Network Spinal Analysis is a gentle and extremely effective style of chiropractic care used to evaluate and adjust the spine. The purpose of NSA is to allow restoration of proper nerve function for full health and peak performance. 

Network Spinal Analysis is a chiropractic technique developed in America in the early 80’s by Dr Donald Epstein. Network Spinal Analysis utilises light touches, specific body contacts and body positioning to develop breathing and body oscillations (or waves) that dissipate stored tension. NSA allows your body to develop new strategies to release this tension on its own. This promotes the clarity and flexibility a body needs to adapt to the challenges of our busy lives. 

How Does NSA Work?  

The spinal cord, in addition to being an electrical system, also conducts information through oscillation, or wave-like motion. Like an overstretched rubber band, the spinal cord tissues oscillate at a higher frequency, or “phase”, when they are under tension. As every cell of the body is connected via an elaborate nerve network to the spinal cord, any change in tension of the spinal cord affects the function of every cell in the body… all 75-100 trillion of them!   

From this, we found that most tension in the vertebra of the spine was secondary to tension patterns from the spinal cord. The stress of having too much to do and not enough time to do it is epidemic in our culture. Consistently high stress levels freeze the body in a “fight or flight” mode, tightening muscles, rounding shoulders, making breathing shallow, and limiting blood and oxygen to the parts of your brain responsible for relaxation, revitalization, creativity, and growth.   We find that a busy life is typically not the problem. The problem is an inability to shift gears and “unhook” from the stress-causing factors that are overwhelming you.
That’s why, instead of trying to mechanically adjust or align the spine through manipulation of the vertebra, a Network Chiropractor seeks to understand the physical, emotional, and mental factors related to the tension pattern and then find the specific points on the spine that will help the body resolve its tension using the exact amount of pressure that cues the brain from stress into ease. No twisting, popping, or cracking is necessary. 

The Network Chiropractor is using the principle of leverage. This is when they make the light gentle adjustments. The idea is like moving huge boulder without having to use a great deal of force if you use the leverage of a tree branch.
Putting the lever in the exact right place, at the right time with the right amount of light force, you can easily move the boulder. Likewise, Network Chiropractors are trained during post-graduate courses on Network Spinal Analysis to know the exact leverage point and manoeuvres to utilise on the spine to release tension to allow the body to find equilibrium. 

What scientific evidence do you have that your method works? 

NSA is one of the most researched methods in chiropractic. Network Spinal Analysis™ has been the subject of academic study, research and publication for its unprecedented effect in wellness and quality of life, adaptability to stress, enhanced life enjoyment, facilitation of constructive lifestyle changes. Also studies are being conducted as to its influence on the advancement and evolution of the nervous system’s strategies for self-organization.
A retrospective study of nearly 3,000 people through the University of California Irvine Medical College documented significant improvements in quality of life in the majority of people receiving Network Chiropractic care. 

The wave patterns that occur during a Network entrainment are the focus of University of Southern California mathematician professor Edmund Jonckheere, who is currently studying the relationship between these wave patterns and the energy-efficiency and adaptability of the nervous system.   

The Journal of Alternative and Complementary Medicine featured the evolving paradigm that contains NSA and SRI, called Reorganizational Healing, in May ’09. 

NSA Sessions 

The adjustments are made along the spine and are as gentle as the pressure that you could comfortably apply to your closed eyelid. 

• You keep your clothes on (except your shoes) during a session.
• Sessions last about 30-40 minutes.
• The therapy is not painful, although the bodily sensations can be surprising and emotional releases during sessions are common.
• Practitioners evaluate the client’s progress based on his or her self-reported experience.

Benefits of NSA 

Research has shown that as a spine, body and nervous system becomes healthier, physical wellbeing improves to provide more spinal flexibility, diminished symptoms and a greater ability to cope, developing an internal sense of wellness regardless of circumstances.
Examples of further additional benefits reported include: 

• Less physical pain
• Less tension or stiffness of the spine
• Greater flexibility
• Reduced allergies, eczema, asthma
• Fewer colds flu & headaches
• Less menstrual discomfort
• Improved response to stress
• Improved mental/emotional state
• Improved life enjoyment
• Improved overall quality of life

Basic care typically lasts 6 to 8 weeks, with 2 to 3 sessions per week. At the end of this period, clients generally report better body awareness, stronger spinal movement, and relief from discomfort and more ease in releasing tension.
After basic care sessions, you can choose to continue with treatment and enjoy wellness 

Network Spinal Analysis Research

The following is a list of peer-reviewed publications involving Network Spinal Analysis Care. Further information regarding Network Spinal Analysis Research currently in process or programs where information on Network Spinal Analysis Research has been presented is available at www.associationfornetworkcare.com

Improvement in Attention in Patients Undergoing Network Spinal Analysis: A Case Series Using Objective Measures of Attention
Pauli Y. Journal of Vertebral Subluxation Research, August 23, 2007; 1-9

Objective: Anecdotal preliminary evidence suggests that chiropractic care may be of benefits for individuals suffering from ADHD. This case series presents the improvement in attention experienced by 9 adult patients undergoing Network Spinal Analysis.

Methods: Nine adult patients are presented (4 male, 5 female) with a mean age of 40.4 years (range 22 – 58 years old). All patients were evaluated with the Test of Variable of Attention (TOVA) before receiving Network Spinal Analysis (NSA) care and at 2 months into care. The nine patients received level 1 NSA care for two months, as taught by the Association for Network Care. Neurospinal integrity was evaluated with palpation, as well as surface electromyography. Cognitive process of attention was objectively evaluated using a continuous performance test, the Test of Variables of Attention (TOVA).

