Resolution of Treatment-Resistant Vertigo and Suspected Ménière's Disease Following Knee Chest Upper Cervical Chiropractic Care: A Case Report
Abstract
Ménière's disease and related peripheral vestibular disorders are notoriously difficult to manage, and many patients report persistent symptoms despite pharmacological treatment. Cervicogenic mechanisms have been proposed as contributing factors in some presentations of chronic dizziness, and a small body of literature has explored upper cervical chiropractic care as a conservative intervention. We report the case of a 44-year-old female office worker with a three-year history of episodic vertigo, imbalance, right-sided tinnitus, aural fullness, headache, and anxiety, carrying a working medical diagnosis of Ménière's disease and showing limited response to medication. Examination revealed upper cervical postural asymmetry, restricted cervical range of motion, positive modified Romberg and balance testing, and thermographic findings consistent with upper cervical dysfunction. The patient underwent knee chest upper cervical (KCUC) chiropractic care, with outcomes tracked using the Bournemouth Questionnaire (BQ) and serial clinical reassessment. Over 36 visits, BQ score improved from 60/70 at baseline to 17 at discharge from the initial care plan, with a marked improvement in vertigo frequency, balance, tinnitus, sleep, and anxiety. Partway through care, the patient was diagnosed with breast cancer and underwent lumpectomy and radiotherapy; overall gains were largely sustained, though some objective findings showed mild regression coinciding with this diagnosis and its…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Calcium Ions in the Physiology and Pathology of the Central Nervous System
- AI-powered in silico twins: redefining precision medicine through simulation, personalization, and predictive healthcare
- In silico functional, structural and pathogenicity analysis of missense single nucleotide polymorphisms in human MCM6 gene
- In Silico drug repurposing pipeline using deep learning and structure based approaches in epilepsy
- Targeting serotonin receptors with phytochemicals – an in-silico study
- In silico exploration of anti-prostate cancer compounds from differential expressed genes
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.