Exploring the Link Between Refractory ENT Symptoms and Upper Cervical Alignment

by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul

Some ear, nose, and throat (ENT) conditions do not respond well to conventional treatments such as medication or surgery. Chronic or recurrent symptoms like tinnitus, vertigo, Meniere’s disease, and chronic otitis media can cause significant physical and emotional distress.

As a result, many patients seek alternative or complementary approaches. One area of growing interest is the relationship between upper cervical spine alignment (C1 and C2) and persistent ENT symptoms.

The Brainstem, Ear, and Upper Cervical Spine – A Close Connection

The first cervical vertebra (Atlas, C1) and second cervical vertebra (Axis, C2) are anatomically very close to the brainstem. This region is intricately connected to:

  • The vestibular system (responsible for balance and spatial orientation)

  • The autonomic nervous system (regulating vital functions)

  • The flow of cerebrospinal fluid (CSF) within the spinal canal

Even subtle misalignments in this area may cause functional imbalances that affect inner ear function or overall neurological health.
Some studies suggest that cervical misalignment may influence blood flow to the inner ear or disrupt autonomic regulation.

How Is Upper Cervical Correction Performed?

At our clinic, non-surgical and gentle manual therapy is provided with a focus on safety and precision.

Each patient undergoes a thorough evaluation, which may include:

  • Postural assessment and leg length discrepancy tests

  • Observation of cervical rotation patterns

  • When necessary, Cone Beam CT (CBCT) or other imaging studies to analyze the alignment of C1 and C2

If misalignment is detected, precise and painless manual adjustments are applied to restore balance to the upper cervical spine. The treatment is tailored to each individual's needs and physical condition.

Who May Benefit from This Complementary Approach?

Upper cervical treatment may offer additional benefit to those who:

  • Experience persistent tinnitus despite standard medical treatments

  • Have been diagnosed with Meniere’s disease but continue to suffer from recurring vertigo, ear fullness, or hearing fluctuation

  • Suffer from ear pain, pressure, or sound sensitivity without a clear ENT diagnosis

  • Developed ear symptoms after trauma (such as falls, car accidents, or cervical disc injuries)

※ This is not a primary treatment for ENT disorders. It is a complementary therapy that should be considered alongside standard medical care.

Final Thoughts – Seeing the Body as an Integrated System

Ear symptoms are not always confined to the ear itself.
When the upper cervical spine is misaligned, it may affect brainstem function, autonomic balance, and vestibular health.

From a rehabilitation medicine perspective, addressing upper cervical alignment is one of many multidimensional strategies that can improve quality of life—especially for those with chronic, unexplained ENT symptoms.

Each patient is unique. A personalized evaluation and treatment plan is essential for optimal results. 

👍Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

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