Results: We evaluated our patient cohort before and after Network care using sEMG and variables from the continuous performance test (TOVA). Before care, all patients had an abnormal ADHD score with a mean of -3.74 (range: – 8.54 to -1.89). After 2 months of care, all patients had a significant change in ADHD score (p=0.08) and 88% completely normalized the ADHD score. 77% and 66% of patients experienced significant change in reaction time and variability score, respectively. All patients experienced a significant reduction in sEMG pattern of activation (p=0.08). We discuss possible mechanisms by which spinal care may have enhanced the function of the prefrontal cortex, thereby resulting in improved attentional capacities

Conclusion: In this case series the nine adult patients experienced significant improvement in attention, as measured by objective outcomes, after receiving two months of Network Spinal Analysis. The progress documented in this report suggests that NSA care may positively affect the brain by creating plastic changes in the prefrontal cortex and other cortical and subcortical areas serving as neural substrate for the cognitive process of attention. These findings may be of importance for individuals suffering from attention deficit. Further research into this area is greatly needed.

Quality of Life Improvements and Spontaneous Lifestyle Changes in a Patient Undergoing Subluxation-Centered Chiropractic Care: A Case Study
Pauli Y. Journal of Vertebral Subluxation Research, October 11, 2006; 1-15

Purpose of Study: This case study is to report the improvement in quality of life experienced by a patient undergoing subluxation-centered chiropractic care.

Clinical Features: A 36 year old male presented with primary health concerns of stress, eye pain and left leg pain of 14 years duration radiating to the foot and secondary complaints of gastritis, ulcers, nervousness, depression, lack of concentration and general loss of interest in daily life. The patient also smokes, does not exercise, eats a sub-optimal diet and rated his family and friends support, as well as job satisfaction as sufficient.

Intervention and Outcome: We discuss the various analyses employed to evaluate vertebral subluxations, including paraspinal surface electromyography and thermography. Adjustive care included a combination of Network Spinal Analysis, Torque Release Technique and diversified structural adjustments to correct vertebral subluxations over a six month period. We used visual analog scales, open-ended questions and selected items from the Self-Rated Health and Wellness Instrument to monitor health changes, as well as the positive improvements in quality of life as perceived by the patient himself.

Conclusion: This case study demonstrates that the correction of vertebral subluxations over an 11 month period was associated with significant improvements in the quality of life of the patient.

Chiropractic Care of a Battered Woman: A Case Study
Bedell L. Journal of Vertebral Subluxation Research, July 20, 2006; 1-6

Objective: This case study documents the chiropractic care of battered woman struggling with Intimate Partner Violence (IPV). Chiropractic offers battered women a unique service, it is the only profession trained and licensed to detect and correct vertebral subluxations. The relationship between the stresses of abuse and vertebral subluxation, as well as the subsequent changes during chiropractic care, are described.

Clinical Features: A Caucasian, 23-year old female presented with headaches, neck pain, and upper back pain. The initial complaint noted sharp, knife-like pains into the medial scapular borders, worse on the right side. Tingling extended into the right hand, most severe in the 2nd, 3rd, and 4th fingers.

Chiropractic care and outcome: Protocols of both Torque Release and Activator techniques were utilized to evaluate vertebral subluxations. Subjective quality of life issues were evaluated through a Network Spinal Analysis (NSA) Health Status Questionnaire. After commencing chiropractic care, this woman suffered a cervical spine hyper-extension/hyper-flexion type injury from an automobile accident. For the first 30 days after, adjustments were applied twice weekly. Acute exacerbations of symptoms unrelated to the original complaints were displayed and progress became irregular. During the next 60 days, there were various unexplained falls and severe flare-ups of painful symptoms, and she finally admitted to being battered by her husband. Referrals to counselors and programs dealing with domestic violence were provided. Once the physical battering stopped, consistent progress was noted in both clinical symptoms and quality of life issues.

Conclusion: As a battered woman must receive emotional and social support to improve her situation, it is important for chiropractors to recognize the “red flags” of IPV. Chiropractors re-evaluate regularly for changes in vertebral subluxation patterns and can recognize inconsistent responses. They may also be the first caregivers to offer a vitalistic approach; considering a woman’s physical, chemical, and emotional quality of life; a perspective that offers significant connection and trust. This article serves as a foundation on the topic of IPV and chiropractic, for use in both communities.

Wellness lifestyles II: Modeling the dynamic of wellness, health lifestyle practices, and Network Spinal Analysis.
Schuster TL, Dobson M, Jauregui M, Blanks RH. Journal of Alternative and Complimentary Medicine. April 2004;10(2):357-67.
PMID: 15165417

OBJECTIVE: Empirical application of a theoretical framework linking use of Network Spinal Analysis (NSA; a holistic, wellness-oriented form of complementary and alternative medicine [CAM]), health lifestyle practices, and self-reported health and wellness. DESIGN: Cross-sectional self-administered survey study. RESPONDENTS: Two thousand five hundred and ninety-six (2596) patients from 156 offices of doctors who were members of the Association for Network Chiropractic (currently titled Association for Network Care); estimated response rate was 69%. MEASURES: Exogenous variables entered into the structural equation model include gender, age, education, income, marital status, ailments, life change, and trauma. A wellness construct consisted of calculated difference scores between two referents, “presently” and “before Network” care, for self-reported items representing wellness domains of physical state, mental-emotional state, stress evaluation, and life enjoyment. Positive reported change in nine items assembled into dietary practices, health practices, and health risk dimensions serve as indicators of the construct of changes in health lifestyle practices. The NSA care construct consisted of duration of care in months, awareness of energy and awareness of breathing since beginning Network care. RESULTS: Of the exogenous variables only gender, age, and education remain in the final parsimonious structural equation model in these data. Reported wellness benefits accrue to individuals along a direct path from both self-reported positive lifestyle change (0.22), and from NSA care (0.43). The path (0.65) from NSA care to positive health lifestyle changes indicates that NSA care also has an indirect effect on wellness through changes in health lifestyle practices.

