Forward Head Posture, Cervicogenic Headache, and Anatomical Connection Found Between the Rectus Capitis Posterior Major and the Dura Mater by Dr. Stephanie Maj

 

A new study, just published in Spine Journal, reports on an investigation of the muscles of the suboccipital triangle and their relationship to cervicogenic headaches (headaches that are caused by subluxations in the neck.)

 

This got me thinking of a problem I see in over 75% of patients that come to my office:  Forward head posture.  This position (see picture) puts the neck in an extended position which puts pressure on the nerves that go to the muscles in the back of neck, right under the skull (the rectus capitus muscle group).

This study reports that those muscles connect to the dura mater. The dura mater is the outermost, toughest, and most fibrous of the three membranes, or meninges, covering the brain and spinal cord.

During the anatomic study of thirteen cadaver specimens, it was discovered that eleven of the 13 specimens had a connection between the rectus capitis posterior major muscle (at C2) and the spinal dura mater. [1]  A previous report by Hack (Spine 1995) [2] discussed a connection found between the rectus capitis posterior minor and the dura mater and its relationship to cervicogenic headache.

What is most interesting in this new study is that manual traction of the rectus capitis posterior major resulted in gross movement of the dural sheath from the spinal root level at C2, all the way down to the T1 nerve root.  Hack previously suggested that:

“It has been speculated that the function of the muscle dural bridge may be to prevent folding of the dura mater during hyperextension of the neck. Also, clinical evidence suggests that the muscle dural bridge may play an important role the pathogenesis of the cervicogenic headaches.”

The authors of the current study concluded that “various clinical manifestations may be linked to this anatomical relationship.”  This is where Chiropractic comes in and the stress put on these upper neck structures from forward head posture becomes an important thing to evaluate.

According to Kapandji (Physiology of the Joints, Volume III), for every inch your head moves forwards, it gains 10 pounds in weight, as far as the muscles in your upper back and neck are concerned. That’s because because they have to work that much harder to keep the head (chin) from crashing onto your chest. This abnormal positioning also forces the suboccipital muscles (the ones that raise the chin) to remain in constant contraction, putting pressure on the 3 suboccipital nerves.

This nerve compression may cause headaches at the base of the skull. Pressure on the suboccipital nerves can also mimic sinus (frontal) headaches. It is these nerves and muscles that have the relationship with the dura mater and therefore the brain and headaches.

If you are suffering from headaches of any kind, take a look at how far your head is in front of your shoulders (they should line up ear over top of shoulder.)  Chiropractic has great success correcting this postural abnormality and when corrected, can lead to less pressure on upper neck and significant reduction of headaches.

REFERENCES:

1. Anatomical Connection Between the Rectus Capitis Posterior Major and the Dura Mater

Spine (Phila Pa 1976). 2011 (Jan 27)

2. Anatomic Relation Between the Rectus Capitis Posterior Minor Muscle and the Dura Mater

Spine 1995 (Dec); 20 (23): 2484-2486

 

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net

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Ever year my patients ask me to re-post my letter on the Flu Shot so here it is:

Hello Everyone!  I hope you all have had a wonderful summer season.  It is flu season approaching and I have been compelled to write my flu shot letter to all of my patients.  The news recently said that new recommendations came out telling parents to have their children, from ages 6 to 23 months, to get a flu shot.  They are then recommending that they have one each year for the rest of their life.

The calls and questions are beginning to start – “Should my child get a flu shot?  Should I get one too?” I wanted to write a letter addressing these questions.

Your medical doctor will tell you that flu shots are 100% safe.  This is absolutely false! And as to the effectiveness of flu shots, that is another question altogether.  The truth is that flu shots are notoriously ineffective and can actually be dangerous.  They cause untold cases of flu each year and last year, the CDC (Center for Disease Control) came out and admitted that the flu shot being given had NONE of the strains that were actually erupting all over the country.

Perhaps the most insidious of all problems with flu shots is their mercury content (it’s also called thimerosal).  An average flu shot contains 25 microns of mercury.  And one micron is considered toxic.  Mercury is a brain toxin already indicated as a causative agent in autism, dementia and Alzheimer’s.  Statistics show that if you have had 5 consecutive flu shots, that you have ten times the odds of getting Alzheimer’s as compared to a person who has had 2 flu shots or less.  This information is according to Hugh Fudenberg, MD, one of the world’s leading immunogeneticist – with 850 papers published in peer-reviewed journals.  Did your doctor mention the chances that you or your child might get the flu, be crippled, or even lose your mind from consecutive flu shots?  I doubt it.

