mal-rotation of the C1 vertebrae AND PROLOTHERAPY
Ross Hauser, M.D.

Numerous patients over the years have come in with what I term “C1 Syndrome.”  I am sure it is called something else in chiropractic and osteopathic literature, but regardless of the name, it is a condition caused by mal-rotation of the C1 vertebrae. The first cervical vertebra is extremely important since your head sits on it. It is responsible along with C2 for the rotation of the skull.  C1 is the reason we can turn our heads to the right or the left. In C1 syndrome, there is excessive movement of C1 so that it stays either rotated to the right or to the left.  

Recently a patient came in for his third Prolotherapy session.  He was 40% better but stated “I still get neck pain primarily very high on the left with some swelling (C1 area). When this area starts hurting I get left eye pain, I have to squint, feel nauseated and lightheaded.  If I get a manipulation I feel better.”  The episodes of the nausea and lightheadedness have been decreasing with each Prolotherapy session to the C1 vertebral attachments.

Over the years I have seen numerous cases of C1 Syndrome; some of them severe. There was one young lady that could not even stand up because of dizziness from C1 Syndrome.  I was treating her in the office with no fluoroscopy but eventually she needed Prolotherapy under fluoroscopy with strong solutions to rid her of the problem.  She went from totally disabled to totally fine with Prolotherapy to C1.
 

Currently in the United States there are thousands of people who get periodic episodes of severe nausea and dizziness.  Many of these people do get adequate relief with chiropractic care.  For those who continually have C1 go out, Prolotherapy, in my opinion, is most likely the best solution because C1 Syndrome can be cured with Prolotherapy.  If someone sees a chiropractor for the condition, it is helpful to ask him/her which way specifically it goes out, so the Prolotherapy doctor can treat it accordingly.  For the above patient, C1 was rotating counterclockwise and Prolotherapy to counteract this rotation was given.
 

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