CONCLUSIONS: The Structural Equation model tested in these analyses lends support to our theoretical framework linking wellness, health lifestyles, and CAM. This study provides further evidence that our measurements of health and wellness are particularly appropriate for investigating wellness-oriented CAM. There is a positive relationship between the experience of NSA care and self-reported improvements in wellness as well as self-reported changes in lifestyle practices. NSA care users tend toward the practice of a positive health lifestyle, which also has a direct effect on reported improvements in wellness. These empirical links are discussed relative to the sociodemographic characteristics of this population and show that use of NSA care is an aspect of a wellness lifestyle.

Wellness lifestyles I: A theoretical framework linking wellness, health lifestyles, and complementary and alternative medicine.
Schuster TL, Dobson M, Jauregui M, Blanks RH. Journal of Alternative and Complimentary Medicine. April 2004;10(2):349-56.
PMID: 15165416

Scholarship concerning complementary and alternative medicine (CAM) practices within the United States could benefit from incorporating sociological perspectives into the development of a comprehensive research agenda. We review the literature on health and wellness emphasizing definitions and distinctions, the health lifestyles literature emphasizing issues of both life choices and life chances, and studies of CAM suggesting utilization as an aspect of a wellness lifestyle. This review forms the foundation of a new theoretical framework for CAM research based on the interrelationship of CAM with health promotion, wellness, and health lifestyles. To date, few studies have sought to bring these various elements together into a single, comprehensive model that would enable an assessment of the complexity of individual health and wellness in the context of CAM. We argue that attention to literatures on health measurement and health lifestyles are essential for exploring the effectiveness and continuing use of CAM.

The Transition of Network Spinal Analysis Care: Hallmarks of a Client-Centered Wellness Education Multi-Component System of Health Care Delivery
Epstein D. Journal of Vertebral Subluxation Research, April 5, 2004; 1-7

Network Spinal Analysis TM (NSA) care has been transitioned from a health care system with the objective of correction of two types of vertebral subluxation, to a multi-component system of health care delivery with emphasis on wellness education for participating clients. NSA care is now delivered and communicated in discrete Levels of Care with emphasis on client participation through self-evaluation. Emphasis on wellness education will be introduced into NSA practice through training via a Certificate Program currently under development. This paper considers some hallmarks that delineate a wellness education, patient (client)-centered practice. The concepts presented relative to this wellness model of health care delivery are believed to be applicable to any approach with similar practice objectives. The perspective presented considers that the major aspects of a patient-centered, wellness education health care delivery system is multi-dimensional. Hallmarks include differentiating terms, and establishing a wellness mentality. Substantiation of the discipline must be established through credible published research regarding its efficacy and safety as well as a consistent and valid means of measuring progressive outcomes derived from the care received. The relationship of NSA to other disciplines is discussed.

Successful In Vitro Fertilization in a Poor Responder While Under Network Spinal Analysis Care: A Case Report
Senzon SA. Journal of Vertebral Subluxation Research, September 14, 2003; 1-6

Objective: This case report describes the successful in vitro fertilization (IVF) of a 34 year old female who had one previous aborted IVF attempt prior to Network Spinal Analysis (NSA) care. This case report is being presented to add to other case reports that show positive physiological changes in patients receiving NSA care.

Clinical Features: The IVF was attempted due to her partner’s azoospermia. The first IVF attempt was on 3/26/02. The patient had a poor follicular growth after the standard hyper-stimulation process of the ovaries, including pre-treatment with Mircette (birth control pills) and 1mg/0.2ml of Lupron (a gonadotropin releasing hormone agonist), and 3-6 amps of Gonal-F (a recombinant fsh) starting on cycle day 3. Her baseline day 3 estradiol and LH levels were only 21.2pg/me and 5.0 I.U./L respectively. On cycle day 8, estradiol was only 56% and LH was 6.6 I.U./L. The Gonal-F was increased to 6amps. This first attempt was canceled due to the poor follicle growth. Only 3-4 follicles of insufficient size between 10-14mm each were found.

Chiropractic Care and Outcomes: On 4/11/02, the patient commenced regular NSA care. The second IVF attempt began on 6/6/02. The change in IVF protocol was the addition of Repronex (also a gonadotropin a combination of LH and fsh). The total increased dose of Gonal-F and Repronex was 6amps, compared to the first attempt of only 3amps which was then increased to 6amps of Gonal-F only.

Conclusion: On the second IVF attempt, estradiol was 1001pg/ml on day 8, and 2019pg/ml on day 11, with LH at 9.3. The Oocyte retrieval after the second attempt was 10 eggs, each approximately 18mm. A successful aspiration of eggs was completed on 6/17/02, and a successful pregnancy followed. The patient is still under NSA care, and is now in her second trimester with normal fetal heart sounds. The possible role of NSA care in the vigorous follicular growth and other health benefits is discussed.

Insult, Interference and Infertility: An Overview of Chiropractic Research
Behrendt M. Journal of Vertebral Subluxation Research, May 2, 2003; 1

Objective: Infertility is distinct from sterility, implying potential, and therefore raises questions as to what insult or interference influences this sluggish outcome. Interference in physiological function, as viewed by the application of chiropractic principles, suggests a neurological etiology and is approached through the mechanism of detection of vertebral subluxation and subsequent appropriate and specific adjustments to promote potential and function. Parental health and wellness prior to conception influences reproductive success and sustainability, begging efficient, effective consideration and interpretation of overall state and any distortion. A discussion of diverse articles is presented, describing the response to chiropractic care among subluxated infertile women.

