Son PMR & Chiropractic clinic

  🧠 Can Gut Dysbiosis Cause Cervico-Cranial-Mandibular Complex Dysfunction? by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul In short , current evidence suggests that gut dysbiosis (an imbalance of the intestinal microbiota) does not directly cause dysfunction in the Cervico-Cranial-Mandibular Complex (CCMC) . However, indirect pathways may exist through systemic and neurological mechanisms. 🔍 What Is the Cervico-Cranial-Mandibular Complex? The CCMC refers to the interconnected anatomical and functional structures of: Upper cervical spine (C1–C3) Occiput and cranial base Temporomandibular joint (TMJ) Cervical and masticatory muscles (e.g., SCM, masseter) Primary causes of CCMC dysfunction typically include: Trauma (e.g., whiplash, falls) Postural imbalance (e.g., forward head posture) Malocclusion Muscular tension and fascial dysfunction These are biomechanical, structural, or neuromuscular in nature. 💡 Can Gut Dysbi...

“Can Gut Health Improve Chronic Musculoskeletal Pain?” by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Exploring Clinical Evidence of the Gut–Pain Connection Over the years, chronic musculoskeletal pain has often been explained through biomechanical, neurological, or psychosocial frameworks. However, a growing body of research in functional medicine and integrative care is shedding light on an additional player: the gut microbiome . As a physician specializing in structural alignment and orthogonal neuro-biomechanics, I acknowledge the profound role that spinal balance plays in chronic pain. Yet, I have also seen that in certain stubborn or systemic cases, improving gut health can complement orthopedic or neurologic treatments and lead to meaningful results. Let’s explore several clinical cases and research findings that highlight this relationship. 🔹 1. Fibromyalgia and Small Intestinal Bacterial Overgrowth (SIBO) Numerous studies have shown a strong assoc...

Why the Cervicocranial Mandibular Orthogonal Alignment Matters in Chronic Musculoskeletal Disorders by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul The cervicocranial mandibular system refers to the anatomical and functional integration of the upper cervical spine (C1 and C2), the cranium, and the temporomandibular joint (TMJ). This region also interfaces closely with surrounding muscles, ligaments, cranial nerves, and the brainstem. Its alignment — particularly when orthogonal, or in a right-angled relationship — is crucial not only for structural balance but also for neurological integrity and postural control. ✅ 1. Neuroanatomical Significance The upper cervical spine (especially the atlas and axis) lies directly beneath the brainstem and is closely associated with the spinal trigeminal nucleus , spinothalamic tract , and reticulospinal pathways . Misalignment in this area may contribute to altered neuromuscular coordination, central sensitization, and persi...

Why PDRN Therapy May Help Patients with Chronic, Treatment-Resistant Low Back Pain by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Many patients with chronic low back pain (CLBP) struggle with persistent discomfort even after receiving standard treatments such as injections, medications, physical therapy, or manual therapies. Especially when structural abnormalities are minimal or absent, these cases can be categorized as treatment-resistant or intractable low back pain . An emerging treatment showing promising results in such patients is PDRN (Polydeoxyribonucleotide) therapy , a regenerative injectable derived from salmon DNA. Originally used in dermatology and wound healing, PDRN is now gaining attention in the field of musculoskeletal rehabilitation. 🔬 What Is PDRN? PDRN is a DNA fragment extracted from salmon sperm that promotes tissue regeneration , anti-inflammatory effects , and angiogenesis (new blood vessel formation) . It binds to A2A adenosine rece...

The Many Faces of Lumbar Disc Pain – A Case of Hidden Cause Behind Calf Pain by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul A gentleman in his late 60s recently visited our clinic with persistent pain in the back of his leg and difficulty walking. He had previously received multiple treatments at a traditional medicine hospital, but the discomfort continued, and his ability to walk steadily was worsening. At first glance, the pain seemed to stem from a possible calf muscle strain or micro-tear , so we began treatment accordingly. However, as time went on, the pattern and character of the pain began to suggest a deeper issue—one that wasn’t just localized to the leg muscles. Further examination revealed that the true source of the pain was not the leg at all, but the lower back—specifically, lumbar disc-related nerve compression . Once this was identified, we initiated a treatment plan that included nerve-targeted injection therapy , intramuscular stimulation (IM...

  A  50s Patient Struggling with “Brain Fog” – Remarkable Improvement After Precise Upper Cervical Care by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul A patient in their 50s recently visited our clinic, deeply concerned about persistent symptoms of brain fog — such as mental cloudiness, poor concentration, and frequent forgetfulness. The symptoms had become so disruptive that the patient underwent a comprehensive dementia evaluation at a general hospital. Fortunately, the results ruled out dementia. However, without a clear explanation for their symptoms, the patient fell into emotional distress and uncertainty. During our consultation, we noted a history of chronic neck tension and stiffness. This led us to perform a precise functional evaluation of the upper cervical spine (C1 and C2) . Our assessment revealed subtle misalignment and tension patterns in the upper cervical vertebrae . We began a series of precise and targeted upper cervical chiropr...

