Objective: To describe resolution of symptoms in a patient with chronic hemifacial spasm, neck pain, and low back pain following specific chiropractic adjustments to correct vertebral subluxations.
Clinical Features: A 48-year-old male patient with hemifacial spasm, accompanied by neck pain and low back pain was evaluated using palpation, posture analysis and chiropractic radiographic analysis. He was diagnosed with subluxation of the atlas, L4, L5, sacrum, and sacroiliac joints.
Intervention and Outcome: Treatment consisted of specific upper cervical adjustments using Palmer Toggle Recoil technique and Thompson drop technique on the lumbar, sacral, and pelvic areas. The patient’s symptoms resolved following three chiropractic adjustments and he was still free of symptoms at a 3 month follow up.
Conclusion: Further investigation is warranted on the relationship between subluxation at the upper cervical spine and cranial nerve dysfunction. Upper cervical chiropractic care may benefit patients with hemifacial spasm.
Keywords: Chiropractic, chiropractor, spinal manipulation, hemifacial spasm, facial spasm, vertebral subluxation, adjustment