Objective: To review the management outcome of upper-cervical protocol on ten patients diagnosed with Menieres disease.

Clinical Features: Prior to the onset of symptoms all ten cases suffered neck traumas, most from automobile accidents, resulting in undiagnosed whiplash injuries.

Intervention and Outcome: Chiropractic care for the reduction of subluxation was undertaken. Custom x-rays and analysis of the upper cervical vertebrae as developed by William G Blair DC were used to determine chiropractic listings of subluxation. Thermographs of the cervical spine were utilized using a DTG-25 instrument. A Toggle adjustment was used to reduce the subluxation. The condition of Menieres, which is poorly understood, responded favorably to chiropractic care using an upper cervical approach to reduce a specific subluxation complex.

Conclusion: It is possible that the true cause of Menieres disease is not only endolymphatic hydrops as theorized, but that vertebral subluxation plays a role. Further study is recommended.

Key Words: Chiropractic, Menieres disease (syndrome), vertigo, dizziness, upper cervical, specific chiropractic, vertebral subluxation, adjustment, atlas.

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