SPONSORED CONTENT SPONSORED CONTENT SPONSORED CONTENT R patients, as well as participating in the training program himself. In his recent best-selling Possible Mechanisms dial hamstrings (knee), supraspinatus (shoulder), book, The Brain’s Way of Healing, he comments: “I (ankle) view it as and prudent to have a Matrix assessment A case Subluxation: gluteus medius (hip), tibialis anterior after a blow to the head… observing such cases multifidus and rotatores (lower lumbar spine), are has led me to hope By that Dr. soon, Matrix Repat-George Roth literally turned off, in response to certain injuries. terning will be routinely applied in hospital emergency departments.” 2 I speculated that this mechanism would have the L Leading to the of Low Back Pain Observations in a Development new light of mistaken identity? to nd ed es ed. ay an ed of 1, ve ay re tly, , if hat he ld re ve effect of mitigating the transfer of additional strain recently searched the Internet for scientific Startling Observations: The Evolution of Chiropractic evidence to support chiropractic. Unfortu-Bone Enlarges with Injury! to core structures, including the spinal cord, by Through a combination of relentless question-nately, most of the references emphasized While studying radiology in chiropractic ing and evaluation of measurable, objective creating a ‘wobble zone’ in these peripheral joints, the lack of scientific validation or measur-school, I noticed that the size of a structure on changes (biomechanical, structural, radio-which I refer to as sacrificial joints. It graphic, is important to support biochemical able and outcomes neurological) in my the basic tenets of one side of the body was often different than our profession. At best, there are a few studies its counterpart on the other side. For example, A Testable Hypothesis for a M to note that the spinal cord is not present in the and those own practice of my students and Figure 4, Post-treatment: Femoral and that demonstrate a modest advantage for chi-the proximal femoral or humeral head, or the Fracture Resistance colleagues, I was gradually able to evolve a lower lumbar spine, which might explain why it is tibial epiphyses restored to same size as ropractic manipulation over some prescription tibial plateau on one side was noticeably larger A method to identify and resolve many of the the right side, following treatment. *Note also sacrificed, so to speak. medications for certain than the opposite side in the same individual. osseous (and other fascial) effects of injury and conditions, such as opening of the medial joint space. back pain. However, My professors were unable to shed any light on Programs to develop ‘core strength’ have been our clinical thus improve outcomes. Over the the overall impression is that been chiropractic science years, this it protocol has recognized by a is still relatively un-these findings. As an anatomy lab instructor at promoted to counteract this response, however, is and that are only mini-the college and from subsequent observations structure of the cranium. It was only when I growing number of proven chiropractors, as chiropractors well as my on contention it is not possible to strengthen mally from accepted as part of I the health care team. of cadaverous specimens, I was able to confirm B embarked a study of that osteopathic medicine clinicians and researchers various fields. I have been a chiropractor for over 40 years, these differences. At the time, these facts were these how particular muscles, as they essentially that I realized profound this omission was. are have been gratified to note that many of them but early the in my career, I became convinced that filed away, and it was only many years later that The more I investigated important aspect have able to reproduce same measur-denervated, i.e. this turned off. This would be been like re-I I was not achieving the kinds of results prom-these early observations came to be viewed in a of human anatomy and the common injuries, able outcomes, which observed. Figure : my Injured -osseous, peatedly changing the light bulb in a lamp that is Figure 2 to : Uninjured -normal and ised when I attended school. structure I also witnessed new light, based 3 on clinical research. structural changes which can often lead to life-altering outcomes, My goal has always been find measurable (relative enlargement), lower lumbar stability many of my colleagues becoming disheartened By carefully examining a better quality skel-instability not plugged in, in important an attempt to make it work. to support any of the techniques we, as the more I recognized how it was for evidence C or failing in practice. They had come into this etal model, which is cast from a real skeleton, me to incorporate a rational approach may to the The resultant instability play chiropractors, a role in the provide. I have often wondered high expectations and a sincere you can verify many of these same discrepan-treatment of this area. how things might be profession different if with our profession degeneration of those structures, by increasing to help their devel-fellow humans, but the cies for yourself. Besides the examples of the By applying the principle of identifying