In the Jan­u­ary 2002 edi­tion of the peer reviewed sci­en­tific jour­nal, the Jour­nal of Manip­u­la­tive and Phys­i­o­log­i­cal Ther­a­peu­tics, (JMPT) appeared a case study on a 41-year-old woman who sought chi­ro­prac­tic care with com­plaints of pain at the TMJ on both sides, ear pain, ring­ing in the ears, ver­tigo, decreased hear­ing abil­ity, and a sen­sa­tion of pres­sure or full­ness in both ears. She also reported that move­ments of her jaw while talk­ing or chew­ing pro­voked pain at the TMJ.

Before seek­ing chi­ro­prac­tic care she was treated for her TMJ by two med­ical doc­tors. She was also referred to an eye, ear, nose, and throat spe­cial­ist, who diag­nosed her with TMJ syn­drome. Addi­tion­ally, she was referred to a den­tist for the prob­lem. Med­ical rec­om­men­da­tions were to apply heat to the area, reduce talk­ing and yelling, and change her diet to a soft diet. Even with all this med­ical and den­tal care her symp­toms steadily con­tin­ued to get worse.

Even­tu­ally she sought the care of a chi­ro­prac­tor. After an exam­i­na­tion it was deter­mined by the chi­ro­prac­tor that the patient had an Atlas sub­lux­a­tion, (first bone in the neck). Care was begun by a series of adjust­ments. After only a few vis­its the patient reported sig­nif­i­cant improve­ment in her symp­toms. After two and a half months she reported com­plete relief from the TMJ symp­toms. She also reported a decrease in the fre­quency and sever­ity of her headaches. Prior to start­ing chi­ro­prac­tic care, she was expe­ri­enc­ing 1 to 2migraine headache attacks per month. The effects of the chi­ro­prac­tic care were long term as shown at her 1-year follow-up where she had not expe­ri­enced any headache symp­toms for a period of 9 months and her TMJ com­plaints had com­pletely resolved.


Case Study
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