Posts Tagged ‘Dd Palmer’

CHIROPRACTIC IN MENTAL AILMENTS

Saturday, April 12th, 2008

This feature is based on an article originally published in 1957. Few people know that many years ago there was a number of Chiropractic Psychiatric Hospitals which had unprecedented success stories. This topic deserves to be revisited…

There is a considerable accumulation of evidence that chiropractic is effective in the handling of various mental ills, perhaps even more effective in certain instances than the medical battery of treatment which includes psychoanalysis, psychiatry, drugs, various types of shock therapy, and surgery. This evidence has been piling up since the days of DD Palmer himself, who wrote that in the case of insane patients it was usual to find “occlusion of the third, sixth, seventh, eleventh, and twelfth dorsal nerves.”

In 1952, a crusading book entitled Obsolete American Mental Health Systems made startling claims that both chiropractic and osteopathy were far superior to so-called “orthodox” procedures in the handling of mental ills. Written by John Stevenson, who was for many years a prominent figure in labor management in the State of Michigan, it made such direct comparisons as these:

“Under our present state mental health programs, seventy-five to ninety-five patients of every one hundred patients who enter state mental hospitals are doomed to an asylum prison for life, depending on which state the patients are confined in…

“Investigation reveals that the private sanitariums of the chiropractic profession show from 60 to 65 per cent satisfactory discharges per annum as against 1 per cent to approximately 25 per cent discharges from state mental hospitals.”…

Chiropractors state that clinical experience with many thousands of nervous patients has definitely established a direct connection between the nervous system and these disorders, demonstrating that the latter are not always of purely emotional origin. They also state that the physical alterations they are able to stimulate in the nervous system through spinal adjustment are highly successful in eliminating nervous symptoms, including those of long duration. This was stressed in a recent series of articles in the National Chiropractic Association journal titled “The Connection Between Nerves and Nervousness” and written by Dr. Herman S. Schwartz, President of the National Chiropractic Psychotherapy Council and author of the popular self-help book The Art of Relaxation…

A valuable guide to the subject is a public-information booklet written by Dr. Schwartz with the technical and editorial collaboration of George W. Hartmann, Professor of Psychology, Teachers College, Columbia University. It is entitled 350 Nervous and Mental Cases Under Chiropractic Care and was published by The Chiropractic Research Foundation of Webster City, Iowa.
Dr. Schwartz cogently sums up chiropractic’s approach to mental illness. He says: “It is logical to ask how chiropractors correct nervous and mental conditions without resorting to psychiatry. The answer is that chiropractic is a neurological approach to these problems, operating on the independent assumption now an established scientific fact-that much emotional illness stems from nerve irritations maintained by distortions in the spinal column. By correcting these subluxations, the chiropractor eliminates intense and persistent pains of obscure origin which mental cases suffer. A person with a cinder in his eye sometimes shows temporary lack of emotional control. So does one who has his corn stepped on heavily. Perpetuate excitation with a less obvious source of trouble and one begins to understand why some of the mentally ill suffer.”

Of the 350 patients in the Schwartz survey, 212 or 60.5 per cent were “apparently cured” through chiropractic, 87 or 25 per cent “much improved,” 28 or 8 per cent “somewhat improved,” 19 or 5.5 per cent revealed “no change,” and 4 or 1 per cent were “worse.” Thus in 93.5 per cent of these patients improvement was noted ranging from apparent cure to some betterment of the condition.

“The summation here,” observed Dr. Schwartz, “is that the chances are about 9 in 10 that `nervous’ cases of the sort considered, benefit from whatever the chiropractor does for them. Interestingly enough, every one of the 350 cases studied revealed subluxations of variable magnitude in spinal analysis.”

