[Purpose] To present a case of the non-surgical reduction of ‘slouchy’ hyperkyphosis
posture utilizing the multimodal Chiropractic BioPhysics® rehabilitation
program emphasizing the mirror image® concept. [Subject and Methods] A
27-year-old female presented suffering from neck and back pains, headaches and gait
dysfunction. The patient was treated 30 times over a period of 6-months. Treatment
consisted of anterior thoracic translation, thoracic extension, and head retraction
exercises as well as spinal traction and spinal manipulation. [Results] After 6-months of
treatment the patient displayed a total correction of the posterior thoracic translation
with a significant reduction in thoracic hyperkyphosis. The dramatic correction of her
overall posture and spine alignment corresponded to the significant relief of neck and
back pains, headaches and improvement of various other health issues as demonstrated by
self-report and SF-36. [Conclusion] Poor postures corresponding to poor health can be
changed for the better with multimodal rehabilitation programs that are now showing
consistent postural improvements corresponding with improvements in various health
conditions. We suggest that the postural correction of those with various pain symptoms be
considered as a first line non-pharmalogical, non-surgical rehabilitation approach for
those presenting with poor posture.
[Purpose] To present the successful treatment of posttraumatic dizziness and neck pains
that were initiated in a patient following a whiplash event. [Subject and Methods] A
46 year old male suffered a whiplash event that initiated neck pain and dizziness
symptoms. The patient had many positive orthopedic findings and demonstrated a forward
head posture and cervical hypolordosis. The patient was treated by Chiropractic
BioPhysics® technique including cervical extension traction, extension
exercises and spinal manipulative therapy initially three times a week for 16-weeks, and
once a month thereafter. [Results] The patient had a resolution of daily dizziness and
neck pain with a concomitant reduction of forward head translation and increase in
cervical lordosis. The postural measures were further improved after one year of mostly
home-care. [Conclusion] The cervical spine alignment may be an important biomarker for
those with dizziness. The correction of cervical lordosis may be an essential requirement
for superior clinical outcomes for those with posttraumatic dizziness.
[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a
patient suffering from chronic whiplash syndrome including chronic neck pain and daily
headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female
presented with a chief complaint of chronic neck pain and headaches for 12 years,
correlating temporally with a sustained whiplash. These symptoms were not significantly
relieved by previous chiropractic spinal manipulative therapy. The patient had cervical
hypolordosis and was treated with Chiropractic BioPhysics® protocol including
extension exercises, manual adjustments and cervical extension traction designed to
increase the cervical lordosis. [Results] The patient received 30 treatments over
approximately 5-months. Upon re-assessment, there was a significant increase in global
C2–C7 lordosis, corresponding with the reduction in neck pain and headaches. [Conclusion]
This case adds to the accumulating evidence that restoring lordosis may be key in treating
chronic whiplash syndrome. We suggest that patients presenting with neck pain and/or
headaches with cervical hypolordosis be treated with a program of care that involves
cervical extension traction methods to restore the normal cervical lordosis.
[Purpose] To present a case of the non-surgical improvement in cervical kyphosis in a
patient with history of cervical spine trauma and advanced osteoarthritis. [Subject and
Methods] A 38 year old male presented with a chief complaint of chronic neck pain that was
not substantially relieved by recent previous traditional physiotherapy and chiropractic
manipulation. The cervical radiograph demonstrated a cervical hypolordosis of 5° as
measured by the Harrison posterior tangent method from C2–C7. There was a 15° kyphosis at
C4–C6 with advanced degenerative changes consistent with previous spine trauma. The
patient was treated by CBP® methods incorporating cervical extension traction,
extension exercises, and spinal manipulation for 30 sessions over an 18 week period.
[Results] After the treatment sessions, there was a substantial (27°) increase in global
C2–C7 lordosis, and 5° decrease in C4–C6 degenerative kyphosis corresponding to the
reduction in neck pain and disability, and an improvement in overall health status as
indicated on the SF-36 health questionnaire. [Conclusion] Although degenerative
spondylosis of the cervical spine will have physical limitations to non-surgical
correction, this case serves as an example that it is possible to reduce degenerative
kyphosis and increase global cervical lordosis corresponding to health improvements in
these patients.
[Purpose] To present the successful structural improvement in cervical lordosis in a
patient suffering from cervicogenic headache having cervical kyphosis. [Participant and
Methods] A 26 year old female presented with the primary complaint of headache.
Radiography demonstrated a cervical kyphosis. Chiropractic BioPhysics
®
methods
were used to restore the cervical spine alignment. Twenty-five treatments were given over
8 weeks. A 2.5 year follow-up was also reported. [Results] Radiography showed a dramatic
increase in cervical lordosis following initial treatment. The patient also reported
substantial reductions in headache frequency and severity as well as other bodily
improvements, reduced disability and improved quality of life. The long-term follow-up
showed a maintenance of lordosis correction and patient wellness. [Conclusion] A cervical
kyphosis was reversed back to a normal lordosis in 8 weeks and coincided with dramatic
resolution of cervicogenic headache in a young female. The cervical lordosis may be a key
biomechanical biomarker in cervicogenic headache.
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