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According to the National Institute on Neurological Disorders and Stroke (ninds.nih.gov/disorders/chiari/detail_ch...): "Chiari malformations (CMs) are structural defects in the cerebellum, the part of the brain that controls balance. Normally the cerebellum and parts of the brainstem sit in an indented space at the lower rear of the skull, above the foramen magnum (a funnel-like opening to the spinal canal). When part of the cerebellum is located below the foramen magnum, it is called a Chiari malformation."
It is classified into 4 types. They describe the symptoms as "Many persons with a Type I CM do not have symptoms and may not know they have the condition. Patients with other CM types may complain of neck pain, balance problems, muscle weakness, numbness or other abnormal feelings in the arms or legs, dizziness, vision problems, difficulty swallowing, ringing or buzzing in the ears, hearing loss, vomiting, insomnia, depression, or headache made worse by coughing or straining.
Hand coordination and fine motor skills may be affected. Symptoms may change for some patients, depending on the buildup of CSF and resulting pressure on the tissues and nerves. Adolescents and adults who have CM but no symptoms initially may, later in life, develop signs of the disorder.
Infants may have symptoms from any type of CM and may have difficulty swallowing, irritability when being fed, excessive drooling, a weak cry, gagging or vomiting, arm weakness, a stiff neck, breathing problems, developmental delays, and an inability to gain weight. " Only a physician can diagnose CM through physical exam, x-ray, CT, or MRI. Back pain in general is among the most common work disability (a disability that interferes with full-time employment).
Bulging, herniated, or compressed disks happen when the soft disk between the vertebrae slips or ruptures, pressing on the adjacent nerves (http://www.nlm.nih.gov/medlineplus/herniateddisk.html). It, too, may only be diagnosed by a physician (neurosurgeon) through physical exam, x-ray, CT, or MRI. It may also be diagnosed using myelogram or EMG (http://www.neurosurgerytoday.org/what/patient_e/herniated.asp).
All of these resources discuss treatment options including surgery and pain management. You can check the Clinical Trials database to see if there are trials you can participate in. For alternative therapies, I would suggest contacting the National Center for Complementary and Alternative Medicine (http://www.nccam.nih.gov) for the latest reputable research.
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