Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
Of those nerves mentioned as traceable, only such as are _irritated_
and consequently swollen and tender, can be followed. If a nerve is
very heavily impinged, especially if the impingement be chronic, it
is partially or wholly paralyzed and not traceable. If the heavy
impingement be acute, or if there be a light impingement serving as a
mechanical irritant, nerve-tracing is a real aid to diagnosis.
Proportion of Cases with Traceable Nerves
About one-half of all the cases which visit Chiropractors for
adjustment are susceptible of nerve-tracing. In the remaining half it
is absolutely impossible to acquire any information in this way. Of the
half who are at all susceptible, it is possible in perhaps four-fifths
of all cases to secure _some_ accurate or reliable information.
The patient in whom all accessible nerves seem tender to light
palpation is hyperesthetic and unavailable for tracing.
In the usual case one or two nerves will be found easily traceable,
while the rest exhibit no tenderness on pressure. Such a case furnishes
the most reliable information securable by this method and the tender
nerves may be considered as lightly or acutely impinged.
Preconception of Nerves Essential
Knowledge of the anatomy of the nervous system is a part of the
necessary equipment of the Chiropractor who would trace nerves and this
knowledge should be so thorough as to enable the palpater to recognize
each tender line found as an anatomically described nerve-path or an
error on his part. The examiner must know the paths of all nerves and
be able to predict from the first tender points discovered the probable
course which the tenderness will follow, so as to direct his search
along that probable path.
He must be able to detect unconscious deception on the part of the
patient through his knowledge of the anatomical impossibility of the
apparent tracing. For instance, if for any reason he may appear to have
traced a nerve upward beside the spinal column from D 10 to the eye by
way of the vertex, he must know that this is an illusion--because such
nerves do not exist and cannot be anatomically demonstrated--or accept
the well merited ridicule of any educated person who discovers his
absurdity.
Because of the difficulty of determining whether the tender structure
found be muscle, nerve, or viscus, and because of the natural
suggestibility of both palpater and patient, nerve-tracing cannot be
so reliable a guide to nerve-paths as is dissection. It should not be
necessary to state this obvious truth but the calm acceptance, by many,
of the weird conclusions based upon a belief in the infallibility of
nerve-tracing testifies that it is necessary.
Nerve-tracing is valuable only where the nerve-path outlined as being
tender corresponds to the known path of some nerve.
Suggestion
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