Rhythmic palatal myoclonus (RPM) is a rare movement disorder consisting of continuous synchronous jerks of the soft palate, muscles innervated by other cranial nerves and, rarely, trunk and limb muscles. Patients with essential RPM usually have objective earclicks as their typical complaint which is rare in the symptomatic form. Eye and extremity muscles are never involved. I am a Chiropractor and work mainly with chronic neurological conditions such as PM. I have developed a method called functional cranial release that has given PM sufferers their life back. Please feel free to look over some of the video’s on this site explaining what I do and some testimonials from PM patients I have treated. John Lieurance, D.C.
In this interview Dr. Lieurance speaks with 2 patients of his that have had success with a uniques chiropractic neurological treatment called functional cranial release. Learn how palatal myoclonus can be treated using FCR and how FCR can treat the PM at it’s cause and not just cover up the symptoms like botox or drugs.
Dr. John Lieurance can you explain what the balloons do? I have tried many of the “conventional” methods for treating this. Next is botox, if that doesn’t work I am interested in trying FCR.
Thanks for asking. I’m still not 100% sure what the primary action the balloons is having for PM or that its multiple. My theory’s are that it could be mechanical see picture below as the manipulation the balloon makes is so close to the action of the the soft palate (also known as velum or muscular palate).
The following are the muscles that can be involved in Palatal Myoclonus.
Tensor veli palatini, which is involved in swallowing
Palatoglossus, involved in swallowing
Palatopharyngeus, involved in breathing
Levator veli palatini, involved in swallowing
Musculus uvulae, which moves the uvula
Notice above the proximity of the nasal cavity to the muscles of the palate/velum. Next look below and see the cranial bones such as the palatine bone, vomer and sphenoid. The vomer is midline nd is not depicted in the second picture but is very important and is manipulated with FCR.
The second theory is that it’s neurological through the trigeminal nucleus and that the inflation is somehow interrupting the windup in the inferior olivary nucleus. Since the sinus’ are innervated through the trigeminal nucleus. The soft palate muscles are innervated by the vagus nerve, with the exception of the tensor veli palatini. The tensor veli palatini is innervated by the mandibular division of the trigeminal nerve. Somatosensory Trigeminal Projections to the Inferior Olive, Cerebellum and other Precerebellar Nuclei. This then corrects the dentato-rubro-olivary pathway that is dysfunctional in Palatal Myoclonus.
To date I have treated 26 cases of palatal myoclonus and have seen more success with these cases than failure. Most cases also have head pressure along with the “clicking” from the myoclonus pulling on the eustachian tube to the inner ear. I have found the head pressure almost always goes away with endo-nasal balloon adjusting (FCR) and the myoclonus has been relieved by the endo-nasal balloons on some cases but generally these cases also require specific activation of the brain described as functional neurological exercises. These exercises are based on a detailed neurological evaluation and also sacciometry testing. I also use Glutathione nebulized (GlutaGenisis) and PEMF of the brain to support the brain with it’s neuroplasticity (healing). Many cases have had the 4 day series and had complete resolution of PM. It should be important to note that some cases required follow up treatment. I generally see these cases for a 4 day course of care. Some cases require follow series. I have seen some cases receive incremental improvements in the symptoms of palatal myoclonus. I
I just wanted to announce to the group I have begun writing a paper for publication in the medical journals. It’s interesting to embark on such a task as it gets one to really delve into the literature to better explain whats happening in the brain with various forms of brain activation in which seem to help create neuroplasticity that re-afferentates the inferior olivary nucleus which is the primary area that is an issue with PM. There are several aspects of my work that could have various effects to correct the myoclonus and in this paper I need to explain all possibilities. I’ll keep you in the loop as my work progresses. Please keep in mind that there will NEVER be a drug or injection or herb that will cure PM!!! All of these do not specifically effect certain pathways. Drugs and such can only increase or decrease brain activity and it is a global effect. What needs to happen with PM is you need to have very specific pathways activated in order to “rewire” the brain. Specifically the dentato-rubro and rubro-olivary (central segmental) pathways. But also there maybe be ways to activate the olivary nucleus to stabilize through presynaptic and postsynaptic pathways. As my work evolves I may be able to better treat the large variety of presentations that PM folks present to me. Sorry for rambling on but it’s exciting to be able to help such a horrible condition!