Mercury-free flu shots are loaded with another harmful metal -ALUMINUM- which is shown to be an equally dangerous neurotoxin!

Our state has an act which strictly limits the amount of mercury in children’s vaccines.  The act states that shots made with mercury are a danger to your children.  Some manufacturers are starting to supply flu shots without thimerosal but these are not readily available and not given unless requested.   Remember also that the other ingredients aren’t much better:  aluminum, formaldehyde, ethylene glycol (antifreeze), phenol, benzethonium, methylparaben.

There is a better way!  So, my answer is, “AVOID THE FLU SHOTS LIKE THE PLAGUE!”  These flues affect only the immune compromised.  There are many ways to boost your immune system without subjecting yourself to these harmful shots, like:

1. Eat whole fruits and vegetables.  Limit sugar and processed foods.
2. Get exercise and fresh air.
3. Drink pure water – 2 quarts a day.
4. Quit smoking.
5. Get enough rest.
6. Take a potent multivitamin (we also have immune support supplements in the office).
7. Take hot salt baths.

And, finally, GET ADJUSTED! As you know, my ‘immune buster’ adjustment focuses on the areas in charge of your immune system.  Yes, your spinal nerves control immune function!  The healthier your nervous system, the healthier your immune system will be.  So, a stressed nervous system equals a stressed immune system.  Make Chiropractic part of your health and wellness choices this “flu season” for your family.

Have you had your kid’s spines checked? Building healthy immune system habits when kids are young will lead to healthier bodies throughout their lives.  My techniques are gentle, safe, and effective in keeping healthy kids healthy without drugs or harmful antibiotics.

I know this letter is direct.  The truth is that I care about the health of your kids and you.  My goal is to make you informed about the choices you are making, to give you options that are more holistic, and to work with your body to make you stronger.  So please call the office and make an appointment for you and your family to get your spines checked.  You will be happy you did.

Yours in Health!

Dr. Steph

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago since 1996. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net

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I was asked to contribute to this blog on my experience with Chiropractic and boosting energy. I hope you enjoy!  Dr. Steph

 

Looking for ways to boost your energy during the hot summer months? Read our latest, helpful blog article.

©by Deborah Tukua www.chiropractorswritehand.com

Feeling tired all too often? You’re not alone. Blazing hot temperatures and humid weather can really zap your energy, especially if you work in a concrete jungle. Looking for ways to increase your stamina, energy, and brain power through the summer?

Exercise, the Energy Giver

• Start the day with the marvelous energy inducer – exercise. The old adage, you have to give to get is true when it relates to exercise and energy.
• Stay hydrated. Drink water before and after exercising to promote endurance and prevent fatigue.
• Get on your feet every hour, stretch and do at least 2 exercises before sitting down again.
• Walk, dance or exercise to music to motivate you, boosting your mood, and energy level. Make exercise something you look forward to.
• Do what you love, whether it’s swimming, ballet, basketball, Taekwondo, jogging, walking your dog, dancing, strolling in a park or taking a lap around the mall while window shopping.

Avoid These Summer Energy Downers

• Getting less than 8 hours of sleep compromises your immune system, increases your chances of illness, reduces your ability to concentrate, and depletes your energy. A good night’s sleep is necessary to keep your body charged and your brain functioning well.
• Beverages containing caffeine and alcohol can dehydrate the body and increase chances of fatigue. Avoid drinking stimulating beverages close to bedtime. Studies show that when more than one alcoholic beverage is consumed, it stimulates the body, increases your heart rate and causes stress on your circulatory system.
• Getting in and out of a hot car is sure to zap your energy level. Save running errands for when the sun starts to set, when possible.
• If you exercise during your lunch break, avoid exercising outdoors in bright, open areas consisting largely of asphalt or concrete. Instead, exercise indoors or in a shaded area.
• Avoid these energy zappers: hot showers and baths or sitting in a hot tub or sauna.
• Don’t skip meals when you’re tired. Refrain from eating energy robbing foods: sugar, refined white flour products, highly processed foods and unhealthy fats. Consuming these foods also promotes unhealthy weight-gain, another huge energy robber.
• Avoid sitting for long periods of time. Get up and move every hour.

