Upper Cervical Chiropractic Treats 14 Conditions [Is it safe?] Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief Chronic back pain, neck pain, and neurological conditions are not a normal part of aging. Often, the pangs of “old age” are really old  injuries  that never truly recovered. A conventional approach to medicine is to treat individual symptoms as if they exist in a vacuum. Pharmaceuticals and harsh, unnatural treatments for disease are often ineffectual at more than masking symptoms. As an alternative , upper cervical chiropractic care takes a precision approach to not only treating health problems, but giving your body what it needs to thrive from head to toe. The best upper cervical chiropractic practices walk you through your treatment plan and provide visual results to show you how far you’ve come.  Of course I’d say that — I’m an upper cervical chiropractor. Unfortunately for the skeptics, both patient testimonials and years of published and peer-reviewed research supports my viewpoint. Otherwise, I wouldn’t be an upper cervical chiropractor. What is upper cervical chiropractic? Upper cervical chiropractic care focuses on correcting misalignments in the upper neck region of your spine — called subluxations or, more specifically,  upper cervical subluxations . Upper cervical spine chiropractors concentrate on the upper two vertebrae of the spine, called C1 (atlas) and C2 (axis). Upper cervical care tends to be gentler than general chiaaropractic, making it a great option for sensitive patients. Upper cervical manipulation affects the whole body by adjusting the upper spine, which allows the central nervous system to properly communicate with the rest of your body. As an upper cervical chiropractor, I use frequent x-rays and 3D technology to determine exactly where a vertebra may need adjustment. Misaligned vertebrae interfere with the spinal cord and brainstem, leading to ineffective or dysfunctional nervous system signaling. During an adjustment, I use the Laney Torque Specific Cervical Adjusting Instrument. This state-of-the-art instrument makes incredibly gentle adjustments. Only 65 Laneys have ever been made, and I use the only one in the state of Colorado. There are many philosophies of chiropractic. At Denver Upper Cervical, our philosophy is that we can show you the before, during, and after effects of your treatment plan by utilizing cutting-edge tech and the most up-to-date scientific literature. Our patients don’t spend hours each week in the office. Their treatment plans are designed to get them  out  of the office and back to doing the things they enjoy. What is NUCCA? NUCCA stands for National Upper Cervical Chiropractic Association. NUCCA is a leading organization on the standard of care in upper cervical care. NUCCA procedures are well-researched chiropractic treatment methods that encourage figuring out the exact nature of your misalignment, then gently and safely correcting that spinal misalignment. NUCCA registered chiropractors (AKA NUCCA doctors) are located across the country, equipped to gently handle spinal subluxations and restore overall health. Conditions Treated by Upper Cervical Chiropractic There are many medical conditions treated by upper cervical chiropractic care. The most common are: https://vimeo.com/299982455?fl=pl&fe=sh 1. Neck Pain Neck pain and shoulder pain are prevalent throughout the worldwide population. It is a primary reason people visit the chiropractor. Whether it is due to injury or disease, upper cervical chiropractic care has been shown to  reverse neck pain  and  shoulder pain. 2. Back Pain Millions of Americans  suffer from chronic back pain . One of the main reasons for chiropractic treatment is relieving back pain — short-term  or  long-term. Counterintuitively, adjusting subluxations in your upper spine may actually reverse low back pain! Chiropractic treatment may bring  immediate  pain relief. For some, it may take several weeks of spinal adjustments. 3. Headaches and Migraines Chiropractic care improves headaches  and migraines. Headaches can be caused  by: Stress Poor posture Tension Changes in weather Fatigue Lack of sleep Hunger Caffeine withdrawal symptoms Medications Upper cervical subluxations Stress, posture, tension, and subluxations are all treatable by chiropractic care. This can lead to  reduced headaches  and/or migraines. 4. Post-Concussion Syndrome Post-concussion syndrome (also called PCS) is when your concussion symptoms persist for 6 weeks after the initial head injury. Chiropractors may be able to  treat PCS. Concussion symptoms include headache and dizziness, to mention a few. If concussion symptoms last for more than a month and a half without subsiding, consider visiting a chiropractor right away. Chiropractic care  has been shown  to improve outcomes after a concussion, reducing symptoms and helping people get back to their normal lives. 5. Vertigo and Meniere’s Disease Upper cervical chiropractic care often  improves vertigo  and Meniere’s disease, which are two closely connected disorders. Vertigo is feeling dizzy or off balance. Meniere’s disease is a disorder of the inner ear that can lead to vertigo. Vertigo is a common symptom of Meniere’s disease. Upper cervical chiropractic care may  treat Meniere’s disease  and its symptoms: Vertigo Hearing loss Ringing in ears Nausea Vomiting Upper cervical chiropractic care may improve patients’ Meniere’s disease and vertigo symptoms surprisingly immediately. 6. Fibromyalgia and Fatigue Fibromyalgia is a chronic disorder of the bones and muscles, and its chief symptom is persistent fatigue. Upper cervical chiropractic care is well known to  treat fibromyalgia. In fibromyalgia, signals travel through your brainstem to tell your brain there is pain when there is actually no pain. Spinal readjustments by a doctor of chiropractic correct these signals. Chiropractic treatments seem to  treat fatigue  due to other reasons as well. 7. Autoimmune Disease Doctors of chiropractic treat  many autoimmune diseases  and inflammatory conditions, such as: Scoliosis Rheumatoid arthritis Osteoarthritis Neuritis Ankylosing spondylitis 8. Blood Pressure Hundreds of millions  of people in the world suffer from high blood pressure, also called hypertension. Interestingly,  multiple studies  indicate that chiropractic care may be able to  lower blood pressure  in hypertensive adults. 9. TMJ Disorders TMJ stands for “ temporomandibular joint ”, but TMJ can also refer to  TMJ disorders  (TMD), which can be treated by chiropractic care. The TMJ connects your jaw to your skull. The TMJ is the most used joint in the body. You use the TMJ when: Yawning Smiling Chewing Talking TMJ disorders (sometimes called TMD) may be caused by: Muscle spasm Head or jaw injury Teeth clenching Teeth grinding Chronic stress Misaligned bite Trigeminal neuralgia is another disorder that is sometimes confused with

