Chiropractic therapy raises questions as to what it is and how safe; this covers too the rationale for manipulative therapy.
The premise is roughly as follow; chiropractic treatment centres around the maintenance of full, normal movement of the spinal joints, and of course in the ankles, knees, hips and shoulders too, and optimizing biomechanics throughout the body. That would include the TMJ too.
The parts of the Vertebral Subluxation Complex are as follows.
Chiropractic therapy asks just what is the philosophy behind the manipulative treatment of joint pain?
So, what does that mean in English?
For one reason or another, a joint becomes fixated. It's less mobile, or HYPOmobile. That could be due to sitting too long, sleeping on your stomach, a leg length inequality, an injury; we could go on.
And on ...
Take this lady's foot for example. She fell down the stairs and subluxated in the cuboid bone in her right foot. Compare it with the left - can you see the difference:
It has been fully established now that a short leg causes increased risk of hip and knee arthritis, curvature of the spine and degenerative lumbar spine changes.
That examination should include an examination of the erect pelvis; are there obvious postural changes?
Case management protocol includes…..
The purpose of chiropractic therapy (the "adjustment") is…
"... to restore normal movement and resolve the resultant biomechanical, physiological and neurological effects of segmental hypomobility."
Other adverse neurological effects
Other strange and not easily explained things happen after
chiropractic adjustments of the spine. A patient with six months
diarrhoea after taking anti-inflammatory drugs for a few days after a
fall is suddenly cured, women who are for years infertile fall pregnant,
blood pressure drops, menstrual cramps and abnormal bleeding
normalises, babies with infantile colic... Chiropractic researchers are
only now beginning to investigate these less easily explained adverse
neurological effects of subluxations.
Notice the tracts from proprioceptors (bottom left) within the joint capsule - those that feed into the Ventral Horn, and thence via tracts within the cord to the Dorsal Horn. These tracts have an INHIBITORY effect on the Dorsal Horn.
Double wammy: Increased noxious input into the dorsal horn + Decreased inhibition from Proprioceptors.Nett result:
Greatly increased input into the Spinal Thalamic Tract >>> Thalamus >>> Parietal brain where pain is perceived.
"Loss of normal motion within a joint results in changes in every structural component of the joint; subchondral bone to the synovium, from meninges to the ligamentum flavum."
Current orthopedic literature recognizes that changes in the pattern of forces transmitted through joints, which occurs during the immobilization process, is universally recognized as contributing to connective tissue degeneration and local changes in the chemical composition of that tissue…
We also know that mechanical failure of ligaments, discs, capsules and other connective tissue can result from local variations in chemical composition.
"Measurable changes within the joint complex occur within one week of the onset of hypomobility."
The nucleus pulposus is the the area of the disc most susceptible to dessication. It is dependent on movement for nutrition and survival...
Lack of appropriate intersegmental spinal movement can significantly reduce the dynamic pressure gradient between the intradiscal tissues and the subchondral areas of spongiosa in the vertebral bodies...
This sacrifices the key mechanism by which nutrients and water replenish the disc and by which metabolic waste leaves the disc...
Putting it together...
Chiropractors in general are not against the sensible use of drugs, but they are so abused, and cause soooooo many deathsssss and serious distressesssss that we seriously question the way Medicine dishes out bucketfuls of pills.
Research done on 37 000 people who suffered from a stroke found a 20% - 250% increase in the incidence of stroke if they had taken anti-inflammatory drugs (depending on the drug) in the previous 30 days.
INITIAL CLINICAL CONSULTATION FEE
Could a too-high first consultation fee be the limitating factor in the growth of your practice? New patients are the life blood of every practice...
In grateful acknowledgement
Dr. Lisa K. Bloom, D.C.
Diplomate of the International Board of Chiropractic Neurology
Diplomate in Applied Chiropractic Sciences
Associate Professor, Diagnosis and Practice Department of New York Chiropractic College.
The beauty of being a
chiropractor is that days are filled with challenging cases. Many have
been treated medically for years without success. Research shows most can be helped
with chiropractic, some not. Few are "cured" whatever the therapy, hence the need for Chiropractic Maintenance care ...
Sometimes it might be a serious whiplash injury, other times a hereditary condition, often a combination of factors as in this very serious case.