Re: [OregonDCs] Ear fullness

[Guest guest]

AS your other replies...........keep working on her. I use Dr. lin Coale, MD, ENT, 503 636-6887 for vestibular evaluation. The "fullness" could certainly be a post-traumatic hydrops, and perilymphatic fistula should be ruled out.

ARe there any balance issues along with the fullness??

Don White, RN, DCSee what's free at AOL.com.

[Guest guest]

Doc

Try an endonasal if tempanic membranes are not injected. If you are not

comfortable try Dr Lester Lamb at WSCC if can't find anyone else.

>

> I have a patient that has been complaining of ear fullness of a three week

> duration that is exacerbated by neck flexion. The fullness started

> following an MVA and remained constant with intermitent improvement.

>

> Does anyone has an ear person they would recommend?

>

> Thanks,

>

> Bingham

> Highland Chiropractic

>

>

>

DR CHARLIE CAUGHLIN DC. CAC

155 NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

[Guest guest]

With that history, , you will want to find a DC skilled in cranials: Jackie in Lake Oswego or Eliz. Guimot in NE Portland are easily found.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: bingonis@...To: Subject: [OregonDCs] Ear fullnessDate: Mon, 14 May 2007 21:38:38 +0000

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

[Guest guest]

:

Keep working on C1,2, also.

Lyndon McGill, D.C.

Salem, Oregon

bingonis@... wrote:

I have a patient that has been complaining of ear fullness of a three

week duration that is exacerbated by neck flexion. The fullness started

following an MVA and remained constant with intermitent improvement.

Does anyone has an ear person they would recommend?

Thanks,

Bingham

Highland Chiropractic

[Guest guest]

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingonis@...

Sent: Monday, May 14, 2007 2:39 PM

Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week

duration that is exacerbated by neck flexion. The fullness started following an

MVA and remained constant with intermitent improvement.

Does anyone has an ear person they would recommend?

Thanks,

Bingham

Highland Chiropractic

[Guest guest]

With al due deference to Sharon: before you go that route, consider thinking horses, not zebras.

Given the history of an MVA in the past, a csf leak would most likely show up in a different manner than ear fullness .... think TMJ first. Get that corrected - along with the other cranial defects that come with a TMJ problem - and then see if the fullness is still present. If you don't know how to do those corrections, see Eliz. Guimot or Jackie up ther ein Portland.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "Sharron Fuchs" <sharronf@...>< >Subject: RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

[Guest guest]

I always, always rule out the worst first

then go for the others. I have been gone for a week and once I filtered down

through my emails I see that someone else considered a perilymph fistula………………yes,

we have to think of those too.

s. fuchs dc

From: sunny Kierstyn

[mailto:skrndc1@...]

Sent: Monday, May 21, 2007 4:29 PM

Sharron

Fuchs;

Subject: RE: [OregonDCs] Ear

fullness

With al

due deference to Sharon:

before you go that route, consider thinking horses, not zebras.

Given the

history of an MVA in the past, a csf leak would most likely show up in a

different manner than ear fullness .... think TMJ first. Get that

corrected - along with the other cranial defects that come with a TMJ problem -

and then see if the fullness is still present. If you don't know

how to do those corrections, see Eliz. Guimot or Jackie up ther ein Portland.

Sunny

Sunny

Kierstyn, RN DC

Fibromyalgia Care

Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon,

97401

541- 344-

0509; Fx; 541- 344- 0955

From: " Sharron Fuchs "

<sharronf@...>

< >

Subject: RE: [OregonDCs] Ear fullness

Date: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From:

[mailto: ]

On Behalf Of bingoniscomcast (DOT) net

Sent: Monday, May 14, 2007 2:39 PM

Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration

that is exacerbated by neck flexion. The fullness started following an MVA and

remained constant with intermitent improvement.

Does anyone has an ear person they would recommend?

Thanks,

Bingham

Highland Chiropractic

PC

Magazine’s 2007 editors’ choice for best Web

mail—award-winning Windows Live Hotmail.

[Guest guest]

I have endonasal technique, nasal specific and other cranial moves in my toolbox.....I've seen some auricular "adjustments".....but I have not heard of ossicle adjusting. Howdya adjust a PRI stapes or an inferior incus?

Rod , DC

Tillamook Natural Health Center

RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date: 5/20/2007 7:54 AM

[Guest guest]

Each ossicle has 6 adjustments! Listing system still to be determined! We will call this middle ear specific technique.

Seriously you can use the earlobe as a lever to pull down and then up and back quickly. It transfers the impulse by pulling on the EOM skin to the tympanic membrane and middle ear. Need to be careful on how hard you pull. HVLA to be sure.