The Axis Bone Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief The axis bone is the second vertebra in your cervical spine, and is critical in the movement of the head. The spine also consists of the thoracic spine, lumbar spine, sacrum, coccyx, and the intervertebral discs that interconnect the vertebrae. We’ll focus on the axis, or c2 vertebra here. What is the function of atlas and axis? The atlas and axis form synovial joints that serve multiple functions , including the stability, rotation, flexion, and extension of the head and neck. Misalignment of the axis bone can cause chronic headaches, neck pain, vertigo, and possibly even Meniere’s syndrome. Upper cervical chiropractic adjustment is an effective treatment for C2 misalignment. If you’re worried about axis alignment, schedule an appointment with a qualified chiropractor who specializes in the upper spine. What is the axis bone? The axis bone is the second cervical vertebra in your vertebral column, or spine. With the atlas bone (C1) it forms the pivot joint that allows your head to rotate. This important bone has many names: Axis Epistropheus Vertebra cervicalis II C2 vertebra Upper cervical spine (refers to both C1 and C2) Why is it called the axis bone? The axis bone gets its name from the Latin word for “axle” which refers to a rod through the center of a wheel. The axis is instrumental in the rotation of the atlas bone and the head. Is the axis C1 or C2? The axis bone refers to the second vertebra in the human anatomy, also called the C2. The C1 is your atlas . Let’s explore the major features of the axis bone. Photo Credit: https://www.ncbi.nlm.nih.gov/books/NBK539734/figure/article-36293.image.f2/ Body (or Centrum) The vertebral body of the axis is the part which connects to the first cervical vertebra (C1) above and the C3 below. It is smaller than other vertebrae’s bodies. Also called the centrum, this cylindrical mass is located on the anterior surface (front side) of the vertebra. The anterior longitudinal ligament attaches to the front of the body of the axis, but the posterior longitudinal ligament attaches to the back of the lower centrum. Odontoid Process (or Dens) The most unique feature of the axis bone is the dens, which protrudes upwards and acts as a stabilizing axle for the atlas bone and the head to rotate. The dens forms a pivot joint with the anterior arch of the atlas bone. Apical ligaments and alar ligaments connect the dens to the occipital bone. This protrusion goes by several names: Dens Dens axis (literally “tooth of the axis”) Odontoid process Peg Vertebral Foramen The vertebral foramen is the large opening at the center of the axis bone which lets the spinal cord pass through. The axis’s foramen is smaller than the atlas’s. Spinous process The spinous process is a small projection backwards from the articulation of the two laminae of the axis’s vertebral arch. This process is where ligaments and muscles which move the head or neck may attach. The spinous process is bifid — or, naturally cleft into two segments. Lateral Atlantoaxial Joints The superior articular facets of the axis bone join with the inferior articular facets of the atlas bone to form the lateral atlantoaxial joints. Some sources refer to these as processes or surfaces instead of facets. The superior articular facets are convex surfaces that make head rotation possible, as well as articulation with occipital condyles. The superior articular processes allow one lateral mass to glide forward while another glides backward. This motion permits the C1 to rotate around the dens of the C2. Inferior articular facets are flat surfaces which face downward from the vertebral arch and touch the C3 below. At the atlantoaxial joint, the axis’s spinal nerve exits the spinal cord through a small opening in the bone above the axis. Transverse Process The transverse processes are below the superior articular facet, and they project laterally (to the side), ending in a single tubercle. This part of the axis is where certain head and neck muscles can attach. The transverse foramen is a small opening in the transverse process which allows the vertebral artery and vein to pass through. C1 & C2 Misalignment The upper cervical spine consists of the atlas (C1) and axis (C2). When the C1 and C2 are misaligned, health complications follow. You should seek chiropractic treatment that includes x-ray diagnostics if you are experiencing C1 and C2 misalignment. Upper cervical misalignment may contribute to multiple health problems, some of which may surprise you. Chiropractic adjustment can fix these health problems: Neck pain Chest pain (more common with thoracic vertebrae misalignment) Back pain (more common with lumbar vertebrae misalignment or muscle tension) Migraines Headaches Post-concussion syndrome Vertigo Meniere’s disease Fibromyalgia Chronic fatigue Autoimmunity High blood pressure TMJ disorders (jaw soreness) Sleep disturbances Trouble breathing Muscle weakness Sciatica When to Get an Adjustment You should get a chiropractic adjustment if you experience any of the following symptoms: Chronic neck pain Chronic headache or migraine Vertigo or cervical instability Trouble standing up or sitting down Constant jaw pain Noticeable spinal abnormalities Schedule an appointment with Dr. Ty Carzoli at Denver Upper Cervical Chiropractic in Denver, Colorado. He is qualified to adjust the whole spine, but Dr. Ty has found that upper cervical spine adjustments alone can often treat health conditions. You can set up an appointment online or call us at 303-955-8270. Sources: Korabelnikova, E. A., Danilov, A. B., Danilov, A. B., Vorobyeva, Y. D., Latysheva, N. V., & Artemenko, A. R. (2020). Sleep disorders and headache: A review of correlation and mutual influence. Pain and therapy , 9 (2), 411-425. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648824/ Elizagaray-Garcia, I., Beltran-Alacreu, H., Angulo-Díaz, S., Garrigos-Pedron, M., & Gil-Martinez, A. (2020). Chronic primary headache subjects have greater forward head posture than asymptomatic and episodic primary headache sufferers: Systematic review and meta-analysis. Pain medicine , 21 (10), 2465-2480. Full text: https://www.researchgate.net/profile/Ignacio-Elizagaray-Garcia-2/publication/345144818_Chronic_Primary_Headache_Subjects_Have_Greater_Forward_Head_Posture_than_Asymptomatic_and_Episodic_Primary_Headache_Sufferers_Systematic_Review_and_Meta-analysis/links/61c44cd7c99c4b37eb1878af/Chronic-Primary-Headache-Subjects-Have-Greater-Forward-Head-Posture-than-Asymptomatic-and-Episodic-Primary-Headache-Sufferers-Systematic-Review-and-Meta-analysis.pdf Fischer, M. A., & Jan, A. (2019). Medication-overuse headache. Full text: https://www.ncbi.nlm.nih.gov/books/NBK538150/ Jovel, C. E., & Mejía, F. S. (2017). Caffeine and headache: specific remarks. Neurología (English Edition) , 32 (6), 394-398. Full text: https://www.sciencedirect.com/science/article/pii/S2173580817300858 Leung, A. (2020). Addressing chronic persistent headaches after MTBI

