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Looking at the second film:
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Looking at the first film
L2 and L1 appear to be
part of the large curve to
the right.
Looking at the second
film you see that L1
certainly, and possibly L2
-- not clear from this one
view -- are actually
tilted/twisted to the right
and not just coming back
to center as it seems in
the original film.
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Because they never had a technology that truly unwound the
multiple layered curves (that is not redundant, I mean MULTIPLE
layered curves) and never understood it when they did see
it on x-ray, chiropractic as a profession has generally thought
that a spine that looked fairly straight on an original AP
film and looked more scoliotic on a second film 4 weeks later
conflicted with the basic tenet that chiropractors were straightening
the spinal column and getting people more well.
What they missed was that the spinal column needed to be
viewed as a whole in three dimensions and in multiple positions
(multiple mechanical stress patterns) to see how it changes
under different mechanical stresses as it unwinds its twists
and bends. Only viewing and measuring the spinal column in
three dimensions can you truly determine if you are improving
its mechanics or not. This is easily done using standard full
spine (14x36) films in the AP and Lateral projections with
the patient relaxed in the sitting and standing positions.
The largest clue is noticing curves versus flat spots in
the spinal column on either the lateral or the AP film.
Nice job GW.
For those of you having the question: This really is a typical
result and many other docs report the same. It demonstrates
and illustrates an unwinding or untwisting curve in its typical
appearance. The fact that the curve to the right is LAYERED
is missed by many. Trying to straighten this as one curve
does not work and causes many docs and patients great anxiety
because what they are doing does not work to untwist all the
curves -- therefore they do not change the scoliosis.
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