SPONSORED CONTENT CONTENTntly ation: A case of mistaken identity?bser . George Rothlux Knee Pain Solutions By George B. Roth, B.Sc., D.C., N.D. vations in a new light: R L searched the Internet for scientific Startling Observations: How many times have you heard about athletes failure is fairly high when compared with hip re-has a higher density, will absorb the force of an Bone Enlarges with Injury! ence to support chiropractic. Unfortu-ly whose careers ended prematurely because of in injury to a greater degree than another structure placement surgery 5 , 6 . , most of the references emphasized While studying radiology chiropractic ‘bad validation knees’? or I recall one school, of the I most promising with a lower density. For example, if you strike lack of scientific measur-tcomes noticed that the size of a structure on to support the basic tenets of time, one Bobby side of the was often When different than Physics Meets Biology hockey players of all Orr body – widely a pillow with a hammer, there will be relatively fession. At best, there are a few as studies counterpart the time other side. For consideration example, A Testable Hypothesis for a Molecular Origin of sound and little or no evidence of the assault, One that very few acknowledge acknowledged one of its the greatest on of all no 3, Pre-treatment: Femoral and monstrate a modest advantage for chi-c the proximal femoral or humeral head, or the Fracture Resistance – who was sadly forced to retire from the sport when considering the high incidence of condi-given that the force Figure is easily dissipated by the tibial epiphyses enlarged, approximately 5 manipulation over some prescription tibial plateau on one side was noticeably larger A mm. compared to of the right. *Note relative tions such as arthropathies of the knee, is the at the age of 30, due to knee injuries. loosely arranged structural elements the filling tions for certain conditions, such as than the opposite side in the same individual. of the medial joint space.NSORED unique anatomy of homo sapiens. The upright material. In contrast, narrowing the more closely-packed Before impact ain. However, the overall impression is My professors were unable to shed any light on posture provides us with tremendous advantag-molecules in a piece of wood, such as a tabletop, Have is you heard of these the expression: ‘being iropractic science still ever relatively un-and findings. As an anatomy lab instructor at es: freeing the upper extremities to be able to will collide more forcefully cut off at are the knees…’? This is and an from acknowl-with each other, and and appears t that chiropractors only mini-ccepted the college subsequent observations the shape of the bone is possible as part of the health care knee team. injury of cadaverous specimens, I was able to confirm manipulate the B environment (gather food, wield the surrounding air molecules, edgement that is a condition that resulting in of a loud allow for the restoration the joint space an e been a chiropractor for a over 40 years, impact these differences. At the time, these facts were As an impact biomechanical function, resulting tools and weapons), presenting a higher profile can have significant on quality-of-life. noise as these molecules strike our ear drum. As in improve y in my career, became convinced that to filed away, it was voca-only many to years later predators, that of the joint deter and the ability to survey begins our to a It I can impair our ability work in and certain result of its greater healing density, the entire wood will complex. also separate fibrils ot achieving the kinds of results prom-hen these early observations came to be viewed in a tions and often prevent us from enjoying many surroundings for potential threats and opportuni-clearly and permanently demonstrate the effects I attended school. I also witnessed new light, based on my clinical research. Subluxation: ties. However, of the main trade-offs, is that of the ‘injury’. simple pleasures and pastimes, such as walking, f my colleagues becoming disheartened By carefully examining a better quality skel-one A Case of Mistaken Identity? C are more vulnerable to the laws of physics… or playing sports. ng in practice. running They had come into certain this etal model, which is cast from we a real skeleton, The subluxation theory and the idea that bone namely gravity, inertia and momentum. One of the densest “go substances in the is questione on with high expectations and a sincere you can verify many of these same discrepan-out of place” has body long been to help their In fellow humans, I but the like cies yourself. Besides the examples of the this article, would to for present some rev-bone, which I refer to as a form of mineralized However, I believe that the entire premise ma f treatments olutionary they were taught did not femur, tibia and earlier, I often begin my presentations to For example, concepts, which may help to humerus explain mentioned fascia . This means that force of an injury is By this, I mea be a the matter of mistaken identity. to these expectations.many a close of inspection of the spine practitioners can be very re-and the public with the following that the palpatory impression some of the underlying causes knee pain and more likely to be absorbed by osseous struc-of “misaligne Dred_Content_DPS_Dec19_EJS.indd of you, I pursued a long search Note the differences in the size (width, vertebra” may be the result that of enlargement o by extension, many other vealing. painful biomechanical request: “Put up your hand, if you’ve NEVER had tures. There is now documented evidence tional modalities to improve my results, depth and height of the articular processes) at part of the vertebral segment (see Figure After the the impact a fall.” So far, no takers. disorders. I hope to shed light on why some of force of injury can react with the molecular my outcomes and give me the confi-o various levels throughout the spine. Figure 1 above). The fact that many patients achiev is over the approaches currently in use may be differences help-elements within the cells and proteins of bone, be able to find and resolve my patient’ s demonstrates these in the size of benefit through chiropractic adjustment ma . As a result of this vulnerability, we begin the as-ing… or not. This information is based on some causing them to measurably (Figure 1) 7 actual ons. In this search, I was blessed to meet the articular processes of the atlas. I contend be due to expand its influence on the structur Figure 2: Microscopic Evidence of Bone in bone size, researchers and clinicians other evidence that on of palpation, these areas of enlargement sault on our bodies at a fairly young age. From My theory is that these of the latest from scientific how the body of the changes osseous enlargement, albeit inadvertent Expansion with Injury, Paul Hansma