The Schwartz study becomes even more impressive when it is noted that of the patients studied 33 per cent had been in mental institutions and another four per cent were on the verge of being committed at the time chiropractic was first applied to them. More than 55 per cent had received general medical care, 13 per cent had undergone some form of shock therapy, and six per cent had had psychiatric treatment. Of the entire 350, all but five had had at least some degree of medical and psychiatric attention. Under such treatment, 27 or 8 per cent of the entire group had worsened, 33 or 10 per cent had shown some improvement, and 285 or 81 per cent had shown no change either for better or for worse…

One of the best-known chiropractic institutions dealing with the mentally ill is Forest Park Chiropractic Sanitarium in Davenport, Iowa. Its record in mental cases appears far superior than that of many, if not all, orthodox institutions. As far back as 1934, through the efforts of Hon. A. W. Ponath, County Judge of the Probate Court of Richland County, Wahpeton, North Dakota, 10 patients from the State Hospital at James-town, North Dakota, who had all been diagnosed as hopeless and incurable cases of dementia praecox, were sent to Forest Park in a test of what chiropractic could or could not accomplish. All of the 10 were chronic cases, and eight of the ten had been in the North Dakota state mental institution for from five to ten years. The remaining two were acute cases who had been mentally deranged for only a short time.

With these ten mental patients—all of whom had been diagnosed by state-employed medical doctors and psychiatrists as hopelessly incurable—Forest Park appears to have achieved 80 per cent complete recovery. The two acute cases were completely recovered by the end of the second month of treatment. Of the eight chronic cases, six were returned home as free from symptoms within one year.

Judge Ponath subsequently published a report titled Facts—What Chiropractic Has Done for Insanity in which he compared the overall records at Jamestown, N. D., (under medical supervision) and Forest Park (chiropractic). He found that during the years 1922-1934 the state mental hospital achieved 27.18 cures or satisfactory discharges, as compared with 65 per cent of the chiropractic institution over the same period.

Judge Ponath concluded, “And if this record, 65 per cent, can be obtained on cases where the large percentage are classed as incurable and had already spent much time in insane asylums and other sanitariums, how much more chiropractic could do if given the opportunity to handle the patients immediately after being brought to an insane asylum, rather than months or years later when their constitution has been run down by deterioration or prolonged mental disability or both.”…

Read The Full Article At Old And Sold Antiques Digest…

FLAWS OF A MANUAL CHIROPRACTIC ADJUSTMENT

Friday, June 8th, 2007

DD Palmer was the first practitioner to deliver a correctional thrust to the spinal column in an attempt to restore nerve function. DD must have been aware of the shortcomings of the manual adjustment as he very clearly stated that future generations of his profession would find better ways of delivering the goods. But for many decades it has become taboo to discuss the limitations and flaws of our wonderful healing art. Thankfully there are some pioneering practitioners exploring new means of facilitating neurological change.

But first let’s do some serious soul searching…

1) Difficulty isolating a segment

We’ve all been guilty of this one – your intention is to adjust C2, but when you set up and deliver your dynamic thrust, you may or may not feel the cavitation at one of the C2 articulations; can you ever be truly sure that the joint that you wanted to move – moved? And then there are those extra “pops”. I remember being adjusted by an “old-timer-chiro” years ago: He insisted on adjusting me so I could experience a “real adjustment”. I guess he was intending to adjust my upper cervical spine, because they were the first joints that I felt separate. But then his thrust continued and I felt numerous more joints move further down my neck and what felt like my upper thoracic spine. Apparently the soreness and stiffness that I experienced for the next two weeks was an essential and needed healing process? Now I know that most of us are much more specific than this life-crunching experience; but let’s be really honest – we don’t truly know whether we hit our target on each and every adjustment.

There is an alternative means of adjusting which guarantees that you will impact exactly the joint/nerve you intend – one that delivers its impulse exactly where you place it…

2) Inability to deliver specific frequency

The thing that first got me excited about chiropractic was the suggestion that spinal adjustments might improve neurological performance. I was studying a Bachelor of Science at the time and had no trouble with the concept of the supremacy of the central nervous system over all other body systems – this understanding is not peculiar to the chiropractic profession. But let’s have a moment of awakening – the thought that the delivery of a correctional force vector to the spine to change nerve activity appears quite peculiar to many other members of the scientific and general community.

The ONLY way that an adjustment could change nerve function is if it can change nerve frequency.

