FINAL Added Material Flashcards
Causes of acute low back pain
Myofascial
Discogenic
Vertebrogenic
Category III
Lumbar discogenic subluxation
The acute low back patient
Cat 3 flow
Blocking 10 minutes
SOTO
Lumbar traction procedures
Lumbar subluxation analysis - gluteal fibers and cervical palpation
Lumbar adjustment - side posture or orthopedic blocking
Basic III cranial
Category 3 blocking effectsq
Removes iliac rotation Relaxes low back muscles Passive antalgia 10 minutes Prone
The most important distinction in the differentiation of sciatic neuritis due to piriformis is
Lack of a true neurological deficit
Sacroiliac joint dysfunction with associated piriformis syndrome mimicking IVD syndrome
Disc surgery failed to give results
Chiropractic care worked. Pain free within 10 visits
SOTO better
Piriformis or hip jiont
SOTO worse/no change
Disc or subluxation
Traction is used before the
Manual adjustment
Most cat 3 patients are SB
+
Muscular compensation is automatic and neurologically controlled in the presence of
Pelvic or lumbar subluxation
Cervical and cranial musculature automatically compensates for
Pelvic and lumbar dysfunction, thereby protecting the functional integrity of the visual and vestibular reflexes
Relating especially or wholly to the psinal cord; specifically denoting those nerve cells and their fibers that connect the different segments of the spinal cord with each other
Propriospinal
R+C factors relate to
How sensitivity at the cervical vertebrae may relate to position of lumbar vertebrae.
Sensitivity at the cervical TP related to
An anterior rotation relating to the ipsilateral lumbar vertebrae’s TP
Effect of cervical spinal adjustments on lumbar paraspinal tissue compliance
Evidence for facilitation or intersegmental tonic neck reflexes
Conference paper by Nansel, Cooperstein and Waldorf
Lower cervical adjusting has a definite effect on muscle tone of the lumbar spine
Tissue compliance was measured with a compliance meter
Orthopedic block placement
Lumbar vertebra rotation
Lumbar vertebra inferiority
With lateral cervical TP sensitiviity a pelvic block is placed with the patient prone under the contralateral pelvis (between ASIS and greater trochanter) and pressure is applied to the ipsilateral lumbar SP
Lumbar vertebra rotation
Right C2 TP sensitivity
Pressure to L4 SP from R to L
With lateral cervical SP sensitivity pelvic blocks are placed with the patient prone under the both ASIS (at 45 inferior thorugh ASIS) and pressure is applied to ipsilateral lumbar lamina/mammillary process
Lumbar vertebra inferiority
Right C2 lateral SP sensitivity
Pressure to L4 lamina/mammillary process from I to S as if to decompress and lift the vertebra
Gluteal fibers give you
Side and level of lumbar body rotation
Cervical palpation gives the dr.
The level and listing of the lumbar subluxation
Styloid pain indicates
List of L5
C1 TVP pain indicates
Spinous side of L5
When side posture might be dangerous
Discogenic pain syndrome indicators
No palpatory cervical pain in the presence of severe low back pain
Bilaterally symmetrical palpatory pain in the presence of severe low back pain
Atrophy of muscles of the lower extremities
Flaccidity of the leg on performance of SOTO
Other evidence of disc pathophysiology
Compensatory or primary change in cranial venous drainage, especially out of
Superior sagittal sinus
Cranial component of cat 3
Resulting hypersensitivity of the homonculus of the lumbar spine
Basic 3 cranial is used
At the end of the cat 3 visit
Reduces pressure in the superior sagittal sinus, thereby desensitizing the low back homonculus
Basic 3 cranial
Fingers on parietals 1 1/2” above the ear, separate sagittal suture as you lift parietals - don’t forget to avoid temporal bone
Basic 3 cranial