The following essay draws a parallel to discoveries in the neurosciences and to the true reasons why chiropractic works.  It identifies therapies that use similar neurodynamics to promote healing, improved  function, and pain reduction.  Many of these therapies are present at Crafton Chiropractic and by those with whom we are in close association.
Reflexive forces must be released before one can heal.  This protective mechanism promotes inflammation and often sympathetic responses that cause degeneration to our organ systems and our ability to overcome pain.
Healing has everything to do with the brain's adaptive abilities and the communication between the body receptors and brain's adjustment to these outside findings.  Pain is a brain activity and  can require a neurotherapeutical intervention.
Muscle strength is not as important as the muscle's ability to withstand outside forces.  There is a key distinction here that clearly identifies why so much intervention fails to deliver results.  This why our tissues are so rich in receptors; and why it is most rich in our more vulnerable areas such as the upper cervical complex.
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ARTICULAR NEUROLOGY

Neurotherapy and Chiropractic

Chiropractic is best understood by more contemporary investigation into the newer sciences of articular neurology and psychoneuroimmunology in the greater science of neurology.  These primarily deal with the communicative aspect of our nervous system and its impact on balance, autoimmune function, and healing.  Articular neurology is the study of joint function and its relationship to brain function.  It is well “the process by which cells sense mechanical forces and transduce them into changes in intracellular biochemistry and gene expression.” Whenever one hears about “gene expression,” it can be understood by most as the body’s innate ability to adapt to outside stresses.  B.D. Wyke in his text, Articular Neurology and Manipulative Therapy, deals with a much greater understanding of the effects of manual therapies and in particular joint mobilization or manipulation on the whole body.  This is what chiropractors are doing whether they understand it or not.  This can only be coordinated by the brain as the body learns to adapt to forces.  Whenever the body is injured, a reflexive force may well keep the area from healing as it chemically producing excessive inflammation in preparation for a healing that does not take place.  Unless the reflexive force is reset, the area will continue to degenerate and remain the source of the pain or dysfunction.  Stressed regions contribute to further chemical reactions that have long term degenerative effects and can well activate inappropriate sympathetic activity.

Our dental friends at the Las Vegas Institute (LVI) seem to understand this in the treatment of TMJ.  The jaw and its joints are very unique anatomy requiring equal distribution of stress in numerous postures while having to perform continuously being influenced by the cervical column and the dental alignment.  The LVI dentist relaxes spastic jaw muscles using EMS because of the effects of longstanding microtraumas and/or a more aggressive trauma that imbalances the jaw and thereby places stresses on the more vulnerable unilateral joint.  It is a peripheral displacement as would be any unilateral peripheral issue.  Pain can result with its corresponding reflexive response.  Dental repairs can be made to restore balance and thereby stop the inflammatory process only after the reflexive forces are reduced.  If dental changes were made without relaxing the muscles, the molds would not restore balance, as well as for the more expensive permanent dental changes.  It is the brain that will restore balance and release this reflexive response. 

Oftentimes, a chiropractor may muscle test for responses from the body in identifying a unilateral loss of strength in its response to an outside force.  People watch in disbelief and are sometimes uncomfortable with the validity of the testing; however, the response as a test could well be explained in the neurological literature regarding joint receptors.  After an effective adjustment, the detected weakness in one side is restored; this more balanced bilateral response was reset by the CNS.   The doctor did not work out the muscle with active care to make the patient stronger in that particular limb.  As a physical test, it makes as much sense as orthopedic testing does to identify gross orthopedic problems in comparing bilateral testing.  Clinicians just do not seem to like to test physically and neurologically.  But it can be done pre and post to determine effectiveness in improving the communications between the peripheral and central nervous system.  Now the body can effectively respond to outside forces in a balanced way—the way it was designed to respond. 

ARP wave therapy, for example, www.arpwave.com has made headway into recovery, because it can identify the area, relax the reflexive resistance, and thereby allow the brain to restore the muscle’s ability to withstand force.  It is not so much how strong the muscle can be made through active care through repetitive resistance, as it is to restore the muscle’s ability to balance itself to withstand forces put upon it from the outside, more like a shock resistor.  The muscles are more so bilateral cushions to maintain balance and to dispense outside negative forces.  There can be no healing until the brain resets the area and releases the reflexive force which was triggered to protect the insult.  The balanced ability to respond to outside forces protects you from injuries and encourages normal balanced movement to meet your needs, as best it can, given any inherent anatomical limitations.  This is not understood by the vast majority in the medical clinical field, but it seems well understood by Dr. Barry Wyke and Dr. D.E. Ingber, whether or not they know anything regarding these particular examples from clinicians trying to help people improve function and overcome pain.