Natural Energy Uppers

• Eat plenty of fresh fruits rich in water such as watermelon and vegetable or salad based meals instead of heavy red meat entrees.
• Consume these energy producing foods: green beans, grapes, spinach and other green leafy vegetables, almonds and pumpkin seeds, black beans, white fish, brown rice and unrefined, whole grains. Drink a healthy green drink daily. Wheatgrass is especially noted for increasing energy.
• These nutritional supplements fight fatigue and increase energy levels: MSM, bee pollen, magnesium and calcium, Brewer’s yeast, vitamin C, vitamin B Complex and ginseng. Consult your health practitioner before starting a supplement regimen, especially if you are taking medications, have allergies, or an existing health condition.
• Take a cold, refreshing shower or bath to rejuvenate energy levels before and after working outdoors, when you’re feeling hot or tired. Soaking your feet in cold water helps too. (If you have a heart condition or circulatory problem, check with your doctor before trying cold water treatments.)
• Practice good posture when sitting, standing or walking. Correct, strong posture allows you to breathe deeply and enhances your overall wellbeing. Ask your chiropractor to show you posture strengthening exercises.
• Fresh air and sunshine is invigorating, healthy and a mood enhancer. Spend 15 to 30 minutes outside daily for a healthy dose of vitamin D, as weather permits.

Note: Fatigue is a symptom of most illnesses. If fatigue is chronic, consult a health professional to determine if you need to adjust your diet, have a vitamin or mineral deficiency or other health condition.

Energy and Chiropractic Care

By Dr. Stephanie Maj

Meet this week’s Chiropractic Care contributor: Dr. Stephanie Maj is the author of the book, You Can Be Well! How to Improve Your Quality of Life Through a Healthier Lifestyle. She has been coaching families to a healthier lifestyle for over 16 years. Dr. Maj has a thriving family practice in the heart of Chicago. Check out her blog at www.drmaj.com.

You cannot have Wellness without Chiropractic!

• The flow of energy in the body travels through the body’s wiring system – the nervous system. That flow travels in a looping cycle over your brain and spinal cord, through the nerves and back to the spinal cord and then back to your brain. Chiropractic adjustments remove interference to this nerve flow and allow your energy to be balanced, your immune system to be strong and your resistance to stress, high.
• Chiropractors look for interferences in that natural flow of energy. Because your nerves come through every level of the spine, an unbalanced spine can create blockages that may cause physical and emotional fatigue.
• Understand that chiropractic adjustments “Turn your body’s power ON!” By removing the interference in the flow of the nerves, the body is able to achieve optimal function in all areas, thus unlocking the flow of energy and supercharging the body.

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Posted by Dr. Jennifer Barham-Floreani’s Parenting, Pregnancy & Family Health Info-Blog – welladjustedbabies.com

Some adults may wonder why more and more children are starting to see chiropractors. That’s a good question and the answer is simple: whether we have a large spine or a tiny little spine, if that spine is creating nerve distress then our magnificent bodies cannot operate smoothly…

The nervous system is the ‘Master Controller’

The nervous system is the master controller of our body and if its communication channels become fuzzy, distorted or damaged then we experience all sorts of communication errors. For babies and children, this ineffective communication may play out as colic or irritability, an inability to suckle and breastfeed, poor sleep, developmental delays, digestion issues, asthma, behavioral problems, low energy, inability to concentrate, headaches, etc. – the list is endless. In fact, regardless of what the end result or symptom may be, all roads lead back to the nervous system – to the body’s ability to self-regulate and function at a peak level.

While chiropractic may be able to help with a number of health issues, our focus is not treating or curing ailments; our focus is ensuring the nervous system has every opportunity to work efficiently and effectively.

Can you cook at night with the lights out?

For example, imagine your nervous system is like the lighting system in your home. If the lights start to dim, you might not be able to cook dinner very well, you may start banging into furniture, you may trip and hurt yourself, you may feel frightened, etc. Exactly how the dim lights influence you will vary but the issue is still the same – there is a communication problem between the wiring and the intended outcome which needs detecting and fixing.

