The 2nd part of this series is devoted to the manual approach to C1-2 dysfunction. This list could go on and on for what clinicians perform to treat this, but I do prefer the C1-2 Rotatory HVLAT chin-hold technique. Just be mindful that I did not show the pre-manipulation examination. The following is an informal disclosure of how I perform the technique.
As noted in the video, you should see around a 10 degree, or even up to a 20 degree, improvement in FRT after this approach. This not only allows for greater cervical ROM but you should see a significant decrease in pain and tissue texture of upper cervical spine musculature. I like this technique as it is quick, effective, sub-painful (have you ever had mobilizations to a painful upper cervical spine) and basically gets results. Stay tuned for the next series to see therapeutic exercises that relate to C1-2 dysfunction.
What techniques do you use? Do you prefer mobilizations, MWM, METs, releases, etc.? I would like to hear about other techniques as some individuals aren’t appropriate for the above approach.