Misaligned Spine Symptoms and Conditions Structural and Neurological To what extent is a spinal misalignment affecting me? Check all that apply. I. Structural problems associated with a misaligned spine Spinal & Structural Problems Symptom or Condition Notes about the Condition Low Back Pain Neck Pain Hip Pain Knee Pain Shoulder Pain Arm Pain Bulging or Herniated Discs Degenerative Joint Disease Degenerative Disc Disease Stenosis Spondylosis Spondylolysthesis II. Conditions associated with a misaligned spine, the nervous system and body functions. Central Nervous System Brain, Brain Stem & Spinal Cord Symptom or Condition Notes about the Condition Migraine Headache Chronic Fatigue Fibromyalgia Seizures Difficulty Sleeping Parkinson’s Disease Multiple Sclerosis Personality Disorder Loss of Balance Neuropathy Cold Hands and / or Feet Nerves that exit through small openings in the skull Cranial Nerves Symptom or Condition Notes about the Condition Trigeminal Neuralgia Bells Palsy Tic Douloureux Crossed Eyes Loss of Smell Hearing Loss Loss of Taste Three Nerves from the neck supply the head (1) Muscles of the Scalp, Middle and Inner Ear Symptom or Condition Notes about the Condition Headaches Ringing or Buzzing in the Ears Vertigo (Dizziness) Headaches (2) Sinus and Eyes Allergies & Sinusitis      Congestion      Drainage      Itching      Burning      Sneezing      Watering Eyes Crossed Eyes Dry Eyes (3) Teeth, Gums and Jaws Temporomandibular Joint Disorder (TMJ) Sensitivity in the Teeth Four Nerves from the neck into the Shoulders & Arms (1) Muscles of the Neck Symptom or Condition Notes about the Condition Stiff Neck (Torticollis) Tight Muscles across base of neck Shoulders drawn up (2) Shoulder, down the outside of the arm into the thumb and first two fingers Painful Shoulder (Bursitis) Rotator Cuff Injury Carpal Tunnel Syndrome Arthritic pain in thumb or first two fingers (3) Down the middle of the arm into the middle two fingers Numbness in the middle two fingers Painful joints in the hand (4) Underneath the shoulder blade, through the armpit and elbow and into the last three fingers Pain under the shoulder blade Tendonitis (Tennis Elbow) Arthritic Pain/numbness in the last three fingers Nerves from the Spine into the Chest (1) Heart Symptom or Condition Notes about the Condition Irregular Heart Beats (Arrhythmias) Mitral Valve Prolapse (2) Lungs and Muscles of the chest Shortness of Breath Asthma Respiratory History      Bronchitis      Pneumonia      Childhood Asthma (3) Liver, Gall Bladder and Stomach Indigestion Acid Stomach Acid Reflux Nervous Stomach (4) Adrenals, Pancreas and Spleen Low Energy Chronic Fatigue Diabetes Nerves from the Spine into the Abdomen (1) Small and Large Intestine Symptom or Condition Notes about the Condition Gas & Bloating Constipation Irritable Bowel Syndrome (IBS0 Colitis Celiac Disease Hemorrhoids (2) Kidneys & Urinary Bladder Kidney Stones Kidney Infections Incontinence Urinary Track Infections (UTI) (3) Reproductive System Women      Painful Menses      Irregular Cycles      Cramping & Bloating      Infertility Men      Swollen Prostate      Frequent Urination      Urination multiple times at night Three Nerves into the Legs and Feet (1) Across the hip, through the thigh. Into the Knee, through the shin and into the middle two toes Symptom or Condition Notes about the Condition Pain in the front of the leg Painful or arthritic Knees Shin Splints Painful or burning toes (2) Out of the Lower Back, through the hip, down the back and side of the leg, through the calf into the heel and outside three toes Sciatic Nerve Pain or Burning Achilles Tendonitis Plantar Facitis Heel spur pain Numbness or Pain in last three toes (3) Around the Beltline, into the groin, down the inside of the leg to the Big toe and the first two toes Pain in the Groin Area Pain down the inside of the leg Leg Cramps Pain or Numbness in the big & first two toes Five or more of the symptoms or conditions above indicate the spine is misaligned and needs to be examined and corrected.