Here’s What Happens During a Chiropractic Adjustment Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief Chiropractic adjustments are sessions of spinal manipulation administered by a doctor of chiropractic. Adjustments are used for chronic pain relief and treating other medical conditions by correcting spinal misalignments.   What is a chiropractor ? A chiropractor is a highly qualified healthcare professional who has earned their Doctor of Chiropractic (D.C.) degree. Chiropractors adjust the patient’s spinal joints to address certain disorders.   There are several evidence-based health benefits of chiropractic care. A chiropractic doctor can treat conditions such as musculoskeletal pain, migraines, and sciatica with spinal adjustments.   Upper cervical chiropractic is a subspecialty of chiropractic care that focuses on the 2 upper vertebrae of the spine: the atlas (C1) and the axis (C2). Upper cervical care is employed to treat several disorders and injuries effectively.   Below, you’ll learn the answer to these questions:   What do I expect at a chiropractic adjustment? What are the benefits of chiropractic adjustments? Is it safe? Are there side effects? How often should I get chiropractic adjustments? What is the cost of an adjustment? What is a chiropractic adjustment? A chiropractic adjustment (also known as a “spinal adjustment”) is a session of spinal corrections performed by a chiropractor. Chiropractic adjustments may include several individual chiropractic techniques, such as the toggle drop, lumbar roll, or table adjustments.  https://youtu.be/vBQfKy0ldlY  An upper cervical chiropractic adjustment by Dr. Ty Carzoli https://vimeo.com/299982455?fl=pl&fe=sh How often should you get chiropractic adjustments? For chronic pain that significantly affects your quality of life, you should get a chiropractic adjustment every week or even multiple times each week. What is the difference between chiropractic adjustments and massage? A chiropractor corrects spinal misalignments, and a massage therapist manipulates your soft tissue and muscles. You may visit a chiropractor once a month for simple maintenance and prevention, but this varies greatly depending on your provider. Upper Cervical Chiropractic Our upper cervical chiropractic treatment plans typically require weekly treatments for 12 weeks at a time. Maintenance adjustments are not required, but are recommended for optimal health.  There is no cookie-cutter formula to knowing what someone needs. Based on your condition, lifestyle, and state of your spine , I create a custom fit 3-month care plan to get started. It’s very rare I see anyone more than once a week. Most patients can expect to average about 1 visit per week for the first 3 months of care; “The Corrective Care Plan” phase. Following those first three months, I do a comprehensive re-examination where I will: Take new x-rays to measure improvement Reassess your self reported progress Re-administer your cognitive testing Benefits of Chiropractic Adjustments Chiropractic adjustments correct spinal misalignments and spinal motion issues. Left untreated, misalignments and subluxations may cause: Pinched nerves Chronic  back pain Nervous system dysfunction General malaise (feeling unwell) Joint pain Poor posture Scoliosis Health benefits of chiropractic adjustments include: Improved joint function  (including range of motion) Reduced  lower back pain Reduced  neck pain Headache relief Migraine relief Better  blood circulation Improvement of  insomnia Easier breathing , including with certain  asthma issues Relief from car accidents These health benefits are backed by peer-reviewed science. A slew of other benefits have been reported by patients and chiropractors but may not be published in scientific journals. If you are interested in a chiropractic adjustment, click here to make your appointment at Denver Upper Cervical Chiropractic. We work with our patients to figure out a treatment plan that works for you. Osteopath vs. Chiropractor An osteopath is a slightly different profession from a chiropractor. Osteopaths (doctors of osteopathy, or DOs) go through four years of medical school. Very few osteopaths prescribe to the importance of spinal correction for all-body health. Chiropractors go to a chiropractic post-graduate school, not medical school. The chiropractic profession focuses closely on all-body health via spinal adjustments. Osteopaths perform osteopathic adjustments, which are very similar to chiropractic manipulations. Osteopathic adjustments are watered-down chiropractic adjustments. Like physical therapists, osteopaths have minimal (elective) training in “manipulations.” Ultimately, osteopathy does not use the principles of complementary or integrative health, in which a lifestyle approach promotes health. Chiropractic, on the other hand, honors the innate systems of the body to promote health with minimal to no use of drugs or conventional medicine principles. The 7 Chiropractic Adjustments 7 manual therapy adjustments will vary from doctor to doctor. Here’s a list of what they are and how they can bring relief: The Diversified Technique: The 3 primary purposes of this adjustment are to restore spinal alignment, repair joint dysfunction, and ensure proper movement and mobility. Spinal Manipulation (aka manual therapy): This is utilized by both chiropractors and in physical therapy to relieve pressure on joints, reduce inflammation, and improve nerve function.  Thompson Drop-Table Technique: These adjustments are standard tools used by general chiropractors. During this adjustment, they will raise a part of the table you’re lying down on, then thrust their hands down and the raised portion of the table to quickly lower. The Gonstead Adjustment: Restores normal disc alignment and maximum mobility. The Activator Method: A small handheld device known as an ‘Activator’ is used by chiropractors to administer a gentle impulse to the vertebral segments of the spine. The spring-loaded device adjusts the nervous system’s tone and treats various conditions, from headaches to lower back pain . Flexion Distraction: Used to treat symptomatic disc injuries with leg and back pain .  Spinal Decompression: TTreats symptoms of lower back pain that are a result of bulging, herniated, degenerated, and slipped discs. Spinal decompression utilizes a unique table that carefully stretches the spine, promoting the healthy flow of water, oxygen, and other essential fluids into the discs and throughout the spine. What to Expect During Chiropractic Treatment Before the Adjustment Before your adjustment, your chiropractor should discuss your treatment level. You should not expect any pain during a chiropractic visit. The first time you visit a chiropractor, they will likely consult you regarding your overall condition, symptoms, and desired results. This consultation may include the following: A physical examination Taking a personal medical history X-rays Perhaps inquiring about family medical history Discussing financials You may or may not get a chiropractic adjustment at this initial

