Short Introduction to CBCT Analysis

This is a Cone Beam CT scan.

It is slowly, but surely taking the place of regular X-rays.

The first thing I look at is this 3 dimensional  view.

This gives me a good overview of what I am looking at and what to look for. I do my actual analysis on the 2-D views that you see on the right side of the screen. But this gives me some good overall information. I can look at the discs and the disc spaces, I can look at the holes between the bones where the nerves come out. I can look straight down from the brain through the cervical spine just to see what is going on there. So that's always what I start with first, just to get an overall view of what is going on.

Then I move to the 2-D views.

The first thing I do is I create these red lines that kind of square up the skull so I have some reference points. On this picture here, the head is pretty level, but on this picture here you can see there's quite a bit of tilt towards the right.

We want to look at the top joint in the spine where the skull sits on the top bone in the neck. Looking at the joints here on each side, and we'll take some measurements of it.

I'll just do a real quick version of it. We spend a bit more time. There's a bit more of a process to it when we are really analyzing something. It's about the same on both sides on this particular patient.

Then we're going to look at each side particularly.

So I want to look right down the outside edge of that joint there. We're going to see that over here. And we need to change the angle a little bit so we can see right down the joint. Alright, now it clears out. Looks pretty even there. The outside edge of the atlas and the outside edge of the occipital condyle, or the bottom of the skull. Let's take a look at the other side.

Overall this process takes about an hour.

Now if you look here, you can actually see a very small misalignment there. On this particular patient the atlas, or the bone underneath the skull, has moved a little bit to the left and forward of the actual skull itself and gotten stuck.

So we have to design an adjustment to slide the bone right back down there.

One of the tools that help us do that and again I would be a little more careful when I am actually analyzing it. We're going to look at what the angle is there so we know how to place our body in comparison to the patient to slide the bone back into place without twisting and popping. There is a lot of other things that we analyze...

Sciatica & Upper Cervical Chiropractic

In this video Dr. Elder talks about what sciatic pain is and isn’t. He then discusses different treatment options and why it makes sense to try less invasive methods first.

A lot of people who get pain in the leg are told, or think that it is sciatica. The sciatic nerve is a large nerve that runs down the back of the leg. When it comes out from the spine, it comes from from several different parts and they merge and come apart and merge again. Then there are nerves about the size of the thumb that are running down through your buttocks down the side of the leg like a line. If you have a pain that is broad (about the size of your hand) running down the back of your leg, that is not sciatica; it can be a pinched nerve of some kind, but not sciatica. 

If it is like a line of fire going down your leg and it is really bad, and goes down the back of your leg and the bottom of your leg, down to the heel and then shoot out the toe, that is what sciatica feels like (or so I’ve been told). 

That nerve can be pinched in a couple of different places. It can be pinched because of a muscle that is too tight in the buttocks, it can be where the nerves come out from the spine because the spinal pieces are not lined up properly or somehow smashing and swelling and causing problems on the roots of the nerves themselves. 

What I’ve noticed is probably about fifty-percent of my practice is made up of people with low back pain and a high percentage of those have sciatica.

When I adjust their neck, the sciatica goes away.

Now, there have been a few where it has not gone away, but we send them to another chiropractor or therapist to help get the last percentage away. It will go down a little bit with me, their moving better, their other symptoms go away, but the problem is so progressed that they need more than just closing the barn door so to speak. So we send them to someone else, they get the rest of it, and it gets fixed. 

In some cases, people do need low back surgery, but please do not rush to that. There is a diagnosis code on the books for failed low-back surgery syndrome because it happens so often. So that should not be the first choice. First choice, look at your posture, look at your nervous system, and get those fixed.  If you get to the point where you have to go around in a wheelchair, then you might think about surgery.

Dizziness, Ear Ringing and Upper Cervical Chiropractic [Video]

In this video Dr Gordon D. Elder of The Blair Chiropractic Clinic in Lubbock Texas explains how Upper Cervical Chiropractic can be used for dizziness and ear ringing.

The interesting thing about hearing and the ears is that in 1895 modern chiropractic started out because a deaf guy got his hearing back when his back was adjusted. So from the beginning of modern chiropractic there has been an obvious connection between the ears and the spine. Of course it makes sense as nervous system is controls everything in the body and the spine is what protects the nervous system as it comes out from the bottom of the skull. There are actually nerves that come from the middle of your back and go up into your ears. Whether for hearing or for balance they help control a lot.

So what happens is that when those nerves get pinched it can cause things like dizziness or it can cause ringing in the ears. I think in the last 17 years I’ve had one person with ringing in the ears where it didn’t improve from blair upper cervical chiropractic treatment. The rest of the people who came in with ringing in the ears again, usually they came in for headaches or neck pain or back pain but also had ringing in the ears. I don’t remember any other case that did not get well once I adjusted them.

The same goes for dizziness. I’ve had people who actually come to me for dizziness, and although it often is not an on/off switch, once we correct the neck and the body starts rebalancing that dizziness becomes less and less and less. Sometimes it can take a couple of days.

Sometimes a couple weeks, sometimes even a few years, but if we can fix it and we can fix it in a natural way then how is that not worth it?

Posted in Chiropractic and tagged Blair Chiropractic Clinic, blair upper cervical, dizziness, ear ringing, Lubbock, South Plains, Texas