Musculoskeletal Injury:
As established from the history and physical examination, the treatment of musculo-skeletal pain must influence the static posture and correct the faulty kinetics of motion. The tissues that make these corrections possible must be strengthened where necessary, made more flexible when deemed appropriate, and the neuromuscular patterns must be established and repeated until the operation is easy, automatic and constant in performance.
TREATMENT: Treatment of musculo-skeletal pain consists of:
1. Relief
2.
(1). RELIEF: Consists of acute abatement of symptoms with physical therapy modalities, specifically ultrasound, hydroculation, electrical stimulation and intersegmental traction when appropriate.
(2). REPAIR: Educational correction of abnormal deviations in posture, both static and kinetic. Mechanical correction of structural instabilities, with resultant balance and stability of osseous architecture. This stage involves manipulation or adjustments of the bony framework if applicable.
(3). REHAB: Specific exercises for the spine, which will strengthen the muscles (GUY WIRES) of the spine, yielding support to a balanced framework.
Chiropractic Manipulative Therapy (CMT), is a conservative, non invasive therapy, based on the medical cybernetics of STRUCTURE-FUNCTION Inter-relationships. The basic premise is that the body must be viewed as a structural and functional UNIT. Therefore, one cannot expect to have optimal function without optimal structure. Clinically, CMT is a system of mechanically correcting biomechanical insults to the skeletal framework of the body, for the purpose of normalizing the patient's structure (function). CMT, traction and physiotherapy are instituted when appropriate. Treatment consists of conservative Chiropractic care designed to remove encroachment neuropathy, restore mobility and maintain the normal structure-function interrelationship of the spinal framework. The improvement resulting from manipulation is due to the gentle stretching of muscles, ligaments and tendons that have become shortened as a result of spasm from the injury. Manipulation facilitates the stretching of the fibrous tissues surrounding the joints of the spine that have become contracted and developed adhesions after prolonged immobility. In the long run the body's structural framework must be considered from an engineering point of view. When the structure is level, within the anatomical limitations of the individual, there will be a maximum balance and stability in the spinal column. This balance and stability is essential to relieve the patient from the effects of their injury.