Can you deliver exactly the right frequency needed to correct aberrant nerve activity due to Subluxation with your hands? Thankfully, technology exists that can deliver specific vibrational frequency…

3) Speed/acceleration variable

The best manual adjusters are fast. The faster you are the less the mass you have to use. This is a simple physics formula: Force = Mass times Acceleration. Increase the speed and you increase the impact of your adjustment without increasing the body weight that is needed. “Small” chiropractors can adjust just as well as “big” chiropractors – if they have speed on their side.

Imagine if you could adjust with an impulse that is finished in 1/10,000 of a second? You would hardly need any mass whatsoever to produce the same physiological changes – such a tool exists today…

4) Increased Mass

Higher speed reduces the mass you have to use. Low speed with high mass meets with more tissue resistance, reflex muscle guarding, patient discomfort and fear, and increased pressure against supporting soft and hard tissues. In other words, increased likelihood of developing clients that don’t like you and that are sore after you adjust them. If you can make this one shift alone in your adjusting proficiency, then you will dramatically increase your patient satisfaction and clinical outcomes.

Why not remove your dependence on mass altogether by using an instrument that is so fast that mass is almost irrelevant?…

5) Reliance on cavitation as THE outcome

I can still remember my early days in practice. I inherited a few patients who showed up sporadically to get their “back put back in”. I don’t know whether they had been taught that cavitation was evidence that the bone had returned to its rightful place, or whether they had made their own conclusions due to their previous DCs gleeful comments when a good “pop” was produced. Anyway, some of them would refuse to leave the practice until they were satisfied that an adequate noise had emanated from their spinal column. Praise God, I know longer have any of these kind of clients in my rooms. Most of my practice members seem to intuitively as well as intellectually get it that there are many more signs and symptoms that their adjustments are delivering health improving benefits, than just the production of “spinal farts”.

If you can rehabilitate yourself from the false belief that cavitation is any kind of sign of a neurological response then you are ready to evolve to the use of newer adjusting methodologies…

6) Poor inter-examiner reproducibility

I’ve had a lot of locum and associate DCs grace my practice rooms over the last eighteen years, and the variance in client satisfaction, and obvious variability in touch, technique and practices has been astounding. No two DCs are the same, and no two chiropractic experiences are consistent it would seem. Contrast this to my current situation – I have been fortunate over the last three years to employ locums who use the same system, method and adjusting technology that I use every day. Most recently one of my clients commented, “it was like you were there, even though you were in Marysville!”

I’ve got to tell you that it makes leaving your highly valued business and long-term clients in the hands of someone else VERY easy, when you can rely on the fact that what you do and what they do is so reproducible. Wouldn’t you like that same degree of confidence and security?…

7) Move joints into para-physiological range

Real Estate Agents speak of the golden rule of investing in property – “Position, position, position”. In terms of effective manual adjusting perhaps we can steal and adapt this concept to – “Positioning, positioning, positioning”? Previously when tutoring associate DCs to deliver precise neck adjustments I always found that if you get their patient positioning right then “all else followed”. We all know that to get a joint to cavitate we must get the joint into its para-physiological zone – don’t get there and it won’t move without extra force and excursion in our thrust; go too far and woops we’re talking sore clients.

Wouldn’t it be good if we could find a way of adjusting which didn’t require resting on that knife’s edge? A way of adjusting that could be performed with a joint in its neutral, totally relaxed position? That “way” already exists and patients will love you and enter into very deep states of relaxation when you adjust with this method…

8) “Bone-crunching”

“Bone-crunching” has made chiropractic famous – It has also made Chiropractic infamous: There is a large segment of the population who will never go to a chiropractor that “crunches bones”. And I know that there isn’t a single chiropractor on the planet that thinks they are a bone cruncher – but if you manually adjust, producing audible popping sounds, then good luck trying to convince the skeptics that what you do is not bone crunching. These skeptics will however visit a chiropractor who uses a low force methodology: I know this to be true because 50% of my new clients nowadays, have never been to a chiropractor, and all of them tell me the same story; “I swore I would never go to a chiro but then someone told me that you helped them without crunching their bones, so I figured I would give it a go”

There’s lots more of this untapped new patient market place awaiting you too…

9) Less specificity of vectors

Imagine if there were some tests you could perform that would differentiate exactly what correctional vectors were needed to provide the most effective adjustment – wouldn’t that be great? They exist and are very quick and simple to perform. However, is there any point knowing within a few degrees these vectors required, if you then cannot deliver those vectors with your adjustment. Unfortunately with a manual adjustment there are some basic flaws which preclude exact correctional vectors.

