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The Posture of Subluxations: Subluxations are state specific
Techniques
Written by Tedd Koren, D.C.   
Friday, 23 June 2006 17:20

Years ago, Dr. Lowell Ward of Long Beach, California, had a patient who felt fine standing, but had head, back and sciatic pain while seated. Standing X-rays showed a balanced, unsubluxated spine. He wondered, "What would I find if I X-rayed her in the seated posture?"

Her seated films revealed an unbalanced, subluxated spine. No wonder she hurt when she was sitting. Dr. Ward asked the question, "Am I missing other subluxations by limiting my analysis to one posture?"

Dr. Ward’s films of people, standing and sitting, consistently revealed that one posture would show severe subluxations while the other would not. For example, a person injured while seated (as in a car accident) would show subluxations and distortions only in the seated position and little, if any, subluxation damage standing. Similarly, a person injured while playing sports or falling down stairs would reveal subluxation damage in the standing spine and a relatively healthy seated spine.

Most interesting was that the X-ray could reveal the dynamics of the accident. For example, an accident victim thrown forward and to the left would reveal a spine with the head off-center left and forward (relative to the sacrum).

Dr. Ward described it as "sprung spine," similar to a spring that was pulled a little too much and didn’t return to its normal position. 

The posture of the subluxation

When I discovered Koren Specific Technique (KST), I realized one of its advantages was that it permitted the practitioner to check (or analyze) a patient in any posture. I was no longer dependent on an adjusting table or any fixed position, as Dr. Ward was.

Make it hurt—positional adjusting

Patient: "Doctor, it hurts when I do that."

Doctor: "Don’t do that."

The above Henny Youngman joke notwithstanding, I always ask the patient to "do that." I ask them to assume a posture of pain/dysfunction/subluxation.

"Make it hurt," I tell them. "Bring out the subluxation."

I then check and correct (adjust) them in the posture of subluxation.

The possibilities are endless

How does this work in the office? Simple. A person who only hurts or has trouble when turning a certain way is told to "freeze" and is then checked in that position and corrected (adjusted).

For example, a person who hurts when they hold a golf club in a certain position is checked for subluxations and adjusted while in that position (preferably holding a golf club). A guitarist who only hurts when he’s holding his guitar could be checked and adjusted in the position of holding his guitar or actually holding it.

A secretary who only hurts when holding the mouse at a certain angle should be checked and adjusted while in the position of holding the mouse at a certain angle. A person who was subluxated when they hit their head in a cramped, stooped position (perhaps becoming deaf!) would best reveal their subluxation when going into a cramped, stooped position, in other words, the posture of injury.

The possibilities are endless.

Emotional subluxations

It’s perhaps no accident that the word posture can refer to an emotional as well as a physical stance. Just as we can put a patient in a certain physical posture and check them for subluxations, we can put a person in a certain emotional posture and do the same.

"Think about the car accident, see the road, smell the car, be in the accident.

"Okay, now hold that thought or picture."

Patients can be checked and corrected while reliving the accident, thinking about a lost loved one, a difficult relationship, a life crisis—the possibilities are endless. Usually the sphenoid subluxates when the patient is in an emotionally charged state.

Why does it work? My theory is that the adjustment in that emotional state unlocks or interrupts a mind/body reflex.

Scott Walker, D.C., discovered that a patient would re-subluxate when she thought of the accident she was in. He went on to develop NET or Neuro Emotional Technique. NET has a wonderful protocol to locate a specific emotional experience in a person’s life that may be "hot" and causing subluxations. If the practitioner has determined that the patient has emotional stress locked in the body/mind but the patient has no conscious recollection of the stress, Dr. Walker’s protocol may help locate the specific emotional experience, so the emotional charge (Neuro Emotional Complex) may be released.

Do patients like this care?

They love it! Old, chronic subluxations that were buried away and not amenable to correction before are finally able to be accessed and corrected or released. The practitioner gets to the cause of the patient’s problem faster, adjustments hold longer and, that means, patients are much happier with the results.