Neck Adjustment Safety, Benefits, Side Effects, & Types Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief What is a neck adjustment? A neck adjustment (cervical manipulation) is a precise procedure that may relieve neck muscle tension, treat headaches , and align your upper cervical spine . Patients typically sit upright or lay on a padded table while a chiropractor performs either a physical rotation/stretch or an instrument-assisted movement to adjust neck alignment. Neck adjustments and chiropractic adjustments, in general, can be great alternatives to surgery and pharmaceuticals for patients looking for a less invasive approach. What are the symptoms of neck misalignment? You may need a neck adjustment if you experience any symptoms of misalignment. These symptoms include: Shoulder pain Chronic headaches Migraines Chronic pain, especially neck pain but also in the middle and lower back Ménière’s disease Post-concussion syndrome Balance issues Soft tissue pain, which is often a secondary protective mechanism caused by the nervous system contracting muscles to protect joints from the risk of injury Properly-performed adjustments are generally safe. The most common chiropractic neck adjustment side effects are mild soreness, numbness, tingling, stiffness, or weakness for 24-48 hours after the adjustment. How does a chiropractor adjust your neck? A conventional doctor of chiropractic may adjust you in any one of several different ways. They may use their hands or a specialized table to adjust. Usually, they rotate or stretch your neck, creating a popping or cracking sensation. This may be done by “dropping” a section of an adjustment table. This is known as a medium-to-high-velocity, low-amplitude neck adjustment. In contrast, a qualified upper cervical chiropractor adjusts your neck using precise manual or instrument-assisted adjustments — some table-mounted and some handheld. These instrument-assisted neck adjustments are safe, precise, and comfortable. Some chiropractors “adjust” your neck by cracking it somewhat violently. That’s their primary focus, and it’s the wrong focus. High-velocity chiropractic manipulation increases the risk of adverse effects.   Before performing a cervical adjustment, your chiropractor will perform a brief physical exam. If you’re new to a chiropractic office, they may also recommend x-rays and develop a treatment plan for pain management or other health needs. Benefits of Neck Adjustments Proper manipulation of the cervical spine offers benefits including pain relief and relief of certain symptoms of health conditions. The most notable benefits of neck adjustments may include: Reduced neck pain Pain relief for headaches and migraines Realignment of the upper cervical spine Relief of back pain , including low back pain Release of muscle tension Restored range of motion in the neck Improved sleep quality   Read Next: Upper Cervical Chiropractic Treats 14 Conditions [Is it safe?] Are neck adjustments safe? Yes, a chiropractic neck adjustment is safe as part of comprehensive chiropractic treatment. When performed by a qualified professional, neck adjustments are more about aligning the upper cervical spine than “cracking” the neck, which may increase the risk of blood vessel strain. Upper cervical chiropractors use instruments to deliver safer, gentler, and more precise neck adjustments than typical chiropractors. These instrument-assisted adjustments are painless and less jarring, whereas typical neck adjustments may lead to some discomfort for some people. We like to say that a precise, high-quality neck adjustment should be safe and gentle for the frailest grandmother. Is chiropractic safe? Chiropractic adjustments lead to stroke or death significantly less often than: Having surgery Driving a car Using ibuprofen Taking oral contraceptives Going to work Why does my neck hurt after the chiropractor adjusted it? Your neck may hurt after the chiropractor adjusted it because the realigned vertebrae have moved slightly. This can lead to soreness in your muscles or spinal joints, but don’t worry. It’s a sign that alignment has happened. Is it normal to feel severe neck pain after a chiropractic adjustment ? While mild soreness often happens, severe neck pain is not normal after any chiropractic adjustment. This may indicate a poorly-performed adjustment, new injury, or aggravation of a previously unknown issue. If you experience severe pain after your adjustment, contact your chiropractor immediately. Side Effects of Neck Adjustments What are the risks of neck adjustments? Known neck manipulation side effects include: Muscle soreness when spinal discs move and realign (mild soreness is very normal) Strain on blood vessels Tingling or mild numbness Stiffness or weakness of neck muscles Wearing down of the uncinate process of the vertebrae, which may cause destabilizing of the cervical spine Worsened disc herniation (consult a neurologist if you have a herniated disc and are seeking spinal manipulation therapy) Bone fracture, if you have very brittle bones or osteoporosis and your chiropractor does not adjust their manual therapy accordingly Stroke, paralysis, or similar serious complications (in very rare cases) Instrument-assisted adjustments from upper cervical chiropractors are far safer and more precise than typical neck adjustments (high-velocity, low-amplitude rotations or stretches). Side effects of orthospinology adjustments are generally limited to muscle soreness. When you get an upper cervical adjustment at Denver Upper Cervical Chiropractic, you can rest assured that your safety and overall healthcare are our top concerns. Do chiropractic adjustments cause stroke? There is a 1 in 1,000,000-5,800,000 chance that improper chiropractic adjustments may lead to stroke. (Some studies estimate stroke occurs in 1 out of half a million adjustments, while others estimate 1 out of 5.8 million. Many estimates fall in between.) This risk increases when your chiropractor focuses more on cracking your neck than aligning it. Very rarely, a stroke after a chiropractic adjustment may occur due to vertebral artery dissection. This can be caused by poorly performed, rough, high-velocity neck adjustments. Higher velocity adjustments are a risk factor for blood vessel strain. The signs of a stroke after a chiropractic adjustment include: Weakness of the arm or leg on one side of your body Loss of sensation Slurred speech Vertigo/dizziness Trouble walking normally Difficulty swallowing Neck pain, particularly on one side If you or a loved one experience these signs after a chiropractic adjustment, seek emergency medical attention. This risk goes down when a qualified professional utilizes safer, more precise instrument-assisted adjustments. The gentler the adjustment, the safer it is. Can you adjust your neck at home?

