Upper Cervical Therapy
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Upper Cervical Therapy of Trigeminal Neuralgia

Trigeminal neuralgia has probably a myogenic etiology: That this might be related to the upper cervical asymmetry is revealed by the fact that left-sided trigeminal attacks happen more often than on the right-sided ones. It is quite probable that the latter are nothing more than an irritation caused by pressure onto trigeminal nerve branches (Nervi maxillaris, mandibularis, et ophtalmicus).

The cause of the most common pain in the area of the 2nd and 3rd trigeminal nerve branch could be a chronic spasm of a deep masticatory muscle (Musculus pterygoideus lateralis), which initiates mouth opening by advancing the mandible and which has its origin in the region of the the Fossa pterygopalatina at the large wing of the sphenoid bone (Ala mayor ossis sphenoidalis).This muscle could, if it was very hard and tender, irritate by pressure the sensory fibers of the 2nd and 3rd trigeminal nerves, mediated by a venous congestion in the pterygoid plexus.

Left, medial view: One can see the left atlas process pushing into the lateral pterygoid muscle. Right, lateral view: the fossa pterygopalatina is the tapering continuation of the fossa infratemporalis, at the end of which the foramen rotundum is located, the passage of the 2nd trigeminal nerve (see peg). It is possible that pressure builds up at this point, if the atlas process (left) pushed into the muscle and interfered with the necessary regeneration.

The left atlas process is constantly pushed into the wall of the above-mentionned muscle during chewing and swallowing, which is due to upper cervical asymmetry. If the atlas process was always pushed in the direction of fossa infratemporalis and fossa pterygopalatina, then this might cause compression on sensitive nerves and trigeminal attacks in susceptible people.

Finally, it is likely that less frequent attacks occurring in the area of the first trigeminal nerve are also caused by mass effect and compression. Most often, pain sensitivity increases from second to first trigeminal branch, so that the above-mentioned cause (hardening of the muscles and connective tissue in the vicinity of sensory nerves) might also be valid for the first trigeminal branch.

The upper cervical treatment of trigeminal neuralgia does therefore not only consist in the rearrangement of the digastric muscle, but also in a continuous, as desired, vibratory stimulation of the above-mentionned areas (fossa infratemporalis and fossa pterygopalatina), in order to counteract deep muscle tightness and tension through increased, decompressing metabolic activity (supply of blood and lymph, hyperemic swelling and loosening).

After an observation period of 3 months, the patient wrote: "My face has been without pain for 14 days, my shoulder does not burn any more. Pain, which reappears for a short while, I get well under control, do not take pills anymore." - Evidence of gradually fading symptoms.

The treatment of the above patient was on 7.3.10. The following was noted:

Trigeminal pain beginning behind the mastoid process (left and not right), pain going from the cheek bone to the front, sometimes with burning sensations of the tongue, finally, the pain goes to the upper eye socket ("Then it's all too late"), tablets (diclofenac 2 x 75, "after a warm meal, otherwise it does not help"), sometimes pain over right eye.

After therapy, symptoms have receded for some days abruptly, which suggests the aforementioned causal relationship (myogenesis) ex iuvantibus. Health status has, according to self-reports, gradually improved within three months:

9.3.10: Today, Tuesday, and the head still good after 25 years with pain.

20.4.10 Doctor's visit until now unnecessary. Although pain comes again, but often do not need pills. Hope and believe that it will disappear completely.

30.4.10: Incredible, I'm pain-free all week.

Meanwhile (10.10.10), the trigeminal pains have become largely asymptomatic. A surprising process that was likely due to upper cervical therapy as suggested by temporal contingency.

For over 25 years, I have trigeminal neuralgia, and since March 2010, I have had upper cervical therapy and since then I feel a lot better and I hope I will soon no longer have neuralgia.

After the treatment, it relapsed immediately for some time, then it came back, I had been panicking, all in vain... But the pain was different from that one before therapy, not so hot, the pains remained the whole day but not so strong that I had to take tablets or go to the doctor.

Meanwhile it has become better and better, I felt for weeks very well in the summer, I had nothing at all and now with stress and tension, it yet comes back, however, not so badly and I'm super happy that I received that therapy and I hope that the winter won't cause me any problems, because I can not tolerate cold wheather at all.

I now do many things that I could not before, such as sweeping or vacuuming, or overhead work. I just do it and I feel good and I have my pain well under control, and I think I'll get completely rid of it in the future.