Perhaps most importantly, patient care is personalized to one’s specific needs and life experience. Patients appreciate personalized care as much as they dislike feeling as if they are treated the same way each visit. They feel that their doctor really understands them on a deeper, more personal level.

Doctors like this work because they get better results, often taking patients who have stopped improving to a new level of well-being. The doctor becomes a detective and practicing becomes a lot more fun.

Adjusting in the posture of  subluxation

So how do you adjust a person who is standing or sitting with the arm, head, neck, shoulders or other body part in a twisted position? You use an adjusting instrument, such as the ArthroStimTM.

Conclusion

Subluxations are posture and state specific. They may only reveal themselves when a person is physically or emotionally in a certain state or posture.

Koren Specific Technique, developed by Tedd Koren, DC, is a quick, easy way of locating and correcting subluxations anywhere in the body. Patients hold their adjustments longer and, because it is a gentle, low-force technique, it’s easy on the doctor too. An additional (and very important) bonus for KST practitioners is the ability to specifically analyze and adjust themselves. For seminar information, go to -
www.teddkorenseminars.com or call 1-800-537-3001. Write to Dr. Koren at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
Do Cranial Bones Move?
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Techniques
Written by Tedd Koren, D.C.   
Wednesday, 24 May 2006 11:13

We were taught in school that the cranial bones are fused and do not move after infancy. That’s because we weren’t taught in Italian. What does language have to do with it? Read on.

Cranial motion was introduced to the osteopathic profession by William G. Sutherland, DO, in the 1920’s. Sutherland was inspired by the 18th century philosopher and scientist Emmanuel Swedenborg, who described a rhythmic expansion and contraction of the brain.1 Using, first, self-experimentation and, later, working on others, Sutherland discovered and described, in great detail, the rhythmic movement of the individual cranial bones and the skull, as a whole. He is considered the father of cranial osteopathy.2

A number of others have continued work in this field. Among them are:

• Nephi Cottam, DC: discovered and developed cranial adjusting even before Sutherland published his findings. He called his work craniopathy.3

• Major B. DeJarnette, DO, DC: studied with Sutherland and later developed Sacro-Occipital Technique which incorporated many unique cranial/meningeal insights.4

• Richard Van Rumpt, DC: developed Directional Non-Force Technique (DNFT).  As research director of the Sacro-Occipital Research Society, he taught cranial analysis and adjusting as part of his system from 1940 to 1985.5

• Carl A. Ferreri, DC: developed a cranial adjusting procedure known as Neural Organizational Technique (NOT). Using NOT, Ferreri reported success with dyslexia, learning disabilities, bedwetting, nightmares, scoliosis, Down’s syndrome, cerebral palsy, color blindness and various other conditions.

Ferreri observed that dyslexia is caused by faulty motion of the sphenoid bone and at least one temporal bone. Learning disabilities involve two sphenoid motions and no temporal bone faults; and misalignment of the skull bones can also result in “ocular lock,” making reading difficult.6

CranioSacral Therapy (CST)

One of today’s leading researchers and teachers of cranial movement is John Upledger, DO, developer of CranioSacral Therapy (CST). Building upon Sutherland’s work, CST uses (primarily) the cranial bones and sacrum as levers to release meningeal tension. Upledger reaffirmed Sutherland’s observations that it was possible to feel the rhythmic movements of the human skull.

The human skull can be felt to subtly expand and contract at 6 to 12 cycles per minute, independent of the respiratory and cardiac rhythms. Many conditions could be diagnosed based on the strength and frequency of the skull movements.

The CST practitioner works to release adverse mechanical tension in the meninges and connective tissue to restore natural rhythm and flow of cerebrospinal fluid and energy throughout the body.7

Why are we taught cranial bones don’t move?

