Case: Multiple Head Injuries and Chronic Lower-Back and Pelvis Pain

A history that took several visits to fully uncover.

A man in his late 30s came to see me, referred by his girlfriend, for a sacroiliac (SI) joint problem that had caused hip and lower-back pain since he was 18. He’d found a chiropractor who could get the joint to go back in, but he had to keep going back consistently just for temporary relief.

When I took his history, one thing stood out: an unusually long list of head injuries, including being kicked in the face by a horse as a teenager, multiple concussions from his head repeatedly striking the windshield of a skid loader during snow-removal work, a pipe striking his chin, a metal bar flying into his nose, and a 2×4 falling on his head from a second story. He kept remembering more of them at each visit.

What I found

On examination, very few of his muscles were responding normally — broadly weak and slow to contract, despite his being a physically strong manual laborer. I considered his cranial bones significantly restricted, consistent with that extensive head-injury history.

What I did

I adjusted his cranial bones, along with the rest of his body.

What changed

At his follow-up three months later, he reported a night-and-day difference — his back and the rest of his body felt significantly better. He also mentioned losing 20 pounds without changing anything else, which he attributed to the treatment; my sense is that once his muscles were responding normally again, his body simply started functioning more efficiently.

A history like this — repeated head trauma over decades — is unusual, and I don’t think every SI-joint or lower-back problem traces back to old head injuries. What this case illustrates is why I take a detailed head-injury history seriously, including injuries that seem unrelated to the current complaint or happened years earlier.