In the same way, chiropractors spend years studying the nervous system to be able to detect and correct these ‘communication errors’ in the body.

Another question you may ask is…

“How do little kids get nerve irritation?”

Nerve irritations (or vertebral subluxations) occur as a part of normal daily life. They result from physical, chemical and emotional stressors or ‘insults’ to our health, such as bad posture, prolonged postures, sleeping on the tummy, knocks and falls, poor food choices, dehydration, exposure to chemicals and toxins, and stress and anxiety. Even before these lifestyle stressors have an impact, nerve irritation can occur in the uterus from awkward positioning, restriction of movement, exposure to toxins, and from birth complications such as long labors, very fast labors, or forceps or caesarean delivery.

When we appreciate how important the nervous system is and how easily it can be hindered and impaired it makes sense that all children deserve to have a well-adjusted spine and nervous system … it makes sense that chiropractic is an important part of a healthy lifestyle.

10 reasons parents take their children to see a Chiropractor:

1. To maximize their child’s neural plasticity (brain and nerve development.)
2. To enhance their child’s overall health and wellbeing.
3. To strengthen immunity and reduce the incidence of colds, ear-aches and general illness.
4. To help with colic and Irritable Baby Syndrome.
5. To help with asthma, breathing difficulties and allergies.
6. To improve spinal posture.
7. To improve their child’s ability to concentrate.
8. To assist with behavioral disorders and enhance emotional wellbeing.
9. To help alleviate digestive problems.
10. To assist with bed-wetting and sleep issues.

Your child’s health is their greatest asset.

For more information about improving your child’s nervous system function and general health, please see a chiropractor.

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net

Read more —> http://welladjustedbabies.com/why-parents-take-children-to-chiropractors/#ixzz1QEabhbHY Get a free subscription to “Healthy Families” Magazine

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#9: Chiropractic Alleviates Pain – Chiropractors address the underlying cause of pain disorders, headaches, low back pain and sports injuries by treating the cause, not covering the symptoms. Quite often, those painful conditions are linked to dysfunctional areas in the spine known as vertebral subluxations – where movement is restricted or spinal bones are misaligned. Chiropractors adjust vertebral subluxations and this often alleviates the pain.

#8: Chiropractic Boosts Productivity – Since chiropractic care keeps you healthier, you will also find that your efficiency at work increases, also. For instance, chiropractic care rids LBP associated with sitting hour after hour in ergonomically incorrect chairs. “Sitting causes the pelvis to rotate backwards and causes a reduction in the lumbar lordosis, chunk-phi angle, and knee angle” notes researchers. Treatment also causes “an increase in muscle effort and disk pressure” (JMPT 1999; 22:594-609). In relating LBP can lead to work absence and higher medical costs: the focus of a study published earlier this year. In a review of 250 employees receiving workers compensation for low back pain– 72 of whom had no physically therapeutic care — patients receiving spinal adjustments experienced greater reductions in pain and disability. This translated into lower therapeutic costs and a faster return to work (Spine Journal 2006; 6:289-295). Chiropractic care effectively restores proper spinal alignment and reduces LBP. Missing appointments however, may foster a “one step forward, to step back” scenario.

#7: Chiropractic Improves Cognitive Function – Mapping of brain activity before and after chiropractic adjustments of the spine and the neck reveals that chiropractic care stimulates cognitive function. In a study involving 500 adult volunteers, researchers used cutting edge technology to create maps of functioning in the cortical portions of the brain before and after chiropractic adjustments of the cervical spine. Researchers found that “cervical adjustments activate specific neurological pathways” in the brain, potentially stimulating cognitive function (JMPT1997;20:529). Chiropractic adjustments also enhance response mechanisms in the brain, according to researchers in New Zealand who conducted a study involving 30 volunteers: all with evidence of cervical spinal joint dysfunction. Instead of cortical mapping the researchers used reaction time to various stimulation as a gauge. “Multiple sites of cervical spinal joint dysfunction were related to impaired cortical processing,” noted the researchers. This was demonstrated by “significantly less accurate response selection and a trend toward more variable performance of an anticipated response.” (JMPT 2005;28:502-7). After chiropractic adjustments, the volunteers demonstrated improved cortical processing and response selection.

