Evidence map›Paper›PMID 42534238›Full record

ArticleCureus2026

Resolution of Treatment-Resistant Vertigo and Suspected Ménière's Disease Following Knee Chest Upper Cervical Chiropractic Care: A Case Report.

Shaan Rai

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Shaan RaiChiropractic, Vitality Chiropractic Centre, Singapore, SGP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ménière's disease and related peripheral vestibular disorders are notoriously difficult to manage, and many patients report persistent symptoms despite pharmacological treatment. Cervicogenic mechanisms have been proposed as contributing factors in some presentations of chronic dizziness, and a small body of literature has explored upper cervical chiropractic care as a conservative intervention. We report the case of a 44-year-old female office worker with a three-year history of episodic vertigo, imbalance, right-sided tinnitus, aural fullness, headache, and anxiety, carrying a working medical diagnosis of Ménière's disease and showing limited response to medication. Examination revealed upper cervical postural asymmetry, restricted cervical range of motion, positive modified Romberg and balance testing, and thermographic findings consistent with upper cervical dysfunction. The patient underwent knee chest upper cervical (KCUC) chiropractic care, with outcomes tracked using the Bournemouth Questionnaire (BQ) and serial clinical reassessment. Over 36 visits, BQ score improved from 60/70 at baseline to 17 at discharge from the initial care plan, with a marked improvement in vertigo frequency, balance, tinnitus, sleep, and anxiety. Partway through care, the patient was diagnosed with breast cancer and underwent lumpectomy and radiotherapy; overall gains were largely sustained, though some objective findings showed mild regression coinciding with this diagnosis and its associated stress. This case documents a temporal association between KCUC chiropractic care and symptom improvement in a patient with suspected Ménière's disease, with vestibular migraine as an unexcluded differential. The findings are hypothesis-generating only. Controlled studies are needed to clarify causality.

Indexed as

bournemouth questionnairecervicogenic dizzinesschiropractic singaporedizzinessknee chest upper cervical techniqueménière's diseasetinnitusupper cervical chiropracticvertigovestibular migraine

Identifiers

PMID42534238
PMCPMC13419899

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.