 [Case Highlight] Improvement of Severe Neck Pain and Occipital Headache Through Upper Cervical Chiropractic and Integrated Care by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul A male patient in his 50s recently visited our clinic with severe neck pain and occipital headache that had been significantly affecting his daily life. He described stiffness in his neck and a persistent, dull aching sensation in the back of his head. Although brain MRI results showed no abnormal findings , he was referred to our clinic by an internal medicine specialist for further evaluation and care. Clinical Findings and Treatment Approach Upon examination, we identified a mild misalignment of the C2 and C3 cervical vertebrae , along with notable muscular tension in the upper cervical area (C1–C3) . We initiated a comprehensive treatment plan that included: Upper cervical chiropractic care aimed at improving spinal alignment and neurological function Intramuscular stimu...

 🦶 Should You Always Remove Metal Implants a Year After Foot Fracture Surgery? by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Many patients wonder whether metal implants—such as pins, screws, or plates—must be removed after foot fracture surgery, especially once a year has passed. The short answer is: not necessarily. The decision to remove implants depends on the patient's symptoms, the location of the implant, and any complications that may arise. Here’s a clear breakdown to help you understand when removal may be necessary and when it’s safe to leave the metal in place. ✅ When Removal May Be Necessary Persistent pain or discomfort If the implant causes irritation to nearby soft tissues, nerves, or skin—leading to pain or discomfort—removal can be considered. Prominence or pressure on the skin In areas where the skin is thin (like the top of the foot or near the ankle bones), metal parts may become prominent, causing pressure, skin inflammation...

Why Upper Cervical Spine Treatment Can Help with Occipital Headache, Temporal Headache, and Dizziness by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul Some patients experiencing occipital pain, bilateral temporal headaches, dizziness, and overall head discomfort may have underlying dysfunction or tension in the upper cervical spine (C1–C3). Anatomically, this area connects the head, neck, and brainstem, and plays a crucial role in various neurological functions. 1. Connection Between the Upper Cervical Spine and Occipital Nerves The upper cervical spine, especially C1 to C3, is closely related to the occipital nerves . In particular, the C2 spinal nerve gives rise to the greater occipital nerve , which provides sensation to the back and top of the head. When this area becomes misaligned or tense—due to poor posture, injury, or stress—it may irritate these nerves and lead to occipital or temporal headaches . Reference : Bogduk N. The anatomical basis for cervic...

 📘 Understanding Centralization and Peripheralization in the McKenzie Method by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul – What Your Pain Pattern Might Be Telling You – When it comes to back or neck pain, some people may also feel discomfort radiating down into their arms or legs. Interestingly, the direction in which pain moves isn’t random — it often gives us valuable insight into your spine’s condition and helps guide treatment. In the McKenzie Method (Mechanical Diagnosis and Therapy, MDT) — a globally recognized approach in rehabilitation medicine — two key concepts help clinicians understand the behavior of spinal pain: Centralization and Peripheralization . ✅ What Is Centralization? Centralization refers to a phenomenon where pain that was once felt in the extremities (such as the leg or arm) begins to move toward the spine (lower back or neck) after certain repeated movements or postural corrections. 🔹 Why It Matters: It suggests th...

Why Upper Cervical Treatment May Improve Gait Patterns in Parkinson’s Disease by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul – A Functional Neurology Perspective with Scientific References – Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by motor symptoms such as bradykinesia, tremor, rigidity, and postural instability. One of the most debilitating manifestations is gait disturbance , including shortened stride length, shuffling steps, and freezing episodes . While pharmacological management and physical therapy remain the mainstays of treatment, there is growing clinical interest in upper cervical spine (C1–C2) alignment and its potential influence on postural control and gait in Parkinson’s patients. 🔍 1. Neurological Link Between Upper Cervical Spine and Brainstem The upper cervical region, particularly the atlas (C1) and axis (C2) vertebrae, is anatomically adjacent to the brainstem , vestibular nuclei , and cranial...

 "In Your 70s and Fell Recently? Persistent Back Pain Might Mean a Fracture" by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul For individuals in their 70s and beyond, persistent lower back pain after a fall—especially when changing positions such as lying down to sitting up—should never be ignored . It may not be just a muscle strain, but rather a spinal compression fracture . A patient visited Son Cheolho Rehabilitation Clinic today with exactly this concern. She had fallen two months ago , and although two separate X-rays at other clinics reportedly showed no fracture, her pain while sitting up from a lying position continued . After a thorough consultation, I recommended repeating the X-ray examination. This time, the imaging clearly revealed a compression fracture in the first lumbar vertebra (L1) . Why compression fractures are often missed In elderly patients, bone density is often significantly reduced . Even a minor fall can lead to a verteb...