Objective: The purpose of this study is to describe an upper cervical chiropractic mechanism, Quantum Spinal Mechanics 3 (QSM3), and its application of postural analysis, restoring a postural misalignment, leading to the improvement of Trigeminal Neuralgia (TN) symptoms.

Clinical Features: A patient formerly diagnosed with TN over the right side, experienced spontaneous, intermittent pain aggravated by activities such as chewing, talking and stress related interactions. The patient had a C1 misalignment with 10.7o angulation in relation to the head and neck. 

Intervention and Outcomes: QSM3 protocol was used to acquire measurements by the analysis of x-ray, supine leg check, digital posture, the bow, neck and head tilt. Post x-ray revealed the atlas to be reinstated in a balanced orthogonal position. The Posture Measuring Device (PMD) revealed an even distribution of weight with a decrease in shoulder and pelvic rotation. Since the initial visit, the patient claims to have only experienced two TN facial pain attacks.

Conclusions: This case study revealed a substantial reduction in symptoms of a female patient with TN disorder upon the administering of QSM3 care. This case advocates the underlying importance in the conduction of more research on the benefits of upper cervical chiropractic techniques.

Key Words: Trigeminal Neuralgia, tic douloureux, Quantum Spinal Mechanics 3, chiropractic, upper cervical, atlas, subluxation