Chiropractic management of a 40-year-old female patient with Ménière disease

Abstract

Objective: The purpose of this case report is to describe the chiropractic management of a patient with Ménière disease. Clinical Features: A 40-year-old woman presented with a diagnosis of Ménière disease including a 2-month history of vertigo and a 16-month history of left-sided tinnitus, lowfrequency hearing loss, and aural fullness. The patient's other symptoms included left-sided neck pain, temporomandibular joint pain, and headaches. Examination revealed left-sided upper cervical joint dysfunction along with myofascial trigger points in the middle and upper trapezius muscle. Intervention and Outcome: Treatment included primarily high-velocity, low-amplitude spinal manipulation to the upper cervical and thoracic spine, along with soft-tissue trigger-point therapy, and stretching exercises. Within 2 weeks of treatment, the patient's tinnitus had resolved; and all other symptoms (including vertigo) were improved. The patient's headaches, neck pain, and vertigo were subsequently resolved within 3 months of treatment. The patient experienced only 2 minor episodes of self-resolving "light-headedness" over that time. After 2½ years of follow-up, any occasional episodes of mild aural fullness and/or light-headedness are either self-resolving or relieved with cervical spinal manipulation and soft-tissue treatment. Conclusion: This case report suggests that chiropractic care, including upper cervical spinal manipulation and soft-tissue therapy, may be beneficial in treating some patients with Ménière disease.

The effects of Kinesio taping on pain intensity and soft tissue mechanical properties in non-specific low back pain.

“…The post-isometric relaxation (PIR) technique is based on exerting optimal resistance through the work of the patient and therapist and may induce change via re ex mechanisms. The technique reduced tension within a muscle or group of muscles and increased muscle tolerance to stretch, which was thought to be caused by isometric contraction-induced stimulation of the Golgi tendon organs [18,19,20].…”