Clinical Features: Fourteen retrospective articles are referenced, their diversity includes: all 15 subjects are female, ages 22-65; prior pregnancy history revealed 11 none, 2 successful unassisted, 1 assisted, 1 history of miscarriage. 9 had previous treatment for infertility, 4 were undergoing infertility treatment when starting chiropractic care. Presenting concerns included: severe low back pain, neck pain, colitis, diabetes, and female dysfunction such as absent or irregular menstrual cycle, blocked fallopian tubes, endometriosis, infertility, perimenopause and the fertility window within a religiousbased lifestyle, and a poor responder undergoing multiple cycles of IVF.

Chiropractic Care and Outcome: Outcomes of chiropractic care include but are not limited to benefits regarding neuromuscular concerns, as both historical and modern research describe associations with possible increased physiological functions, in this instance reproductive function. Chiropractic care and outcome are discussed, based on protocols of a variety of arts, including Applied Kinesiology (A.K.), Diversified, Directional Non-Force Technique (D.N.F.T.), Gonstead, Network Spinal Analysis (N.S.A.), Torque Release Technique (T.R.T.), Sacro Occipital Technique (S.O.T.) and Stucky-Thompson Terminal Point Technique. Care is described over a time frame of 1 to 20 months.

Conclusion: The application of chiropractic care and subsequent successful outcomes on reproductive integrity, regardless of factors including age, history and medical intervention, are described through a diversity of chiropractic arts. Future studies that may evaluate more formally and on a larger scale, the effectiveness, safety and cost benefits of chiropractic care on both well-being and physiological function are suggested, as well as pursuit of appropriate funding.

Chaotic Modeling in Network Spinal Analysis: Nonlinear Canonical Correlation with Alternating Conditional Expectation (ACE): A Preliminary Report
Bohacek S, Jonckheere E. Journal of Vertebral Subluxation Research, December 1998; 2(4): 188-195

Abstract – This paper presents a preliminary non-linear mathematical analysis of surface electromyographic (sEMG) signals from a subject receiving Network Spinal Analysis (NSA).The unfiltered sEMG data was collected over a bandwidth of 10-500 Hz and stored on a PC compatible computer. Electrodes were placed at the level of C1/C2,T6, L5, and S2 and voltage signals were recorded during the periods in which the patient was experiencing the “somatopsychic” wave, characteristic of NSA care. The intent of the preliminary study was to initiate mathematical characterization of the wave phenomenon relative to its “chaotic,” and/or nonlinear nature. In the present study the linear and nonlinear Canonical Correlation Analyses (CCA) have been used. The latter, nonlinear CCA, is coupled to specific implementation referred to as Alternating Conditional Expectation (ACE). Preliminary findings obtained by comparing canonical correlation coefficients (CCC’s) indicate that the ACE nonlinear functions of the sEMG waveform data lead to a smaller expected prediction error than if linear functions are used. In particular, the preliminary observations of larger nonlinear CCC’s compared to linear CCC’s indicate that there is some nonlinearity in the data representing the “somatopsychic” waveform. Further analysis of linear and nonlinear predictors indicates that 4th order nonlinear predictors perform 20 % better than linear predictors, and 10th order nonlinear predictors perform 30% better than linear predictors.This suggests that the waveform possesses a nonlinear “attractor” with a dimension between 4 and 10. Continued refinement of the ACE algorithm to allow for detection of more nonlinear distortions is expected to further clarify the extent to which the sEMG signal associated with the “somatopsychic” waveform of NSA is differentiated as nonlinear as opposed to random.

Reduction of Psoriasis in a Patient under Network Spinal Analysis Care: A Case Report
Behrendt M. Journal of Vertebral Subluxation Research, December 1998; 2(4): 196-200

This case report describes the progress of a 52 year old male with chronic psoriasis, first diagnosed in April of 1992. After the condition exacerbated over a five year period, he was placed on 12.5 mg/week methotrexate, and oral immunosuppressant medication in October of 1997.After commencing the medication, the condition reduced from 6% body coverage, with flares of 15-20%, to a body coverage of 5%. Following a cessation of the oral medication in February, 1998, the condition recurred at the previous uncontrolled level within one month. The patient was again placed on 12.5 mg/week methotrexate, and subsequently the condition reduced to 5% body coverage. The patient’s dose was reduced to 10 mg/week, and later to 7.5 mg/week, with the psoriasis remaining at 5% coverage. On 5/18/98, the patient commenced regular NSA care. He reported a reduction in the psoriasis condition on 6/3/98, and was taken off the oral medication on 6/25/98. The reduction continued, and the patient was advised by his medical physician on 7/01/98 to continue the cessation of oral medication. As of 9/30/98 the psoriasis had decreased to 0.5% to 1.0 % of coverage, and prior plans to initiate ultraviolet-A therapy were canceled. As of 11/98, a five month period since cessation of methotrexate, the patient has remained under regular NSA care, with no recurrence of psoriasis body coverage greater than 1%, the only medication being a topical ointment. This is contrasted to the recurrence after one month, following the patient’s first cessation of methotrexate, and prior to NSA care. The possible role of NSA care in the reduction of the patient’s psoriasis, and other health benefits is discussed.

