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Posture, Balance, and Brain Health Start at the Top of the Neck

Check the soles of your shoes. Dr. Frederick Schurger explains why balance depends on the muscles at your skull base, and what crooked posture does to spinal fluid flow over decades.

Dr. Chris Slininger
Craniocervical Specialist
September 7, 2026 · 3 min read

Go look at the bottoms of your shoes. If one heel is worn noticeably rounder than the other, your body has been keeping a record of the problem for months. Frederick Schurger uses that homely little test because it's the cheapest posture analysis in existence, and because it opens the door to a bigger idea: where balance actually comes from, and what a chronically tilted body does to the brain over decades.

Where does balance really come from?

The eyes read the horizon. The inner ears read gravity and motion. Both true, both taught in school. But your brain also has to know where the body is underneath the head it's balancing, and that report comes from the suboccipital muscles connecting your skull to the top two vertebrae. They're so dense with position sensors that researchers describe them as a sense organ. We covered the evidence in Why most of your balance comes from your neck. Shift the structure they anchor to and the report goes wrong, the body compensates with twist and lean, and you become the person whose balance issues no ear specialist can explain.

What do posture problems have to do with dementia?

This is the part of Frederick's video worth sitting with. Cerebrospinal fluid pumps with every heartbeat, washing the brain, delivering nutrition, clearing waste. A structural shift at the top of the neck can disturb that flow, and fluid pulsing against brain tissue that isn't receiving it properly is not a neutral event repeated seventy times a minute for thirty years. In the brain stem the early signs look vestibular. Over decades, disrupted fluid dynamics keep showing up in research on Alzheimer's and dementia, which we summarized in Why disrupted spinal fluid flow is linked to neurodegeneration. What looks like a posture problem can really be a circulation problem. So no, uneven shoe wear isn't trivial. It's an early warning that costs nothing to check.

Who is Frederick Schurger?

Dr. Frederick Schurger, DCCJP, practices Blair upper cervical technique at Keystone Chiropractic in Springfield, Illinois. The number there is (217) 698-7900.

Common Questions

Frequently asked questions

What is a neurostructural shift?

A measurable displacement of the upper cervical spine, significant enough to change how the head carries and how the nervous system reads position. It's found with instruments and imaging, not by feel, and it's distinct from ordinary stiffness or "being out."

Can posture fix itself after a correction?

Frequently, and that's revealing. When the position sensors start reporting accurately, the body stops compensating and unwinds on its own. Nobody teaches the shoulders to level; they just do it.

Should I worry about uneven shoe wear?

By itself, it's a clue rather than a verdict. Paired with headaches, neck pain, or balance symptoms, it says your body is carrying itself off center, and the top of the neck is the first place worth measuring.

Ready to find the root cause?

If no one has examined your upper neck, that may be the piece that has been missing. That is the work we do at Cerebral in St. Petersburg, Florida.

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About the Author
Dr. Chris Slininger, D.C., D.C.C.J.P
Craniocervical Specialist

Dr. Chris Slininger is a Diplomate in Chiropractic Craniocervical Junction Procedures and the founder of Cerebral in St. Petersburg, FL, where he focuses on complex neurological cases.

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