SPONSORED CONTENT CONTENTntly ation: A case of mistaken identity?bser . George Rothlux vations in a new Low Back Pain, light1: contact sports, motor vehicle collisions, etc. The t's been referred to as the scourge of modern When Physics Meets Biology man. The age-old affliction of low back pain I often begin my presentations to practitioners list goes on and on. has likely for been with us Startling since we achieved the and the public with the following request: “Put searched the Internet scientific Observations: Enlarges with ence to support chiropractic. Unfortu-ly upright posture. Over the Bone millennia, healers and Injury! up your hand, if you’ve NEVER had a fall.” So far, The Importance of Density , most of the references emphasized While studying radiology in chiropractic practitioners of all stripes have grappled with this no takers. Simple physics tells us that a structure, which has lack of scientific validation or measur-utcomes school, I noticed that the size of a structure on challenging condition… stretching, pummeling, Walking a higher density, will absorb the force of an injury to support the basic tenets of one side of the body was often different than the earth on two legs has provided fession. At best, there are a few studies its counterpart on the other example, A Testable Hypothesis for a Molecular Origin of a greater degree than another structure with cracking and even hacking, in order to alleviate the side. us For with tremendous advantages: freeing the up-to Figure 3, Pre-treatment: Femoral and monstrate a modest advantage for chi-ic the proximal femoral or humeral head, or the Fracture Resistance pain and discomfort of this often debilitating condi-per extremities to be able to manipulate the envi-a lower density. Therefore a more enlarged, dense struc-tibial epiphyses approximately 5 manipulation over some prescription tibial plateau on one side was noticeably larger A mm. compared to the right. *Note relative tion. The challenge of as course, is the that opposite most of side the ap-ronment (gather food, wield tools and weapons), ture is inherently more vulnerable to the effects tions for certain conditions, such than in the same individual. narrowing of the medial joint space.NSORED Before impact ain. However, proaches the overall impression is My professors were system, unable to shed any light on used throughout the health care presenting a higher profile to deter predators, and of injury. For example, if you strike a pillow with iropractic science is still relatively un-these findings. As an anatomy lab instructor at have failed to provide long-term solutions. the ability to survey our surroundings for poten-a hammer, there will be practically no sound and and that chiropractors are only mini-ccepted the college and from subsequent observations the shape of the bone is possible and appears to article, I would to present some tial threats and opportunities. However, one of the little or no evidence of the for assault, given that the as part of In the this health care team. of like cadaverous specimens, I was able to confirm B allow the restoration of the joint space and ve been a chiropractor for over 40 years, which these may differences. the time, these facts were revolutionary concepts, help to At explain main trade-offs, is that the upright, bipedal pos-force is easily dissipated by the loosely arranged As an impact biomechanical function, resulting in improved begins to ly in my career, I became convinced that filed away, and it was only many years later that of the entire joint some of the underlying causes of low back pain, ture has made us more vulnerable to the laws of structural elements of healing the filling material. In complex. con-separate fibrils ot achieving the kinds of results prom-hen these early observations came to be viewed in a and by extension, many other painful biomechan-physics; namely gravity, inertia and momentum. trast, striking a piece of wood, such as a table top, I attended school. I also witnessed new light, based on my clinical research. Subluxation: f my colleagues becoming disheartened By light carefully a better quality skel-of ical disorders. I hope to shed on examining why some As a result will make a lot of noise, since more close-A Case of the Mistaken Identity? C this vulnerability, we begin the ng in practice. They had come into this etal model, which is cast from a real skeleton, The bounce subluxation and the idea that bone of the approaches, currently in use, may be help-assault on our bodies at a fairly young age. From ly-packed molecules will off theory of each other, ion with high expectations and a sincere you can verify many of these same discrepan-“go out of place” has long been questioned not. This is yourself. based on some the moment setting the surrounding air molecules in motion, to help their ing… fellow or humans, but information the cies for Besides the examples of the we set forth on two toddling legs, However, I believe that the entire premise ma f treatments of they were taught did not evidence femur, tibia and the humerus earlier, the latest scientific of how body mentioned this often takes the form of slipping and falling on which cause the ear drum to vibrate more vigor-By this, I mean be a matter of mistaken identity. to these expectations.many a close inspection of the spine can be very re-that the palpatory is constructed at the cellular and molecular level. the ground or the stairs, bumping into furniture, ously. As a result of its greater density, impression the wood of “misaligned Dred_Content_DPS_Dec19_EJS.indd of you, I pursued a long search vealing. Note the differences in the size (width, vertebra” may be the result of enlargement o I believe a better understanding of height how the body tripping over will clearly and permanently demonstrate the ef-itional modalities to improve my results, depth and of the articular processes) at toys and bumping our heads on cup-part of the vertebral segment (see Figure 1 After the impact e my outcomes and give to me the confi-o levels throughout Figure 1 frames