and fatigue since 1996. She was working part-time out of her home, unable to drive or go anywhere. She reported having a minor car accident in 1991.
Diagnosed with Meniere's disease, TMJ dysfunction, rheumatoid arthritis and Arnold-Chiari malformation. Prescriptions included Duricef, Retin-A, Benzymicin and Antivert. Her father had been diagnosed with Becker's muscular dystrophy.
EXAMINATION: Leg checks demonstrated 1" right pelvic negative, 1" left cervical syndrome and positive C1 and C5 tests. Restricted range of motion with left lateral flexion. X-rays, video fluoroscopy and MRIs showed atlas to be inferior and posterior on left articulation, under lapped on the right, and inferior and posterior C5 and C6. Thermograph showed pattern of a break to the left at levels of C1 and C5.
INTERVENTION AND OUTCOME: Within 24 hours of first specific atlas adjustment, all symptoms had subsided, except dysphagia, which had gotten worse. All balance tests were negative and cervical thermograph was straighter. Full cervical range of motion was restored.
Atlas adjustment has been repeated when pattern of subluxation has returned, a total of six times in the past two years. The swallowing problem has persisted.