Dr. Upledger was lecturing and demonstrating CST to a medical audience in Israel when he noticed that his statement on cranial bone movement didn’t get the dramatic (skeptical) response he’d received from American medical audiences. He mentioned this to his host, who brought him to the hospital library and showed him an Italian anatomy book. His host translated:  “Italian anatomists, in the early 1900’s, taught that cranial suture ossification was pathological in the mature human adult. These teachings, therefore, contradict the British anatomists, who taught the doctrine of sutural ossification and cranial immobility as a normal condition.8

“You Americans learned your anatomy from English and German texts which state the skull bones don’t move. The Italian anatomists did not hold to that doctrine,” stated his host.

Ancient cranial adjusting

Cranial adjusting has been around for a long time. It was practiced in India for centuries and was also practiced by the ancient Egyptians and members of the Paracus culture in Peru (2000 BC to 200 AD).9

Goethe, also influenced by Swedenborg, considered the cranial bones structurally and physiologically similar to spinal structure:  “The idea that the bones of the cranium were metamorphosed vertebrae dates back to an insight by Goethe, the German poet and polymath, in 1790…. The sphenoid and occipital bone are closely linked to each other in the base of the skull. Taken together, they exhibit all the formal elements of a vertebra…. The occipital bone is the equivalent of the body of the vertebra…. Rohen sees the basilar bone (occipital bone and sphenoid) as representing not simply the vertebra but the vertebral column of the skull….”10

Recently, original research on live monkeys and sections of human skull (containing sutures) demonstrated objectively that the cranium moves in a rhythmical manner. Additionally, the sutures, when viewed under high powered microscopes, rather than being fused and filled with calcified tissue, are patent or open and contain connective tissue, nerve tissue and blood vessels.11

Cranial adjusting and the cervical spine

Richard Van Rumpt, DC, taught that, unless the cranials are properly moving and aligned, the cervical spine will re-subluxate, no matter how often it is adjusted. While it is undoubtedly the case that upper cervical specific care may positively affect the cranial bones (probably via meningeal release), it is also found that, if cranial subluxations are the “major” or primary dysfunction, cervical care will have limited success.

What can cranial subluxations cause?

Subluxations of the cranial bones can cause a multiplicity of problems throughout the body/mind, affecting the proper functioning of the brain, specific brain centers, the brain stem, cranial nerves, cervical ganglia, venous and arterial blood flow, cerebrospinal fluid (CSF) flow and other aspects of our physiology.

A partial list of problems caused by cranial subluxations includes:

• Occipital subluxation: headache and functional disturbances of the brain, stenosis of vertebral artery, disturbance of salivary glands and eyes, disturbance of vagus, glossopharyngeal and hypoglossal nerves, instability of cervical spine.

• Sphenoid subluxation: migraines, headaches, depression, vision problems, “brain fog,” grinding of teeth, dental malocclusion, eye pain, deviation of the eyeball, endocrine disturbances, instability of cervical spine.

• Temporal subluxation: dizziness, hearing problems, ringing in the ears, deafness.

• Parietal subluxation: evidence of head trauma.

• Nasal subluxation: disturbance of nasal secretion and nasal breathing; lacrimation.

Koren Specific Technique (KST)

Koren Specific Technique is a quick, easy, gentle technique used to locate and correct subluxations anywhere in the body, including (and especially) the cranium. KST is built (in part) upon the work of Van Rumpt, Sutherland, Upledger and Lowell Ward, DC (developer of Spinal Column Stressology).

With KST, the practitioner is able to check and correct (adjust) the entire structural system, including the cranial bones, quickly and easily.

KST practitioners observe patients holding their adjustments longer and healing more deeply (retracing is often observed). KST employs light force, is comfortable for patients and is especially easy on the practitioners who do not have to stress their arms, shoulders, hands and backs to give adjustments. An additional (and very important) bonus for KST practitioners is the ability to specifically analyze and adjust oneself.

Koren Specific Technique, developed by Tedd Koren, DC, is a quick, easy way of locating and correcting subluxations anywhere in the body. Patients hold their adjustments longer and, because it is a gentle, low-force technique, it’s easy on the doctor too. An additional (and very important) bonus for KST practitioners is the ability to specifically analyze and adjust themselves. For seminar information, go to ­www.teddkorenseminars.com or call 1-800-537-3001. Write to Dr. Koren at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

References

1. Swedenborg E. The cerebrum and its parts (the brain considered anatomically, physiologically and philosophically) (Vol. 1). Swedenborg Scientific Association:1938:209.

