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The Death of Various Theories of How to Improve or Effectively Change Spinal Configuration to Improve Health

About Chiropractic and Effectiveness

By Dr. Jesse Jutkowitz

Engineers have it a bit different in this world than do doctors. If a doctor works on ten patients and only four are better, the docs keep doing the same things saying it was some variation in living things that caused the other six not to respond and people are satisfied. If an engineer builds ten bridges, ten cars, or ten anything and only four of them work, he is quickly out of a job.

To be effective, in healthcare as in the rest of the physical sciences, one must look to actual physical results in the evaluation of theories and methods of treatment. This is because despite the fact that we run bodies, we are not our bodies. (We being spirit, soul, innate or whatever you believe YOU are, and not the body you run in the physical universe).  Our bodies are physical things that follow the same physical rules everything else follows. Especially the fact that one example of some theory not working is demonstration that it is not true as a basic fact.

Given that, to find the basics of how something works one must look at more and not less of the body. Since the 1970s, Chiro Boards of Examiners and others have been trying to lessen the ability to measure body structure by attempting to restrict x-ray pre and post treatment. Some of us have ignored the restrictions and continued the research. I have been using sitting and standing full spine AP and lateral films to measure changes in many techniques for about the last 20 years. (The reason for standing and sitting is that a body can do a great deal of compensating with the feet, legs and pelvis when standing. When sitting you remove the ability of the body to use the feet and legs for any but minimal compensation. Thus looking at standing upright films of the spine and comparing them to sitting upright films you are seeing the mechanics of the body compensated and much less compensated. This lets you analyze the mechanics much better than just standing or just sitting because you can see what changes rather than having to guess – you would not believe how incorrect the so-called “experts” are in their guesses of what changes sitting to standing. Try a few – even sectionals.)

With the observational data from those films and application of engineering analysis rather than chiropractic drivel, anatomic observations and methods that isolate what has been missing from chiropractic to make it work consistently and predictably have been discovered.

I offer here a few of the observations toward something better:

The first is that DD Palmer stated bones go out of place affecting the nerves. That means that structure is key not nerves (despite what followers-on have said). Through the years, there have been several deviations from this course due to inconsistency of results. The largest deviation from that basic truth came after mechanical research by x-ray in the 1960s and 70s. It did not confirm chiropractic’s bone out of place pinching a nerve theory due to faulty research methods and faulty mechanical analyses. (The main fault was not looking at the spinal column as a single synchronized working unit but taking things in sectionals.)

 To explain the failure, Dr. Homewood came along with his book/thesis, THE NEURODYNAMICS OF VERTEBRAL SUBLUXATION. Though this book is the direct source of the current band of “nerves are not working so the muscle is weak and letting the bone go out of place theories” there have been previous attempts at this theory in several disciplines of structural healing. None of the nerve-based or muscle-based theories, chiropractic, PT or other, has ever given a consistent set of results and so are suspect.

I am not knocking the generation of these theories for they are an attempt to search and find something better. However, there is something better, that works consistently and predictably, available right now.

Given that preamble I present the following anatomical observations:

Regarding displacement of a vertebra:  If a vertebra displaces to the left, there are muscles in the body to pull it to the right and reposition it. (At this point, we are just considering the anatomical observations. We are not now concerned with the fact that the muscles often seem not to do so or the reasons they do not do so.)

Likewise, if a vertebra displaces to the right, there are muscles in the body to pull it to the left to reposition it.

If a vertebra displaces posterior, you have muscles in your body to pull them anterior and reposition them. – In the lumbars, you have the psoas to pull it anterior and reposition it every time you stand from sitting. In the midlumbar to midthoracic region, you have the diaphragm to pull it anterior every time you breathe. (Test this by pinching your nose shut, closing your mouth, sucking in and noticing the effect of the diaphragm on your spine.) Above that, you have various muscles to pull the cervicals and upper thoracics anterior. (Test this by putting your head half in flexion, putting a palm on your forehead and then attempt to flex against the resistance of your palm. Notice the pull of the muscles.)

You can therefore see that if a vertebra displaces anterior ----- there are no muscles that pull posterior to reposition it.           

 The muscles of the back are oriented vertically and horizontally. They pull inferior-superior, left-right and on all sorts of angles between those two; BUT they do not pull posterior. To pull posterior there would have to be a muscle that attaches from the vertebra to something stable behind the vertebra. (Just skin back there for me.)

Many would object to that observation, stating the erector spinae, longisimus, multifidus and other muscles pull posterior but they are not looking at the orientations of those muscles and their directions of pull.

People who do not exactly observe the orientations and directions of pull of the muscles are misled by what the back muscles seem to do. Those muscles pull down on the back of the vertebrae rotating them into extension. This tilts the body posterior and seems to bring the vertebrae posterior, but it does not. (see diagrams below)

Since the muscles attach to the posterior parts of the vertebrae and pull inferior-superior they can pull vertebrae into extension tilting the vertebrae above backward to counter-balance any anterior slippage.  However, you will note that the vertebra extended is actually pushed anterior at its inferior aspect. (see right below)

                                                         

Below are diagrams of a vertebra anteriorly displaced compared to the one above and below,
with the attendant muscles at rest       with the muscles contracted      

                                                                

 

 

        Looking at the diagrams to the left, you will notice that the vertebra extended is more anterior at the inferior aspect than it was originally.

       You might think one vertebra can be pulled into extension like this, but it does not happen this way because neither the vertebra above nor below the one being extended is stable with regard to the muscle pull.