Cervical Spine: Structure, Disorders & Treatments Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief The cervical spine, commonly referred to as the neck, consists of 7 bones labeled C1 to C7 vertebrae. These bones are cushioned by intervertebral discs that not only enable the neck to move smoothly but also serve as shock absorbers during physical activities. As an upper cervical chiropractor, I work almost exclusively with the C1 and C2 vertebrae. However, I’ve studied the entire cervical spine extensively and worked with patients on issues with all of the vertebrae in that area. You might become aware of your cervical spine as you stretch before a workout. Or perhaps you notice if tension has collected in that area before a chiropractic adjustment . What is the cervical spine ? The cervical spine, or the C spine, is the neck part of your spine that protects your spinal cord and helps you move your head around. Taking care of it is crucial for your overall well-being.  The cervical spine is composed of smaller articular bones. Articular means the bones are connected by joints, making it the most flexible region of the spine. Because of this mobility, the cervical spine can be more susceptible to injuries and disorders. We’re here to help you understand and care for your cervical spine, so you can keep moving and feeling great. If you have any questions, don’t hesitate to ask. Your spine is in good hands! If you’re in the Denver area, schedule an appointment with DUCC by calling us at 303-955-8270 or by visiting our Contact Us page. Cervical Spine Anatomy The spine can be divided into 5 regions : the cervical spine, thoracic spine, lumbar spine, sacrum, and coccyx. The cervical spine is comprised of 7 small bones labeled from C1 to C7, connected by discs to form the structural foundation of your neck. Housed within this neck structure is your spinal cord, shielded by bone and layers of protective meninges. Your cervical spine includes essential nerves that extend to your neck, shoulders, arms, and hands. Muscles and ligaments provide the necessary strength and stability to keep everything in place. That’s a general overview; now, let’s discuss each part for an in-depth understanding.  The anatomical parts of the cervical spine include: 7 Cervical Vertebrae The cervical vertebrae C1-C7 connect the base of the skull to the top of the back. These vertebrae are the smallest vertebral bones in the spinal column. They form a lordotic curve (a curve towards the front of the body). C1 and C2 (the atlas and axis) are called atypical vertebrae because they function quite differently than C3-C6, which are called the typical vertebrae. Then there’s C7, known as the unique vertebra. It bridges the cervical and thoracic spine. Atlas and Axis The atlas (C1) and axis (C2) are the top 2 vertebrae that can be found just beneath the skull. They form the craniocervical junction and they allow all range of motion for the head and neck. The atlas (C1) is named for the mighty Titan, Atlas. In Greek mythology, he rebels against Zeus and is sentenced to bear the weight of the heavens. Similarly, the vertebral atlas sustains the weight of the cranium and brain. The atlas is referred to as a cradle because it cradles the skull. The axis (C2) has a vertical bony protrusion known as the dens or odontoid process. The ring-shaped atlas fits over the dens, creating the medial atlanto-axial joint, allowing the head’s rotational movement. Atlanto-Occipital Joint The atlas anchors the occipital bone (base of the skull) to the spinal column via the atlanto-occipital joint. This joint allows for much of the forward and backward motion of the head. Spinous Process Each vertebra has a bone extension called the spinous process (the ridge you feel through the skin extending the length of the back), where muscles and ligaments connect. Cervical Discs In between the cervical vertebrae are cervical discs. They cushion the vertebrae and function as shock absorbers between the bones during daily activities. These intervertebral discs consist of a tough outer layer called the annulus fibrosus and a soft interior called the nucleus pulposus. Vertebral Endplate Between each vertebra and disc, the vertebral endplate helps transfer nutrients from the bone to the disc. Spinal Canal Each vertebra consists of a vertebral body and vertebral arch. The anterior vertebral arch, made up of 2 laminae and pedicles, encloses each vertebra. Vertebrae are connected via the facet joints, enabling flexion (forward and backward motion). Together, the vertebral body and arch form an enclosed space called the vertebral foramen. The stacked vertebrae with their foramina (plural of foramen) create a tunnel called the vertebral column or spinal canal, which contains the spinal cord. Put in simpler terms, each bone in your spine has a curved bony part in the back. These curves join together to make a long hollow tunnel that goes through your whole spine. We call this tunnel the spinal canal. It’s like a pathway for your spinal cord and bundles of nerves. Spinal Cord The spinal cord is the central structure within the spine that runs from the base of the brain to the lower back, responsible for transmitting signals between the brain and the body. It plays a crucial role in transmitting signals for movement, sensation, and various bodily functions. Your spinal cord is cushioned by cerebrospinal fluid (CSF) and wrapped in 3 protective layers called the meninges. The meninges consist of the dura mater, arachnoid mater, and pia mater. Foramina At each level of your spine, a pair of tiny openings called foramina let nerves come out. There’s one opening on the left and one on the right. Cervical Nerves Cervical nerves are specific branches of spinal nerves that emerge from the foramina in the cervical or neck region of the spinal cord. Each cervical nerve has a particular role in controlling different areas of the upper body, such as the neck, shoulders, arms, and hands.  Vertebral Arteries Laced throughout the cervical spine are vertebral

Cervical Instability: Causes, Symptoms, & Treatments Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief Cervical instability is a medical condition in which loose ligaments between the upper cervical spine and the base of the skull may lead to neuronal damage. Full disclosure from my years of experience treating patients with chiropractic care: This condition is massively over-diagnosed. However, I consider it with people suspicious of hyper mobility issues or with headaches and disequilibrium issues. When I suspect cervical instability in a patient, I take a lateral flexion anterior to posterior open mouth x-ray — that’s the best way to visualize it. If you have cervical instability, you may experience migraines, vertigo, or nausea, among other adverse symptoms. Fortunately, this condition is treatable. Let’s talk about the symptoms, causes, treatments, diagnosis, and prevention of cervical instability. What Is Cervical Instability? Cervical instability occurs when the ligaments in between your spinal cord and skull are loose. These “lax ligaments” allow for excessive movement of the top two cervical vertebrae, which may result in many symptoms, such as headaches, fainting, or even memory loss. Ligament laxity is a state in which ligaments that attach bone to bone are loose. Also called ligamentous laxity, this condition often causes chronic pain. It can affect the whole body, or only specific parts. You may have seen a friend hyperextend their finger, seemingly unnaturally. This is probably due to ligament laxity causing joint hypermobility syndrome. The ligaments connecting the bones in your friend’s finger are loose and allow for more range of motion. This abnormal range of motion in your neck area can trigger cervical instability. Ligament laxity may be caused by genetic connective tissue disorders, such as Ehlers-Danlos Syndrome or Marfan Syndrome. There are 2 joints at which the ligaments may be loose, leading to cervical instability: Atlanto-occipital joint Atlanto-axial joint Cervical instability is related to: Craniocervical instability Craniovertebral instability Clinical instability of the cervical spine Cervical neck instability Cervical spine instability Atlantoaxial instability What’s the difference between craniocervical instability and cervical instability? Craniocervical instability (CCI) and cervical instability are related concepts, but they refer to distinct conditions involving different parts of the spine and skull. Craniocervical instability involves the junction between the base of the skull (the occiput) and the top of the cervical spine (the first cervical vertebra, C1, also known as the atlas).  