Upper Cervical Chiropractic Care of a Patient with Post Concussion Syndrome, Positional Vertigo, and Headaches
J. Upper Cervical Chiropractic Res. – January 6, 2011

Alisha Mayheu DC1 & Matthew Sweat DC2

ABSTRACT
Objective: To outline clinical changes after chiropractic care in a patient with vertigo, headaches, and post concussion
syndrome.

Clinical Features: A 23-year-old female presented for chiropractic care five months after a slip and fall that resulted in a concussion. The patient presented with symptoms of vertigo and headaches consistent with post concussion syndrome. The patient had a longstanding history of headaches that were exacerbated by the concussion and a new complaint of positional vertigo that occurred immediately following the trauma. Radiographs ruled out fracture but were remarkable for upper cervical subluxation.

Intervention and Outcomes: The patient received upper cervical specific chiropractic care through the technique of Atlas Orthogonal Chiropractic. Atlas Orthogonal protocol of upper cervical palpatory scanning and supine leg length analysis were used to indicate when an upper cervical adjustment was to be administered. Radiographic analysis was used to determine the misalignment and the exact vectors of the upper cervical adjustment.

Conclusions:
Clinical findings suggest that upper cervical vectored manipulation was beneficial in this patient with vertigo, headaches, and post concussion syndrome.



Severe head pain for 3 years with Meniere's symptoms
by Dr Joseph Ierano, chiropractor and upper cervical practitioner


Neurologist advises: "whatever you do, DONT see a chiropractor"


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Female, middle aged.
Severe, unbearable head pain on bending forward, sneezing or coughing.
Laughing caused severe head pain.
3 attacks of debilitating vertigo in 4 months.
Patient was referred by her chiropractor for specific Atlas Orthogonal care after a neurologist advised her of the danger of having her neck twisted by a chiropractor. Discussion ensued on the documented dangers of drugs used for this problem - like Nurontin, Epilem, Lyrica, Tegretol - which the patient could not tolerate for long.
There are also neurologists that recommend trying upper cervical chiropractic, like Drs Casey and Weigel, author of Striking Back, see page two of my book list
here
Patient had tried physiotherapy, acupuncture, chiropractic, massage and all the regular medical specialist to rule out life threatening disease.
Symptoms diminished after 3 adjustments with the specific
Atlas Orthogonal Upper Cervical adjusting program.
Ongoing maintenance at Jan 2011

Duration:

  • 3 Years
  • Intervention:
  • Atlas Orthogonal Chiropractic Technique
  • Risks
  • There was a substantial bout of vertigo after the first adjustment which she was warned could occur. I felt that influencing the position of the head would bring about a reaction from the balance system, as I have seen this before in patients. After a day she was fine. The warning and disclosure of all possible scenarios helped her through this. Also, it was nothing more than she'd been used to, to date. Her supportive spouse also was a great help.
  • Outcomes:
  • No debilitating head ache since 3rd visit. Longest time without frequent headache, nausea, vertigo in 3 years after AO care.
  • Comments
  • Medical Diagnosis can be such an odd, subjective, transient thing indeed.
  • Was it Vertigo? Meniere's Disease? Was it stress? Like most people I see stress is a part of our lives, and its easy to blame these sorts of problems on such matters of life. But do not discount the fact that atlas vertebra is a supremely influencial area in controlling pain.
  • Thanks to the patient, for interest in getting this message out.
  • Another fascinating story of a facial pain sufferer appears here at whattimetuesday.com . Its the story of a trigeminal neuralgia sufferer who got relief just before he pulled the trigger to kill himself. You can buy his short book at that site also.

PLEASE NOTE: chiropractic is not a cure for disease. This web site is not a substitute for qualified practitioner advice. The people and outcomes in this site are real and reproduced with permission from patients or their guardians in the interest of public information.