Hearing Loss, Otalgia and Neck Pain:
A Case Report on Long-Term Chiropractic Care That
Helped to Improve Quality of Life
SOURCE: Chiropractic Journal of Australia 2002 (Dec); 32 (4): 119-130
Robert Cowin and Peter Bryner
Robert Cowin, DC,
Private practice of chiropractic,
Wollongong, New South Wales
Our thanks to the Chiropractic Journal of Australia and the editor, Mary Ann Chance, DC, FICC for permission to reproduce this article exclusively at Chiro.org!
Objective: To describe symptom reports, multiple chiropractic assessments and adjustments over 7 years with a patient experiencing neck pain and complex ear symptoms consistent with Meniere’s syndrome.
Clinical Features: A 43-year-old female, injured years earlier in a motor vehicle collision, suffered recurrent exacerbations of otherwise continuous neck pain. Later she developed aural symptoms of severe otalgia, hearing difficulty, tinnitus and dizziness that increased and decreased in severity with her neck pain.
Intervention and Outcome: The intervention was repeated application of chiropractic adjustments using a modified Pettibon adjusting device. Over 7 years of observation, the subject consistently reported reduction in symptom severity after adjustments, with relief lasting up to 2 months. Consistent with the natural history of Meniere’s syndrome, an overall deterioration was noted during the observation period. Hearing fluctuated in approximate synchrony with changes in angular displacements of upper cervical vertebrae during the treatment period.
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Conclusion: Observation over an extended period assists in understanding the progression of chronic disorders. This patient experienced substantially reduced symptoms with chiropractic care during the 7-year observation period. Of note is the repeated exacerbation of neck pain that often precedes exacerbation in ear symptoms, along with the relief of both following adjustment and an association between improved hearing and improved cervical alignment.
INDEX TERMS: (MeSH): CHIROPRACTIC; NECK PAIN; TINNITUS; DEAFNESS; HEARING DISORDERS; WHIPLASH INJURIES; MENIERE’S DISEASE; DIZZINESS.
The association between mechanical musculoskeletal problems and visceral symptoms remains tenuous, particularly when assessed by the standards of science. Many in the chiropractic profession accept as a useful clinical premise that such an association exists. Clarifying the issue is important and can proceed only by documenting examples of such associations. In the first instance, this evidence is gathered by case reports and cross-sectional surveys. To date, cross-sectional surveys suggest that between 1 % and 10% of persons seeking chiropractic care do so for a problem not directly associated with the spine. [1-3]