C3 Anxiety

Abstracts
Biensinger, E.
Heiden, C.
Biensinger, E.; Heiden, C.
Earache and Functional Disordersof the Cervical Spine
HNO. April 1994, 42(4): 207-13.

Abstract
The importance of the cervical spine in routine ENT practice is discussed, using the
example of otalgia due to disorders of the cervical vertebra: Evaluation and follow-ups of
13,000 patients showed that 6% had diseases caused by the cervical spine. Frequency,
pathophysiology and treatment results of cervicogenic otalgia are presented. The
principles

Chester, J.B., Jr.
Chester, J.B., Jr., MD
Whiplash, Postural Control, and the Inner Ear
Spine, Vol. 16, No. 7, (1991)

Abstract
Many patients with whiplash syndrome experience unrelenting neck stiffness and pain.
This abnormal muscular tension is postulated to be causally related to a central disorder
of postural control, which has evolved secondary to injury of the inner ear labyrinthine
structures. Moving platform posturagraphy was used to demonstrate the presence or
absence of a static or dynamic equilibrium disorder in 48 patients who had experienced
the oscillation forces induced by a rear-end automobile collision. Other vestibular tests
were used to document dysfunction of the semicircular canals and the otolith structures.
A high percentage of patients were found to have faulty inner ear functioning leading to
inefficient muscular control of balance and erect posture. Active perilymph fistuals were
identified at surgery in seven patients.

Once the clinician or therapist becomes confident in the ability to test for the more subtle
forms of static dysequilibrium and learns to use the Hallpike maneuver with patients
having a history suggestive of BBPN, the sooner this kind of patient can be referred for
further testing and then started on diagnosis-specific treatment.

This paper has focused on the effects of whiplash oscillation forces on the inner ear and
the postural control disorder that may follow. Brain, brain stem, and cranial nerve effects
have been documented elsewhere; neuropsychologic tests can often demonstrate residual
of such injuries. The neck can also have a broad spectrum of injury. Cervical vertigo, if
present, will often require skill

Wazen, J.J.
Wazen, J.J., MD
FACS Referred Otalgia
Otolaryngologic Clinics of North America; Vol. 22, No. 6, 12/1989.

Abstract
The sensory innervation of the ear is derived from branches of the trigeminal, facial,
glossopharyngeal, and vagus cranial nerves, as well as from superficial sensory branches from
the cervical plexus (C2, C3).
The greater auricular nerve, receiving its fibers from C3, courses over the posterior surface of the
sternocleidomastoid muscle and provides sensory innervation to the skin over the mastoid and to
the pinna. A portion of the skin over the mastoid receives innervation from the lesser occipital
nerve (C2, C3).
When faced with a normal ear examination in a patient complaining of ear pain, the physician is
obligated to rule out disorders in other anatomic areas supplied by branches of the trigeminal,
facial, glossopharyngeal, and vagus cranial nerves as well as branches of the cervical plxus C2
and C3 (Table 1).
Another common cause of referred otalgia that may be secondary to dental disease is muscle
spasm. Muscle pain is a frequent cause of complaints in the head and neck region. It originates
from the muscle itself, tendons, or fascia. It is usually a constant, dull, achy, nonthrobbing pain.
It is characterized by muscle tenderness on palpation, stiffness, and a reduction in the range of
motion of the involved muscle.
Muscle spasm pain is sudden and secondary to the involuntary contraction of the muscle. Such
contractions are characterized by spasticity and an increased eletromyographic (EMG) activity in
the muscle at rest. Causative factors include muscle splinting and myofacial pain syndromes.
The common innervation of the ear, pharynx, larynx, and upper esophagus through the
glossopharyngeal and vagus nerves explains the pain felf in the ear from pathology in those
areas. Ear pain is very common with pharyngitis, tonsillitis, or a peritonsillar abscess. Children
invariably complain of ear pain following a tonsillectomy. It is, however, the poorly visualized
areas of the hypopharynx and larynx that need to be stressed here. An indirect mirror
examination or a fiberoptic examination of the hypopharynx and larynx should be part of every
evaluation of referred otalgia. Ear pain is among the earliest presenting symptoms of patients
with cancer of the pyriform sinus. The postcricoid and upper esophageal areas should be
investigated if a history of dysphagia is elicited. Videofluoroscopy has now replaced
cineesophagoscopy in the evaluation of swallowing disorders and should precede any rigid
esophagoscopy unless a clear history of foreign body ingestion is obtained.


Subjective
Anxiety
Nutrition

Supplement Dosage
Magnesium 280 - 350 mg
Thiamin (B1) 1.1 - 1.5 mg
Riboflavin (B2) 1.3 - 1.8 mg
Niacin (B3) 15 - 20 mg
Folic Acid 180 - 200 mcg
Vitamin B12 2.0 mcg

Herbs

Anxiety (C3)
Herbs:
Catnip
Chamomile
Hops
Lady Slipper
Passion Flower
Pau D'arco
Rose Hips
Rosemary
Siberian Ginseng
Skullcap
Valerian root


Chronic Fatigue
Abstracts
Stark, EH
Stark, EH
Chronic Fatigue.
Osteop Ann 1975: 3(1):25-7

Abstract
Chronic fatigue symptoms may indicate depression, emotional stress, thyroid disease,
hypoglycemia, or alcoholism. Complete diagnostic study includes structural and palpatory
techniques. Multidisciplinary treatment includes osteopathic manipulation, psychotherapy,
medication and sociologic considerations. Neuromuscular, skeletal and hemodynamic changes

Nutrition

Supplements Dosage
Coenzyme Q10 15-60mg/per day
Evening Primrose Oil 50-300mg/per day
Magnesium Men 350mg / Women 280mg
Vitamin C 60 mg/per day

Chronic Fatigue Syndrome

Supplements Dosage
Coenzyme Q10 15-60mg/per day
Evening Primrose Oil 50-300mg/per day
Magnesium Men 350mg / Women 280mg
Vitamin C 60 mg/per day

Herbs

Chronic Fatigue (C3)
Herbs:
Acacia
Cayenne
Ginkgo Biloba
Siberian Ginseng
Gotu Kola
Guarana
Chronic Fatigue Syndrome (C3)
Objective Diagnostic Tests Indicated
CBC
SMAC Profile (20 tests)
Urine Analysis.














Vertigo (C3)
Nutrition:
Nutrients Adult
Niacin (B3) 100 mg3/d
Vitamin B Complex 100 - 400 mg
Vitamin C 3,000 - 10,000 mg
Vitamin E 400 - 800 IU
Choline or Inositol
and/or Lecithin
100 -300 mg 3/d
Coenzyme Q10 60 mg
Ginkgo Biloba 120 mg
Germanium 100 mg


Herbs
Vertigo (C3)
Herbs:
Butcher's Broom
Cayenne, Chaparral tea
Dandelion extract or tea
Ginkgo Biloba