Fellowship Reflections: C2/3 Dysfunction

Posted by NAIOMT on Feb 27, 2017 10:25:13 PM

A patient came in with complaints of dizziness, facial tingling, disturbed vision/hearing and pain in her neck.  She had history of a bad MVA approximately 25 years ago and her symptoms had persisted since the accident. During subjective history she mentioned that all of her previous physicians thought she was crazy. As I was performing the subjective examination, I thought her symptoms sounded like what Erl Pettman has described as “trigeminal symptoms.” It occurred to me she might have a C2/3 dysfunction that was contributing to trigeminal convergence creating these symptoms.

I asked her whether her vision seemed murky or like looking through a dirty window and she immediately started crying. She confirmed that was exactly how it felt and she has never been able to describe it to her doctors sufficiently.

Long story short, after a careful screening, I utilized a focused cranial-directed (thrust) manipulation on C3 and her murky vision was completely abolished. She cried multiple times during the initial evaluation and she said she finally found someone who understands what she has. I treated her four times, and she has not complained of any dizziness, facial tingling, pain or disturbed vision/hearing!

I was never skeptical about the trigeminal symptoms diagnosis/treatment, but I wanted to take the time and share that the NAIOMT system works—my fellowship training has elevated my practice to levels I could have never imagined. I'm not the world's greatest PT, greatest manipulator, or greatest diagnostician, but I am learning and getting better.


- Jason P. Moses PT, DPT, OCS, COMT, FAAOMPT

Summit Peak Physical Therapy, Arlington, Texas

Topics: Clinical Fellowship Program, OMPT fellowship, Uncategorized, C2/3 dysfunction, clinical fellowship

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