Bow Hunter Syndrome (BHS) is a condition in which the vertebral artery (spinal artery) in the neck is compressed during head rotation to the right or left, resulting in the obstruction of blood flow to the brain. This condition can lead to serious symptoms such as dizziness, loss of balance, and transient visual loss (TVL).<\/p>\n
While surgery is typically recommended for this syndrome, let us examine a striking case that demonstrates the significant difference that precise manual touches at the correct point can make.<\/p>\n
A 39-year-old female patient presented to the clinic 18 months after a traffic accident with persistent numbness in her arms and a much more alarming complaint. Only three days after the accident, she began experiencing Transient Visual Loss (TVL) every time she turned her head to the right or left. Dynamic angiography confirmed arterial compression at the level of the first and second cervical vertebrae (C1-C2), and she was diagnosed with Bow Hunter Syndrome. Although a neurosurgeon recommended surgery, the patient refused the procedure due to the fear of potential stroke risks.<\/p>\n
Instead of sudden neck manipulation or the use of mechanical devices, a highly sensitive and entirely manual technique was applied. The focus of the treatment was the Atlas (C1) vertebra, the topmost bone of the spine. Specific, small, and gentle impulses were applied to the problematic area using only the hands to restore the vertebra\u2019s natural alignment. This method aimed to correct the malalignment through pinpoint manual touches without placing additional stress on the patient\u2019s neck or arteries.<\/p>\n
The relieving effect of these minor manual impulses on the arteries was concretely proven through ultrasound and X-ray measurements:<\/p>\n
Significant Increase in Blood Flow:<\/b> Immediately after the first manual intervention, the blood flow volume of the left vertebral artery increased by 8.2%<\/b>, while the right vertebral artery volume increased by a remarkable 22.2%<\/b>.<\/p>\n<\/li>\n Alignment Correction:<\/b> The 3-degree<\/b> rotational deviation detected between the first and second vertebrae (C1-C2) in pre-treatment X-rays was reduced to 1 degree<\/b> following the gentle manual intervention.<\/p>\n<\/li>\n Improvement in Visual Loss Threshold:<\/b> Initially, the patient experienced vision loss within only 4 seconds of turning her head; after a single session, this threshold increased to 9 seconds.<\/p>\n<\/li>\n<\/ul>\n At the end of this manual therapy process, which lasted a total of 6 weeks and consisted of 8 sessions, the patient experienced no vision loss even when turning her head up to 42 degrees. Furthermore, the chronic numbness in her arms largely disappeared, regressing to a mild condition rarely felt only in the mornings.<\/p>\n This case proves that minor mechanical malfunctions in the first and second cervical vertebrae can create significant pressure on the arteries, and that specific, small manual impulses can provide a safe and effective solution without the need for surgery or harsh mechanical instruments.<\/p>\n Wishing you healthy days.<\/p>\n Erkan TOPAL<\/b> Source<\/a> Bow Hunter Syndrome (BHS) is a condition in which the vertebral artery (spinal artery) in the neck is compressed during head rotation to the right or left, resulting in the obstruction of blood flow to the brain. This condition can lead to serious symptoms such as dizziness, loss of balance, and transient visual loss (TVL). […]<\/p>\n","protected":false},"author":1,"featured_media":11315,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12,6],"tags":[],"class_list":["post-11314","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-manual-therapy","category-atlastherapy"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/posts\/11314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/comments?post=11314"}],"version-history":[{"count":3,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/posts\/11314\/revisions"}],"predecessor-version":[{"id":11318,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/posts\/11314\/revisions\/11318"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/media\/11315"}],"wp:attachment":[{"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/media?parent=11314"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/categories?post=11314"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.atlasterapi.com\/en\/wp-json\/wp\/v2\/tags?post=11314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Results of the 6-Week Process<\/b><\/h3>\n
\nPhysiotherapist<\/em><\/p>\n
\nRectenwald, R. J., DeSimone, C. M., & Sweat, R. W. (2018). Vascular Ultrasound Measurements After Atlas Orthogonal Chiropractic Care in a Patient With Bow Hunter Syndrome. Journal of Chiropractic Medicine<\/i>, 17(4), 231\u2013236. https:\/\/doi.org\/10.1016\/j.jcm.2018.07.002<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"