#6: Chiropractic Boosts Immunity and Prevents Other Conditions – Scientific research reveals that regularly scheduled chiropractic care may boost the body’s immune response. And a powerful immune system is a key component of chiropractics all-natural approach. One study involved 11 patients over a nine-month period. The pilot study provided preliminary information regarding chiropractic care and possible links to improved immune status. Chiropractic care also boosted other aspects of health and quality of life – as mentioned above (JVSR 2006 1-6). Another study in 1991 even found that chiropractic adjustments boost levels of polymorphonuclear neutrophils (PMN) and monocytes — white blood cells associated with a healthy immune system (JMPT 1991; 7:399-408).

#5: Chiropractic Reduces Stress – Chiropractic care reduces stress by allowing the body to achieve a balance. In addition, chiropractic helps keep patients free of the impairments to regular exercise, which is key to reducing stress and preventing stress-related anxiety and depression. And, while chiropractors do not treat depression, preliminary research demonstrates that chiropractic adjustments may ease depressive symptoms by increasing endorphins. “It has been long speculated that chiropractic interventions may affect mental health problems,” note researchers. Investigators followed 15 adults who were both clinically depressed and had cervical spine subluxations. Before and after receiving an adjustment, the subjects completed a standard assessment for depression called the Beck Depression Inventory II. Results revealed a marked reduction in depression scores following treatment (JVSR 2005:1-4)

#4: Chiropractic Care Encourages Increased Physical Activity – New patients frequently find that chiropractic care jump starts them toward a more wellness oriented lifestyle, simply because they can move more and with less pain. For instance, many chiropractic patients report improved function and with that, an increased ability to stick to a regular exercise program.

#3: Chiropractic Reduces Dependency on Medications – Individuals who maintain regular chiropractic care are far less likely over use medication, which all have dangerous side effects. Even OTC pain medication may cause problems in the gastrointestinal system. In addition, long-term use of pain medication can actually worsen the very symptoms they was intended to reduce – a “rebound’ reaction. “Rebound” headaches are relatively new, and describe a long standing, “unnamed” and largely unrecognized condition caused by taking painkillers — daily or on a regular basis — from migraines or other headaches. Remember, these conditions are common, they are NOT normal!

#2: Chiropractic Improves Sleep Quality – Chiropractic patients often enjoy improved quality of life, including sleep quality. This is due to a reduction in pain and anxiety which often interferes with sleep patterns. Improved sleep enhances immunity and your ability to fight disease. Some exciting preliminary research links insomnia with vertebral subluxations. The study collected data on 221 patients being cared for by 15 different chiropractors. According to the findings, “one third of the 154 patients who completed the semi structured interview reported their sleep pattern was changed immediately after their chiropractic adjustment. All but one of these 52 patients reported improvement” in the 20 patients with insomnia, improved sleep was noted in the six days following the chiropractic adjustment. ”However, no consistent trends were noted in the days and weeks following care, so additional research is necessary before a firm link may be established” (JMPT 2005;28:179).

#1: Chiropractic Adds Life and Improves Structural Wellness - Regular chiropractic care instills patients with sense of ‘health-confidence” and self-confidence. Much can be said for first impressions. So whether it be in business or in our personal lives, your posture can speak for you before you ever utter a word. If you see someone standing upright, they carry an aire of confidence that bears watching and commands respect. Contrast that mental image with someone who is hunched over or slouches and you can see what I mean. Chiropractic patients learn to take charge of their own well-being, and in turn, increase their longevity by adding a heightened quality-of-life.

Thank you to Dr. Russell D. Caram, Chiropractor, from Bethel, Connecticut!

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net

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My certification in Pregnancy and Pediatrics has allowed me the privilege of helping women with a variety of reproductive concerns from breech babies, pain with pregnancy, to colicky babies.  One of the most exciting ways I can help women is to aid in the fertility process.  Several published case studies have highlighted the benefits and miraculous results of chiropractic care for patients who were unsuccessful in their attempt to have children. In three successive issues of the Journal of Vertebral Subluxation Research, (JVSR), case studies were published of women who were having trouble with infertility, and who were helped by chiropractic care.

