Repeated adjustments without addressing the underlying muscular imbalances may only lead to hypermobility and possible instability. If hypermobility is present and poor coordination between the SCM and deep neck flexors is hard to improve lumbopelvic stabilization and propriosensory exercises may be needed. Stabilization training focuses on control of lumbopelvic posture through strength, endurance, and coordination exercises for the abdominals, gluteals, and quadriceps. Propriosensory training uses balance boards and shoes to improve foot and ankle reflex motor control of standing posture and gait. Any chronic headache patient, whether they have been in a car accident or not, should be evaluated for a loss of deep neck flexor strength or endurance.
Evaluation is simple, inexpensive, and reliable.
Treatment is gentle and cost effective. By adding a rehabilitation dimension to your chiropractic approach you will find that many of your difficult patients will hold their adjustments much better. This same approach can be initiated in the first 2 weeks to resolve uncomplicated cases within 6-8 weeks from onset. These treatment parameters are consistent with the Mercy guidelines allowance of 12-16 weeks care for a complicated spinal disorder. By addressing joint dysfunction and muscle imbalances the prevention of reinjury or recurrence is more likely.