General Information

General information about non-invasive therapy:

Since our disease is complex and different instabilities affect each person in another way, there is no therapy that works for everyone.

In general, one can say that chiropractic manipulation is counterproductive.

Often, instabilities get worse after reducing muscle spasms as well. Muscle spasms are protective mechanisms to compensate instability.

You should make sure you know about:

Are vertebral bone fractures excluded?
Are there other underlying diseases such as hypermobility, EDS or rheumatism?
How do I respond to motion of the cervical spine?
Are there any blood vessel problems?
Is there muscle spasm and is it useful to reduce it?

You should always listen to your body and stop as soon as something does not feel good.

Treating cervical spine instabilities requires a highly trained and experienced physical therapist. You should make sure that the therapist takes all your symptoms seriously and is able to classify them.

Basically, it is recommended to strengthen the core muscles without stressing your tendons and ligaments too much.

You should start very slowly while lying down (depending on the severity of your symptoms).

There are some therapies that have been described to be helpful by some patients. But again, everyone reacts differently and you have to listen to your own body at any time. Here you will find a small selection of therapies that have helped me or others.


Physical therapy with gymnastic ball, mat and band

Physical therapy with gymnastic ball, mat and band

Do not use heavy weights or machines

Do not use heavy weights or machines

If the reason for your cervical spine instability is an Ehlers-Danlos syndrome, you might find useful information here. 

Helpful aids for cervical spine instability and other instabilities you can find here.

This is a great lecture about how to treat CCI! It is not only interesting for EDS patients but for all people who suffer from cervical spine instabilities. Also listen how he explains why Upright MRIs are so important.

Unique Manual Physical Therapy Approach To Treat Craniocervical Instability & Chiari

Dr. Michael Healy – Chiari Syringomyelia Foundation