Transcript Document

Upper Cervical
Protocol & Results for
300 Meniere’s Patients
Sixth International Symposium on
Meniere’s Disease, Kyoto, Japan
Dr. Michael T. Burcon, B.Ph., D.C.
Grand Rapids, MI USA
BurconChiropractic.com
MenieresResearch.com
September 18, 1895
Harvey Lillard
Black male janitor presented with almost
total deafness
Case history: He was working in a
stooped, cramped position when he felt
something pop and heard a crack in his
neck, immediately losing his hearing.
D.D. Palmer, D.C., Magnetic Healer
Discovered a bump on the back of Mr.
Lillard’s neck at the level of C2 (Axis)
Performed the first chiropractic
adjustment, restoring Harvey’s hearing.
BJ Palmer, DC
Son of DD Palmer
Took over Palmer
Chiropractic College
from his father
Started researching
upper cervical specific
chiropractic in 1931
Endolymphatic Hydrops
“The accumulation of the fluid
of the membranous labyrinth
of the ear, thought to be caused
by the over production or under
absorption of that fluid,” Merck
Manual.
Question: What is the Cause of the problem?
Meniere’s Disease
is a Syndrome
caused by
Whiplash
It takes an average of
15 years from the time
of the trauma before
the onset of symptoms.
WHIPLASH:
Cervical subluxation complex comprised of
vertebral facet fixation with the skull
positioned anteriorly and tilted or translated
laterally, creating neurogenic inflammation
resulting in peripheral autonomic nervous
system sympathetic irritation, reduced
vertebral artery blood and CSF flow,
increased mandibular branch CN V motor
activity affecting the tensor veli palatini,
causing Eustachian tube and TMJ dysfunction
and irritation to the nucleus of CNVIII.
All of the following conditions exhibit hyperactivation of the Trigeminal ganglion when
symptomatic on PET scan:
Meniere’s disease
Migraine headache
Trigeminal neuralgia
Bell’s palsy
Additionally, patients with one of these conditions
are twice as likely to experience another one of these
conditions in their lifetime.
More than 9 out of 10 benefit from cervical specific
chiropractic care.
Anterior Occiput
Normal
Posterior Atlas
Rear ended auto accident
Posterior C5
Subluxation
Head tilt will make you dizzy
Right Head Translation
“T-Bone” Vehicular Accident
Chiropractic Treatment
Detailed case history including letter from ENT
and copies of tests used to DX MD
Titronics TyTron C-3000 cervical thermographs
Modified Prill leg check analysis
Modified Blair Cervical X-rays
Adjustments as determined by pattern work
15 minute rest after adjustment with re-check
Thermography
Pre and Post Adjustment Graphs of
Patient with Right Unilateral Meniere’s
C5 Adjusted PIL with
Pierce technique
Atlas adjusted PIL with
Blair technique
Followed by 15 minute
rest before re-scan
Cervical Syndromes
“Most significant indication of upper cervical subluxation,” Dr Burcon.
Derifield/Thompson Cervical Syndrome Test- Hold patient’s shoes
with thumbs under the heel, while applying very mild cephalic
pressure. Lift the legs one inch off from the table, keeping the
shoes one inch apart. Compare the welts to estimate the leg length
differential. Notate differential of short leg to closest 1/8 inch.
Instruct patient to slowly turn their head to the right, then to the
left. If the legs change length only while turning to the right,
notate the amount of change as a right cervical syndrome (RCS).
If the legs change length only while turning to the left, notate the
amount of change as a left cervical syndrome (LCS). If the leg
length changes while turning the head in both directions, notate
the total amount of change as a bilateral cervical syndrome
(BLCS). If there is no change in leg length when the head is
turned, there is no cervical syndrome. Perform following tests to
determine which upper cervical vertebrae is subluxated.
First Published by Ruth Jackson, MD in 1956
Modified Blair X-Rays
All 300 consecutive Meniere’s patients tested positive
for upper cervical subluxations.
3 Cervical X-rays taken and analyzed:
Lateral, A-P Open Mouth & Nasium.
All 300 film studies showed evidence of upper
cervical subluxation and whiplash, although cervical
trauma was denied by over 50% of these patients.
4 Blair Atlas
Subluxation Listings
Anterior and Superior on the Right
(ASR)
Anterior and Superior on the Left
(ASL)
Posterior and Inferior on the Right
(PIR)
Posterior and Inferior on the Left
(PIL)
Atlas listings for 300 Patients
0-
Anterior and Superior on opposite side of involved ear
18-
Anterior and Superior on the side of the involved ear
12-
Posterior and Inferior on the side of the involved ear
270- Posterior and Inferior on the opposite side of the involved ear
Side Posture with Drop Upper Cervical Adjustment
BJ Palmer, DC
Lesion
Pre-Adjustment (C1 PIL)
Patient with Right
Unilateral Meniere’s
6 Weeks Post (Juxta)
Patient is off Medication
and Symptom Free
Upper Cervical Protocol for
Ten Meniere’s Patients
Same paper published in
Upper Cervical
Subluxation Complex,
A Review of the
Chiropractic and
Medical Literature, by
Kirk Ericksen.
Lippincott, Williams &
Wilkens, 2004
MENIERE’S QUESTIONAIRE
Thank you for participating in our Meniere’s study. Please answer the following
questions and return this form to Burcon Chiropractic. Answer questions with a number
between 0 and 10, with 0 representing that you do not have that problem, 10 representing
that the problem is the worst you can imagine.
In column A put the number for how you felt before your first adjustment at Burcon
Chiropractic. In column B put the number for how you have been feeling since your last
adjustment.
Patient Name _______________________________ Today’s date __________________
Major Symptoms
A
B
1. Vertigo, dizziness or lack of balance:
__________
__________
2. Loss of hearing:
__________
__________
3. Tinnitus (ringing in the ears):
__________
__________
4. Nausea/vomiting:
__________
__________
5. Ear Pressure:
__________
__________
6. Migraines:
__________
__________
7. Headaches:
__________
__________
8. Brain fog:
__________
__________
9. Neck stiffness/pain:
__________
__________
10. Sinus pressure/pain:
__________
__________
Secondary Symptoms
Comments:
VERTIGO
10
10
9
7.5
8
7
6
5
4
3
3
2
1.4
2
1
0
1
2
3
4
5
Scale, Pre Adjust, 6 Weeks, 1 Year, 2 Years