were to embrace and desire integrate the latest types of degenerative treatments they decline were taught did not femur, tibia humerus to mentioned mechanical on of articular cartilage, menisci, chronic, towards annular how and it responds injury at earlier, the most fundamental and normalizing the stress structure the cranial opments in cell biology, molecular biomechan-live up to these expectations. a close inspection of the spine can be very re-4, bones, as with other areas of the body, we have ics, biomedical engineering and bio-electricity subtending bone and the intervertebral disc, in the deterioration, inflammation, arthrosis, stenosis level. Our understanding of the consequences of Like many of you, I pursued a long search vealing. Note the differences in the size (width, D 5 . These emerging disciplines witnessed a remarkable degree of success in are crucial to our case of the lower lumbar spine. These observations and associated neurological consequences. physical trauma, in the form of at impact or strain, for their additional modalities to improve my results, depth and height of the articular processes) helping individuals recover from many dev-understanding of the effects of injury at the most my body. outcomes and give me the confi-various levels throughout the spine. Figure 1 past fifty years been validated by recent evidence1-4. Our has evolved significantly in the astating have neurological consequences, including fundamental level of validate the human It is my dence to be able to find and resolve my patient’s demonstrates these differences in the size of cognitive, visual, auditory, vestibular and neu-belief that these scientific advances would sup-experience has demonstrated that treatment of the Summary and it is essential that we adapt our clinical in-conditions. In this search, romuscular conditions. Several independent port much of what we already provide and help I was blessed to meet the articular processes of the atlas. I contend Figure 2: Microscopic Eviden underlying structures, which initiate the ASR, tend Our terventions to areas incorporate these discoveries. We assumptions as and to the causes of many several researchers clinicians from other struc-that on palpation, these of enlargement researchers have verified these outcomes. 3, 4 us evolve even further as a truly science-based Expansion with Injury, Paul H fields (cell biology, biomedical engineering, may be easily mistaken for a relative rotation or to immediately re-establish and func-to strive tural including low back pain, may owe it to ourselves and to our patients, profession. I sense that conditions, there is a growing Dr. Norman Doidge, MD, who is on normal faculty tone University of California, Berke orthopedic medicine, and physical translation of the vertebral segment (see: Sub-permission from the author) desire among many in our profession to osteopathy see at Columbia University and the University tion of the stabilizing muscles, of literally restoring to achieve the lasting and profound solutions that need to be revisited in light of new revelations medicine). were making amazing discov-luxation: A Case of Mistaken Identity, below). role They in the health Toronto, is a world-renowned expert in the chiropractic take its rightful joint stability, like turning on a light switch. are now within our grasp. of Cal-male hockey player, who ha about the underlying structure of of the body and eries the underlying effects injury Recent evidence from the University in regarding the field of physical field of brain injury and neuroplasticity. After care industry, as leaders hearing about our approach, he conducted an in-depth investigation, which obser-Low Back Pain – included an Accident vations of treatments, patient interviews with Happen numerous concussion and post-concussion I to sis us a ea nal he is ro-ng al-ny ng ns ve and biomechanical dysfunction at the cellular, ifornia, revealed by the powerful Atomic Force from knee pain for several medicine. The way ahead benefits not only our bio-electrical and even the molecular level. I microscope, under the direction of physicist prevented him from playing profession but also the countless individuals Waiting to REFERENCES: recognized that for for many a system of therapeutics Paul Hansma and his team 1 , has confirmed the caused considerable pain du who are looking for solutions 1. real Reinold MM, et al., Electromyographic Analysis of the Supraspinatus and Deltoid Muscles During 3 to be valid, it had to be congruent with this activities, such as climbing presence of certain protein structures within painful and limiting conditions. Common Rehabilitation Exercises, Journal of Athletic Training, 2007; 42(4): 464-469. science. the bone that expand with an injury. These was only able to accomplish In the illustrations below, the diagram on the left 2. emerging Fibre type characteristics and function of the human paraspinal muscles: normal values and changes in findings are consistent with my clinical obser-bling manner. Fortunately fo (Figure 2) represents the ideal structural balance association with low back pain, Mannion AF, J Electromyog. Kinesiol. Dec 1999, 9 (6): 363-77. References: surgeons were monitoring the vations, which were first made over 40 years 3. Atrophy of sacrospinal muscle groups in patients with chronic, diffusely radiating lumbar back pain, of the skeletal components of the lower quadrant at the knee with a high de ago (see Figure 2). 