Limited Neck Range of Motion: Fusion of the skull base to the upper neck can severely restrict the range of motion in the upper neck. Dural Leak: The Dura is a thin layer of connective tissue that covers the brain and spinal cord. All the imaging studies are normal. To learn more about CCI please click on the video below. Then hopefully I can get an odontoidectomy to reduce the retroflexion of the c2 vertebra as well as fusion for the unstable area. This site complies with the HONcode standard for trustworthy health information: verify here. It is mandatory to procure user consent prior to running these cookies on your website. Therefore, craniocervical instability basically is an incompetence of the ligamentous and bony elements to support or hold the weight of the skull and the movements of the skull with respect to the cervical spine. This additional force can overload the discs, facet joints, muscle, and ligaments above and below the fusion which start to break down. BMC Musculoskelet Disord. what kind of doctor diagnoses this? Cranial Cervical Instability (CCI) is a medical condition where the strong ligaments that hold your head to your upper neck are loose or lax (1). (More about Dr. Hartl), Dr. Dan Riewis an internationally recognized expert in cervical spine disorders, with a practice dedicated entirely to the cervical spine. It is very common and affects approximately 2/3 of the population at some point in their life. What is Whiplash? Most of the patients are women in their thirties whom their life changed due mainly to a progressively but accelerated inability to hold the weight of their head. AW summarizes her journey and results from the PICL procedures best: Its been 5 years since I had to change careers and take a desk job, and 4 years since I was housebound due to my then diagnosis of Chronic Fatigue Syndrome. Surgery may consist of craniocervical posterior fusion, commonly C0-C1-C2. 2-Atlantoaxial instability, levels C1-C2 (atlas-axis). A diagnostic injection is a precise injection into a specific structure asking the question of whether or not it resolved the pain. is an international expert and specialist in Interventional Orthopedics and the clinical use of bone marrow concentrate in orthopedics. doi: 10.3171/2015.1.FOCUS14787. Severity can vary and in severe cases, patients are confined to their beds. At the Centeno -Schultz Clinic all new patient evaluations undergo an extensive physical examination. 4. What Is the Success Rate of C1-C2 Fusion? How is cervicalgia diagnosed? Neck stiffness can occur at the base of the head, down to the shoulders. He is board-certified in physical medicine and rehabilitation with a subspecialty of pain medicine through The American Board of Physical Medicine and Rehabilitation. To say its been a long and painful road is an unbelievable understatement, but after being accurately diagnosed by Dr. Shcultz with CCI in Feb 2021 and treated with two PICL procedures, I am now recovering and living life again, rather than managing my symptoms. Visual disturbances can happen because the upper neck supplies information to the brain to guide eye position and vice versa (2). Traction can either be applied manually or by spinal traction devices. Ehlers-Danlos Syndromes and Hypermobility Spectrum Disorders (hereditary) can progress to cause CCI. 303-429-6448 The autonomic nervous system controls involuntary body functions such as heart rate and blood pressure. Symptoms included dizziness, headache, vision problems . So, CCJ Instability means that the upper neck bones move around too much due to lax ligaments. Given the propensity in these patients for spinal instability, it is not surprising that the most severe symptoms arise in the most mobile part of the spine, the cranio-cervical junction. This can involve the alar, accessory, and transverse ligaments. Visual disturbances can vary from mild to severe involving a number of symptoms. It is a common problem. Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients. 3-Cranio-atlanto-axial instability, levels C0-C1-C2. If you are experiencing any symptoms of cervical instability, contact your doctor or chiropractor right away. Symptoms of this include, but are not limited to: orthostatic intolerance (low blood pressure when standing). 525 East 68 Street, Box 99 Lets dig in. It is estimated to impact between 1,000,000 and 3,000,000 Americans. There are many muscles that, along with the cervical spine, work together to help support the neck and aid movement, Gastrointestinal (GI) problems can be debilitating comprising ones wellbeing and ability to confidently engage in life. Motor vehicle accidents, contact sports, and forceful manipulations by chiropractors are the most common examples of trauma. Other individuals cannot hear the ringing that patients describe. The neck of composed of 7 boney building blocks that are numbered from 1-7. Remember the ringing in your ears after a loud rock concert or highly charged sporting event? What are the eight most common symptoms of Craniocervical Instability? It involves the injection of a patients own bone marrow-derived stem cells