![]() For example, headaches with dizziness may arise from tight or contracted neck muscles. The common symptoms of CCI can also arise from different clinical conditions. to see how this works please click on the video below. Examples include upright MRI with upright flexion/extension. These studies are useful to identify instability. In addition, there are additional studies that involve the patient moving during the examination. Special radiographic studies are required which include upper cervical MRI or rotatory CT scan. ![]() Unfortunately, traditional MRI and CT studies do not evaluate the upper cervical spine or alar and transverse ligaments. There are various types of radiographic studies which include x-ray, CT scan, and MRI. Why? It is important to view the body as a whole and there are multiple potential physical findings in the neck, head, shoulder, and low back in patients with cranial cervical instability, Radiographic Studies At the Centeno -Schultz Clinic all new patient evaluations undergo an extensive physical examination. In the age of managed care and 15-minute appointments, the art and practice of physical examination by a physician is almost gone. Every day can feel like your brain is stuffed full of cotton. Patients with CCI can struggle with memory, concentration, and ability to complete tasks. Loss of visual acuity, blurred vision, and changes in peripheral vision can be some of the symptoms in patients with CCI (3). Dizzinessīalance disturbances vary in severity and can make a simple walk down the hall almost impossible at times. The pain can shoot up into the base of the skull, top of the head, or behind the eyes. Pain is typically localized at the base of the skull and aggravated with flexion and rotation. This is a debilitating headache that is constant in duration and miserable. This is not your normal headache caused by your in-laws or excessive consumption of alcohol. The most common symptoms include: Headaches The symptoms associated with CCI can be extensive depending upon the severity of the instability. Ehlers Danlos Syndrome (EDS) is a group of inherited disorders that affect your ligaments and connective tissues (2). Motor vehicle accidents, contact sports, and forceful manipulations by chiropractors are the most common examples of trauma. The two most common causes of Cranial Cervical Instability (CCI) are trauma and medical conditions that cause people to have loose or compromised ligaments (2). Understanding how and when the injury occurred is important. Diagnosing craniocervical instability involves 7 main criteria which include: Mechanism of Injury (How Did It Occur) The correct diagnosis is critical for the best clinical outcome. Diagnosing Cranial-Cervical Instability: 7 Main Criteria The Alar ligament provides stability for your head and neck. There is a right and a left Alar ligament which is illustrated to the right. The Alar ligament connects the upper neck to your head. Ligaments are thick bands of connective tissue that connect one bone to another.
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