The December 8, 2003 JVSR reported on a case study of a 32-year-old female with a history of infertility, who had attempted to become pregnant since August 1999, with no success and sought chiropractic care in November of 2001. Prior to the chiropractic care, she had received unsuccessful conventional medical treatment, including detailed fertility testing, artificial insemination, in vitro fertilization, and treatment with the fertility drug Clomid. She sought chiropractic care on November 3, 2001. Chiropractic analysis and correction were performed over the next six weeks and during this time, the patient’s secondary complaints of low back pain and headaches improved dramatically. Additionally, the patient’s fertility specialists noted that her estrogen levels, endometrial thickness, and cervical mucus levels were all at more favorable levels than at the time of the first in vitro attempt. A second attempt at in vitro fertilization was made on February 17, 2002, and the patient had a positive pregnancy test on March 2, 2002.

The second case was that of a thirty-four year old woman who presented for chiropractic care on January 10, 2000. Her concerns listed a variety of conditions, including a history of infertility. This patient made no other alterations in her lifestyle or clinical situation besides the addition of chiropractic care. Approximately 4-5 weeks into the care program the patient conceived naturally.

The third case was interesting because the woman was not trying to conceive. This case was that of a 65-year young female who presented with agonizing low back pain and severe lumbar degeneration. After four weeks of care she began spotting and was diagnosed as having a normal menstrual cycle. What was really interesting about this case was that she had experienced a severe fall at 13 years of age which resulted in a complete cessation of her menses at 18. She was diagnosed as infertile.

In each of these cases the chiropractic care was specific for correction of vertebral subluxations that were determined to be interfering with the normal function of the nervous system. This in turn disrupted the reproductive system of the patients. The conclusion of one of the studies sums up the process by saying, “The human body is designed to be healthy and to reproduce. Impairment of this ability indicates dysfunction on a fundamental level. Subluxations of the spine and the associated nervous system dysfunction can hinder proper function of body systems.”

 

Thank you to Dr. Andrés Jiménez for his compiling of this research to make this post possible!

Dr. Stephanie Maj has a thriving family practice in the heart of Chicago. Her clinic is located at 1442 W. Belmont Ave., 1E, Chicago, IL 60657. 773.528.8485. www.communitychiropractic.net

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Everyday patients come to my office complaining about problems that plauged them since childhood. That is what lead me into specializing in Pediatrics. Fix them when they are young and they will be much healthier adults.  Well as my practice grew, I realized that problem teenagers had problems as toddlers and challenged toddlers had problems as infants and infants with issues such as colic had problems in-utero with being in the wrong position and/or birth trauma from c-sections or interventions such as forceps.

That is why this case study is important to me. Most of the kids I see with problems such as ear infections, colic, reflux and other challenges, started off having a difficult birth.  Using the Webster Technique throughout the WHOLE pregnancy will reduce the likelihood that the baby will be malpositioned (breech, transverse) and need interventions at delivery.  Then the baby will truly start off life as healthy as possible.

Resolution of Breech Presentation Following Application of Webster Technique: A Case Report

Helya Dashtkian DC Bio & Heather Whittle-Davis DC, FICPA, CCEP Bio Journal of Pediatric, Maternal & Family Health – Chiropractic ~ 2011 ~ Issue 2 ~ Pages 40-42

Abstract

Objective: To discuss the outcome of chiropractic care using the Webster Technique on a pregnant female with breech presentation of fetus.

Clinical Features: A 25 year old female sought chiropractic care at 31 weeks gestation to avoid cesarean section due to breech presentation, which was confirmed by her Ob/Gyn. The patient also had low back pain that was exacerbated by the pregnancy.

Interventions and Outcomes: The patient was evaluated using Webster Technique protocol and was found to have sacro-iliac subluxations, as well as trigger points along the round ligament. Webster Technique was administered a total of two times to address subluxations and trigger points. The fetus shifted from the breech position to transverse after the first visit. After the second visit, the fetus shifted from transverse to vertex. The patient continued to seek chiropractic care due to pregnancy related low back pain.

Conclusions: The patient avoided cesarean section and had an uncomplicated vaginal delivery following administration of the Webster Technique protocol.

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