Week 13

Vertebral Subluxation begins with some form of stress/ insult to the spinal articular structures

  • Physical stress/ insult

  • Chemical stress/ insult

  • Mental stress/ insult

Aberrant segmental spinal arthrokinematics (abnormal alignment and/or motion)

  • This is vertebral kinesiophysiology/ kinesiopathophysiology

    • Genesis of:

  • Neuropathophysiology

    • Afferent abnormality

    • Efferent abnormality

  • Myopathophysiology

  • Histopathophysiology

  • Biochemical Changes (Pathophysiology)

Neuropathophysiology:

  • is at the Heart of subluxation from which all other dysfunctional components occur

  • Chiros live here

    • Every issue a patient has, we question was is going on in relation to Neuropathophysiology

“To see is to know, to not know is to guess”

  • so, get your Xray’s done with the patient “in motions”

Why does a Vertebra stay fixated/ subluxated?

  • Some will say a muscle is keeping it there

    • This isn’t correct because then a muscle relaxant would help that subluxation/ fixation release, but they don’t

  • On a neuro aspect, it’s because these impulses cause your body to adapt for something

    • This is all due to a stressor that is causing a neurological impulse, which results in an adaptation that is a Neuropathophysiology.

    • Then the vertebra stays fixated/ subluxated until the stressor has been relieved

  • You can correct this by adjusting the spine

  • You need to do something with your patient so that the fixation/ subluxation doesn’t just come right back

Your nucleus is like a teeter totter that allowed your Disc to move as your do

Your Articular processes are the most important part of your vertebra

  • the superior AP of every vertebra’s purpose is to articulate with the inferior APs of the vertebra above

    • The direction of the SAPs orientation determines how the IAP above it will be oriented

      • Cervical SAP= BUM

        • Backwards, upwards, slightly medial

      • Thoracic SAP= BUL

        • Backwards, upwards, slightly lateral

      • Lumbar SAP= BUM

        • Backwards, upwards, very slightly medial

    • The IAPs are the absolute opposite

      • Cervical IAP= FDL

        • Forwards, Downwards, slightly lateral

      • Thoracic IAP= FDM

        • Forwards, Downwards, slightly medial

      • Lumbar IAP= FDL

        • Forwards, Downwards, very slightly lateral

  • There are multiple small “discs” between SAP and IAP are called the Meniscoids

    • Little Synovial folds

    • Purpose of the meniscoid is they make up for in-congruencies of the anatomy of the Facet joint

    • When they occasionally come out from between the joints, they become extrapolated

      • THIS IS WHAT ULTIMATELY CAUSES A VERTEBRAL SUBLUXATION

      • By adjusting this joint, you help the meniscoid go back into the joint

    • “Meniscoids are folds of synovial membrane that project into the articular cavities of Zygapophysial joints throughout the cervical spine”.

Dr James Chestnut - “The 14 foundational premises for the scientific and philosophical validation of the Chiropractic Wellness Paradigm”

  • Eat Well, Move Well, Think Well

  • This is the #1 text that Hillgartner would 100% recommend we buy

Know these 14 foundational premises. You don’t have to memorize them verbatim, but you have to be able to comprehend and explain them

  1. Chiropractic represents a distinct natural, holistic, vitalistic, conservative, and rational health care paradigm that is both philosophically logical and scientifically valid

    1. The philosophy and science of Chiropractic support each other, and they together are true

      1. Natural= no drugs

      2. Holistic= the outcome and effect of giving someone chiropractic care

      3. Vitalistic= working with what is already there and working

      4. Conservative= no surgery

      5. Rational= common sense/ practical thinking

  2. Segmental restrictions of movement and static and/or dynamic facet joint misalignments do commonly occur in the human sine and have been accurately and scientifically defined in the literature as vertebral subluxation complex (VSC)

    1. Spinal vertebra that are restricted by static and/or dynamic misalignments occur as VSC