Changes in Digital Skin Temperature, Surface Electromyography, and Electrodermal Activity in Subjects Receiving Network Spinal Analysis Care
Miller E, Redmond P. Journal of Vertebral Subluxation Research, June 1998; 2(2): 87-95

A preliminary study was conducted to evaluate changes in digital skin temperature (DST), surface electromyography (sEMG), and electrodermal activity (EDA) in a group of twenty subjects receiving Network Spinal Analysis (NSA) care. Data, simultaneously derived from all three parameters, were considered to be indirect correlates of sympathetic nervous system activity. Subjects, including a group of five controls, were assessed for a period of 17 minutes. The continuous assessment period included a baseline interval of 4.5 minutes, followed by a 12.5 minute period which was divided into five 2.5 minute intervals. Care was administered to the NSA recipient group immediately after the baseline period, whereas controls received no intervention following baseline. Results revealed no significant differences in DST either within or between the two groups. Surface EMG readings were relatively constant over the five intervals following baseline in the NSA group, while controls showed significant (p < 0.05) increases in sEMG at the second through fifth intervals relative to the first interval following baseline activity. Electrodermal activity was significantly decreased (p < 0.01) in the NSA group in the second through fifth intervals compared to baseline. Moreover, decreases varied between intervals, but exhibited a leveling from the third through fifth interval. Control subjects, alternatively, exhibited an increase in EDA in all intervals following baseline. The extent of increase resulted in EDA activity significantly greater than the NSA group at the third through fifth intervals. It was concluded that the increase in EMG activity in the control groups may have reflected an increasing level of anxiety due to the duration of the recording period. Since the NSA group expressed constancy in sEMG activity during the same period, coupled to significant decreases in EDA, a “sympathetic quieting effect” was postulated to occur in subjects receiving NSA care. This conclusion is consistent with hypothesized neurological pathways linked to responses observed during NSA care, as well as other reports of self-reported improvements in mental/emotional state and stress reduction in patients receiving Network Chiropractic Care.

Functional Magnetic Resonance Imaging: About the Cover
Journal of Vertebral Subluxation Research, 1998; 2(1): Cover

About the Cover: Functional Magnetic resonance Imaging (fMRI), which measures the relative presence of oxy-hemoglobin, has gained attention as a non-invasive medium through which high resolution images of the brain and other tissue may be acquired. This technology may provide a useful assessment of cortical changes following chiropractic intervention. Images of the patient depicted on the cover, on the left, reflect cortical activity (lighted areas in the parietal cortex, frontal cortex areas 9, 10; visual association areas 19, 37, and 39) associated with the learning process of a “novel” muscular maneuver of the foot. Images on the right reflect cortical activity following a Network Spinal Analysis (form of chiropractic) adjustment session, taken approximately 20 minutes after the first set of images, involving the same activity. The decrease in “lighted” areas before and after the adjustment session suggests that less cortical “planning” or “activity” is associated with the “novel” foot maneuver. Thus, the ability of fMRI to visualize changes in cortical activity may play a significant role in elucidating the consequences of vertebral subluxation correction on neurological function.

An Impairment Rating Analysis Of Asthmatic Children Under Chiropractic Care
Graham R, Pistolese R. Journal of Vertebral Subluxation Research, 1997; 1(4): 41-48

A self-reported asthma-related impairment study was conducted on 81 children under chiropractic care. The intent of this study was to quantify self-reported changes in impairment experienced by the pediatric asthmatic subjects, before and after a two month period under chiropractic care. Practitioners, representing a general range of six different approaches to vertebral subluxation correction, administered a specifically designed asthma impairment questionnaire at the appropriate intervals. Subjects were categorized into two groups; 1-10 years and 11-17 years. Parents/guardians completed questionnaires for the younger group, while the older subjects self-reported their perceptions of impairment. Significantly lower impairment rating scores (improvement) were reported for 90.1% of subjects 60 days after chiropractic care when compared to the pre-chiropractic scores (p < 0.05) with an effect size of 0.96. As well, there were no significant differences across the age groups based on parent/guardian versus self rated scores. Girls reported higher (less improvement) before and after care compared to boys, although significant decreases in impairment ratings were reported for each gender. This suggested a greater clinical effect for boys which was supported by effect sizes ranging from 1.2 for boys compared to 0.75 for girls. Additionally, 25 of 81 subjects (30.9%) chose to voluntarily decrease their dosage of medication by an average of 66.5% while under chiropractic care. Moreover, information collected from patients revealed that among 24 patients reporting asthma “attacks” in the 30 day period prior to the study, the number of “attacks” decreased significantly by an average of 44.9% (p <.05). Based on the data obtained in this study, it was concluded that chiropractic care, for correction of vertebral subluxation, is a safe nonpharmacologic health care approach which may also be associated with significant decreases in asthma related impairment as well as a decreased incidence of asthmatic “attacks.” The findings suggest that chiropractic care should be further investigated relative to providing the most efficacious care management regimen for pediatric asthmatics.

[Note: NSA care was one of the chiropractic approaches used in this study supported by the Michigan Chiropractic Council]

A Retrospective Assessment of Network Care Using a Survey of Self-Rated Health, Wellness and Quality of Life
Blanks RH, Schuster TL, Dobson M. Journal of Vertebral Subluxation Research, 1997; 1(4): 15-31

