Upper Cervical Specific Protocol and Results for 139 Patients with Medically Diagnosed Menieres Disease
Michael T. Burcon BPh, D.C.1
Objective: The cause of Meniere␣s disease is unknown; the pathophysiology is poorly understood, and the treatment empirical. One theory is that the most common cause of Meniere␣s disease is a structural problem, i.e., an upper cervical subluxation complex that is irritating the origin of CNVIII and partially blocking the Eustachian tube. The objective is to demonstrate the effectiveness of cervical specific chiropractic management with one hundred and thirty nine patients medically diagnosed with Meniere␣s disease.
Methods: Detailed case histories were taken on the first visit, followed by spinal examinations. Patients were required to furnish a letter from their ENT medical specialists, along with copies of the reports from the tests performed. Because evidence of upper cervical subluxation was discovered in each patient, three cervical x-rays were taken; lateral, A-P open mouth and Nasium. Detailed leg checks were performed utilizing the modified Prill leg check system to determine which cervical vertebrae to adjust, and when to adjust it. Thermographic pattern work was done using the TyTron C-3000. X-rays were analyzed using the Blair technique.
Results: One hundred thirty out of one hundred and thirty nine patients had inferior and posterior listings with laterality on the opposite side of their involved ear. After one or two specific cervical adjustments, one hundred and thirty six out of the one hundred and thirty nine patients presented with balanced legs and an absence or dramatic reduction of symptoms, especially vertigo. After two years, on a scale of 0 to 10, with 0 representing the absence of the symptom and 10 being the worst imaginable, vertigo was lowered from an average of 8.5 to 1.4.
Conclusion: Prior to the onset of symptoms, all one hundred and thirty nine cases suffered cervical traumas; most from automobile accidents, resulting in previously undiagnosed whiplash injuries. It is unlikely coincidental that one hundred and thirty out of one hundred and thirty nine consecutive Meniere␣s patients would present with a posterior and inferior atlas listing with laterality on the opposite side of the involved ear. More research on Meniere␣s and chiropractic is needed
J. Vertebral Subluxation Res. November 14, 2010