   We believe that this is why so many patients do not respond well to active care as would be expected.  Actually, much of the active care only further irritates the insult.  ARP wave technology is used by most of the professional athletes for recovery from injuries, and especially injuries to the brain from concussion.  Even the technology found in Turbosonic vibration therapy well fits into similar neurological therapy to improve function and reduce pain.  It is something that is beyond the FDA’s limited mind set, but it is explained in joint/neurological literature. It helps athletes and other patients recover more quickly with less reflexive response, because it is has no force driven into the body but only vibrates from sound waves.  The body responds simultaneously and bilaterally to vertical sound wave forces as one vibrates on the platform.  These forces are balanced because they are only delivered vertically into body whether sitting on your ischial “tubes” or standing on your two feet.  Remember, we are designed bilaterally to be in forward motion and designed within the brain to maintain balance with the eyes set on the horizon.  Other vibration platforms only share in the use of the term “vibration”; they are acutely different, and to appreciate the difference requires some understanding of how the brain and body work together.  A vibration platform that rocks you back and forth with a cam-driven force driven into your body one side and then to the other so the patient can resist through reflexion could more likely be the same as too much active care before the present and restricting reflexive forces are released.  It seems that it is only increasing an inflammatory process. The studies in neurotherapy and articular neurology explain why certain therapies work well while other therapies do not.  ARP wave technology has similar qualities in the balanced input of microcurrent as it influences the nerve pathways.  ARP is even used in the more complex pain management cases involving those often identified with fibromyalgia where sympathetic and inflammatory responses are out of control and no one can point to the cause. 

Conceptionally, the quality chiropractic adjustment is universally understood in our research and schools to be specific, light forced and quickly delivered.  Instrument rather than manual adjustments are by nature most likely to do this.  Also they are more likely to be duplicable.  Often the least force produces the best response with this best characterized by the Atlas Orthogonal instrument adjustment www.globalao.com.  In the scientific world of joint manipulation, the effectiveness of this very low forced adjustment would be well explained by the impulse adjustment bypassing the body’s reflexive resistance.  It is no wonder that with the right vectors to the joint complexes, the body balances itself as shown by the reduced pain to the nerve root complexions and the “jaw dropping” neurological response of a short leg dropping down to a bilaterally equal leg length with the resistance removed only by the AO adjustment using a rather unique force applied to the TP process of C1 barely able to be measured AND impossible to be felt on the skin.  Similarly, fast, accurate, low force instrument adjustments to larger joint complexes are seen and studied in Quantum Neurology and other techniques that use the ArthroStim instrument, in numerous studies on the use of the Activator instrument, and with those using Neuromechanical Impulse instrumentation.  All of these techniques speak to this phenomenon as the scientific basis for the correction.  Oftentimes, post x rays will show improvement to the upper cervical complexes, but in all cases for an AO adjustment, Dr. Katherine’s area of specialty, the pressure on the C2 Nerve root will be lessened and the short leg will improve if the reflexive response is released.  If the adjustment did not produce these results, the adjustment was not delivered with the right vector accurately with the right head and shoulder placement.  This is the skill that the chiropractor brings to the table.  It can take some time for improvement and stability as it would take many treatments with the ARP wave to retrain the brain to balance the insult as it sometimes requires repetitive chiropractic adjustments.  It is far more impressive and easier to understand that post testing to see improved  dynamic function and a balanced neurological response to the adjustment than it would be to expect to see changes in static anatomy.

Although this understanding is supported in the science of neurology, it does not translate into any therapeutic clinical treatment directed by neurologists.  Most all treatment is chemical only.  The brain is an adaptive organ; it is “you.”  Everything below the brain works for the brain and “everything below” or the peripheral will pay any price to allow “you” to heal and adapt to what it believes is necessary for balance and repair.  Drugs will change who you are; they will not do this in a fashion that communicates with the peripheral sensing or “transducing” system that is the complete extension of who you are.  Drugs interfere with the biochemistry that is triggered first by a nerve impulse.  Clinical neurology just does not seem to understand how important it is that you look at the whole body.  Articular neurology is an aspect of what can be called “neurotherapy,” rather than physical therapy.  Chiropractic is not so much putting the segmentation into alignment to change ones anatomy.  We should not necessarily expect that certain anatomical changes will occur, since we are not orthopedists trying to force structure on the spine through surgery and appliances.  If such a title existed, chiropractors are more so working as Articular Neurologists in the science of neurotherapy using the time tested techniques of chiropractors.  Other than the word, neurology, no one profession is more entitled to its use.  The language should reflect what it is that you do and why it is effective.  Chiropractic is a “hand” delivered practice, but as we have improved our tools, this no longer is an accurate descriptor, though by intent it still reflects the literature and intent of its founders well established before Dr. Wyke wrote his book in the early 80’s. It is more so how the adjustment restores CNS to PNS and PNS to CNS by the measured stimulation of the junction receptors. 

It would seem that in any inflammatory pathology that working with the brain to improve its communications to repair the body and itself would likely produce positive results with less reflexive response and hopefully a more controlled and limited use of drugs and surgery no matter where that healing is failing to take place in any organ system function or anywhere where restriction and insult triggers this inflammatory process.  Pathology is almost always a restrictive process whether to nerves, vessels, bowel, lymph, or mental impulse. 

Crafton Chiropractic is a very different health clinic designed to help the body heal itself.  The technology used in its various therapies and instrumentation share in having this common theme.  It is best designed to influence brain activity, test for response, test following treatment, and train through repetition to restore function and reduce pain.  The body will heal itself and adapt to outside stresses to survive and thrive.  Studies in neurotherapy, articular neurology, and the more stress/immune oriented studies in psychoneuroimmunity, all confirm the science behind chiropractic and the necessity to restore and improve our internal communications systems.