The present study represents a retrospective characterization of Network Care, a health care discipline within the subluxation-based chiropractic model. Data were obtained from 156 Network offices (49% practitioner participation rate) in the United States, Canada, Australia, and Puerto Rico. Sociodemographic characterization of 2818 respondents, representing a 67-71% response rate, revealed a population predominately white, female, well-educated, professional, or white collar workers. A second objective of the study included the development and initial validation of a new health survey instrument. The instrument was specifically designed to assess wellness through patients’ self-rating different health domains and overall quality of life at two “time” points: “presently” and retrospectively, recalling their status before initiating care (“before Network”). Statistical evaluation employing Chronbach’s alpha and theta coefficients derived from principle components factor analyses, indicated a high level of internal reliability in regard to the survey instrument, as well as stable reliability of the retrospective recall method of self-rated perceptions of change as a function of duration of care. Results indicated that patients reported significant, positive perceived change (p < 0.000) in all four domains of health, as well as overall quality of life. Effect sizes for these difference scores were all large (>0.9). Wellness was assessed by summing the scores for the four health domains into a combined wellness scale, and comparing this combined scale “presently” and “before Network.” The difference, or “wellness coefficient” spanning a range of -1 to +1, with zero representing no change, showed positive, progressive increases over the duration of care intervals ranging from 1-3 months to over three years. The evidence of improved health in the four domains (physical state, mental/emotional state, stress evaluation, life enjoyment), overall quality of life from a standardized index, and the “wellness coefficient,” suggests that Network Care is associated with significant benefits. These benefits are evident from as early as 1-3 months under care, and appear to show continuing clinical improvements in the duration of care intervals studied, with no indication of a maximum clinical benefit. These findings are being further evaluated through longitudinal studies of current populations under care in combination with investigation of the neurophysiological mechanisms underlying its effects.

Network Spinal Analysis: A System of Health Care Delivery Within the Subluxation-Based Chiropractic Model
Epstein, D. Journal of Vertebral Subluxation Research, August 1996; 1(1): 51-59

The theoretical basis and clinical application of Network Spinal Analysis (NSA) is described. NSA delivers health care within the subluxation-based chiropractic model and seeks to contribute to the distinction of the various techniques and methods within the profession by describing and discussing its major characteristics. In this regard, clinical observations relative to the application of the Network Protocol have been described in relation to the monitoring of patient and practitioner outcomes. Relevant research from a separate Network Care retrospective study, which impacts on its characterization, profiles the patient population as predominantly female. Other data indicates that Network Care is widely and consistently practiced. Additionally, patients report significant, positive changes in health-related quality of life measures linked to certain clinical components of Network Care.
 

Visualization of a stationary CPG-revealing spinal wave* (Abstract from research at the University of Southern California, Professor Edmond Jonchkeere, et al.) 

Program of MEDICINE MEETS VIRTUAL REALITY 14 – ACCELERATING CHANGE IN HEALTH CARE: NEXT MEDICAL TOOLKIT* conference where Professor Jonchkeere will present a paper on the NSA Somatopsychic Wave (Prof. Jonckheere’s presentation is scheduled on pg. 20)

Paper Presentation accepted at the International Society of Quality of Life Research Conference in Prague, Czech Republic Nov. 12-15th, 2003 

Read the latest research articles on Surface Electromyography in Network Spinal Analysis™ (In order to view the files below, it is necessary that you have Adobe Acrobat Reader. If you do not have this please Click Here to download your free copy now.)

• Dynamic Modeling of Spinal Electromyographic activity during various conditions
• Nonlinear Switching Dynamics in Surface Electromyography of the Spine 

This research, which involves human subjects, has been approved by the University Park Institutional Review Board (IRB) of the University of Southern California

Network Spinal Analysis™: A Research Perspective

Statement of Efficacy

The Case Report 

Health & Wellness Quality of Life Questionnaire (Adobe Acrobat Reader Required)
(Questionnaire available to download free of charge courtesy of the Association for Network Care)

For more information on Network Spinal Analysis™  Research please visit the Association For Network Care website at www.associationfornetworkcare.com

Migraines are the most common type of vascular headache and are characterized by severe pain on one or both sides of the head, sometimes associated with stomach problems and at times, disturbed or blurred vision

Migraine Symptoms:

There are two types of migraine headaches known as “classic” and “common.” The visual symptoms called an “aura” such as bright flashing lights or differing line shapes, blurred or temporary loss of vision. Some or all of these symptoms tend to happen ten to thirty minutes before the onset of a classic migraine. There may also maybe a speech impediment, weakness may occur in the arms or legs, the face or hands may tingle, confusion may also occur. The “aura” is a characteristic of a “classic” migraine.

Migraine symptoms tend to present as intense throbbing or pounding headache which usually affects one side of the head and can spread to the other side and be accompanied by throbbing or pounding pain in the forehead, temple, ear, jaw or around the eyes. A Common migraine is the most common kind of migraine which affects the greatest number of people.

Symptoms of “common” migraine:

Mood swings

Lack of mental awareness

No aura

Fatigue

Diarrhoea and increased urination

Fluid retention

Nausea and vomiting

Migraine Long-term problems/treatments:

A classic migraine attack lasts one to two days Common migraine pain can last three or four hours.

Both classic and common migraine can strike as often as several times a week

Some migraines become very predictable (if in doubt keep a diary)

Symptoms:

The pain can be classified by at two or more of the following

Severe to moderate headache

The headache becomes aggravated by movement

Throbbing on one side of the head

There is also at least one of the following associated symptoms;

Nausea

Diarrhoea 

Vomiting

Headache may last for between 4 and 72 hours

Sensitivity to light which is called photophobia, or sensitivity to noise, photophobia

Other symptoms include

Articulation and coordination problems

Sensitivity to smell called osmophobia

General feeling of being extremely unwell

Difficulty in concentrating or confusion

An aura which is a visual disturbance, for example: bright lights, flashing lights, zigzag lines, difficulty in focusing or blind spots

Tingling and weakness in either legs or arms associated with pins and needles or numbness.

Migraine does occur over many years or even decades. The frequency may vary from person to person, from a few a years to several per week. 

