Resolution of Facial Neuralgia Following Reduction of Atlas Subluxation Complex

trigeminal photo: Trigeminal Neuralgia tn.jpg


Timothy Flory, DC, Jonathan Chung, DC, Jonathan Ozner, DC

Journal of Upper Cervical Chiropractic Research ~ February 23, 2015 ~ Pages 6-13


Objective: The purpose of this case study is to provide a detailed report on the symptomatic improvement of a patient diagnosed with both trigeminal and glossopharyngeal neuralgia undergoing upper cervical chiropractic care using the NUCCA protocol.

Clinical Features: A ten-year-old male presented with a previous diagnosis of trigeminal neuralgia (TN) from a pediatric neurologist. The patient’s mother took him to a chiropractor as a last resort. His history shows that he suffered for nearly 4 months with intense bouts of headaches, earaches, neck pain and extreme facial pain. He was  prescribed medications by a neurologist with no overall relief. He was further diagnosed by the chiropractor with glossopharyngeal neuralgia (GPN).

Interventions and Outcome: The chiropractic care consisted of upper cervical care through the technique of the National Upper Cervical Chiropractic Association (NUCCA). During the patient’s initial phase of care, the upper cervical subluxation as well as his symptoms improved significantly. After 7 months the patient reported complete resolution of his main complaint, as well as significant reduction in the associated symptoms. Follow up appointments done 1.5 years after the initial exam show that the patient was still symptom free.

Conclusion: This case demonstrates the reduction and eventual resolution of trigeminal and glossopharyngeal neuralgia associated symptoms following the reduction of the Atlas Subluxation Complex. This case adds further evidence to the literature demonstrating the effectiveness of upper cervical chiropractic care for facial neuralgias. Cohort studies and clinical trials should be performed to study the impact that upper cervical chiropractic may have on facial neuralgias.


Key Words:  chiropractic, subluxation, pediatric, trigeminal neuralgia, glossopharyngeal neuralgia, NUCCA, upper cervical


Utilization of Videofluoroscopy to Demonstrate Kinematic Changes to the Spine Following Chiropractic Care


Fitzwilliam Health Clinic

Casey N. D’Arcy, DC & Nathan Berner, DC

Annals of Vertebral Subluxation Research ~ February 2, 2015 ~ Pages 9-13


Objective: To evaluate changes in intersegmental motion of the spine following chiropractic care with the utilization of video fluoroscopic studies.

Clinical Features: Four subjects were included in this study.  All patients presented to the chiropractic clinic seeking care for relief of symptoms.  The protocol used consisted of a combination of video fluoroscopy, plain film x-ray photographs, and infrared thermography scans.  Each of the four patients’ videofluoroscopy tapes were evaluated in order to identify the existence and location of vertebral locking within the spine.  Based upon the patient’s clinical presentation they were adjusted as indicated and underwent follow up videofluoroscopy analysis following chiropractic care.

Outcomes: All four subjects in the study had a significant degree of positive and measurable change with intersegmental motion following chiropractic intervention.  Three females and one male participated and each had immediate and positive reports on relief of symptoms.   Images were taken from the videos in maximal extension before and after chiropractic adjustment(s) were delivered to the segment(s) determined to have vertebral subluxation present.  On average, there were two adjustments to the segment(s) showing vertebral locking on the video fluoroscopy motion study and all demonstrated decreased vertebral locking on the post motion study.


Conclusion: With the utilization of video fluoroscopy the chiropractic profession is able to reliably demonstrate kinematic changes of the spine following chiropractic care.


Keywords: Subluxation, Pierce Results System, Chiropractic, Videofluoroscopy