What you should know about

Positional Cervical Cord Compression (PC3)

Pacific Rheumatology Associates Inc PS

4300 Talbot Road South, Suite 101

Renton, Washington USA 98055


About Us

Andrew J Holman, MD, FACR, has practiced rheumatology in South Seattle for twenty years and is an Associate Clinical Professor of Medicine at the University of Washington.  His research interests have included identifying the use of dopamine agonists as a treatment of fibromyalgia; the role of PC3 as a comorbidity with FM and as an independent cause of chronic widespread pain; linking autonomic dysregulation, joint hypermobility syndrome and fibromyalgia; and the importance of autonomic nervous system assessment by heart rate variability (HRV) as an influence on autoimmune disease activity and treatment response.


Sites offering this modified flexion-extension C-spine MRI (without additional charge) to evaluate for PC3 are expanding as are physical therapist clinics familiar with an innovative PT program specifically designed for PC3.  A variety of medications are also helpful  and to date, 85% of patients with PC3 have been managed without surgery.


Sites offering this MRI protocol and offering this specific PT program as well as support/education groups include:


MRI (order as a flexion-extension C-spine MRI)


Valley DiagnosticImaging Services

Olympic Building

400 South 43rd Street

Renton, WA. 98055



Center for Diagnostic Imaging

17910 Talbot Road South, Suite 103

Renton, WA 98055



Center for Diagnostic Imaging Lakewood, WA and Bellevue, WA available soon.




Physical Therapy (DVD available)


Outpatient Physical Therapy & Rehabilitative Services

Attn: Sue Horton (who created the PC3 program)

8009 South 180th Street, Suite 112

Renton, WA 98032





PC3 Support Groups


coming soon


Chiari 0 support groups


coming soon