Objective Analysis of Neuropathophysiology The Foundation of the Chiropractic Profession

Objective Analysis of Neuropathophysiology

The Foundation of the Chiropractic Profession by

William C. Amalu, DC and Louis H. Tiscareno, DC

“Good morning Mrs. Smith its nice to see you”. “Thank you Dr. Jones, I’m very interested to know what you found on my examination yesterday”. “Mr. Williams told me how you helped him, but I have never been to a chiropractor and I’m not quite sure how you’re going to help me”. “Well Mrs. Smith, chiropractic care differs from your past medical care in that we get to the cause of your problem rather than treating the symptoms”. “As chiropractors we correct your problem at the source, spinal subluxations”. “Spinal subluxations cause the nervous system to malfunction, and since the nervous system controls every function in your body we are able to get to the cause”. “How, Dr. Jones, are you able to tell if I have a subluxation?”. “Well, if the problem is serious enough we can detect nervous system malfunction through tendon reflexes, muscle strength, and/or altered sensations”. “But Dr. Jones, you mentioned yesterday that all those things were OK, does that mean I have no subluxations?”. “Oh no Mrs. Smith, we have other ways of knowing if you have subluxations such as your unequal leg length, fixated vertebrae, and posture problems”. “But what do any of those things have to do with nervous system malfunction, Dr. Jones?”. “These things we found are indicators of subluxation, Mrs. Smith”. “But isn’t there a test that can show me exactly how my nervous system is functioning?”. “Uh well, uh Mrs. Smith, I …..”. “When my doctor discovered my heart malfunction he showed me an EKG”. “When he suspected diabetes he showed me a laboratory blood test”. “What can you show me that tells me exactly how my nervous system is working?”. “Well Mrs. Smith, I uh ….. uh ……..”.

Does the above scenario sound possible, or is it familiar? How many patients are thinking these very thoughts during our explanations on subluxation? How many fail to understand care because nothing tangible ever demonstrated to them the neurological damage produced by their subluxations?

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Thermographic Anatomy and Physiology

Thermographic Anatomy and Physiology

James Christiansen, PhD

HEAT PRODUCTION

Heat is continuously produced in the body as a by-product of metabolism. Three major factors determine the rate of heat production: basal metabolic rate, specific organ activity, and local muscular activity.

A person’s basal metabolic rate is largely a function of predetermined hypothalamic set points in the central nervous system (CNS) and hormonally controlled metabolism, influenced primarily by secretions from the hypo- thalamus and thyroid glands. Metabolic heat production remains constant throughout the thermoneutral range of environmental temperatures, principally through reflex changes in the body’s insulative and heat distribution mechanisms. These reflex vascular changes may alter the thermal profile as seen thermographically, but they have little importance in the interpretation of diagnostic thermography. Instead, diagnostic thermography is based for the most part on thermal asymmetries, right to left, and the relation of discrete surface areas to their surroundings. Although thermography has been used in an attempt to measure basal metabolic rate (1), it has little relevance for clinical diagnosis and will not be considered here.

The metabolic activity of individual organs may have a profound effect on
the overall temperature of the body. For example, metabolic heat production following a meal has been termed “food inducible thermogenesis” (2), and is related to increased metabolism during digestion. Disease processes within visceral organs may also stimulate metabolism. Bacterial and intrinsic pyrogens may produce fever, such that body temperature may increase dramatically. The heat generated by visceral metabolism is transferred directly to the blood passing through these organs.

 

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Thermography By: Jonathan Mueller, DC

THERMOGRAPHY

By: Jonathan Mueller, DC

Does the subluxation exist in clinical practice? Do we know for a fact that we correct them? Are we absolutely sure our patients are not made worse with our care? How do we know which adjustment is most efficacious? We as a profession stand on the principles of the vertebral subluxation, yet examine our patients with subjective measures. Can we as field practitioners truly answer these questions without objective instrumentation?

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