1. Fantner GE, Hassenkam T, Kindt JH, Weaver JC, Birkedal H, Pechenik L, Cutroni JA, Laasonen EM, Neuroradiology. 1984;26:9–13 Cidade GA, Stucky GD, Morse DE, Hansma PK, Sacrificial bonds and hidden length due to an underlying geneti and normal tone of the stabilizing elements of the Electromyographic dissipate energy as mineralized fibrils separate during bone 4. fracture, Nat Mater. Study of the Popliteus Muscle in the Dynamic Stabilization of the Posterolateral result, they took consistent Restoration of Bone Size 2005 Aug;4(8):612-6. Epub 2005 Jul 17. spine (intrinsic intervertebral musculature). The Corner Structures of the Knee, K Schinhan, et al, Am J Sports Med, Vol. 39, no. 1, 173-179, January, 2011. within one-hundredth of a and Joint Healing 5. Fantner GE, Hassenkam T, Kindt JH, Weaver JC, Birkedal H, Pechenik L, Cutroni JA, Cidade GA, 2. Doidge, N., The Brain’s Way of Healing, Penguin Books, New York, 2016. diagram on the right (Figure 3), illustrates several were all surprised when the One of the significant clinical breakthroughs of Stucky GD, Morse DE, Hansma PK, Sacrificial bonds and hidden length dissipate energy as 3. Tommerdahl, M, Dennis, RG, et al., Neurosensory Assessment Concussion, Mil that my colleagues and I were able to ac-and the tibial plateau of the structural imbalances, including relative enlarge- mineralized fibrils separate during bone fracture, Nat Mater. 2005 Aug;4(8):612-6. Epub 2005 Jul 17. Med. 2016 May;181(5 Suppl):45-50 had been approximately 5 m complish was that bone size appeared to be ment of the right femur and innominate, potentials ipsilateral in connective 6. Roth GB, The Matrix Repatterning Program for Pain Relief, New Harbinger Publications, Oakland, CA, 2005. 4. MacGuintie LA, Streaming and piezoelectric tissues, In: restored to normal with treatment. At first, we counterpart on the right, had 7. A New Evaluation Method for Lumbar Spinal Instability: Passive Lumbar Extension Test, Kasai Y, Blank M (ed) Electromagnetic fields: biological interactions and mechanisms. enlargement of the right side of the sacrum, L4, 5, by that amount after only a fe questioned these results and followed them up Advances in Chemistry Series 250. American Chemical Society, Morishita Washington DC, ch. K, Kawakita E, Kondo T, Uchida A, JAPTA, December 2006. Figure 3 and 4). Subsequently with precise measurements using callipers and 8, pp 125-142, 1995. and depression of the right lower ribs along with 8. Figure 1: Model of C1, cast from a real Lumbar instability: an evolving and challenging concept, Beazell JR, Mullins M, Grindstaff TL, J Man parents noted that he was o tape measures. Inter-tester validation appeared skeletal specimen. Note the enlargement 5. Chakkalakal DA, Mechanoelectric transduction in bone. J Mater Res]. 1989;4: 1034-1046. ipsilateral enlargement of the associated vertebra. Manip Ther, 2010 Mar; 18 (1): 9-14 of the right articular process and the spinal up” the stairs with absolutely to confirm our findings. 9. canal, Function of measured the Supraspinatus Muscle which 2 mm. larger in and its Relation to the Supraspinatus syndrome -An These injuries are commonly observed subsequent Several years ago, I treated a 15-year-old verified my contention that For more information: matrixforpractitioners.com dimension. every experimental in Man, B Van Linge, JD Mulder, Journal of Bone and Joint Surgery, Vol 45B, No. 4, to a fall on the side. This will typically result in hy- November 1963, pp 750–754. pertonicity of several myofascial elements, includ-ing the iliopsoas, quadratus lumborum, gluteus and About the Author: the iliotibial band. By contrast, the lower lumbar Dr. Roth is a graduate of the University of Toronto, Canadian Memorial Chiropractic CC_Matrix_Sponsored_Content_DPS_Dec19_EJS.indd CC_Dec19_EJS.indd 18 2019-11-06 8:38 AM 2-3 paraspinal intrinsic muscles (dynamic stabilizers) College and the Ontario College of Naturopathic Medicine and has studied osteopathic medicine at Doctors' Hospital North, Columbus, Ohio. He is the developer of Matrix tend to become relatively hypotonic, as part of the Repatterning and is the Director of Education at the Matrix Institute in Toronto. Dr. Articular Stability Reflex response (see above). Roth has presented seminars at numerous hospital and university-based symposia These, and many other common injuries, are throughout North America. He is the co-author, with Kerry D’Ambrogio PT, of Positional often associated with similar structural and func-Release Therapy (Elsevier, 1997), and the author of The Matrix Repatterning Program tional changes. Once these imbalances develop, for Pain Relief (New Harbinger, 2005). His work is also featured in the Brain’s Way of Healing, by Dr. Norman Doidge (Penguin, 2015). the mechanical stress imposed on the lower lum-bar discs and other articular elements, begin their For more information: www.matrixforpractitioners.com
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