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Journal of Upper Cervical Chiropractic Research

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Resolution of Vasovagal Syncope (VVS) Following Upper Cervical Chiropractic Care: A Case Study & Review of the Literature

Russell Friedman, D.C. & Alexandra Friedman D.C.

Journal of Upper Cervical Chiropractic Research ~ February 8, 2018 ~ Pages 1-12


The purpose of this study is to describe the resolution of symptomatology in a patient with Vasovagal Syncope (VVS) following chiropractic care to correct upper cervical subluxation.

Clinical Features:
A patient formerly diagnosed with VVS, chronic diffuse neck pain and episodes of spontaneous fainting and blackouts presented for chiropractic care. Pharmacotherapy and the surgical implantation of a pacemaker had been recommended.  Chiropractic examination revealed a patient with global postural misalignments and vertebral subluxations. X-ray analysis revealed severe rotation between C1 and C2; with C1 rotated posterior 7 3/4 degree in the right transverse plane and C2 rotated an additional 5 degrees left, on C1.

Intervention and Outcomes:
Quantum Spinal Mechanics 3 Dimensional protocol (QSM3) was utilized. Following adjustment to reduce the upper cervical subluxation the patient experienced resolution of her syncopal episodes.

This case study revealed complete resolution of VVS disorder following the administering of QSM3 care. Additional research on the benefits of tonal based chiropractic is further needed and encouraged.

Key Words:
Vasovagal syncope, neurally mediated, neurocardiogenic, reflex mediated syncope, Quantum Spinal Mechanics 3, chiropractic, adjustment, subluxation, atlas, upper cervical