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From Our Doctors

The Shoulder Problem That Started Everything

At 15, Joey Miles had a shoulder nobody could fix and a digestive problem nobody knew about. One neck adjustment touched both. Now he's Dr. Joey Miles.

Dr. Chris Slininger
Craniocervical Specialist
September 15, 2026 · 3 min read

Every so often a patient's first visit changes the direction of their whole life. Dr. Joey Miles was fifteen when it happened to him, and the problem that got fixed wasn't even the one he came in for.

Why would a neck adjustment affect digestion?

Because the wiring runs through there. The vagus nerve and the autonomic pathways that regulate your gut come off the brain stem, right where the atlas sits. Take chronic stress off that region and systems you'd never associate with the spine can start behaving differently. What makes Joey's story so convincing is that the doctor called it in advance, without knowing the history. He wasn't guessing at symptoms; he knew what those nerves do. Fifteen-year-old Joey found the prediction almost insulting. Then that night proved it right, and his first question at the follow-up was "what did you do to me?"

We write about this principle a lot, because it explains the improvements patients report that sound unrelated to necks: digestion, sleep, energy. The nervous system controls all of it, and the craniocervical junction is where the whole cable bundle passes.

What happened to the shoulder?

That's the part people forget to ask about. The shoulder pain that four kinds of doctors couldn't explain resolved under upper cervical care too, because it was never really a shoulder problem. Pain shows up where the body loses the compensation battle, not necessarily where the cause lives. It's why I take a long history and examine the upper neck even when someone's complaint is somewhere else entirely.

Where to find Dr. Miles

Dr. Joey Miles was in the inaugural class of Craniocervical Junction Procedures diplomates and practices at Healthy Living Spinal Care in Hickory, North Carolina. His office number is (828) 485-2990.

Common Questions

Frequently asked questions

My pain is in my shoulder or arm. Why would anyone look at my neck?

Because the nerves serving the shoulder and arm exit the spine at the neck, and irritation near the brain stem can refer pain a long way from its source. When local treatment keeps failing, the cause is often upstream.

Can upper cervical care help chronic constipation?

Sometimes, when the underlying issue is autonomic nerve interference at the top of the spine. It isn't a digestion treatment, and gut problems deserve their own medical workup. But stories like this one are common enough in our field that the connection is worth knowing about.

How do I know if my problem traces to the upper neck?

Through an examination rather than guesswork. A proper upper cervical workup measures alignment objectively and often includes imaging. The answer comes back yes or no, in plain numbers.

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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