2. Sutherland WG, Adah S, Wales AL. Collected writings of William Gamer Sutherland 1914-1954. The Sutherland Cranial Teaching Foundation USA: 1967.

3. Cottam C, Smith EM. The roots of cranial manipulation: Nephi Cottam and ‘craniopathy’. Chiropractic History. 1981; 1(1):31-35.

4. De Jarnette, MB. Cranial Technique. Nebraska, 1979-1980.

5. An interview with Dr. Richard Van Rumpt. The American Chiropractor. September 1987: 4-7.

6. Dyslexia and learning disabilities cured (Ferreri). Health Freedom News, Oct, 1983, pp.38-89. and Dyslexia and learning disabilities: update (Ferreri). Health Freedom News, Feb, 1984, pp.34-5.

7. Upledger and Vredevoogd, Craniosacral Therapy. Eastland Press: Seattle 1983.

8. Anatomia Umana, Vol. 1, 1931, by Professor Guiseppe Sperino, p. 203, quoted from Upledger and Vredevoogd, Craniosacral Therapy.  Eastland Press: Seattle 1983, p. 9

9. Hugh Milne, Heart of Listening. North Atlantic Books, 1995: 54.

10. Liem, Torsten.  Cranial Osteopathy Principles and Practice 2nd edition. Edinburgh:  Elsevier Churchill Livingstone, 2004 p.29-30.,

11. Retzlaff EW, Michael D, Roppel R and Mitchell F. The structures of cranial bone sutures. Journal of the American Osteopathic Association. 1976; 75; 607-608.

 
The "Chiropractic" Headache
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Techniques
Written by Rebecca S. Fischer, D.C.   
Thursday, 27 April 2006 02:57

cervicogenicheadache

H
eadache disorders account for about 120 million lost workdays per year in the United States, alone.  Controversy exists to explain the “mechanism” of all types of headaches, particularly cervicogenic headaches. Tension-type headaches account for 78% of all headaches and statistically this includes the so-called “cervicogenic headache”.  Because of the results we see in our offices treating headache, it seems most all headaches can be related to biomechanical problems in the upper cervical spine, thus cervicogenic in origin.  Past research and opinion has not agreed.  However, recent research publications and conference presentations are starting to explain how our headache patients benefit from chiropractic treatment.

The International Headache Society (IHS) recently published its second edition of headache classifications.  Headaches are divided into Primary and Secondary.  Primary headaches account for 94% of all headaches and are made up of Tension/Stress (78%) followed by Migraines (16%). The “Secondary” category of headaches only accounts for 6% of the total, and are related to an underlying pathology as in the case of the patient having a tumor. 

Dr. Nikolai Bogduk, in The Anatomical Basis of Cervicogenic Headache, explains: “By definition, Cervicogenic Headache is a pain in the head whose source lies somewhere in the cervical spine.”  Technically, a Cervicogenic Headache constitutes a particular form of referred pain from the cervical spine.  As illustrated, the convergence  of afferents from the trigeminal nucleus, pons and the upper three or four cervical spinal nerves provides for various patterns of referred pain. The definition implies an anatomical and physiological connection between the nerves of the cervical spine and the mechanisms of headache.

Research now shows that the following structures represent the possible sources of headache pain referred from the cervical spine:

  • Medial Atlanto-Axial Joint,
  • Atlanto-Occipital Joint,
  • Lateral Atlanto-Axial Joint,
  • C2-3 Zygapophyseal Joint,
  • Suboccipital and Upper Posterior Neck Muscles,
  • Upper Prevertebral Muscles,
  • Spinal and Posterior Cranial Fossa Dura Matter,
  • C2-3 Intervertebral disc,
  • Trapezius,
  • Sternocleidomastoid.

