TMJ and Neck Pain Case Report

58 year old female with neck pain, difficulty swallowing, and TMJ problems



Upper cervical injuries may influence overall health. This study will look at a 58 year old female with neck pain, difficulty swallowing, and TMJ (jaw) problems and how upper cervical care may improve the quality of life in this individual.

Although upper cervical care does not claim to be a cure for any single health problem or concern, it’s effects are seen generally and many people have overcome their health struggles with the help of upper cervical care. Upper Cervical Care is a unique form of chiropractic that helps people with common and uncommon health concerns be able to return to their normal life without the use of drugs or surgery.  Because upper cervical care revolves around the proper alignment of the head and neck and eliminating interference on the nervous system, the improvements are seen in the whole body.


Clinical Findings

A 58 year old female with neck pain, difficulty swallowing and TMJ problems presents for an evaluation. The patient has had a 15 year history of chronic neck pain from a fall that has progressed and worsened. The patient now is experiencing difficultly swallowing from the neck pain and has developed pain in the movement of her jaw. The patient reports an average of 8 out of 10 pain intensity, 10 being the worst.

An upper cervical evaluation was completed which included an upper cervical specific exam and advanced diagnostic imaging using the Cone-Beam CT. Following the exam and extensive analysis of the diagnostic imaging, the patient was found to have a pattern of signs indicating that there was along standing injury to the upper cervical spine. A plan of action was presented and the patient initiated upper cervical care.

I can’t eat, chew or swallow because of the pain in my jaw.


Method of Care

Upper cervical corrections were advised and given. The purpose of care was to correct the biomechanical and neurological fault or subluxation found at the atlanto-axial joint. The recommended care included an initial correction of the first vertebra and regular visits to evaluate and deliver corrections to the upper cervical spine as needed. The case was managed following the Blair Upper Cervical Specific protocol and included PRILL leg length inequality observations, thermographic pattern studies, posture analysis and neurological tests.



The patient found improvements in the movement of the jaw immediately. The patient was observed for six months, giving specific corrections when needed. She reported an average of 1/10 pain intensity of the neck during the last four months of care.


The primary objective of upper cervical care is to remove true consistent nerve pressure thus allowing the nervous system to become healthy once again. The reduction of symptoms immediately after initiating care suggest a link between the upper cervical subluxation and the health conditions. It may prove beneficial if further studies on upper cervical injuries and it’s association with health problems was pursed more fully. 


Jason Alder DC, UCA

Jason Alder DC, UCA

Healthful Chiropractic

Compassionate upper cervical practitioner. Private Practice in McKinney TX. CBCT 3D advanced imaging. Blair and Orthospinology Upper Cervical Specific Techniques.

Real Solutions For Your Health Concern

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Healthful Chiropractic

Phone: 469.215.1385

McKinney, Allen, Plano, Frisco, Prosper

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