The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics^® case report

Abstract

[Purpose] To present the case of the relief of idiopathic dizziness and the reduction of neck pains and headache by the improvement in cervical alignment using Chiropractic BioPhysics ® technique. [Participant and Methods] A 57 year old female presented with 30 years of chronic dizziness, neck pains and headache. Multiple testing ruled out known causes of vertigo. The patient was diagnosed with idiopathic dizziness. The patient scored 56 points on the dizziness handicap inventory. The patient showed a cervical hypolordosis of −13.7° and anterior head translation of 27 mm. The patient underwent a multimodal treatment of spinal manipulation, cervical extension traction, neck exercises as well as initial electrical stimulation. Traction procedures were slowly progressive due to the severity of the dizziness symptoms. [Results] Over a period of 12-months and 115 treatments there was a 20° increase in cervical lordosis. The patient reported significant reduction in neck pains, headache and dizziness frequency and severity. The patient had a 44-point drop on the dizziness handicap inventory; dizziness symptoms were reported to be very rare. A 1.5 year follow-up showed stability of the symptom relief and a negligible score on the dizziness handicap inventory. [Conclusion] Cervical hypolordosis may be an under-diagnosed cause of idiopathic dizziness in some patients.

Structural rehabilitation of the cervical lordosis and forward head posture: a selective review of Chiropractic BioPhysics^® case reports

“…Alternatively, patients who receive treatment that includes a form of extension traction to restore lordotic alignment and reduce AHT, who present with hypolordosis, experience relief of symptoms that remains up to 2 years 22) . This trend points to the cervical lordosis and sagittal postural alignment as being important biomechanical biomarkers in those who suffer from craniocervical disorders, as has been suggested in the treatment of headaches 31) , dizziness 37) and whiplash associated disorders 50) .…”

“…pain, disability etc; For details see Table 1). Primary conditions treated included: carpal tunnel syndrome 43) , cervical disc replacement 32) , cervical radiculopathy 33,54) , cervical spondylolisthesis 40,60) , cervical spondylotic myelopathy 59) , cervical stenosis 40,47) , dizziness 35,37,49) , dysautonomia 57) , dyslipidemia 66) , Ehlers-Danlos syndrome 70) , exertional dyspnea 42,53) , fibromyalgia 56) , gait and balance instability 44,59) , gastroesophageal reflux disease (GERD) 63) , headache (including migraine) 31, 41, 45, 46, 48, 62,) , hypothyroidism 61) , neck pain (most cases), osteoarthritis 51) , Parkinson's 44,65) , postfusion 52,55) , sinus problems 62) , syringomyelia 68) , thoracic outlet syndrome 34) , Tourette's 58) , trigeminal neuralgia 36) , gait dysfunction 59) , urinary incontinence 64) and whiplash associated disorders 38,49,50,69) . Many reports also detailed improvements in cervical range of motion, disability (e.g.…”

“…Importantly, there were documented improvements in a wide variety of chief complaints not exclusively attributed to neck pain and/or headaches. For example, relief was documented in reported cases of sinus problems 62) , neurologic tics 58) , blurred vision 51) , ringing in the ears 49) , dizziness 35,37,49) , gait and balance instability 44,59) and incontinence 64) , among others. There were also structural spinal changes reported beyond lordosis and AHT changes such as reduction of cervical spondylolisthesis 40,60) , improved clivo-axial angle 35) , as well as reduction of forward head translation and increased lordosis in patients having presence of partial cervical spine fusion 52,55) .…”

Improving the cervical lordosis relieves neck pain and chronic headaches in a pediatric: a Chiropractic Biophysics^® (CBP^®) case report with a 17-month follow-up

“…It is important to assess the cervical spine in patients who present with craniocervical complaints, as has been recently stated that many healthcare providers fail to image the cervical spine to screen for biomechanical malalignment 27,28) . A failure to diagnose a spine subluxation pattern will lead to ineffective treatment.…”

Re-establishing the cervical lordosis after whiplash: a Chiropractic Biophysics^® spinal corrective care methods pre-auto injury and post-auto injury case report with follow-up

“…The alignment of the cervical spine is becoming recognized as an important biomechanical biomarker in the health and wellness of patients who present with various craniocervical ailments including neck pains, headaches, dizziness, etc 1 , 2 , 3 , 4 , 5 ) .…”