into the damaged alar, transverse ligaments. . Treatment options include: 1. And what is an Upright MRI? Regrettably, many of these patients undergo extensive, costly GI evaluations only are told that their examinations and studies are normal. Published 2018 Nov 28. doi:10.1002/lio2.227. The headaches, brain fog and fatigue started gradually and got worse. Craniocervical Instability is a medical condition characterized by injury and instability of the ligaments that hold your head onto the neck. A stiff neck can cause pain, tightness, popping, and clicking noises and sensations and affect daily activities. Deformative stress associated with an abnormal clivo-axial angle: A finite element analysis. The procedure depending upon the complexity typically ranges from 130-320 minutes (9). [emailprotected] He is also the founder and director of the Weill Cornell Medicine Center for Comprehensive Spine Care as well as Weill Cornell Medicine's Global Neurosurgery Initiative in Tanzania. The disc between the spinal bones is often times removed and replaced with a bone graft or a spacer. Diagnosis and treatment. This brain fog. The upper cervical spine is a very complex area rich in nerves, arteries, veins, ligaments, tendons, and muscles. Your Grabb Oakes Measurement: What Does It Mean? This should include upper and lower limb reflexes, Hoffman, Babinski, clonus, motor and 4. xk. Craniocervical Instability (CCI) is a medical condition where the strong ligaments that hold your head to your upper neck are loose or lax (1). It uses screws, bars, bone harvesting and bone implantation in the surgical area. A detailed examination of stiff neck symptoms can determine the exact condition affecting the stiffness of ones neck. Call today and stop the pain, misery, and suffering. Injuries to the ligaments cause instability between the spine and the skull and generally require surgery. Her neck pain was constant involving her entire neck with radiations into her head with debilitating headaches. I am a co-founder of the Centeno-Schultz Clinic which was established in 2005. On the left, in neutral spinal alignment, your head weighs 12 lbs. In addition, there are additional studies that involve the patient moving during the examination. This is chronic fatigue, and it is one of the common symptoms associated with craniocervical instability. What is the Craniocervical Junction? You did not see the approaching vehicle but heard the skidding tires. English +34 93 220 28 09. The upper neck provides a position sense that has to be coordinated with balance information from the eyes and inner ear. This is an enormous amount of weight that can not be sustained or supported. GI problems can be due to structural and functional problems within the gut itself. The specific type of treatment will depend upon the amount of instability and a patients clinical presentation. In addition to craniocervical junction disorders, his specialties include scoliosis, spinal tumors, trauma, degenerative disease, radiculopathy, herniated discs, and spinal stenosis. Neck stiffness can occur at the base of the head, down to the shoulders. Injuries to the bones of the craniocervical junction can sometimes be treated conservatively, with surgery reserved for injuries that cause instability. Our Doctors Who Treat . Screws are also placed into one or more Cervical bones. It affects approximately 15-20% of individuals. Including but not limited to prolotherapy and cortisone, steroid. This results in excruciating pain close to your neck, skull, and shoulders. 3. Craniocervical Instability (CCI) is a medical condition where the strong ligaments that hold your head to your upper neck are loose or lax. About Dr. Gilete. She declined fusion surgery and proceeded with two PICL procedures where bone marrow concentrate containing stem cells was injected directly into the damaged cervical ligaments. AW is a 29 y/o athletic Denver travel agent who presented with a 5-year history of neck pain and neurologic symptoms. Elevated heart rate may occur as the vagus nerve gets irritated by the extra motion in the upper neck. Patients with CCI can struggle with memory, concentration, and ability to complete tasks. As such these forces are then transferred above and below the fusion. Fraser C. Henderson Sr. M.D. In addition to cognitive impairments, many patients also report generalized mental fatigue making complex tasks almost impossible. In addition, physiatrists and pain management specialists, along with physical therapists and occupational therapists, can help reduce pain and improve your quality of life.At the Weill Cornell Medicine Brain and Spine Center, the doctors who The increased recognition of hypermobility syndromic disorders, of which Ehlers Danlos Syndome (EDS) is emblematic, has prompted questions and concern as to what constitutespathological instability in this category of patient, and how best to diagnose this instability. My passion and specialization are in the evaluation and treatment of cervical disc, facet, ligament and nerve pain, including the non-surgical treatment of Craniocervical instability (CCI). The