Cervical instability involves the cervical spine, which is the neck region of the spine. It involves the vertebrae and ligaments and can affect the spinal cord and nerve roots in the neck area. Cervical Instability Symptoms Symptoms of cervical instability often include pain, weakness, numbness, and tingling. More severe neurological deficits may also present such as difficulty with coordination or loss of bladder or bowel control. Other cervical instability symptoms that may occur include: Feeling that your skull may “fall off” the spine Occipital headaches Migraines Muscle spasms Neck, shoulder , or jaw pain Difficulty swallowing Tenderness at the base of thee skull Light sensitivity Blurred vision Tinnitus (ringing in the ears) Orthostatic intolerance Tremors Vertigo Dizziness Clumsiness Fainting Limb weakness Shortness of breath Nausea Fatigue Lhermitte’s sign Cognitive decline Memory loss Loss of bladder or bowel control Trigeminal Neuralgia Cervical spine instability may lead to compression of the spinal cord or nerve roots in the cervical region. This compression can affect the function of the spinal cord, which is an extension of the brain stem. Abnormal pressure exerted on the nervous system may lead to a variety of neurological symptoms and impairments. Timely diagnosis and appropriate management are crucial to mitigate the impact on the nervous system and prevent further complications. Diagnosing Cervical Instability Diagnosing cervical spine instability can pose a challenge, often requiring the insights of a skilled orthopedic specialist to accurately detect. I can typically spot this problem in patients, but may refer them to an orthopedist to accurately diagnose if that can help open more treatment modality options. How do you test cervical instability ? The 4 methods for testing cervical instability include: Upright MRI: Magnetic resonance imaging Supine MRI: Laying on your back CT scan : Computerized tomography Digital motion x-ray As I stated earlier, I’ve found that a lateral flexion anterior to posterior open mouth x-ray is the most accurate diagnostic tool for proper visualization of this issue (if it exists). Abnormalities in the following measurements indicate cervical instability: Clivo-Axial Angle: Less than or equal to 135 degrees Grabb-Oakes measurement: Greater than or equal to 9 mm Harris measurement: Greater than 12mm Spinal subluxation : Any amount MRIs are the most common diagnostic testing method for cervical instability. A 2012 scientific investigation found that MRIs had limited diagnostic value in patients with whiplash-associated disorders such as cervical instability. Causes of Cervical Instability Cervical instability is caused by anterior and posterior ligament laxity between the skull and the top two vertebrae (the atlas and the axis ). This allows excessive movement and leads to a long list of physical and neurological symptoms. Causes of cervical instability may include: Whiplash or other injury causing rapid flexion/extension (such as from a car accident) Tethered cord syndrome Genetics Connective tissue disorders (such as Ehlers-Danlos Syndrome or rheumatoid arthritis) Chiari malformation Degeneration Treatments for Cervical Instability There are 5 standard treatments for fixing cervical instability: 1. Chiropractic Chiropractic care is a common and effective treatment for headaches , poor posture, and spinal misalignments — all of which are connected to cervical instability. Upper cervical chiropractic care may correct cervical instability. This 2020 study demonstrated how spinal chiropractic manipulative therapy can be used to correct cervical instability, joint disorders, dislocations of cervical vertebrae, and much more. Spinal manipulation is a safe and effective therapy when performed by a highly qualified chiropractor, even in special needs patients. Chiropractic treatment should always be considered before you move on to surgery.  Note: Non-surgical spinal decompression therapy is not recommended for patients with cervical instability. Gentle adjustments of the upper spine are critical to recovering from cervical instability . Denver, CO residents can receive treatment with us at Denver Upper Cervical Chiropractic . Call us at 303-955-8270 to schedule an appointment. 2. Surgery Does cervical instability require surgery? You do not need surgery for cervical instability unless your instability has gotten

No, Chiropractic Adjustments Do Not Cause “Toxic Release” Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief “Toxins” is a vague word that doesn’t really mean anything. Chiropractic adjustments greatly improve your body’s natural healing abilities, but there is not a specific toxin release that will make you feel sicker or healthier after an adjustment. Chiropractic care corrects spinal misalignment and subluxations, leading to a stronger nervous system and improved overall health. Chiropractic care does not correct body toxicity , which is a vague and dubious concept in the first place. However, chiropractic adjustment may strengthen the nervous system’s communication with the liver or kidneys, which both naturally detoxify the body. Strengthening these detoxing organs may help get rid of toxins, such as ammonia and uric acid. If your chiropractor employs a lot of massage techniques, that muscle fiber activation may lead to some temporary dehydration, which can lead to a slight feeling of illness if you don’t hydrate well afterwards. When I’m seeing patients, I’m honest with them. I’m a chiropractor, not a new age detox guru. Upper cervical chiropractic already heals people in surprising, evidence-based ways. Toxin release is unnecessary for the healing process, and I doubt it’s actually a thing. If you want a chiropractor who will be honest with you while using conservative, non-pharmaceutical treatments when possible, schedule your appointment with me at Denver Upper Cervical Chiropractic today. You can call us at 303-955-8270 . What Are “Toxins,” Anyway? Toxins are harmful substances that can make you sick in a variety of ways. However, the word “toxin” is so vague and all-encompassing that it loses all meaning when cited by many “health” influencers. In theory, releasing toxins through chiropractic adjustment or other means can make you feel groggy in the short-term then healthier in the long-term.  I disagree with this theory — it’s not based on observable, definable, replicable research. Here’s a list of “toxins” that many chiropractors claim can released by chiropractic care: Polychlorinated biphenyls (PCBs) Chlorofluorocarbons (CFCs) Histamine Lactic acid Artificial preservatives Inorganic pesticides Industrial chemicals Heavy metals Air pollutants Do chiropractic adjustments really release toxins? No, chiropractic adjustments don’t really release toxins. Some claim the crack in your back is toxic release, which is untrue. I share the list above so you can do your own research — scientific study does not support the idea that any of those compounds are “released” by chiropractic adjustments or any form of spinal manipulation. In fact, if something leaks from your spinal cord, you probably need to visit an emergency room — because that something is spinal fluid, and you have an injury. Scientific Evidence for Body Toxicity The scientific evidence for “body toxicity” is next to none. In my educated opinion, the few instances of body toxins that could actually make you sick would benefit from using the specific toxin’s name, not the vague term “toxin.” It’s likely true that your body is exposed to various chemical compounds in your everyday life that make your body less healthy. However, every person is different, and every toxin is different. Calling them all “toxins” is unhelpful and medically meaningless. Chiropractic care improves your whole body health by correcting spinal misalignment , which strengthens your nervous system and even treats many kinds of headaches. But chiropractic adjustments