It requires an instrument which has true reproducibility to be able to deliver precise vectors. Unfortunately most instruments on the market require the practitioner to fire the instrument, and research has shown that this can vary the reproducibility of the thrust by as much as 300%. There is however one instrument which has pre-loading with pressure sensitive firing, so that every adjustment varies minimally from the last…

10) Iatrogenic risks – disc, Fx, vascular

We all know that what we deliver is amazingly safe, especially when compared to the statistics from other more “conventional” healing practices. Nevertheless there are some published risks especially associated with manual adjusting: Most of the risks appear to be proportionate to the amount of mass delivered during the adjustment, and the positioning of and thrusting upon patient’s joints into “para-physiological” ranges.
Exacerbation of disc prolapse is one such documented risk – I would hope that every DC exercises a great degree of caution and a certain amount of hesitancy when faced with a patient showing classic signs of disc protrusion; and I would hazard a guess that a significant number of DCs have erred on the side of too much force on at least one occasion.

I’ve seen two cases of cracked ribs in my practice in 18 years of practice – one was produced by a locum DC who adjusted an elderly female client’s thoracic spine in the prone position producing a loud crack, and instant pain which took 6 weeks to resolve and much “TLC” to appease. The second happened to me when I was setting up for a prone thoracic adjustment on a seemingly healthy mid 30’s male – we both heard the weird cracking noise – and then I was astonished when he announced that he should have told me that he had cracked that same rib several times and he sincerely apologised for not warning me!? I suspect that any other form of fracture supposedly attributed to chiropractic would be due to some un-diagnosable pre-existing weakness in the bony architecture.

The issue of vascular complications due to neck adjustment is controversial: It is clear that the estimates of the relative risk are at best imaginary and seemingly always overestimated. I have seen other statistics which claim that chiropractic reduces the risk of stroke in an adjusted population! The obvious fact is that nearly every DC will never see this in their practice. Let’s say that the risk of stroke from cervical “manipulation” was 1 in 1 million. In my estimate this means that there are 20 people in the whole of Australia who shouldn’t have their neck adjusted manually. My secret prayer has been that not one of this tiny group lives anywhere near my rooms, and that if they do, they intuitively know to go and see a Physio instead of me…

It would seem that every chiropractic cynic has a story of someone who was crippled by a chiropractor; one loud-mouthed critic I was confronted by once even claimed that “a nurse had told him that there was a whole ward full of chiro-cripples at a well-known Melbourne hospital”. We all know that this is absolute nonsense, but this does demonstrate a common fear of our “therapy” – safety – there are chiropractic techniques available right now which minimise risk and maximise safety…

11) One segment at a time – no “Double Ended Contact Assist”

To understand this concept fully you need to attend Torque Release Technique training. The concept of Lovett Brother Reactors is not a new one in chiropractic, but it is an ignored concept in many manual models. I wonder if this is due to the fact that you cannot manually adjust two segments at the same time? Most DCs if they possess a protocol to determine if an adjustment has held (you’ll learn this at TRT too) will keep adjusting the same segment until it submits. Deeper understanding of the neurological coupling known as Lovett Brothers provides the answer to this scenario though; and if the DC also possesses a protocol to simultaneously correct the two coupled segments at the same time then these persistent subluxations can be coerced into correction in a very quick and gentle manner.

The shortcomings discussed here have all been carefully solved through the research and development of Torque Release Technique and you will learn numerous strategies to evolve beyond these flaws as well as how to adjust with the purpose-built Integrator Instrument…