Definitions of subluxation are as varied as chiropractors, which is part of the problem. Our schools can't even agree on what we should be taught, there are more "Chiropractic Organizations" than you can count on one hand, controversy everywhere.
Thank you for being honest. From your definition you seem to be saying your scope of practice is limited to treating pain, specifically back, head, and neck pain? Can I assume that you do not agree with Chiropractors treating things such as sinusitis and gastritis?
I have some specific questions concerning your definition, but I'll perhaps save them for later.
posted on 06/02/2003 8:03:41 AM PDT
While it is true that Chiropractic is a highly effective treatment for headaches, back pain, etc., pain is not the only manifestation of subluxation. Since pain is only 10% of the afferent input to the CNS, it is the last symptom to arrive and the first to be gated out.
The neurology mentioned in my post, (...When these joints do not move properly (due to minor malposition), the normal proprioceptive input to the brain is reduced. This decrease in proprioception can result in a variety of cord-level and eventually cortical manifestations. ) indicates the ability of subluxation to affect the normal function of any part of the body subject to CNS control. The central integrative state of the patient most certainly affects their entire body function. Spinal wind-up, increased sympathetic activity, will affect vasomotor tone, GI secretion, etc. Proper physiological function of end organs depends on the brain's ability to correctly stimulate and monitor that organ. This is where chiropractic affects viscera. Chiropractic philosophy is to locate and correct subluxation. IF the visceral dysfunction is related to the state of the CNS (afferentation, autonomic disturbances, segmental changes, etc.), and not some external force such as cigarette smoke or chemical exposure, it can be positively affected by removal of subluxation. (For example, adjustment of a spinal segment fires off muscle spindles and Golgi tendon organs, which synapse in the dorsal column, which: 1. monosynaptically inhibits the intermediolateral tract, inhibiting sympathetic activity, and 2. increases afferent input to the brainstem, cerebellum and cortex, thereby restoring proper autonomic balance and CNS function.) That said, adjusting a patient to "fix" visceral complaints, or even pain, is outside the basic chiropractic philosophy of subluxation correction. I can draw you the pathways that explain why chiropractic adjustments help with ear infections, vertigo, asthma, etc.. It goes back to the CNS controlling the function of every cell and tissue of the body and the widely-proven neurology is there to explain it.
I am one of the few chiros who combines the "straight" philosophy of finding and correcting vertebral subluxation with an understanding of the neurological reasons "why" chiropractic works to let the body heal itself.
Clear as mud?
Synopsis: I am NOT a pain doctor, it's all about function.
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