1. Upper Cervical Protocol & Results for 300 Meniere’s Patients Sixth International Symposium on Meniere’s Disease, Kyoto, Japan Dr. Michael T. Burcon, B.Ph., D.C. Grand Rapids, MI USA BurconChiropractic.com MenieresResearch.com

2. September 18, 1895 Harvey Lillard Black male janitor presented with almost total deafness Case history: He was working in a stooped, cramped position when he felt something pop and heard a crack in his neck, immediately losing his hearing. D.D. Palmer, D.C., Magnetic Healer Discovered a bump on the back of Mr. Lillard’s neck at the level of C2 (Axis) Performed the first chiropractic adjustment, restoring Harvey’s hearing.

3. BJ Palmer, DC Son of DD Palmer Took over Palmer Chiropractic College from his father Started researching upper cervical specific chiropractic in 1931

4. Endolymphatic Hydrops “The accumulation of the fluid of the membranous labyrinth of the ear, thought to be caused by the over production or under absorption of that fluid,” Merck Manual. Question: What is the Cause of the problem?

5. Meniere’s Disease is a Syndrome caused by Whiplash

6. It takes an average of 15 years from the time of the trauma before the onset of symptoms.

7. WHIPLASH: Cervical subluxation complex comprised of vertebral facet fixation with the skull positioned anteriorly and tilted or translated laterally, creating neurogenic inflammation resulting in peripheral autonomic nervous system sympathetic irritation, reduced vertebral artery blood and CSF flow, increased mandibular branch CN V motor activity affecting the tensor veli palatini, causing Eustachian tube and TMJ dysfunction and irritation to the nucleus of CNVIII.

8. All of the following conditions exhibit hyper- activation of the Trigeminal ganglion when symptomatic on PET scan: Meniere’s disease Migraine headache Trigeminal neuralgia Bell’s palsy Additionally, patients with one of these conditions are twice as likely to experience another one of these conditions in their lifetime. More than 9 out of 10 benefit from cervical specific chiropractic care.

9. Normal Anterior Occiput Posterior Atlas Rear ended auto accident

10. Posterior C5 Subluxation

11. Head tilt will make you dizzy

12. Right Head Translation “T-Bone” Vehicular Accident

13. Chiropractic Treatment Detailed case history including letter from ENT and copies of tests used to DX MD Titronics TyTron C-3000 cervical thermographs Modified Prill leg check analysis Modified Blair Cervical X-rays Adjustments as determined by pattern work 15 minute rest after adjustment with re-check

14. Thermography

15. Pre and Post Adjustment Graphs of Patient with Right Unilateral Meniere’s C5 Adjusted PIL with Pierce technique Atlas adjusted PIL with Blair technique Followed by 15 minute rest before re-scan

16. Cervical Syndromes “Most significant indication of upper cervical subluxation,” Dr Burcon. Derifield/Thompson Cervical Syndrome Test- Hold patient’s shoes with thumbs under the heel, while applying very mild cephalic pressure. Lift the legs one inch off from the table, keeping the shoes one inch apart. Compare the welts to estimate the leg length differential. Notate differential of short leg to closest 1/8 inch. Instruct patient to slowly turn their head to the right, then to the left. If the legs change length only while turning to the right, notate the amount of change as a right cervical syndrome (RCS). If the legs change length only while turning to the left, notate the amount of change as a left cervical syndrome (LCS). If the leg length changes while turning the head in both directions, notate the total amount of change as a bilateral cervical syndrome (BLCS). If there is no change in leg length when the head is turned, there is no cervical syndrome. Perform following tests to determine which upper cervical vertebrae is subluxated. First Published by Ruth Jackson, MD in 1956

17. Modified Blair X-Rays All 300 consecutive Meniere’s patients tested positive for upper cervical subluxations. 3 Cervical X-rays taken and analyzed: Lateral, A-P Open Mouth & Nasium. All 300 film studies showed evidence of upper cervical subluxation and whiplash, although cervical trauma was denied by over 50% of these patients.

18. 4 Blair Atlas Subluxation Listings Anterior and Superior on the Right (ASR) Anterior and Superior on the Left (ASL) Posterior and Inferior on the Right (PIR) Posterior and Inferior on the Left (PIL)

19. Atlas listings for 300 Patients 0- Anterior and Superior on opposite side of involved ear 18- Anterior and Superior on the side of the involved ear 12- Posterior and Inferior on the side of the involved ear 270- Posterior and Inferior on the opposite side of the involved ear

20. Side Posture with Drop Upper Cervical Adjustment BJ Palmer, DC

21. Pre-Adjustment (C1 PIL) 6 Weeks Post (Juxta) Patient with Right Patient is off Medication Unilateral Meniere’s and Symptom Free Lesion

22. Upper Cervical Protocol for Ten Meniere’s Patients Same paper published in Upper Cervical Subluxation Complex, A Review of the Chiropractic and Medical Literature, by Kirk Ericksen. Lippincott, Williams & Wilkens, 2004