Technic and Practice of ChiropracticLoban, Joy Maxwell
Science
Technic and Practice of Chiropractic
Loban, Joy Maxwell
Chiropractic
A Dorsal vertebra is only _relatively_ anterior, the adjacent ones
being relatively posterior, and the only possible correction at present
is the adjustment of the posterior ones. A Lumbar cannot be anterior
unless those below it are also anterior, on account of the locking of
articulations. Discovery of anterior Lumbars is quite common. The fifth
Lumbar may be subluxated anteriorly by slipping forward on the Sacrum;
it must be _superior_ at the same time, on account of the shape of the
articulating surfaces which face downward and forward. The spinous
process is crowded closely against the fourth while the body of the
fifth is too widely separated from that of the fourth.
Posterior Subluxations
There are many Chiropractors who have always considered the posterior
subluxation more than any other, not because it produces greater
nerve impingement than others but because it is easiest to detect;
it intrudes itself upon the attention of the unskilled examiner most
persistently. Nor should its importance be underestimated, though we
now realize that in some instances a rotated or anterior vertebra may
cause more nerve impingement than a posterior one.
The posterior subluxation in the lower Dorsals and Lumbars is the
easiest variety to adjust; in this region a posterior displacement of
one vertebra tends to bring with that one the next adjacent superior
one, the sharpest deviation occurring between the posterior one and the
one below it.
Any vertebra may be posterior: the Atlas is rarely so as a whole,
and never unless the Axis is also displaced backward; the Cervical
and Dorsal regions present frequent variations of this sort, which
must not, however, be confused with long, prominent, or overdeveloped
spinous processes; the Sacrum may be posterior to the ilium on one
side, or to both ilia.
Occipital Subluxations
Mention should be made here of a form of subluxation not strictly
vertebral--displacement between the condyles of the occipital bone and
the lateral masses of the Atlas. This occurs when the head has been
moved too violently upon the Atlas so as to cause an immediate nerve
irritation and muscle tension sufficient to hold it in its abnormal
position. The Cervicals may be quite normal below the Atlas though
this, of course, is not the rule. Correction of occipital subluxations
is made by applying force to the Atlas and to the skull, sometimes by
holding Atlas and rotating the skull.
Age of Subluxations
The relative age of subluxations may be determined, within rather wide
limits, it is true, by a study of the form of the spinous process.
Newly acquired subluxations are sharply defined, having noticeable
_edges_ on the spinous process. In time they tend to become rounded
and blunt and appear to cover more surface, just as the mountain range
which, when first upheaved, is sharp and rugged, gradually rounds into
regular curves through the work of the elements.
Public-domain text, read in full here on John Shaqi.
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