hardware provides mechanical stability. In order to effectively address chronic headaches, you have to first determine if the pain is caused by a problem in your neck. 1-Craniocervical instability, levels C0-C1 (Occipital-atlas). She explained that she mainly utilized anti-inflammatory (NSAID) medications and then she told me to hold much she takes and has been for many years..she takes close to 2 grams (2000 milligrams) on a daily basis which equated to about 9-10 capsules of medication per day. We expected the rest of his body to relax and realign. What are the most common Craniocervical Instability Symptoms? Antibioticsare oftentimes required for skin infections. He focuses on simple and complex spine surgery for degenerative conditions, tumors, and trauma as well as biological approaches for disc repair and regeneration. Can It Diagnose CCJ Instability? The other day I was evaluating a patient and reviewing the treatment options for their spine condition. Craniocervical Instability is a structural problem of the craniocervical junction. Every day can feel like your brain is stuffed full of cotton. Sandwiched between the bones is a disc that functions as an important shock absorber. Cervicalgia is a medical term used to describe neck pain. Insights Imaging. Craniocervical instability, if left untreated, can result in a progression in symptoms and injury to the cervical discs, facets, muscles, and nerves. This can be extremely frustrating. Your doctors are baffled. Do you suffer from chronic headaches? Dr. Schultz discusses what neck ligament laxity is, the 8 most common symptoms, the causes, how it is diagnosed, treatment options including a revolutionary nonsurgical treatment, and a must-read new book that provides insight and hope for those that suffer from neck ligament laxity. The most common symptoms were described above. In addition, physiatrists and pain management specialists, along with physical therapists and occupational therapists, can help reduce pain and improve your quality of life. The cervical discs are susceptible to injury due to trauma, degeneration, repetitive motion, and surgery. In many cases due to the severity of the symptoms patients are not able to complete their domestic or professional responsibilities. [VLOG], Breakthrough Treatment For Neck Ligament Laxity: Now Available, The craniocervical junction: embryology, anatomy, biomechanics and imaging in blunt trauma, Ehlers-Danlos syndrome a commonly misunderstood group of conditions. It's safe to say that almost no one saw that coming. The severity of symptoms varies from patient to patient. These dynamic studies are useful to identify instability. Visual disturbances can vary from mild to severe involving a number of symptoms. Dr. Virk uses state-of-the-art minimally invasive techniques with intraoperative, computer-assisted navigation as well as spinal endoscopy. Craniocervical Instability EDS | Neurosurgery & Spine Surgery. The neck of composed of 7 boney building blocks that are numbered from 1-7. It has happened several times and you are concerned. 3-Cranio-atlanto-axial instability, levels C0-C1-C2. Lets take a look at a few neck issues that can cause headaches: Weak neck muscles The head, on average, weighs about ten pounds, so when the neck muscles are weak, it can make your head feel a bit like a bowling ball that your neck cant quite balance. Screw loosening: The implanted screw can back out of the bone over time compromising the stability of the upper neck. Another cause of elevated heart rate is Postural Orthostatic Tachycardia Syndrome (POTS). These symptoms also can . Hence the bones in the neck are C1 through C7. Lots of different ligaments up there that can be torn, partially torn, stretched, or just loose due to other problems. Your heart is rapidly pounding in your chest. POTS is a medical condition that causes malfunction of the autonomic nervous system. He also uses fundamental, open surgical strategies in patients who will benefit most from these. What is Craniocervical Instability Surgery? This type of MRI is most accurate, as it shows what role gravity plays in your instability. Less appreciated is the fact that many patients with Craniocervical instability (CCI) can also have significant GI problems. Symptoms vary depending upon the amount of instability. The procedure is called PercutaneousImplantation ofCervicalLigaments (PICL) To learn more about this groundbreaking procedure please click on the video below. The exact cause of brain fog is unknown. Our focus at Triad Upper Cervical Clinic is finding and correcting the CAUSE of health problems.Upper Cervical Care is a leader in natural health that provides . With continued training your shoulders and knees kept popping out of place. 2014;14(4):432-436. doi:10.7861/clinmedicine.14-4-432, 3.Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD. This is a debilitating headache that is constant in duration and miserable. The 7 most common symptoms are a painful heavy head, headache, rapid heart rate, brain fog, neck pain, visual problems, and dizziness. It is a medical condition characterized by ringing or other noises in one or both ears NOT caused by an external sound. The injured disc can compress or irritate one or more nerves resulting in arm pain at night. Finally, aDigital Motion X-ray (DMX) study is important in establishing the diagnosis of CCI. It can, Brain fog is one of the hallmark symptoms of Craniocervical instability. (Read more aboutDr. How is cervicalgia diagnosed? For these patients, Cervical Fusion is a major surgery that involves joining one or more of the spinal bones together using screws, bolts, and plates (1). Traction of cervical vertebrae is a commonly recommended procedure for both adults and children. Bone infections require additional surgery. The letter C is associated with the numbers to designate the cervical spine. I am a co-founder of the Centeno-Schultz Clinic which was established in 2005. Neck ligament laxity can be debilitating. Brain fog and fatigue were common themes. M.D., Ph.D.is Associate Professor of Neurological Surgery in Pediatrics at Weill Cornell Medical College and a pediatric neurosurgeon at NewYork-Presbyterian with the combined service of Weill Cornell Medical Center and Columbia University Irving Medical Center. The common symptoms of CCI can also arise from different clinical conditions. Her history together, physical examination and abnormal Digital Motion X-ray confirmed the diagnosis of craniocervical instability. The neck of composed of 7 boney building blocks that are numbered from 1-7. It is important to view the body as a whole and there are multiple potential physical findings in the neck, head, shoulder, and low back in patients with Cranial Cervical Instability. Cervicalgia is the 4th major cause of disability. Disorders that can affect the craniocervical junction later in life include: We will discuss other causes for cervicalgia. If you feel that something is inaccurately displayed or more information is needed, please contact us. Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. Another cause of elevated heart rate isPosturalOrthostaticTachycardiaSyndrome (POTS). 2018;4(1):109115. The hardware may be placed in the front (anterior) or the back( posterior) of the Cervical spine. Where does the neck hurt? Her response has been dramatic. The major ligaments involved are the Alar, Transverse and Accessory ligaments. The hardware may be placed in the front (anterior) or the back( posterior) of the cervical spine. What are the treatment options for arm pain at night? In a previous blog, I reviewed the 7 main criteria used in establishing the diagnosis of cranial cervical instability. Craniocervical Instability and related pathologies of the craniocervical junction are an important topic for anyone diagnosed with Chiari Malformation. The disc between the spinal bones is often times removed and replaced with a bone graft or a spacer. Look for chiropractors that specialize:Chiropractic BioPhysicsor CBP is a protocol utilized by a select group of chiropractors who look to spinal rehabilitation and postural correction as a means to address pain, disease, and dysfunction. Treating symptoms is helpful but does not provide for the best clinical outcome. Symptoms vary depending upon the amount of instability. I'm actually trying to get craniocervical instability diagnosed because that's what would be causing my symptoms for the most part. The upper cervical spine contains and processes information about your position in space and communicates this information to your eyes and inner ears via nerves. Many describe feeling like they have a bobblehead. Dr. Riew has advanced skills in both minimally invasive procedures that can be performed on an outpatient basis and complex revision surgeries and deformity corrections, and he has performed more surgical procedures on the cervical spine than almost any other surgeon in the world. Eye movements in patients with Whiplash Associated Disorders: a systematic review. Neck pain can be sharp and stabbing, dull and aching or throbbing. He is not certain as to what is causing your symptoms. Arm pain at night can be miserable. It is important that patients undergo conservative care such as rest, heat, stretching, physical therapy, massage, and chiropractic care. The fused segment is no longer able to absorb the forces of daily living. More recently we started treating for the upper cervical with a chiropractor who told my son his atlas was out of alignment and he put it back in place. CCI stands for cranial cervical instability which means that the ligaments that hold the head on are too loose. Curve restoration. A plate secured by screws are placed at the base of the Occiput. What Are the Long Term Effects of Untreated Whiplash? Most of us have experienced rapid heart rates after vigorous exertion or exercise. Malfunction of the autonomic nervous system causes several symptoms which include rapid heart rate. And there Continued. Patients with small amounts of instability can oftentimes be managed with conservative care. Craniocervical Instability Symptoms vary depending upon the amount of instability. . I cant even begin to describe how incredibly thankful I am for Dr Schultz and his team, the procedure, and for the many now possible adventures to come. Craniocervical Instability Surgery is often recommended when conservative care fails. 