and our siblings. As we is responds injury, at the various most fundamental lev-the spine. boards, door get above). The fact that many patients achiev over fects of the ‘injury’. be able to find and resolve my patient’s demonstrates these differences in the size of benefit through chiropractic adjustment ma el, may provide us with the insights necessary to older, we tend to engage in activities that put us One of the densest substances in the body ons. In this search, I was blessed to meet the articular processes of the atlas. I contend be due to its influence on the actual structur Figure 2: Microscopic Evidence of Bone provide real and at enlargement further risk for injury, such as high speed and is bone, which is a form of mineralized fascia. In researchers and clinicians from lasting other solutions. that on palpation, these areas of of the osseous enlargement, albeit inadvertentl Expansion with Injury, Paul Hansma Lab, (cell biology, biomedical engineering, may be easily mistaken for a relative rotation or University of California, Berkeley, 2005. (With previous articles, I presented evidence that bone on the part of the practitioner. In my opinion, i edic medicine, osteopathy and physical translation of the vertebral segment (see: Sub-permission from the author) practitioners were made is aware expands with injury (Figure 1) 5. My theory that of the fact tha ne). They were amazing discov-gar luxation: Case of Mistaken Identity, below). A making Testable Hypothesis for a A Molecular Origin of Fracture Resistance injury alters the shape and size of bone in th these changes in bone spine size, and especially in the spinal ding the underlying effects of injury Recent evidence from the University of Cal-male hockey player, who had been suffering throughout the body, they would omechanical dysfunction at the cellular, ifornia, revealed by the powerful Atomic Force from knee pain for several months, which area, might appear as be misalignment (subluxation), eager to apply methods that would mor ctrical and even the molecular level. I microscope, under the direction of physicist prevented him from playing. The injury also precisely target these areas when in fact, the evidence suggests that this and is thus achiev 1 zed that for a system of therapeutics Paul Hansma and his team , has confirmed the caused considerable pain during normal daily even better results. alid, it had to be congruent with this activities, such as climbing stairs, which most he likely due to asymmetrical enlargement of the presence of certain protein structures within ng science. the bone that expand with an injury. These was only able to accomplish in a slow, hob-one portion of a vertebral segment or Evidence segments. Neurological findings are consistent with my clinical obser-bling manner. Fortunately for me, orthopedic One of investigation the major factors, which drew me to Radiological and anatomical appears surgeons were monitoring the size of the bones vations, which were first made over 40 years chiropractic in the first place, was its emphasi to support this contention. To verify this for yourself, at the knee with a high degree of precision, ago (see Figure 2). on the central importance of the nervou due to an underlying genetic condition. As a measure the width of system. your own (the distal This knees made absolute sense to me, as result, they took consistent measurements to Restoration of Bone Size disruption of or neurological signals to any are femoral condyles and the patella), observe these within one-hundredth of a millimetre. They and Joint Healing of the body, could lead to serious functiona differences with your patients. I have also pointed were all surprised when the femoral condyle One of the significant clinical breakthroughs consequences and even threaten survival. Th that my colleagues and I were able to ac-and the tibial plateau of the left knee, which out that a tissue injury in one area is transmitted unique anatomical structure of the spine i had been approximately 5 mm larger than its complish was that bone size appeared to be designed to afford substantial pro throughout the body, exquisitely via the extracellular matrix restored to normal with treatment. At first, we counterpart on the right, had suddenly shrunk tection to the spinal cord, while still allowin (ECM). Thus, the area for of mobility symptoms may remain by that amount after only a few treatments (see questioned these results and followed them up and flexibility. However, it was a Figure 3 and 4). Subsequently, the young man’ s with precise measurements using callipers and elusive, unless we have a way to detect the actual ways a mystery to me why there was never an Model of C1, cast from a real parents noted that he was once again “flying tape measures. Inter-tester validation appeared l specimen. Note the enlargement mention in the chiropractic regardin source(s) of tissue injury. Fortunately, we have literature dis-ight articular process and the spinal up” the stairs with absolutely no pain. This case to confirm our findings. the most significant concentration of neuron which measured 2 mm. larger in covered a method to detect these underlying inju-of Several years ago, I treated a 15-year-old verified my contention that normalization in the body, housed in the equally protectivr imension. ries (Primary Restrictions) due to changes in their bio-electric properties. I By Dr. George B. Roth, BSc, DC, ND, CMRP Revisited R L The Role of Stability 18 2-3dd 2019-11-21 9:01 AM Figure 1 : Microscopic Evidence of Bone Expansion with Injury Paul Hansma Lab, University of Califor-nia, Berkeley, 2005. In a previous article (Solutions for Low Back Pain and Instability, February 2017), I referred to the Articular Stability Reflex (ASR), a mechanism I discovered in the mid 1990’s, which appears to explain how the loss of stability in certain joints, may contribute to the development of pain and ar-ticular degeneration. Muscles, which provide dy-namic stabilization, such as the popliteus and me-
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