Triggers:

Common dietary triggers include:

Caffeine

Missed or inadequate meals

Citrus fruits, cheese and cultured products such as chocolate

Wines, beers and spirits

Monosodium glutamate (MSG)

Dehydration

Physical and Emotional Triggers: 

Emotional triggers such as arguments, excitement and stress

Lack of sleep or oversleeping

Viral infection or cold

Vigorous or excessive exercise

Neck and back pain, stiff and painful muscles, especially in jaw, neck, shoulders, and upper back

Environmental Triggers:

Bright sunlight and bright or flickering lights

Weather changes, changes in barometric pressure

Travel and stress related

Strong smells, e.g. Petrol, perfume, chemicals, various food odors

Hormonal triggers:

Menopause

Ovulation

Oral contraceptives

Menstrual period    

Hormone replacement therapy (HRT)

Early Warning Symptoms, which are called the prodromal.

Migraine sufferers can experience warning symptoms up to 24 hours before an attack.

These symptoms include:

Mood changes, varying from depression and irritability to elation

Behaviour such as being obsessional, lethargic, and hyperactive

Nausea, changes in appetite from intense hunger to a complete lack of appetite; constipation or diarrhoea  

Neurological yawning, drowsiness, difficulty with vision

Muscular symptoms include general aches and pains

Light and sound will have its effect.

Fluid retention, passing more fluid 

See top left corner under “pain” or “conditions” for in-depth information on headaches. 

Frozen Shoulder. Predisposing Factors, Frozen Shoulder Cold Laser Pain Relief and recovery. Frozen Shoulder Diagnosed.  

Who gets Frozen Shoulder?

Frozen Shoulder or Adhesive capsulitis is a painful condition mostly affecting people aged 30-70. It is estimated that 3% of population will develop the condition in their lifetime. There is no known racial preference; however, adhesive capsulitis is associated with certain conditions, particularly insulin-dependent diabetes.

Predisposing Factors

There are multiple risk factors predisposing an individual to developing adhesive capsulitis. These predisposing factors may include, shoulder or neck surgery, diabetes, shoulder trauma, inflammatory conditions. Other systemic conditions such as cervical cancer, autoimmune diseases and hypotyriodosm (underactive thyroid) may also to be linked to the condition.

 How Frozen Shoulder is Diagnosed

Diagnosis of adhesive capsulitis is made basing on symptoms and on physical examination of the shoulder. The use of Digital X-rays may show abnormalities such as narrowing of the joint and reduced bone density; however in early phases of adhesive capsulitis shoulder joint appearance in Digital X-ray is normal. 

Treatment of Frozen Shoulder 

Cold laser therapy is now used in treating this condition and is employed by us at Central Chiropractic & Physiotherapy Clinic. Physiotherapy treatment combined with Cold Laser Therapy is extremely effective in reducing both shoulder pain and restricted movement. At present this type of treatment is not available within N.H.S.

Treatment usually combines   use of anti-inflammatory drugs to relieve pain and inflammation with intermittent applications of heat and ice packs. Exercises are prescribed to build strength and improve movement and it is important to persist at these because recovery is gradual but slow. In some cases steroid injections into the joint may be needed. In severe cases the affected shoulder may need to be manipulated under anesthesia before an aggressive rehabilitation program can be commenced.

Probable Outcomes

The residual symptoms of pain or stiffness are often present even after completion of course of conservative therapy. However, functional disability is rare.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as 

Frozen shoulder.

Athletic Injuries;

Lower Back Pain
Knee and Foot Pain
Shoulder Injury
Carpal Tunnel Syndrome
Arthritic pain relief and Muscle Spasm 

Relief of Muscle and Joint Pain, Skin infections. 

Relief of Stiffness and the Promotion of Muscle Relaxation and Cell Restoration

Wound Management and including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries, Including Sprains and Strains, Tendonitis and Haematomas

Joint Disorders and Conditions including Arthritic pain relief and Tenosynovitis

Chronic pain including Trigeminal Neuralgia and Neck and Back Shoulder pain

Frozen Shoulder Pain relief, for treatment of ligaments, tendons, muscle sprain Cold Laser Therapy is use at our clinic, reducing pain and accelerating the healing process.

For further in depth information on “Shoulder Pain”  “Conditions” or “Treatments” please go to top left corner.

Shoulder Pain and Injuries.

Frozen Shoulder, Rotator Cuff Tendonitis, Bursitis, Rotator Cuff Tear, Shoulder Joint Tear (Glenoid Labrum Tear) Tendonitis, Tennis elbow, Biceps Tendon Tear, Triceps, Trigger finger, Shoulder Dislocation, Shoulder Instability, Collarbone, Scapula Fracture. Cold Laser Therapy for Pain Relief.  

Frozen Shoulder.

Frozen Shoulder or Adhesive capsulitis is a painful condition mostly affecting people aged 30-70. It is estimated that 3% of population will develop the condition in their lifetime. There is no known racial preference; however, adhesive capsulitis is associated with certain conditions, particularly insulin-dependent diabetes.

Predisposing Factors

There are multiple risk factors predisposing an individual to developing adhesive capsulitis. These predisposing factors may include, shoulder or neck surgery, diabetes, shoulder trauma, inflammatory conditions. Other systemic conditions such as cervical cancer, autoimmune diseases and hypotyriodosm (underactive thyroid) may also to be linked to the condition.

How Frozen Shoulder is Diagnosed

Diagnosis of adhesive capsulitis is made basing on symptoms and on physical examination of the shoulder. The use of Digital- X-rays may show abnormalities such as narrowing of the joint and reduced bone density; however in early phases of adhesive capsulitis shoulder joint appearance in Digital- X-ray is normal.

Treatment of Frozen Shoulder including other shoulder injuries and conditions.

Cold Laser Therapy/Treatment

Cold laser therapy is now used in treating this condition and is employed by us at Central Chiropractic Clinic. Chiropractic treatment combined with Cold Laser Therapy is extremely effective in reducing both shoulder pain and restricted movement. At present this type of treatment is not available within N.H.S.