Dr. Shaun Watson, PhD, FRACP, lists the following clinical characteristics of Cervicogenic Headaches:

  • Cervicogenic Headache is unilateral and does not change sides, (however, minor contralateral pain is accepted).
  • The headache commences in the neck and spreads forward.
  • Posture or movement often triggers headache.
  • May be associated with shoulder/arm pain.
  • Mild to Moderate in intensity, and rarely excruciating.
  • May be antecedent to trauma.
  • There is ipsilateral upper cervical hypomobility.
  • Presence of focal tenderness and triggering of pain.

Support for the use of chiropractic care in treating headaches can be found in A Systematic Review of Spinal Manipulative Therapy (SMT) for Migraine and Migraine-Like Headache, by Tuchin, Bonello, and Pollard.  Their research included 14 studies, with a total of 1848 patients, ranging in ages of 12 – 78 years.  Accepted were three (3) randomized controlled trials and three (3) clinical trials for migraines.  A total of five (5) studies were for migraine-like headaches.  The conclusion was “There is moderate evidence of support that SMT gives significant improvement in migraines and migraine-like headaches.” 

Further, in research of randomized controlled trials, Dr. Shaun Watson  found that there was a greater than 50% reduction in headache both acutely and at 12 months with spinal manipulation and/or an exercise program.  And Dr. Grunnet-Nilsson, DC, MD, PhD, found research supporting “A 6-8 week course of spinal manipulation will significantly improve headache frequency, intensity, medication use, etc., positively affecting almost all headache outcome variables.”

In summary, there is strong evidence emerging in regards to the anatomical connection between the brain, and upper cervical spine; the occiput through C3, even into C5, Trapezius and Sternocleidomastoid and the role these play in all types of headaches.  With any type of “headache” special attention in evaluating all of these structures for biomechanical dysfunction needs to be performed. 

Activator Methods Technique incorporates Isolation Tests, Stress Tests, and Leg Length Analysis to determine specific contact points and Lines of Drive in the corrections of biomechanical dysfunctions with the Activator Instrument.  Currently the Activator Methods Technique has over 100 tests a doctor could choose from for the analysis of headache related structures alone.  The 2006 – 2007 Activator Methods Seminar season will include advanced, concentrated studies on the subject of headaches.

Dr. Rebecca S. Fischer has been practicing for over 24 years. She has been Advanced Proficiency Rated with Activator Methods for 19 years, and instructing for 15 years. She is currently a Senior Clinical Instructor, Curriculum Coordinator, and Secretary of the Clinical Advisory Board for Activator Methods International.

Web Site Resources

  • The entire 150 pages of Cephalgia, The International Classifications of Headache Disorders, 2nd ed., Vol. 24, Supplement 1, 2004, can be accessed and downloaded at http://216.25.100.131/ihscommon/guidelines/guide.htm.
  • The World Federation Headache website has a downloadable abstract of the IHS Guides at:  www.headaches.org.
  • Abstracts from the June 2005 World Federation of Chiropractic, 8th Biennial Congress can be accessed at www.wfc.org.  A disc with all of the proceedings can be purchased.   
  • www.activator.com contains information such as published research, upcoming seminars, products, and listings of Activator Methods Technique, Proficiency and Advanced Proficiency Rated Doctors worldwide.

REFERENCES

  1. Bogduk, Nikolai, MBBS, PhD, The Anatomical Basis of Cervicogenic Headache, WFC, June 2005.
  2. Buchholz, David, MD, Heal Your Headache, 2002.
  3. Cephalgia, The International Classifications of Headache Disorders, 2nd Ed., Vol. 24, Sup 1, 2004.
  4. Niels Grunnet-Nilsson, DC, MD, PhD, Headache – The Sum of the Evidence, WFC, June 2005.
  5. Terrett, FACCS, Allan G J, Headache Assessment, Treatment and Outcome Measures, WFC, June 2005.
  6. Tuchin, Bonello, and Pollard, A Systematic Review of Spinal Manipulative Therapy for Migraine and Migraine-Like Headache, WFC, June 2005.
  7. Watson PhD, FRACP, Shaun, How to Differentiate Migraine, Tension-Type Headache and Cervicogenic Headache, WFC, June 2005.
 
