The Relationship Between Upper Cervical Treatment and the Dura Mater

by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul

The upper cervical spine (Upper Cervical) is a crucial structure that regulates the body's balance and is closely related to the dura mater.
When the alignment of the upper cervical spine changes, it can alter the tension in the dura mater, affect cerebrospinal fluid (CSF) circulation, and potentially cause various changes in the nervous system.

1. Mechanical Tension Changes in the Dura Mater

The upper cervical spine plays a vital role in connecting the skull and the spine at the craniocervical junction (CCJ), controlling both stability and mobility.

Misalignment of the atlas (C1) and axis (C2) can impact the myodural bridge (MDB), a structure that connects the suboccipital muscles (particularly the rectus capitis posterior minor, RCPm) to the dura mater.
When upper cervical misalignment persists, it may increase dural tension, which can affect cerebrospinal fluid (CSF) circulation.
These changes may contribute to symptoms such as headaches, neck discomfort, and nervous system imbalances in some individuals.

2. Cerebrospinal Fluid (CSF) Flow and Pressure Changes

The dura mater is continuous with the inner layer of the cranial meninges, forming a passageway for cerebrospinal fluid (CSF) flow.

If the upper cervical alignment is altered at the craniocervical junction (CCJ), it can disrupt the smooth flow of CSF.
This may lead to changes in intracranial pressure (ICP), causing symptoms such as dizziness, headaches, and fatigue.
In particular, individuals with conditions such as Chiari malformation, Meniere’s disease, and idiopathic intracranial hypertension (IIH) may be more susceptible to CSF circulation disturbances due to upper cervical misalignment.

3. The Relationship Between the Dura Mater and the Nervous System

The dura mater contains numerous nerve fibers, and persistent upper cervical misalignment can increase dural tension, potentially affecting the nervous system.

Nerves closely associated with the dura mater include:

  • Trigeminal nerve (CN V)
  • Vagus nerve (CN X)
  • Superior cervical ganglion (SCG)

Increased tension in the dura mater can impact the balance of these nerves, potentially leading to symptoms such as headaches, dizziness, insomnia, and increased muscle tension.

4. The Connection Between the Upper Cervical Spine and Spinal Dura Mater

The upper cervical spine is directly connected to the spinal dura mater, particularly at the C1, C2, and C3 levels, where the dura mater is strongly attached.

Functional changes in the upper cervical spine can lead to increased spinal dural tension, potentially causing:

  • Cervicogenic headaches
  • Neck stiffness
  • Increased muscle tension

Persistent tension in the spinal dura mater may also increase nerve sensitivity and activate muscle spindle reflexes, further contributing to muscular and neurological symptoms.

Conclusion

Changes in upper cervical alignment can lead to:

  • Increased dural mechanical tension
  • Altered cerebrospinal fluid (CSF) flow
  • Nervous system stimulation

These changes may be associated with symptoms such as headaches, dizziness, and autonomic nervous system imbalances.
Conversely, maintaining proper upper cervical alignment can enhance postural balance and nervous system stability.

Research on the relationship between upper cervical care, dural function, and CSF flow is ongoing, but it is considered an important factor in maintaining structural balance and neurological health.

Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea)
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

chson@daum.net

Feel free to reach out for further consultation or to schedule an appointment.

댓글

댓글 쓰기

이 블로그의 인기 게시물

 What is Central Sensitization? by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul Central sensitization refers to a condition where the brain and spinal cord become abnormally sensitive to pain signals following an injury or inflammation. In simpler terms, the pathways that perceive pain become overly reactive, causing individuals to experience excessive pain from minor stimuli or persistent pain even after healing . Key Features of Central Sensitization Amplified pain responses (Allodynia) Pain is felt even with non-painful stimuli, such as light touch or gentle movement. Increased pain sensitivity (Hyperalgesia) Painful stimuli feel much more intense than usual. Persistent pain Pain can continue even after the original injury or inflammation has resolved. How Central Sensitization Develops Peripheral nerve injury or inflammation → Continuous transmission of pain signals to the spinal cord and brain → Hyperexcitab...
자세한 내용 보기
Why Is My Knee Swollen, and Why Does It Take So Long to Heal? by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul – Understanding Knee Swelling and Recovery Strategies Many people have experienced knee swelling and discomfort at some point. At first glance, it may seem like a minor issue, but in reality, it often takes longer than expected to heal. In this article, we’ll explore the common causes of knee swelling , why recovery tends to take time , and what treatment options may help . 1. What Causes Knee Swelling? Knee swelling is not a diagnosis itself—it’s a symptom with a variety of possible causes. Here are some of the most common: ✅ ① Trauma or Overuse Injuries from sports or prolonged walking can lead to inflammation in the knee joint, resulting in swelling. ✅ ② Meniscus or Ligament Injury Damage to structures like the meniscus or cruciate ligaments may cause internal bleeding or increased joint fluid, leading to visible swelling. ✅ ③...
자세한 내용 보기
  Upper Cervical Treatment for Refractory Musculoskeletal Pain: An Evidence-Based Approach by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul Chronic musculoskeletal pain can significantly reduce the quality of life, particularly for patients with refractory pain who do not respond well to conventional treatments. Recent research has highlighted the misalignment of the upper cervical spine (C1, C2) as a potential contributor to these challenging pain conditions. Upper cervical chiropractic care has emerged as a promising alternative based on increasing clinical evidence. The Relationship Between the Upper Cervical Spine and Musculoskeletal Pain The upper cervical spine consists of the first two cervical vertebrae, C1 (atlas) and C2 (axis), which play a crucial role in head movement and the function of the nervous system. Studies have shown that even minor misalignments in this area can affect the central nervous system and trigger pain (Ericks...
자세한 내용 보기