don’t directly release toxins. Endotoxemia is a measurable variety of body toxicity which may warrant further research. Diet-induced systemic bacterial endotoxemia may result from consuming high amounts of sugar, flour, and oils. Healthy diet and healthy lifestyle can prevent endotoxemia. You May Feel “Sick” After an Adjustment Most people don’t feel “sick” after an adjustment, but some report fatigue and soreness. These symptoms are uncommon but natural and temporary, requiring a short adjustment period. Why does my body feel weird after a chiropractic adjustment? If your body feels lightheaded after a chiropractic adjustment, it’s probably due to a large change in the stimulus from proprioceptors and your body recalibrating to the new position of the corrected spine. In my experience, chiropractic patients don’t feel sick after an adjustment. If the rare occurrence they feel sore, lightheaded, or fatigued, it certainly has nothing to do with toxins. What are the symptoms of toxic release after chiropractic adjustment ? According to some, the side effects of toxic release after a chiropractic adjustment may include: Headache Fever Fatigue Nausea Dizziness Night sweats Sore or tight muscles Abdominal distress Flu-like symptoms What About Feeling Sick after Massage Therapy and Exercise? I’ve had patients ask about the ill feeling they sometimes have after massage or exercise, suggesting this is the same thing they feel after getting adjusted. Exercise can make you sweat, which is one of your body’s built-in detoxification processes. Massage, however, just dehydrates you (which can cause that ill feeling). During massage therapy, patients experience relaxation, but not release of toxins. You can actually get dehydrated due to your connective tissue and muscle fibers being activated and exercised, drawing moisture from your body and dehydrating you from the inside. This is why massage therapists give you water and tell you to drink more than normal after your appointment. During exercise, sweat naturally gets rid of some toxins and waste products. Physical exertion also pumps the blood circulation, accelerating detoxification in the lymph nodes and kidneys. A 2022 study found that more heavy metal toxins were released in sweat after exercising versus sweat from a heat sauna, implying that sweat alone is not the answer. Visit a Chiropractor Who Uses Only Evidence-Based Treatments I’m Dr. Ty Carzoli, an upper cervical chiropractor who has helped hundreds of patients overcome back pain , neck pain, migraines , headaches , vertigo, range of motion, and even mental health conditions. I don’t do these through the nebulous practice of so-called “toxic release,” but through evidence-based chiropractic treatment. Find a chiropractor who uses techniques that will actually help with the concerns you have. Any healthcare clinician you see should be able to defend or explain their rationale with evidence and sound reasoning, not appeals to emotion, metaphysical explanations, or ambiguous and vague jargon. Take control of your whole-body well-being , and work with us on a treatment plan that works for your unique situation. Schedule your appointment with Denver Upper Cervical Chiropractic right away. We are open on Friday but reserve that

What Is Orthospinology? Benefits, History, What to Expect & More Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief Orthospinology is a subspecialty of chiropractic healthcare targeted to the top two vertebrae of the spine. Fixing misalignments in your upper cervical spine may address many underlying health problems , including seizures, chronic migraine, Parkinson’s disease, multiple sclerosis, high blood pressure, and more. At Denver Upper Cervical Chiropractic , we employ the evidence-based techniques of orthospinology to bring relief to patients who have found little success with man-made medications or want to avoid invasive surgeries. Listen to real customer testimonials about how upper cervical chiropractic care worked for them. Read below for more on orthospinology, including what it treats and what to expect from a visit to your qualified orthospinology chiropractor. What is orthospinology? Orthospinology is a gentle chiropractic technique that aligns the upper cervical spine (top two vertebrae) to reduce pain, promote overall wellness, and relieve chronic health conditions. Orthospinology is a conservative alternative to pharmaceuticals or surgery. This subspecialty of chiropractic care focuses on the upper cervical spine, which consists of the upper 2 vertebrae: The atlas , or C1 The axis , or C2 Upper cervical chiropractic care is gentle, not rough. We are not trying to ‘crack your back;’ we are fixing how your upper spinal cord communicates with your brain stem. This is what sets orthospinology apart from other chiropractic care. Orthospinology vs. NUCCA vs. Atlas Orthogonal National Upper Cervical Chiropractic Association (NUCCA) defines and regulates the practice of manually adjusting the upper cervical vertebrae based on x-ray analysis. This practice is slightly different from orthospinology. What is the difference between NUCCA and Orthospinology ? NUCCA adjustments are usually done by hand, but orthospinology procedures use instruments. A patient with good outcomes at a NUCCA office will typically have good outcomes at an orthospinology practice, and vice versa. Atlas Orthogonal is a little different from orthospinology though they are both upper cervical low-force procedures. The Atlas Orthogonal technique looks much like an orthospinology adjustment, but the instrument delivers the adjustment with a “percussive force” — essentially, a sound wave.   Orthospinology techniques utilize a similar percussive instrument for some types of misalignments, but a larger table mounted instrument with a mechanical excursion for more. History of Orthospinology In the 1940s, Dr. John F. Grostic developed the Grostic technique — the beginnings of orthospinology. The Grostic technique focused on optimizing: Analysis specificity — making sure diagnostics accurately identify the underlying problem Adjustment precision — making sure chiropractic treatment precisely targets the underlying problem In the 1970s, Dr. John D. Grostic continued his father’s research. He expanded the list of upper spinal misalignment’s adverse effects on the central nervous system, based on overwhelming evidence. Orthospinology was born from the Grostic technique. Clinicians sought to improve the reproducibility of adjustments while minimizing human error with gentle, precise instruments. What causes neck misalignment? The following events may cause neck misalignment: Poor posture, including during sleep or work Traumatic spine or head injury (sports injuries, motor vehicle accidents, falls) Repeated “minor” injuries to the spine (chronically wrong lifting, staring down at phones) A long, stressful labor What causes atlas subluxation ? Traumatic injury is usually what leads to Atlas Subluxation Complex — a subluxation in your top vertebra. Poor posture and repeated injuries are common risk factors that worsen atlas subluxation. What happens when C2 is out of alignment? When the C2 (axis) is out of alignment, you can expect pain, numbness, weakness, or even loss of bladder/bowel control. You should seek upper cervical chiropractic care to correct C2 misalignment and avoid chronic health problems or long-term complications. What to Expect During Orthospinology Treatment During the orthospinology treatment process, expect an initial consultation. On your first visit , upper cervical chiropractors may not administer an adjustment. Precise analysis and diagnostics are crucial to orthospinology, so chiropractors often take a few days to process results. At your initial consultation, your upper cervical chiropractor may do a physical exam, digital x-ray analysis, maybe even a cognitive exam. On your second visit , chiropractors will typically perform the first adjustment. Upper cervical adjustments are gentle. Forget about those rough twists and cracks. Orthospinology is gentle enough for children and grandmas alike. These adjustments are often instrument-assisted. Sometimes, the instruments will be handheld. Other times, the instruments are mounted on advanced equipment.This video helps you know what to expect from an orthospinology