Managing Acute Low Back Patients
Techniques
Written by Charles L. Blum, DC   
Thursday, 27 April 2006 02:56

Imagine a scenario where a patient walks into the clinic or your office in acute pain—grimacing in pain, antalgic, and guarded in all movements.  You’re barely able to take vital signs, and neurological and orthopedic examinations are difficult to perform due to the patient’s severe apprehension.  A radiograph or MRI finds no fracture or osteopathology, but possibly some degree of discopathy.  What are you going to do?

Figure 1 illustrates an Emergency Sacro Occipital Technique (SOT) group of procedures (Category 3)1 that you can use confidently with patients who have acute low back pain.  If the indicators you use do not improve during your treatment, either your determination of the indicators is improper or there might be serious pathology that was undetected, so extreme caution should be exercised.2

But, clinically, I have found that at least 95% of my patients respond favorably to these protocols.3-5

Many chiropractic methods have noted a relationship between the cervical and lumbar spine.  Some have called this relationship “Lovett Brothers,” “Halfwit Brothers” and, in SOT,  “R + C Factors” (Resistance + Contraction).6  Essentially, while the relationship between distal ends of the spine has not been conclusively proven, there have been theories relating to meningeal relationships and, clinically, there have been positive outcomes using each part of this “dynamic unit” to monitor the others.  Therefore, the patient’s cervical spine will be used to help gain some indication as to lumbar dysfunction or tension patterns which should resolve during the course of treatment.1,6

These indicators can also facilitate the doctor’s ability to treat the patient and aid in improving function and relieving acute pain. (See Figure 2)
When a patient presents with an anterior antalgic lean centrally, or to either side, the psoas muscle, with its attachments to the lumbar region will be evaluated. One-way of monitoring the treatment will be with the “overhead arm check.”

(See Figure 3) This overhead arm check helps to lift the rib cage off the pelvis and, most commonly, the limiting factor will be the iliopsoas muscle(s).  Infrequently, you might have a bilateral condition or contributing quadratus lumborum, diaphragm crura, rib or shoulder dysfunction that might limit arm extension. 

Sometimes the patient will have so much pain, he or she can't be supine on the treatment table to allow for the technique of releasing the psoas. If that is the case, the psoas release will need to be performed on the next office visit or when the patient is able to tolerate being in a prone position.

After cervical indicators are determined (if present) and psoas contracture cleared (if present), the patient is to be placed prone and leg lengths should be determined. SOT protocol recommends 30 seconds of traction on the legs with the traction maintained while the medial malleoli are brought together and evaluated. The blocks are then used biomechanically to help reduce pelvic torsion7 in a specific manner to release any stress patterns in the disc or lumbosacral region.8,9  Usually, the blocks are placed according to what reduces any pain provocation.10

Once the optimum pain relief position is determined by block position, the patient is allowed to relax.  During this relaxation period, which can be 15-60 minutes, the cervical indicators are monitored.  If they are no longer painful or swollen, allow the patient to rest.

If cervical indicators are still painful and swollen, apply gentle pressure to the specific related lumbar vertebra in the direction opposite to the what was determined by the cervical indicator.

For example, an inferiority would be lifted gently superiorly, while a rotation to the right would be gently rotated to the left.

Sometimes, force will need to be vectored to the position that creates the greatest cervical indicator pain relief.  Physical therapy can be employed; however, usually, cryotherapy for 15 minutes is sufficient.

The patient is cautioned against sitting long periods of time, prolonged periods of bed rest, lifting, and is advised to get up and down carefully from seated positions.  Often a lumbosacral brace can be helpful, as well as home use of ice for 15 minutes every hour.  The rule is that, if the painful area on the back is warmer than any other area of the body, icing is indicated, always with cloth between the ice and skin.  If the patient is able, gentle walking for short distances can be helpful; but he or she should not perform any activity that increases the pain.  Sleeping can be difficult but, usually, a pillow under the knees while supine or between the knees if on the side can help significantly.