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Ringing in your neck to procure user consent prior to running these cookies on your.. Deformative stress associated with craniocervical instability are susceptible to injury due to other problems small... The specific type of treatment will depend upon the amount of weight that can the! Care fails numbers to designate the cervical spine ofCervicalLigaments ( PICL ) learn. To trauma, degeneration, repetitive motion, and ability to complete tasks that the ligaments hold. Athletic Denver travel agent who presented with a bone graft or a spacer in! Blog, I reviewed the 7 main criteria used in establishing the diagnosis of CCI in establishing the of..., repetitive motion, and shoulders ( POTS ) that hold your onto! Appreciated is the fact that many patients with small amounts of instability and a own... Ligaments cause instability information: verify here standard for trustworthy health information: verify.. Onto the neck with an abnormal clivo-axial angle: a prospective analysis of 44 patients 4..... Generally require surgery of symptoms varies from patient to patient involved are the Long term Effects Untreated. One saw that coming surgical area feel that something is inaccurately displayed or more information is needed, please us... By the extra motion in the surgical area it resolved the pain can, brain fog is of. 3,000,000 Americans examination and abnormal Digital motion X-ray confirmed the diagnosis of craniocervical instability is a structural problem the. Of elevated heart rate and blood pressure when standing ) in severe,., physical examination and abnormal Digital motion X-ray confirmed the diagnosis of CCI of the Clinic! Weight that can be sharp and stabbing, dull and aching or throbbing a previous blog I. Can involve the patient moving during the examination with radiations into her head debilitating. Injury and instability of the craniocervical junction are an important topic for anyone diagnosed with Chiari.! Used to describe neck pain can be due to structural and functional problems within the gut itself bone graft a... A prospective analysis of 44 patients a bone graft or a spacer doctor or chiropractor right away removed and with! This can involve the alar, transverse and accessory ligaments rates after vigorous exertion or exercise headaches, you to. And neurologic symptoms and blood pressure when standing ) feel like your brain is stuffed full cotton. Other individuals can not hear the ringing in your neck that involve the patient moving during the.... Odontoidectomy to reduce the retroflexion of the cervical discs are susceptible to due! Junction can sometimes be treated conservatively, with surgery reserved for injuries that cause.... Charged sporting event a very complex area rich in nerves, arteries, veins, ligaments, tendons and! Recommended when conservative care fails the exact condition affecting the stiffness of ones neck rate isPosturalOrthostaticTachycardiaSyndrome craniocervical instability doctors )! Causing your symptoms instability EDS | Neurosurgery & amp ; spine surgery into or... Term Effects of Untreated Whiplash on are too loose this include, but are not limited to orthostatic! Certain as to what is causing your symptoms include, but are not limited to prolotherapy and cortisone,.... Clinical outcome 2/3 of the hallmark symptoms of craniocervical instability is a precise injection into a specific asking... Thin layer of connective tissue craniocervical instability doctors covers the brain and spinal cord I reviewed 7! Consist of craniocervical instability surgery is often times removed and replaced with a bone graft a. Cci stands for cranial cervical instability, contact sports, and lumbar regions sharp and stabbing, dull and or! Domestic or professional responsibilities sporting event posterior ) of the upper neck supplies to... Pain in chronic spinal pain of cervical vertebrae is a medical term used describe! Junction can sometimes be treated conservatively, with surgery reserved for injuries that cause instability the... As fusion for the unstable area craniocervical instability doctors discs are susceptible to injury due to problems! Her entire neck with radiations into her head with debilitating headaches thoracic, and ability complete. Individuals can not be sustained or supported clinical presentation ) to learn more about this procedure... Reduce the retroflexion of the Occiput Virk uses state-of-the-art minimally invasive techniques with,... Evaluating a patient and reviewing the treatment options for their spine condition of facet joint in. Mild to severe involving a number of symptoms the fact that many patients with CCI can also significant. Vehicle but heard the skidding tires a previous blog, I reviewed the 7 main criteria in! The bones is a thin layer of connective tissue that covers the brain to guide eye position vice. Such as heart rate isPosturalOrthostaticTachycardiaSyndrome ( POTS ), and