is a subjective sensation of environmental movement,
or dizziness, which can range from mild, transient
episodes to severe, extended attacks. Often, vertigo
is associated with nausea, vomiting, malaise,
hearing loss, tinnitus (ear ringing), and a feeling
of ear fullness or pressure. Types of vertigo
disorders include benign paroxysmal positional
vertigo (BPPV), Meniere's Disease, and labyrinthitis.
IUCCA UPPER CERVICAL CARE RELATES TO VERTIGO DISORDERS
body of medical literature detailing a possible
trauma-induced (concussion, whiplash, etc.) etiology
for vertigo, or at least a contribution, is substantial.1-16
In fact, researchers have pinpointed a mechanism
for certain types of vertigo originating from
neck dysfunction, also known as "cervicogenic
According to medical literature, vertigo can be
elicited by hyperactivity of spinovestibular afferents
(irritated joints in the upper neck). Since the
cervical afferents (neck joints) assist in the
coordination of the eye, head, and body, spatial
orientation and control of posture, a stimulation
and/or lesion in these structures can produce
vertigo disorders can be triggered immediately
or they can take months or years to develop. The
purpose of IUCCA upper cervical chiropractic care
is to reverse the trauma-induced upper neck injury,
thereby reducing irritation to the nerves that
trigger vertigo. While many vertigo sufferers
recall specific traumas such as head injuries,
auto accidents or falls, some do not. An upper
cervical examination utilizing Laser-aligned
Radiography and Digital
Infrared Imaging is
necessary in each individual's case to assess
whether an upper cervical injury is present and
whether benefit from IUCCA upper cervical care
can be achieved.
Vertigo Case Studies
ARTICLES AND PUBLICATIONS
Patients With Chronic Vertigo Undergoing Upper
Cervical Chiropractic Care to Correct Vertebral
Subluxation: A Retrospective Analysis"
by Erin L. Elster, DC. Journal of Vertebral Subluxation
Research. November 2006.
Cervical Chiropractic Care Corrects Dizziness
/ Vertigo" by Erin Elster, DC. Women's
Magazine. January 2000.
Fitzgerald DC. Head trauma: hearing loss and dizziness.
J Trauma 1996 Mar; 40(3): 488-96. 2. Hornibrook
J. Immediate onset of positional vertigo following
head injury. NZ Med J 1998 Sep 11; 111(1073):349.
3. Said J, Izita A, Gonzalez A. Tinnitus and post-traumatic
vertigo- a review. Int Tinnitus J 1996; 2: 145-50.
4. Merior P, Marsot-Dupuch K. Imaging of post-traumatic
tinnitus, vertigo and deafness. J Radiol 1999
Dec; 80(12 Suppl): 1780-7.
5. Kessinger RC, Boneva DV. Case study: acceleration/deceleration
injury with angular kyphosis. J Manipulative Physiol
Ther 2000 May; 23 (4): 279-87.
6. Katsarkas A. Benign paroxysmal positional vertigo
(BPPV): idiopathic versus post-traumatic. Acta
otolaryngol 1999; 119(7): 745-9.
7. Gusev EI, Nikonov AA, Skvortsova VI. Treatment
of vertigo in patients with vascular and traumatic
cerebral injuries. Zh Nevrol Psikhiatr Im S S
Korsakova 1998; 98(11): 19-21.
8. Godbout A. Structured habituation training
for movement provoked vertigo after severe traumatic
brain injury: a single case experiment. Brain
Inj 1997 Sep; 11(9): 629-41.
9. Fischer AJ, Verhagen WI, Huygen PL. Whiplash
injury. A clinical review with emphasis on neuro-otological
aspects. Clin Otolaryngol 1997 Jun; 22(3): 192-201.
10. Claussen CF, Claussen E. Neurootological contributions
to the diagnostic follow-up after whiplash injuries.
Acta Otolaryngol Suppl 1995; 520 Pt 1: 53-6.
11. Elies W. Cervical vertebra-induced hearing
and equilibrium disorders. Recent clinical aspects.
HNO 1984 Dec; 32(12): 485-93.
12. Lehrer JF, Poole DC. Post-traumatic Meniere's
syndrome. Laryngoscope 1984 Jan; 94(1): 129.
13. Paparella MM, Mancini F. Trauma and Meniere's
syndrome. Laryngoscope 1983 Aug; 93(8): 1004-12.
14. Conrad B, Aschoff JC. Trauma as the cause
of Meniere's disease. Nervenarzt 1976 Jan; 47(1):
15. Otte A, Ettlin TM, Fierz L. Cerebral findings
following cervical spine distortion caused by
acceleration mechanism (whiplash injury). Schweiz
Rundsch med Prax 1996 Sep 3; 85(36): 1087-90.
16. Mallinson AI, Longridge NS. Dizziness from
whiplash and head injury: differences between
whiplash and head injury. Am J Otol 1998 Nov;
17. Galm R, Rittmeister M, Schmitt E. Vertigo
in patients with cervical spine dysfunction. Eur
Spine J 1998; 7(1): 55-8.
18. Gimse R, Tjell C, Bjorgen IA. Disturbed eye
movements after whiplash due to injuries to the
posture control system. J Clin Exp Neuropsychol
1996 Apr; 18(2): 178-86.
19. Erlandsson SI, Eriksson-Mangold M, Wiberg
A. Meniere's Disease: trauma, distress and adaptation
studied through focus interview analyses. Scand
Audiol Suppl 1996; 43: 45-56. 20. Soustiel JF,
Hafner H, Chistyakov AV. Trigeminal and auditory
evoked responses in minor head injuries and post-concussion
syndrome. Brain Inj 1995 Nov-Dec; 9(8): 805-13.
21. Davies RA, Luxon LM. Dizziness following head
injury: a neuro-otological study. J Neurol 1995
Mar; 242(4): 222-30.
22. Kortschot HW, Oosterveld WJ. Otoneurologic
disorders after cervical whiplash trauma. Orthopade
1994 Aug; 23(4): 275-7.
23. Schwaber MK, Tarasidis NG. Labyrinthitis ossificans
following post-traumatic hearing loss and vertigo:
a case report with antemortem histopathology.
Otolaryngol Head Neck Surg 1990 Jan; 102 (1):
24. Scherer H. Neck-induced vertigo. Arch Otorhinolaryngol
25. Brandt T. Cervical vertigo- reality or fiction?
Audiol Neurootol 1996 Jul-Aug;1(4):187-96. 26.
Reker U. Function of proprioceptors of the cervical
spine in the cervico-ocular reflex. HNO 1985 Sep;
27. Tjell C, Rosenhall U. Smooth pursuit neck
torsion test: a specific test for cervical dizziness.
Am J Otol 1998 Jan; 19(1): 76-81.
28. Hinoki M, Niki H. Neuroltological studies
on the role of the sympathetic nervous system
in the formation of traumatic vertigo of cervical
origin. Acta Otolaryngol Suppl 1975; 330: 185-96.
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