Generally,2-3 treatments are sufficient to get the patient out of the acute phase.  If the condition persists, is not congruent with your SOT indicators2, or is unresponsive to treatment, further evaluation is indicated.  Sometimes a referral for allopathic co-treatment will be indicated, as well as further diagnostic studies.

Dr. Charles L. Blum is the President of Sacro Occipital Technique Organization–USA (SOTO-USA), PO Box 24936, Winston-Salem, NC 27114-4936.  For more information call 336-760-1618, or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
The Olympic Experience: A Time for Teamwork
Techniques
Written by Allan Gary Oolo Austin, D.C.   
Thursday, 27 April 2006 02:49

olympictorchandrings

T
he Olympics are an experience one never forgets. They are a highlight in one’s life steeped in excitement and competition. Thousands of people from every country in the world conglomerate for two weeks, proudly waving or wearing the colors of their national flags. National pride runs high with the competitive spirit.

I have had the good fortune of attending summer and winter Olympics, as well as the world games, in an official capacity as the Estonian team’s chiropractor and Trigenist. We won three medals in Athens and we won three gold medals in Torino. (To put it in perspective, three golds for Estonia, with a population just over one million, is like the United States winning 900 gold medals!)

Each country’s team is assigned a certain area or building and is given a room for administrative control. For the doctors and therapists, each country is given a separate room with treatment tables for use by the physiotherapists and manual medicine practitioners. There is also always an official treatment centre in the Olympic village which houses medical doctors and therapists as well as treatment modalities and diagnostic equipment. All of the athletes have access to this clinic, as do the team doctors. On many occasions, where physiotherapy radiographs or MRI’s were needed or the opinion of an orthopedic surgeon, I took my athletes to one of these “polyclinics”. The doctors and therapists were always more than happy to assist or provide whatever care I felt was necessary.

At the site of each event, there are also separate areas on-field or in the back rooms of the arenas for the doctors and therapists traveling with the teams to do their work on the athletes. Most of the pictures you see in this article were taken in these areas. With Trigenics® myoneural treatments, the athlete is fine-tuned and “super-charged” immediately before going out to compete.

This is because Trigenics® involves assessing and treating the nervous system for inhibition causing weakness or over-facilitation causing shortening and restricted movement. Initially, with every different sport, specific muscles are recruited to contract in a synchronized fashion to perform the movement’s specific to that sport. In addition, specific muscles will need to relax and elongate during these movements to facilitate as much momentum and range of motion as possible. It is for this reason that specific applications of Trigenics® procedures are used to increase overall power and speed immediately before the athlete performs. For instance, one of the pictures (on pg. 43) shows me treating Aleksander Tammert on the field at the Athens 2004 summer Olympics. Within fifteen minutes of this Trigenics® Power Augmentation treatment, he threw the distance that won him the bronze medal with this being nearly two meters farther than he had ever thrown in a major competition. (Currently, he is first in the world for 2006.)

At the winter Olympics in Italy, the head physiotherapist for the Serbian team, Nino Tetanovec, had heard from one of the athletes that I was practicing a neurological treatment system which was having astounding results. He came to where I was working and asked if I could look at one of his athletes to give my opinion as to whether Trigenics® would be of any help. (This was, evidently, a therapist who had the best interest of his patient at heart, with no sense of ego interfering with his decision to involve another health professional in the care of one of his athletes.) I was more than happy to provide any help I could and we were soon working together on the case.

The athlete was Aleksander Milenkovic, competing in the Nordic combined and the only athlete in Olympic history to compete in four Olympics, both summer and winter, in four different events. His lower back was in spasm and severe pain and, although the Serbian physio was helping him significantly with myofascial tissue work, Aleksander was obviously not recovering fast enough to enable him to ski in his upcoming event.

