Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
Without entering here into a discussion of those disturbed metabolic
processes--themselves the result of subluxation--which result in
curvature by general softening of the bone, as in rachitis or
spondylitis deformans, we will simply state the general proposition
that almost all curvatures which are in any degree _angular_ result
from a single subluxation to be found at the point of the angle. It
has been demonstrated in such cases that adjustment at that point
will correct the curvature in time but it is usually wiser to hasten
matters by selecting other points of attack by a method to be presently
suggested.
Long, regular, but not pronounced, Scoliosis, usually in the Dorsal,
may be an example of _occupation curvature_, following the continued
use of muscles in a fixed position and not due to subluxation. Another
example is the mailman’s Lordosis. These in themselves are not
detrimental to health and are negligible unless some special point of
impingement through individual subluxation exists within them.
The sharp, angular kyphosis of Pott’s Disease, tubercular caries of the
vertebrae, the curvature involving three or four vertebrae which are
extremely tender to palpation, should warn against adjustment unless
one can be very certain that the vertebrae are sufficiently intact.
Fracture of a decayed vertebra is easily possible under adjustment. The
cause of Pott’s Disease is usually at the angle point, most frequently
the tenth Dorsal but possibly any Dorsal from fifth to twelfth.
Record on Curvatures
If it is the purpose of the examiner to straighten the curvature he
should choose for adjustment a series of non-adjacent vertebrae which
are most prominent in the direction of the curvature; thus in a right
scoliosis he should choose only those vertebrae most prominently out
to the _right_, and in a kyphosis only posterior ones. A lordosis as
such cannot be properly adjusted except in the Cervicals, but lordosis
is usually a compensating curvature (see below) and can be otherwise
corrected.
If the patient suffers from some disease which assumes more importance
than the curvature and demands attention, select the one vertebra
which is causing the disease, without reference to its position in the
curvature, and adjust that vertebra into a proper relation with the
adjacent ones, even though you adjust directly toward the convexity
of the curvature. Disease may often be relieved by _making a curvature
regular_ more quickly than by eliminating the entire curvature.
Sometimes both considerations may influence the selection of vertebrae.
In a curvature there is not necessarily pressure on nerves at every
foramen. In fact, such pressure is the exception rather than the rule
in curvature and a careful study of the spine must be made in order
that adjustments may be accomplished without _causing_ temporary
impingement here and there.
Public-domain text, read in full here on John Shaqi.
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