Mal de Debarquement Syndrome and Upper Cervical Instability

[@dewebwinkelketen1378]

At 18:18 her jaw looks very asymmetric. This can happen when the muscles on one side of her neck have been pulling very strongly for a long period of time. If it is the SCM that is big it can compress the flow of the jugular.

[@3DAtlasAdjustingTechnique]

Excellent observation

[@ahilleastsavalos5573]

Once again, Dr. Middleton has walked thru the fire for me, and I'm sure he will for you too, no matter where you are

[@jeffmiddleton4908]

Thank you kindly Ahilleas!

[@ahilleastsavalos5573]

Nice presentation

[@3DAtlasAdjustingTechnique]

Thank you Ahilleas!

[@fdauti_ca]

If sleeping on the back should patients ditch the pillow to hold the adjustment?

[@jeffmiddleton4908]

Thank you for viewing our video and your comment. Some patients sleep on their back with a towel rolled under the neck and no pillow!

[@RobertLongM]

Bravo! Nice report. Great script to have done. Curious If the radiologist deemed her normal?

[@tomastorn1]

Could you tell more about patient's evolution after diagnosis and treatment?

[@3DAtlasAdjustingTechnique]

She ended up having her upper cervical spine fused. That did not solve the problem

[@nickhouck9246]

Hello Dr. Middleton. I was recently told that my atlas is subluxated 8° by an upper cervical chiropractor. Is that enough to cause pressure on the brain stem, blood flow to the brain, or one of the vagus nerves? Thank you.

[@jeffmiddleton6532]

Absolutely! A CT angiogram with venous phase would show you a lot.

[@nickhouck9246]

@@jeffmiddleton6532 thank you. They just used x-rays. Can they tell from x-rays?

[@vector769]

Dr. Middleton, unfortunately the advice you provided this patient is not viable. The reason why she has arthritic bone growth at her C4/5 facetsw is because her cervical discs lost height and that resulted in the facets being overloaded. You can't just surgically remove those osteophytes. They would return/grow-back with vengeance for these reasons: 1) the excessive forces on those facets would be still present, excessive forces = more bone growth, 2) any surgical disturbance to that bone when two surfaces are so close together like in the case of a facet joint will result in bone wanting to grow and bridge that gap resulting in larger heteropic ossification and the problem not only not resolved but made worse.

[@debrameyers5431]

Please go to the MdDS Foundation to find out more about MdDS. It may not have anything to do with the spine.

[@edwingarcia9626]

Does walking down the birthday card aisle cause a lot of visually induced dizzyness for you?

[@jeffmiddleton4908]

@@edwingarcia9626 Thank you Edwin for viewing our video!

[@NicoleSlaunwhite]

your spine has everything to do with every function in your nervous system...

[@RobertLongM]

Why doesn't she do PRP when there is already signs of Inflammation?

[@haydend3469]

Sorry to say it but this video looks scary. It looks like you don’t know what she can do to fix those areas of her neck. Clearly she’s trying out weights/curve correction and prolotherapy and you’re suggesting that she needs prolotherapy or an arthritis surgery. Prolotherapy might actually be making her joints worse or have no effect but it looks like you’re just explaining her problems and pointing her in the wrong direction.

[@KevinBeaver]

Looks like this poor lady has Eagle Syndrome...some daggers in there!

[@3DAtlasAdjustingTechnique]

Thank you for viewing our video Kevin and your comment!