I have had some patients have major changes with 'fullness' or 'congestion' complaints as long as there were not other issues like TM compromise or inflammation, major scarring from repeated otitis media or any major middle ear pathology/effusion.

The neck flexion provoation described in the original post might be eustachian tube inflammation or congestion.

Colwell

RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date: 5/20/2007 7:54 AM

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.467 / Virus Database: 269.7.6/814 - Release Date: 5/21/2007 2:01 PM

[Guest guest]

That's the point: The sense of fullness can often be due to the tmj presence ... it the tmj that get adjusted, perhaps with the spenobasilar or the maxilla. A maxillar spread will/can change the tmj positioning.

my only other suggestion would be candling if it really isn't the tmj or you have already done all of that.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "Rodney G. , DC" <rjacksondc@...>" Colwell" <johncc48@...>CC: < >Subject: Re: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 18:13:06 -0700

I have endonasal technique, nasal specific and other cranial moves in my toolbox.....I've seen some auricular "adjustments".....but I have not heard of ossicle adjusting. Howdya adjust a PRI stapes or an inferior incus?

Rod , DC

Tillamook Natural Health Center

RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

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[Guest guest]

Think horses and look in their ears! There is a distinct possibility of uppercervical subluxation, and the noise/fear responses sometimes cause the ear muscles, tensor tympany and stapedius, to spasm. Warm compresses or infusions and the ear ossicle adjustments often help.

Colwell

RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date: 5/20/2007 7:54 AM

[Guest guest]

Using the ear lobe or tragus pulling HVLA adjustment on the ear can

clear ear fullness by getting eustacian tube blockages cleared up.

I'll start with a hot pack to the ear throat area with maybe an

essential oil, or without, then do the adjustment. You know you're

successful if the patient has a taste at the back of the throat, often

unpleasant.

Annette Simard

On Monday, May 21, 2007, at 06:45 PM, Colwell wrote:

>     Each ossicle has 6 adjustments! Listing system still to be

> determined! We will call this middle ear specific technique.

>     Seriously you can use the earlobe as a lever to pull down and then

> up and back quickly. It transfers the impulse by pulling on the EOM

> skin to the tympanic membrane and middle ear. Need to be careful on

> how hard you pull. HVLA to be sure.

>     I have had some patients have major changes with 'fullness' or

> 'congestion' complaints as long as there were not other issues like TM

> compromise or inflammation, major scarring from repeated otitis media

> or any major middle ear pathology/effusion.

>     The neck flexion provoation described in the original post might

> be eustachian tube inflammation or congestion.

>  

> Colwell

>  

>

> [OregonDCs] Ear fullness

>

>  

>

>

> I have a patient that has been complaining of ear fullness of a three

> week duration that is exacerbated by neck flexion. The fullness

> started following an MVA and remained constant with intermitent

> improvement.

>

> Does anyone has an ear person they would recommend?

>

> Thanks,

>

> Bingham

> Highland Chiropractic

>

>

>

>

>

>

>

>

<image.tiff>

>

> PC Magazine’s 2007 editors’ choice for best Web mail—award-winning

> Windows Live Hotmail.

>

>

>

>

>

<image.tiff>

>

>

>

>

> No virus found in this incoming message.

> Checked by AVG Free Edition.

> Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date:

> 5/20/2007 7:54 AM

>

>

>

>

>

>

>

<image.tiff>

>

>

>

>

> No virus found in this incoming message.

> Checked by AVG Free Edition.

> Version: 7.5.467 / Virus Database: 269.7.6/814 - Release Date:

> 5/21/2007 2:01 PM

>

>

[Guest guest]

I had to answer this for my own

curiosity – CSF leakage can cause ‘ear fullness’ –

overt leakage out of the external canal seems obvious but fluid behind the drum

after an accident ( and after ruling out tmj etc. ) would give me pause. s.

fuchs dc

1: Am J Otol.

1992 Nov;13(6):534-9. Links

Spontaneous temporal bone cerebrospinal fluid leak.

·

Pappas DG Jr,

·

Hoffman RA,

·

Cohen NL,

·

Pappas DG Sr.

Department of

Otolaryngology, NYU School of Medicine,

New York 10016.

Eight patients with spontaneous cerebrospinal fluid

leak of temporal bone origin are presented. Pertinent history and surgical

findings are reviewed and contrasted with 33 previously reported patients.

Unilateral ear fullness and mild hearing loss are the most common presenting

symptoms. Profuse clear otorrhea following myringotomy is virtually

pathognomonic. Diagnostic methods including high-resolution computed

tomography, magnetic resonance imaging, and contrast cisternography are

discussed. The indications for transmastoid and combined transmastoid/middle

fossa surgical repairs are compared. Both surgical approaches were found to be

equally effective. We favor the transmastoid as the initial approach because of

simplicity, safety, and the ability to visualize both the middle fossa and

posterior fossa plates as well as the middle ear.