It was three days before his event when I first saw Aleksander. I performed a myoneural examination on Aleksander of the muscles attaching to his pelvis and lumbar spine to ascertain aberrant neural control. When I first saw Aleksander, he was unable to forward flex his trunk beyond thirty degrees and his right trunk rotation was severely limited with pain. Right straight leg raise was reduced significantly with pain and he had localized pain in the right L4-5 region as well as in the area of the right gluteus medius. Right hip flexion was also extremely weak, as was left trunk flexion. In a brief summary, some of the main areas of Trigenics® treatment in this case involved application of TL to the right multifidus, quadratus lumborum, gluteus medius, and hams with TL applied to the left erector spinae, adductors, rectus femoris and psoas. TS procedures were applied to the left multifidus and QL and the right psoas, adductors and rectus femoris. L4-5 was also manually manipulated, as was the right sacroiliac joint. Immediately following this first treatment, Aleksander was bending to ninety degrees and the lost strength in his leg improved about 80%. The spasms in his back and his pain also decreased significantly. I also felt that proprioceptive taping would be beneficial post-treatment and suggested this to Nino. We both decided to involve Italian physiotherapist Bruno Cosimo, who was in the village, as he is the European representative for Kinesiotaping. Bruno was called and he came to provide this service.

Three days later, Aleksander competed in his event for Serbia and everyone was a hero.

Trigenics® is often regarded as the missing element of treatment for athletes as correction of aberrant histology using soft tissue techniques and aberrant arthrokinetics using osseous manipulation must be accompanied by correction of aberrant neurology for functional sustainability. This is what Trigenics® provides a team player in condition correction and rehabilitation.

In addition, Trigenics®  is often regarded as the missing element of training for athletes as it is, in itself, a form of neurological training. Trigenics® procedures interactively combine reflex neurology exercise with mechanoreceptor manipulation and meditative breathing biofeedback. This multimodal treatment system neurologically creates a very real brain-based change which is neuroplastic in its regulation of sensorimotor function. With a Trigenics® Power Augmentation program for athletes, they are assessed once per week for myoneural dysfunction. This is absolutely critical in enabling the sports physician to monitor myoneural changes, determine developmental, training-related weak links in the neurokinetic chain and correct neuromotor dysfunction before it manifests as an injury. I would venture to say, from my clinical experience that, with Trigenics®, non-traumatic training injuries can mostly be eliminated in athletes. This represents a very real breakthrough in sports medicine, as injuries are what prevent most athletes from realizing their competitive goals. Is not prevention of injuries much more important than treatment?? Absolutely, and the reason is quite obvious.

In summary, the subtitle of this article is A TIME FOR TEAMWORK. This is because, at the end of the day, teamwork is what it is all about: the chiropractor working together with the physiotherapist and the medical doctors. The soft tissue techniques being combined with physiotherapeutic modalities, manipulative techniques, and neurological treatment systems. It is not about one technique or treatment being better than the other. It is about how all of the techniques work better together and knowing when, in the athletes recovery, each different technique should be applied.

I had the great pleasure of meeting the brilliant Dr. Mike Leahy, founder of the soft tissue technique ART in Panama at The American Chiropractor magazine’s first annual conference, CHIROPRACTIC 06. Dr. Leahy performed some wonderful work on my lateral epicondylitis and we spoke about this concept of differing procedures working well together. We discussed some of the concepts of when ART would be used, when Graston would be used, Trigenics® and many others. It was a wonderful evening which ended with the eminent David Chapman-Smith considering Dr. Leahy’s suggestion that the World Federation of Chiropractic should chair a conference where the founders of many of the eminent techniques are invited to a panel to discuss various live case studies from each of their perspectives. I hope we see this in Spain 2007! The world does not work well in a state of independence but it does work well with interdependence and teamwork.

Canadian-Estonian chiropractor, Allan Gary Oolo Austin, DC, DNM, DAc, CCRD, CCSP®, PhD(EU), is the originator of Trigenics®. Over 500 doctors and therapists throughout North America, Australia, Europe and South America have now taken the Trigenics® RTP program. For more information, visit www.trigenicsinstitute.com, call 888-514-9355 or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Dr. Oolo Austin will be speaking about Trigenics® at Chiropractic '07, The American Chiropractor Magazine Symposium in Panama, February 22-25, 2007.

 
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