Lab, cell biology, is biomedical engineering, may be easily mistaken lev-for a relative or we might appear as misalignment in practitioner. the case of the rotation moment set forth two toddling constructed at the cellular and molecular on the part of the In my opinion, University of on California, Berkeley, legs, 2005. (With edic medicine, osteopathy and translation of the vertebral (see: Sub-the author) practitioners were made when in aware fact, of the fact tha this often takes permission the form from of slipping and falling vertebral segment (subluxation), els. I believe a physical better understanding of how the segment ne). They were making amazing discov-gar luxation: A Case of Mistaken Identity, below). injury alters the and size of bone in th that this is shape most likely body responds to injury at the most fundamental on our knees, among many other boney prom-the evidence suggests ding the underlying effects of injury Recent evidence from the University of Cal-male hockey player, who had been suffering spine and throughout the one body, they woul due to asymmetrical enlargement of the inences (hands, elbows, hips, shoulders and level, may provide us with the insights necessary omechanical dysfunction at the cellular, ifornia, revealed by the powerful Atomic Force from knee pain for several months, which be eager to apply methods that would mor portion of a vertebral segment or segments (Fig-head to name a prevented few). As him we from get older, we tend to provide real and lasting solutions. under the direction ctrical and even the molecular level. I microscope, of physicist playing. The injury also precisely target these areas and thus achiev ure 2). Radiological and anatomical investigation engage the in activities that put us pain even during at further zed that for a system of therapeutics Paul Hansma and his team 1 , has to caused considerable normal daily confirmed even better results. An of Knee to support this contention. risk for within injury, such as high and stairs, contact alid, it had to be Epidemic congruent with this Arthropathy activities, such speed as climbing which appears he presence of certain protein structures ng science. It is estimated that knee was only able to accomplish in a slow, hob-the bone that expand with an sports, injury. motor These vehicle pain affects approxi-collisions, etc. Neurological Evidence findings are being consistent with my clinical obser-bling manner. Fortunately for me, orthopedic Put it To the Test One of the major factors, which drew me t mately 20% of adults, with women slightly surgeons were monitoring the size of the bones which were first to made Bone over 40 years in the first place, was its emphas as Fascia I invite you to verify chiropractic this for yourself. Measure more affected than men. vations, These statistics tend at the knee with a high degree of precision, ago (see Figure 2). on the the distal central importance of the nervou tells us that a structure, which the size of the patella, head of the fe-increase with age 1 . As practitioners in the field Simple physics due to an underlying genetic condition. As a system. This made absolute sense to me, as of musculoskeletal therapy, we have limited op-Size mur, the proximal head of result, they took consistent measurements to the greater trochanter, Restoration of Bone disruption of neurological signals to any are tions to help our patients. the tibia or the proximal head of the humerus on within one-hundredth of a millimetre. They and Joint Healing of the body, could lead to serious functiona one side versus the other. Do this and on even yourself or survival. Th were all surprised when the femoral condyle One of the significant clinical breakthroughs consequences threaten colleagues and The solutions provided that by my conventional ap-I were able to ac-and the tibial plateau of the left knee, which some of your patients. You can use your fingers unique anatomical structure of the spine had been approximately 5 mm larger than its an inexpensive set exquisitely complish was that bone size appeared to be proaches include anti-inflammatory medica-or of calipers (See Figure 3). designed to afford substantial pr to normal with treatment. At first, we counterpart on the right, had suddenly shrunk to the spinal cord, while still allowin tion, physical therapy restored (exercise, electrother-If you then squeeze tection each side of the relatively by that amount after only a few treatments (see questioned these results and followed them up for mobility flexibility. However, it was a apy, low-level laser therapy, etc.), orthopedic enlarged structure, you might and notice that it is Figure 3 and 4). Subsequently, the young man’s with precise measurements using callipers and ways a mystery to me why there was never an Model of C1, cast from a real supports and ultimately, tape surgery. Arthroscopic often more tender. You might also notice that parents noted that he was once again “flying measures. Inter-tester validation appeared l specimen. Note the enlargement mention in the chiropractic literature regardin may meniscectomy, meniscal the quadriceps or the iliotibial band on the side ght articular surgery process and the include 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 repair and cruciate ligament reconstruction. In of of the larger femoral in head trochanter more Several years ago, I treated a 15-year-old verified my contention that normalization the or body, housed in is the equally protectivr imension. 18 2-3dd 2011, there were approximately one million of these surgeries performed in the U.S. alone 2 . Although immediate surgical risk is low, the long-term benefits are not encouraging, when it comes to preventing ongoing deterioration 3 , 4 . 2019-11-21 9:01 AM hypertonic. That is because the larger bone cre-ates more tension on the surrounding soft tis-sues, which can contribute to joint dysfunction, strain and pain. After you do this, you might get a sense of why I got excited so many years ago. Total knee replacement is becoming a very com-mon surgery, especially among the over-45 de-mographic. Between 2000 and 2010, there was an 86% increase in the rate of these surgeries. In the US alone, there were approximately 6 mil-lion people with at least one knee replacement. A significant proportion of patients experience complications follow surgery and the rate of Normalization of Bone Size Case Study: Figure 1: Microscopic Evidence of Bone Expansion with Injury Paul Hansma Lab, University of California, Berkely, 2005. Steve* is a teenage hockey player, who experi-enced significant pain in his left knee for over 2 years, before treatment. After a series of six treatments, there was a significant change in the size of his knees, and a marked reduction in pain. He was subsequently able to return to
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