• Shirazi D
• Del Torto AJ
• Blum C

• Adult
• Affiliation / Private Practice
• Affiliation / Sacro Occipital Technique Organization
• Affiliation(G) / United States / California / Burbank
• Affiliation(G) / United States / California / Santa Monica
• Affiliation(G) / United States / California / Thousand Oaks
• Chiropractic Manipulative Reflex Technique
• Headache / therapy
• Male
• Nasal Septum
• Open Access Document
• Sacro Occipital Technique
• Temporomandibular Joint Disorders / therapy

Objective: A 48-year-old male presented for care due to complaints of a deviated septum, headaches, and temporomandibular (TMJ) dysfunction.  

Clinical Features: The patient noted occluded nasal breathing rated at 1-2 on a 1-10 scale with full airway function at a 10 (10 representing full airway function).  He also had right-sided suboccipital migranous headaches occurring once-a-week, lasting 24-48 hours.  The headaches were relatively unresponsive to medication and rated at an 8 on a pain scale of 1-10 with 10 being most painful possible. Visual inspection revealed a left nose deviation and TMJ deflection with crepitus. 
 
Intervention/Outcome: The patient’s initial chiropractic care included 17 cranial facial release (CFR) nasocranial balloon treatments, sacro occipital technique (SOT), and a  sacroiliac joint (SIJ) support belt.  The dentist prescribed a temporomandibular/obstructive sleep apnea (TMD/OSA) night and daytime appliances, acupuncture, and cold laser therapy.  The patient was referred to another chiropractor for SOT cranial and chiropractic manipulative reflex technique (CMRT) care (6 office visits). The patient responded favorably to the interdisciplinary care and noted increased/improved nasal breathing rated at 7 with associated significant reduction in headache frequency/intensity.   

Conclusion: Two chiropractors (CFR, SOT, Cranial, and CMRT) and a dentist/acupuncturist treated this patient leading to improved nasal breathing and reduced TMD/headaches.  

Author keywords: Headaches, Deviated Septum, Temporomandibular Joint, TMJ, Sacro Occipital Technique, SOT, Craniofacial Release Technique, CFR, Dental Chiropractic Co-managed Care

Author affiliations: DS: Private Practice, Thousand Oaks, California, United States; ADT: Private Practice, Director Craniofacial Release Technique, Burbank, California, United States; CB: Private Practice, Santa Monica, California, United States; CB: Research Director, Sacro Occipital Technique Organization
Contact the corresponding author—drcblum@aol.com

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