When the muscles pull they also move the vertebrae above and below as shown here:

                      neutral                                              contracting

 

                                               

 

        The diagram to the above right illustrates an anterior vertebra compared to the ones above and below with the extensor muscles contracting to bring the spinal column into extension.

        The vertebrae above and below are also brought into extension forcing the middle vertebra, which was anterior to begin with, further anterior.

        As you can see, because of the anatomical realities, the physiological result is not quite what you expect on a quick and simple look. There are no muscles aligned to pull vertebrae in a posterior direction.

As stated before the diagrams: People who do not exactly observe the orientations and directions of pull of the muscles are misled by what the back muscles seem to do. Those muscles pull down on the back of the vertebrae rotating them into extension. This tilts the body posterior and seems to bring the vertebrae posterior, but it does not.

         What you have in the people who have taught you different or not taught you that muscles can move vertebrae in any direction is a missed observation: Bodies can self-correct vertebral subluxations displacing laterally and posterior, but cannot self-correct vertebrae displaced anterior. (Rarely do they just go anterior; it is usually anterior-left, anterior-right, anterior-rotated, -extended etc, but it is the anterior component the body cannot self-correct.)

 There is no theory here. This is a huge anatomic and physiologic fact omitted from chiropractic (as well as osteopathy and every other method of structural healthcare).  It means that the twisting, tilting and malpositioning of vertebrae in directions other than anterior (which the body could self-correct but does not) is to compensate for vertebrae displaced anterior. Because the body cannot self-correct the positions of those anteriorly displaced vertebrae it must twist others to counter-balance and compensate the body.

 This observation, now made, leads to a single statement that describes what chiropractors need to do to correct bodies:

    Correcting body structure consists of repositioning bones displaced in a direction the body cannot self-correct because it has no muscles pulling in the direction
 needed to bring the bone or bones back
into its/their proper position(s).

       The key would be to do just that and leave everything else alone and the body would/will self-correct the rest.

       In chiropractic, the theory of treating only the primary subluxations and not compensations has been stated before as it has been in osteopathy (with different terminology) and every other structural healthcare discipline ever formed.   However, no one had been able to state exactly what a primary displacements, subluxations, osteopathic lesions, etc. consists of – prior to this point.

The discovery of the above basic finding leads to being able to consistently and predictably being able to accomplish the promise of chiropractic
and every other healthcare discipline on everyone walking in
the door with structural problems.

Yes, that statement is very broad, but it has been demonstrated so
consistently and predictably over the last 16 or so
 years -- over the last decade even by a wide
 range of other practitioners.

With treatment according to the Advanced BioStructural Correction protocol, the body self-corrects so well and so fast it is difficult to believe for those with no direct experience using ABC.
An example is in the pictures on the following pages:

With treatment according to the Advanced BioStructural Correction protocol, the body self-corrects so well and fast it is difficult to believe for those with no direct experience using ABC. An example is in the pictures below:

 


          These pictures comprise a very small random study anyone can do in his or her office as soon as they learn the ABC protocol. They are three people who came in as new patients and three random doctors at seminars. They were photographed with the instructions, “Breathe in, breathe out and let your body relax and slump” before and then after having the Advanced BioStructural Correction protocol done on them. As stated, you or anyone else can repeat this study, as it has been done by thousands of docs over the last three years with the same results.

          The changes in posture and structural alignment you see in these patients, and that you will see in all of your patients using ABC™, would be impossible if any of the ligament or muscle theories were correct. What you have here is a simple and direct structural change that actually does what chiropractic has been saying could be done consistently and predictably with no exceptions when there are no fractures, infections, cancers or like anomalies.

          As you can see, one time through the ABC protocol does not fix everything, but it does more in four minutes than any other method of structural health care can do in months to years (those docs have been in practice and treated for many years – as were two of the patients).

The x-rays on the following page by Dr. George Kukrin (who has the ABCAt-Home Seminar and whom I have never personally met), further demonstrate that the ligament and muscle theories cannot possibly be valid:

The x-rays below by Dr. George Kukrin (who has the ABCAt-Home Seminar and whom I have never personally met), further demonstrate that the ligament and muscle theories cannot possibly be valid:    

 

   The funniest thing I have heard in quite a while was when these films were published was several docs who complained that these could not possibly be the same person.  It is and, the time between the first two films is 13 years, the time between the second two is about a month.                                                                                         

    The story on the patient above is that  after more than 10 years of chiropractic of specific and non-specific techniques between 1986 and 1999 with no change, three treatments with the ABC protocol in Dec/Jan and the patient changed so much visibly Dr. Kukrin decided to do a set of cervical films to see what the changes were on the inside. The docs who can't believe the changes (note the changes in shape of the vertebral bodies) are unaware of the nature of vertebra that have been most  Because this change was made after such a short time, you can bet on three things:

1)      The ligament reshaping theory is dead. There was no ligament “reshaping” over the course of the week (three visits could not do it according to the theory, so that theory is proven invalid because this change could not have occurred if it were true).

2)      The muscle weak or too strong theories are dead as are the exercise will correct your structure theories. Exercises were not needed (there were none during ABC, and they could not have made that much change in a week even if there were. The change was strictly from the ABCprotocol –since this change would be impossible according to those theories and anyone can reproduce these results in short times, the theory can be deemed incorrect.

3)      The observations and actions of Advanced BioStructural Correction are more valid than other technology available in chiropractic or any discipline of structural healing at this time. (There are no theories in ABC, just as set of observations anyone can confirm on their own and a set of actions that bring about a consistent and predictable result.)

 

 

 

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