Chiropractic Examination of the Cervical Spine

1. Is there an abnormal curvature or scoliosis in the spine?

2. Is the posture significantly abnormal?

3. Is the curve of the low back straightened or is the curve unusually exaggerated?

4. Is the curve of the neck straightened or is it abnormally increased?

5. What is the position of the head?

6. Are the pelvic bones even, or is one hip significantly lower than the other?

7. Is one shoulder dropped and does the head tilt to one side?

These postural considerations are seen as factors to be correlated with the patient's history and other examination findings. Many people with unusual postures that do not fit the "ideal" posture are perfectly healthy. However, when correlated with other indicators, posture can be an important consideration.

The range of motion of the middle and low back, as well as an examination of the extremity joints, such as the shoulders and the knees is an important consideration in diagnosing at neck problems. Muscle tone is examined in the middle and low back and sometimes muscle strength is tested.

With the patient seated, the chiropractor begins the examination of the neck itself. Range of motion is recorded and the muscles of the neck and upper back are examined. Neurological findings including muscle strength, reflexes, and sensation are tested. The chiropractor then proceeds to study each spinal joint using a technique called spinal palpation.