adjustment. https://vimeo.com/299982455?fl=pl&fe=shhttps://youtu.be/MtWUoA5tt-8?si=GoG2atiI-DyQ0uga At Denver Upper Cervical Chiropractic, we also have a post-adjustment room for patients to relax and cool down after spinal realignment. Our calming post-adjustment room contains: Zero-gravity chairs Weighted blankets Noise-canceling headphones with binaural beats Essential oil diffuser Gentle lighting In our offices, we may also recommend upper and lower back stretches to help with certain conditions. How long does it take to realign your spine? It takes one adjustment to start realigning your spine. The total number of visits needed for total realignment varies by case and depends on the condition of the patient. However, a handful of visits to your chiropractor every year are likely needed to maintain spinal alignment. The Orthospinology Technique: Before and After Spinal decompression therapy is typically not recommended for the following people: Before After Before-After These before and after pictures from www.orthospinology.org show an average individual and how misaligned their spine may be before a spinal correction. Another method upper cervical chiropractors use is analyzing functional leg length by comparing the patient’s heels before and after adjustments. Before After Benefits of Orthospinology Orthospinology aims to improve nervous system function, immune system function, body imbalance, and overall wellness. But what specifically do upper cervical procedures treat? According to peer-reviewed research and case studies, the possible benefits of orthospinology /upper cervical care include improving medical conditions such as: Lower back pain Neck pain Knee pain Headaches and migraines Seizures Scoliosis Fibromyalgia Multiple sclerosis Parkinson’s symptoms Bowel dysfunction Asthma Low blood pressure High blood pressure Immune dysfunction (including when related to HIV ) Tourette’s syndrome Cerebral palsy Autism spectrum disorder Orthospinology as a Subspecialty of Chiropractic Orthospinology is a subspecialty of the chiropractic profession. It takes many credit hours of additional education and certification before

The Atlas Bone & When You Might Need an Adjustment Exploring the Unique Causes of Headaches in Denver and How Chiropractic Care Provides Relief Much like the Atlas in Greek mythology who supported the entire world, the function of the atlas bone is critical: it supports your entire head. The atlas bone (C1) connects your skull to your spine, and — with the support of the axis vertebra (C2) just below — the atlas determines your head’s full range of motion. Misalignments in the atlas bone can cause chronic pain, stress, decreased range of motion, and tension in the head or neck. Keep reading to understand this critical vertebra and determine when a misaligned atlas may be causing you issues. From Anatomy, Head and Neck: Cervical Vertebrae (Public Domain) What Is the Atlas Bone? The atlas bone is the top bone or first cervical vertebra connecting your skull to your spine. It’s also known as the C1 vertebra in your cervical spine . Your whole spine has 7 cervical vertebrae that connect to the 12 thoracic vertebrae, which connect to your 5 lumbar vertebrae. Those lowest 5 vertebrae make up the lumbar spine and connect to the sacrum, then the coccyx at the base of your spine. Uniquely among vertebrae, the atlas vertebra at the very top of your spine lacks a vertebral body, spinous process, and the intervertebral discs found elsewhere in the spinal column. The atlas is a ring-like structure that joins the occipital bone above it with the axis, or C2 vertebra, below it — thanks to both the atlantooccipital joint and the atlantoaxial joint. These joints belong to a class of synovial joints that act as pivot points in the body. In this case, the pivot is your head movements. How does the atlas bone affect overall health? A misaligned atlas bone directly impacts headaches, migraines, neck pain, range of motion, and balance. A dysfunctional atlas may indirectly contribute to chronic pain, inflammation, brain fog, and mental health problems. Let’s dive into the atlas bone’s support structure and general anatomy to get a deeper understanding of how it works. Here are the major parts of your atlas bone: Lateral masses Transverse process Anterior arch Posterior arch Vertebral foramen Lateral Masses The lateral masses (Massa lateralis atlantis) of the atlas bone are its thickest and sturdiest parts, which is by design. The pair of masses support the weight of your skull. Superior and inferior facets, or small joints, are found on each side of the lateral masses. The superior articular facets on the superior surface connect to the occipital condyles on your occipital bone. These structures allow for neck flexion and nodding movements of the head. This part of your atlas allows you to nod your head “yes” — why the atlas is also called the “yes bone.” The inferior articular facets on the inferior articular surface allow articulation with the axis, or second cervical vertebra, and head rotations. Essentially, these facets are where the two joints meet. Transverse Processes The transverse processes are large projections from the lateral masses that attach to the muscles here and help you rotate your head and neck. These muscles include the rectus capitis lateralis, a small muscle important to lateral bending of the occiput, or the back of your head. The transverse foramen in the transverse processes is a hole for your vertebral artery. From Anatomy, Head and Neck: Atlantoaxial Joint (© 2024, StatPearls Publishing LLC) Anterior Arch The anterior arch is concave on one side and convex on the other. That shape allows it to work as a connecting segment for the odontoid process (dens) of the axis below and the transverse ligament. From above, it attaches the long muscle of the neck (longus colli muscles) with the anterior tubercle. The upper border of the anterior arch attaches to the anterior atlantooccipital membrane. The lower border attaches to the anterior atlantoaxial ligament and the anterior longitudinal ligament. Most importantly, these connections are a pivot point with the axis. Posterior Arch The thin posterior arch that ends behind the posterior tubercle makes up about two-fifths of the circumference of the atlas ring. The posterior tubercle sits at the apex of the posterior arch and serves as an attachment site for the nuchal ligament (ligamentum nuchae), which spans the 7 vertebrae of the cervical spine. A groove in the posterior arch allows the vertebral artery to pass through here and the foramen magnum and continue along the spinal column. Defects in this area that lead to interference between the atlas and your skull can cause neurological problems down the line if left untreated. Vertebral Foramen The vertebral foramen is a large opening in the bone for both the spinal cord and the odontoid process of the axis. On the axis side, it serves as the start of a pivot point for your C2 vertebra. Read Next: Trigeminal Neuralgia vs TMJ, What Are They? Atlas Misalignment Atlas misalignment may cause various health problems and impact the structural integrity of your spine over time. How does your atlas get misaligned? Your atlas can get misaligned due to injury, abnormalities in your bone structure , or a variety of conditions affecting the spine and musculoskeletal system. Poor posture can also cause atlas misalignment over time. One rare injury that directly affects the atlas is a Jefferson fracture, most often seen alongside spine or head injuries. Generally, atlas fractures are more common in the elderly. It can be difficult to know how many people have an atlas misalignment, as many patients don’t seek care immediately. Atlas misalignment is among the most common conditions addressed by chiropractic care. What are the symptoms of a misaligned atlas? The symptoms of a misaligned atlas include: Headaches Migraines Pain in the jaw, neck, and back, and muscle stiffness Hearing problems, e.g. tinnitus, hearing loss, inner ear conditions Shoulder pain or misalignment of the scapulae, or shoulder blade Restricted movement of the head up and down or side to side Dizziness, including vertigo Balance problems Difficulties with coordination and concentration Muscle spasms Pelvic and hip misalignment Trigeminal neuralgia