PMID: 1449180 [PubMed - indexed for MEDLINE]

From:

[mailto: ] On Behalf

Of Colwell

Sent: Monday, May 21, 2007 6:46 PM

Rodney G. , DC

Cc:

Subject: Re: [OregonDCs] Ear

fullness

Each ossicle has 6 adjustments! Listing

system still to be determined! We will call this middle ear specific technique.

Seriously you can use the earlobe as a

lever to pull down and then up and back quickly. It transfers the impulse

by pulling on the EOM skin to the tympanic membrane and middle ear. Need to be

careful on how hard you pull. HVLA to be sure.

I have had some patients have major

changes with 'fullness' or 'congestion' complaints as long as there were not

other issues like TM compromise or inflammation, major scarring from

repeated otitis media or any major middle ear pathology/effusion.

The neck flexion provoation described in

the original post might be eustachian tube inflammation or congestion.

Colwell

[OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week

duration that is exacerbated by neck flexion. The fullness started following an

MVA and remained constant with intermitent improvement.

Does anyone has an ear person they would recommend?

Thanks,

Bingham

Highland Chiropractic

PC

Magazine’s 2007 editors’ choice for best Web

mail—award-winning Windows Live Hotmail.

size=2 width="100%" align=center>

No virus found in this incoming message.

Checked by AVG Free Edition.

Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date: 5/20/2007 7:54

AM

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align=center>

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Checked by AVG Free Edition.

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PM

[Guest guest]

ANd I absolutely agree with you ... AFTER ruling out the tmj/cranial distortion.

Sunny;'-))

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: "Sharron Fuchs" <sharronf@...>CC: < >Subject: RE: [OregonDCs] Ear fullnessDate: Tue, 22 May 2007 12:03:12 -0700

I had to answer this for my own curiosity – CSF leakage can cause ‘ear fullness’ – overt leakage out of the external canal seems obvious but fluid behind the drum after an accident ( and after ruling out tmj etc. ) would give me pause. s. fuchs dc

1: Am J Otol. 1992 Nov;13(6):534-9. Links

Spontaneous temporal bone cerebrospinal fluid leak.

· Pappas DG Jr,

· Hoffman RA,

· Cohen NL,

· Pappas DG Sr.

Department of Otolaryngology, NYU School of Medicine, New York 10016.

Eight patients with spontaneous cerebrospinal fluid leak of temporal bone origin are presented. Pertinent history and surgical findings are reviewed and contrasted with 33 previously reported patients. Unilateral ear fullness and mild hearing loss are the most common presenting symptoms. Profuse clear otorrhea following myringotomy is virtually pathognomonic. Diagnostic methods including high-resolution computed tomography, magnetic resonance imaging, and contrast cisternography are discussed. The indications for transmastoid and combined transmastoid/middle fossa surgical repairs are compared. Both surgical approaches were found to be equally effective. We favor the transmastoid as the initial approach because of simplicity, safety, and the ability to visualize both the middle fossa and posterior fossa plates as well as the middle ear.

PMID: 1449180 [PubMed - indexed for MEDLINE]

From: [mailto: ] On Behalf Of ColwellSent: Monday, May 21, 2007 6:46 PMRodney G. , DCCc: Subject: Re: [OregonDCs] Ear fullness

Each ossicle has 6 adjustments! Listing system still to be determined! We will call this middle ear specific technique.

Seriously you can use the earlobe as a lever to pull down and then up and back quickly. It transfers the impulse by pulling on the EOM skin to the tympanic membrane and middle ear. Need to be careful on how hard you pull. HVLA to be sure.

I have had some patients have major changes with 'fullness' or 'congestion' complaints as long as there were not other issues like TM compromise or inflammation, major scarring from repeated otitis media or any major middle ear pathology/effusion.

The neck flexion provoation described in the original post might be eustachian tube inflammation or congestion.

Colwell

RE: [OregonDCs] Ear fullnessDate: Mon, 21 May 2007 14:55:25 -0700

Could this be a symptom of a CSF leak ?

s. fuchs dc

From: [mailto: ] On Behalf Of bingoniscomcast (DOT) netSent: Monday, May 14, 2007 2:39 PM Subject: [OregonDCs] Ear fullness

I have a patient that has been complaining of ear fullness of a three week duration that is exacerbated by neck flexion. The fullness started following an MVA and remained constant with intermitent improvement. Does anyone has an ear person they would recommend?Thanks, BinghamHighland Chiropractic

PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows Live Hotmail.

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No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.467 / Virus Database: 269.7.6/813 - Release Date: 5/20/2007 7:54 AM

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