This is an amazing story from Fox News in Memphis of a man with Palatal Myoclonus who was treated by Dr. Allen Goode who is a certified FCR doctor trained by Dr. John Lieurance, DC the developer of FCR. Functional Cranial Release or FCR is a method which has successfully treated many difficult neurological diseases through the use of specific endo-nasal balloon adjusting along with Chiropractic Functional Neurology. Dr. John Lieurance has successfully treated more Palatal myoclonus patients than any other single physician on the planet which makes him the worlds expert on the disease. He has many of these cases posted on his web site www.palatalmyoclonushelp.com where dozens of real patients share there struggles with PM and the successful results through the FCR treatment. Dr. Lieurance personally coached Dr. Goode with Joel in his treatment and hopes that eventually with the right combination of care Joel can live completely free of PM.
This was a young man who traveled from California to Florida to receive FCR. His condition was treated using endo-nasal balloon adjustments, PEMF, Glutathione nebulizer, and Functional Chiropractic Neurology. Dr. John Lieurance is leading the way in the treatment of Palatal Myoclonus and has treated more of these cases world wide than any other hospital, clinic, or single physician.
This was a woman who traveled from virginia to Florida to receive FCR. Her condition was treated using endo-nasal balloon adjustments, PEMF, Glutathione nebulizer, and Functional Chiropractic Neurology.
This was a young man who traveled from Ireland to Florida to receive FCR. His condition was treated using endo-nasal balloon adjustments, PEMF, Glutathione nebulizer, and Functional Chiropractic Neurology. Dr. John Lieurance is leading the way in the treatment of Palatal Myoclonus and has treated more of these cases world wide than any other hospital, clinic, or single physician.
The below is this patient!
Essential palatal myoclonus following dental surgery: a case report.
Lam JH, et al. Show all
J Med Case Rep. 2013 Oct 14;7(1):241. doi: 10.1186/1752-1947-7-241.
College of Medicine, University of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ, UK. H.P.J.Lam@sms.ed.ac.uk.
INTRODUCTION: Various presentations of essential palatal myoclonus, a condition characterized by clicking noises and palatal muscle spasm, have been reported in the literature. We are reporting the first case of essential palatal myoclonus following dental treatment.
CASE PRESENTATION: A 31-year-old Caucasian man presented to our Ear, Nose and Throat department complaining of objective clicking tinnitus occurring immediately after he had undergone root canal treatment on his right lower third molar 3 months ago. Magnetic resonance imaging of his head revealed no abnormalities in the cerebrum, cerebellum or brainstem making the diagnosis essential palatal myoclonus. He returned a week later, and 20 units of botulinum toxin A (Allergan) were injected into his left tensor veli palatine muscle. He reported an immediate improvement; however, symptoms recurred 6 months later.
CONCLUSIONS: Dental treatment can be a trigger of essential palatal myoclonus. Botulinum toxin injections are an effective treatment for short-term relief of symptoms.
After he had 8 months of relief from Palatal myoclonus from his first series of PEMF, Glutathione nebulizer, functional chiropractic neurology, and endonasal balloon adjusting which is called functional cranial release or FCR. This was done in Sarasota Florida by Dr. John Lieurance, who has successfully treated many cases of palatal myoclonus using these methods. To date he has treated more PM cases than any other single doctor world wide!
A 64-year-old woman had sudden onset of clouded consciousness, left hemiparesis, and dysarthria. She was found to have pontine hemorrhage on cranial computed tomography at the local hospital. Medical treatment was begun immediately, with subsequent gradual clearing of consciousness. She was admitted to our hospital 2 months later for the purpose of rehabilitation. Neurologic examination showed that she was alert and not demented. Although mild spastic dysarthria was noted, palatal myoclonus was not detected. Tendon reflexes were moderately exaggerated on the left side, with depressed superficial sensation on the same side. She showed intention tremor in the left arm. Ten months later, cranial magnetic resonance images disclosed an olivary prominence of the medulla on the right side on T1-weighted imaging (Figure, A) and a hyperintense ovoid area of the right inferior olive on T2-weighted imaging (Figure, B). This prompted us to reexamine the palate, and we found a palatal myoclonus with a frequency of 60 to 80 times per minute. The woman continues to have mild left hemiparesis, but lives independently.
Another Palatal myoclonus patient finds relief with FCR Treatment. After a year with palatal myoclonus and many doctors who are unfamiliar with the disease she found Dr. John and Functional Cranial Release or FCR. In this video you will see specific endonasal balloon adjusting along with functional chiropractic neurology.
You can contact Dr John and the Functional Cranial Research Institute at (941) 330-8553 or e-mail him directly at firstname.lastname@example.org