1. The Power of Upper Cervical
Dr Neil Bossenger

2. About Spinewave Specialising in: Functional Neurology.
Upper Cervical Specific.
Mindfulness Based Stress Reduction.
Masters in ANS & Pain.

3. The Mouth of God

4. The Power of Upper Cervical

5. Front & Back

6. Upper Cervical Specific

7. Upper Cervical Specific
The unique anatomy of atlas and axis.
The relationship of skull to atlas.
The relationship of atlas to axis.
The neurology of brain (and cerebellum).
The neurology of brainstem.
The neurological associations between.
And basically how the whole body works!

8. Atlas & Axis Most complex alignment system. No locking joints.
Richest array of neurological input.
Gateway between brain and body.

9. Coupled Motions Upper cervical motion is never isolated.
In extension, occiput glides forward and posterior elements close toward each other.

10. C2 Dorsal Rami

11. Upper Cervical for Elephants

12. Suboccipital Musculature
Position sensors (proprioception).
Maintains head alignment.
Ties into spinal graviceptive pathways.
Maintains posture.

13. Brainstem: Your Fuse Box
PMRF/ANS
MLF/eyes
Spinal muscles
Vestibular
Cerebellum
Neck

14. Effects of C1/2 Misalignment

15. What’s the Big Deal?
Structure vs Function

16. Will’s Story Over 8 years lost ability to work.
Chronic daily headaches.
Wore sunglasses indoors.
Chronic fatigue.
Loss of strength on RHS.
Slow mental processing.
After 25 medical practitioners, diagnosed as “psychosomatic”.

17. Effects on Nervous System Small Changes. Big Problems.
↓ frequency of nerve firing to the brain.
↓ oxygenated blood flow to the brain.
↓ or ↑ muscle activity on one side.

18. Effects on Sympathetic Tone
Vascular irritation can cause ↑ activation of the neck & jaw muscles on one side.
This is part of the “Tonic Neck Reflex”.

19. Tonic Neck Reflex
The Tonic Neck Reflex helps to maintain postural stability by adjusting extensor muscle tone as head and neck posture changes.

20. Brainstem Autocorrect
Eyes try to maintain horizon & posture.
TNR leads to increase stress response.
Stress response changes the jaw.

21. Disturbed TNR and the TMJ
Temporalis muscle: may pull condyle posterior.
Lateral pterygoid muscle: may pull disc anterior.
Masseter muscles trigger points.
TMD!

22. Trigeminal Nucleus Teeth/jaw can alter the upper neck.
Input from the face, teeth and TMJ feeds into CN5, processing pain and sensation.
TMJ joint capsule highly innervated.

23. Trigeminal Nucleus
The neck can change sensation over the head, face, teeth and TMJ.
CN5 neurons extend down into the cervical spine.
C1-3 neurons feed trigeminal activity.

24. Necks Can Change Jaws
Aberrant reflexes create pathological TNR causing dysfunctional head posture.
Changes in head posture affect mandibular position.
Mandible therefore affects occlusion.

27. TNR & Orofacial Symptoms
PTSD (anxiety and depression).
Change in facial sensation.
Change in sensation over teeth.
Left arm pain and reduced ROM.
Left hemisphericity.
Anisocoria (sluggish left pupil).
Temperature dysregulation.
Skin changes over left leg.

28. TNR following TBI

29. Upper Cervical Corrections

33. Who Should You See? Dental Problem Upper Cervical Problem
Head & Orofacial Problem

34. Chicken or Egg? Bruxism TMJ disorders Trigeminal neuralgia
Clicking or deviation
Visual disturbance
Headaches
Vertigo
Orofacial pain

36. www.spinewave.co.nz neil@spinewave.co.nz 09 522 0025
Dr Neil Bossenger