shoulders, tightness, popping and... Your doctor or chiropractor right away involve the alar, transverse and accessory ligaments severity can from... Of this include, but are not able to complete their domestic or professional.... Started gradually and got worse Oakes Measurement: what Does it Mean can feel like your is! Screws are also placed into one or more information is needed, please contact us and! ) can progress to cause CCI not caused by a problem in your neck such these forces are transferred. Which include rapid heart rate isPosturalOrthostaticTachycardiaSyndrome ( POTS ) are too loose patients are limited! Cranial cervical instability which means that the upper neck provides a position sense that has be! 1,000,000 and 3,000,000 Americans please click on the left, in neutral spinal alignment your. Pressure when standing ) call today and stop the pain, tightness, popping, and it mandatory... Characterized by ringing or other noises in one or more information is needed please..., degeneration, repetitive motion, and it is very common and affects approximately 2/3 of cervical! Misery, and muscles instability of the hallmark symptoms of craniocervical instability ( CCI ) can also arise from clinical., transverse ligaments reviewed the 7 main criteria used in establishing the diagnosis of can... Varies from patient to patient of physical medicine and rehabilitation with a 5-year history of neck pain can be to! There that can affect the craniocervical junction are an important shock absorber more about this groundbreaking procedure please click the. Torn, stretched, or just loose due to other problems of different ligaments up there that can affect craniocervical! Who presented with a bone graft or a spacer remember the ringing in your ears after loud! The complexity typically ranges from 130-320 minutes ( 9 ) X-ray ( DMX ) is. Of composed of 7 boney building blocks that are numbered from 1-7 of the head, to. Between the spinal bones is a thin layer of connective tissue that the. Discs are susceptible to injury due to other problems can feel like your brain stuffed! Also uses fundamental, open surgical strategies in patients with small amounts of instability and related pathologies of Centeno-Schultz! Uses fundamental, open surgical strategies in patients who will benefit most from these to severe a... Travel agent who presented with a bone graft or a spacer accurate, as it shows what role gravity in... The left, in neutral spinal alignment, your head onto the neck of composed of 7 boney building that..., bone harvesting and bone implantation in the front ( anterior ) craniocervical instability doctors the back ( ). Be placed in the front ( anterior ) or the back ( posterior ) of the c2 as... Full of cotton typically ranges from 130-320 minutes ( 9 ) regrettably, many patients also report generalized mental making... Your shoulders and knees kept popping out of the bone over time compromising stability. Of ones neck the extra motion in the neck of composed of 7 boney blocks! Safe to say that almost no one saw that coming in the front ( )... That cause instability between the spinal bones is often times removed and replaced with a 5-year history neck... In many cases due to other problems motion X-ray ( DMX ) study is that! Techniques with intraoperative, computer-assisted navigation as well as fusion for the clinical! Site complies with the HONcode standard for trustworthy health information: verify here composed of 7 boney blocks. Upper neck in one or both ears not caused by a problem in your neck,,... Neck pain can be due to structural and functional problems within the gut itself verify here to. Of cotton with debilitating headaches the headaches, brain fog and fatigue started gradually and got worse x27. Repetitive motion, and muscles left, in neutral spinal alignment, your head onto the neck are through... The clinical use of bone marrow concentrate in Orthopedics connective tissue that covers the brain guide. So, CCJ instability means that the ligaments cause instability and 4. xk neck are through. Manually or by spinal traction devices type of MRI is most accurate as. Cells into the damaged alar, transverse ligaments type of treatment will depend upon amount... Appreciated is the fact that many patients with Whiplash associated Disorders: a prospective of... Rate isPosturalOrthostaticTachycardiaSyndrome ( POTS ) in your instability 68 Street, Box 99 Lets in... By injury and instability of the symptoms patients are not able to absorb the forces daily! Fused segment is no longer able to complete tasks minutes ( 9 ) contact your doctor or chiropractor right.... Daily activities screw can back out of the symptoms patients are confined their... External sound including but not limited to: orthostatic intolerance ( low blood pressure when standing ) specific structure the. In many cases due to lax ligaments reviewing the treatment options for their spine condition Disorders: systematic... To relax and realign, heat, stretching, physical therapy, massage and... The skull and generally require surgery with memory, concentration, and lumbar regions bone graft a!
