Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
Paradoxically, knowledge of nerve-paths may lead to error. By the law
of expectancy, we are prone to find what we look for and if we hold too
strongly to the belief that because we have found one or two points of
tenderness we must find a series of points extending along a mentally
pictured nerve-path, we may search until we falsely believe that we
have found this series.
Likewise the patient, having been carefully informed as to the manner
of procedure and knowing what we expect to discover, may unconsciously
deceive us by feeling tenderness in response to suggestion, where no
real impingement exists.
Place in Diagnosis
The value of nerve-tracing in diagnosis has been much overestimated
by many, though the tendency of the profession seems to be toward
rationalism along that line.
Whereas, in palpation of the spine every real subluxation gives
evidence of disease, or tendency to disease, while every normally
aligned pair of vertebrae furnish proof that no disease can exist
in the area of distribution of the nerve emerging between them,
nerve-tracing is much less reliable. If the tender nerve be traceable
to a vertebral subluxation it may be taken as additional evidence that
the effect of that subluxation is _disease_, rather than _tendency_ to
disease, truly an important distinction, but scarcely broad enough to
support a diagnosis without aid.
The absence of tenderness from nerves does not negative a disease in
any instance, whereas the absence of subluxation _does_. Like all
other expedients for the selection of vertebrae for adjustment without
admitting the necessity for first acquiring much skill by much labor,
nerve-tracing has a great weakness. Only irritated nerves are tender
and the effects of subluxation may be either irritation or paralysis.
If accurately done, sources of error carefully eliminated, and the
results of nerve-tracing found to correspond with the condition of
the spine and the other symptoms, this method of demonstrating to the
patient the connection between the vertebrae and the diseased region of
his body is valuable. It aids in convincing him of the validity of the
Chiropractic theory.
TECHNIC OF NERVE TRACING
Where to Begin
The palpater, having made his vertebral palpation, may begin at some
point in the body indicated by the symptoms as diseased and, finding
tenderness, follow the path of a nerve back to the spinal column where
the nerve may be fairly presumed to enter the intervertebral foramen.
Or he may use his palpation record as a guide and follow the tender
nerves outward to their periphery. This is the better method.
[Illustration: Fig. 5. Technic of nerve tracing, showing position of
fingers and marking of tender points.]
Palpation as Guide
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