Treatment usually combines   use of anti-inflammatory drugs to relieve pain and inflammation with intermittent applications of heat and ice packs. Exercises are prescribed to build strength and improve movement and it is important to persist at these because recovery is gradual but slow. In some cases steroid injections into the joint may be needed. In severe cases the affected shoulder may need to be manipulated under anaesthesia before an aggressive rehabilitation program can be commenced.

Probable Outcomes

The residual symptoms of pain or stiffness are often present even after completion of course of conservative therapy. However, functional disability is rare.

Low Level Cold Laser Therapy (LLLT) is a Handheld, non invasive, light-emitting medical device which is used over different areas of the body. It provides an unmatched advantage in the treatment of conditions such as Athletic Injuries;

Frozen shoulder, shoulder injuries, inflammation, tears and conditions

Arthritic Pain relief

Muscle Spasm
Relief of Muscle and Joint Pain
Skin infections

Pain Relief and Stiffness and the Promotion of Muscle Relaxation and Cell Restoration.

Wound Management including Skin Ulcers, Pressure Sores and Burns

Soft Tissue Injuries including Sprains and Strains, Tendonitis and Haematomas. Ligaments and Tendons

Joint Disorders and Conditions including Arthritic pain relief and Tenosynovitis

Chronic pain including Trigeminal Neuralgia.  

Back Neck Shoulder pain including Frozen Shoulder Pain relief

Cold Laser Therapy is used at our clinic for treatment of ligament and tendon injuries, muscle sprains by reducing pain and accelerating the healing process.

For further in depth information on “Pain”  “Conditions” or “Treatments” please go to top left corner.

Rotator Cuff Tendinitis or Bursitis Therapy and Treatment

The tendons of the Rotator Cuff rotate the upper shoulder bone (humerus) and help raise the arm by pulling the Humeral head down as the Deltoid muscle pulls the arm up. These tendons may be irritated by pressure from the Acromion process of the Scapula (the upper part of the shoulder blade) and the Coraco-Acromial Ligament. This irritation of the tendons or the lubricating Bursa (connective tissue sack) is referred to as “Tendinitis” or “Bursitis”. This is known collectively as the “Impingement syndrome.

The symptoms of Impingement syndrome present not only as pain on movement, but also as constant pain. This can be accompanied by snapping or cracking sensations on movement. Symptoms may start after an injury which may result in a weakening of the shoulder muscles caused by the pain from the injury.

A clinical diagnosis of Impingement Syndrome is made by physical examination and Digital- X-rays. Sometimes an M.R.I. scan is necessary to exclude rotator cuff tears.

Tendonitis Tendon problems what are they?

Two main problems associated with tendons include Tendonitis and Tenosynovitis. Tendonitis is an inflammation of the tendons-the tough cords of tissue that connect muscles to bones. This inflammation can affect any tendon, but is most commonly seen in the wrist and fingers. As the tendons become irritated, pain and swelling will occur.

Tenosynovitis is the inflammation of the lining of the tendon sheaths which enclose the tendons. Sometimes both the sheath and the tendon may become inflamed. The cause of Tenosynovitis is usually strain, excessive use, or injury. Tendonitis may also be related to diseases such as Rheumatoid Arthritis or Diabetes can be implicated in this condition.

Common tendon disorders include: Lateral Epicondylitis. (Known as tennis elbow).

This condition is characterised by pain in the back of the elbow and forearm, and along the thumb side of the forearm when the arm is alongside the body when the thumb is turned out. The cause of pain is the damage to the tendons that bend the wrist backwards away from the palm (wrist extensors).

Medical Epicondylitis.   (Known as Golfer’s Elbow).

This is a condition characterised by pain from the elbow to the wrist on the palm side of the forearm the pain is caused by damage to the tendons that bend the wrist toward the palm (wrist flexors).

DeQuervain’s Tenosynovitis.

This is far the most common type of Tenosynovitis disorder, when the sheath of the tendons of the thumb gets swollen.

Trigger Finger.

A Tenosynovitis condition in which the tendon sheath of one of the finger flexors becomes inflamed and thickens, preventing the smooth extension or flexion of the finger. The finger may lock or suddenly hence the name “Trigger Finger”.

What are the Symptoms of Tendonitis?

The most common symptoms of Tendonitis are:

·         Pain in the tendon with movement

·         Fluid accumulation, swelling and inflammation

·         There may be grating sensation in absence of swelling

Tendonitis Diagnose

Tendonitis is usually diagnosed after careful medical history and physical examination. The diagnosis is established after diagnostic tests have been completed to rule out other conditions or diseases. Joint aspirations may help to rule out gout or an infection, while X-rays may help to rule out arthritis.

Treatment for Tendonitis:

·         Modification of your activity

·         Splinting or immobilization

·         Steroid injections

·         Anti-inflammatory medications

·         Surgery

(Listed in our Cold Laser Therapy section under ‘Treatments’.) 

Shoulder Joint Tear (Glenoid Labrum Tear) injury Treatment. 

Three bones make up the shoulder joint, the shoulder blade (scapula), the collarbone (clavicle), and the upper arm bone (humerus). The head of the upper arm bone (humeral head) rests in a socket in the shoulder blade called the glenoid. The upper arm bone called the head is larger than the socket; a soft fibrous rim of tissue rim called the labrum surrounds the socket to help stabilize the joint. This rim deepens the socket, so that the head of the upper arm bone fits better. They also serve as an attachment site for several ligaments. Injuries to the tissue rim surrounding the shoulder socket can occur from acute trauma or repetitive shoulder motion.

Examples of traumatic injury include:

·         Falling on an outstretched arm

·         A blow to the shoulder

·         A sudden jerk, as in trying to lift to heavy an object

·         A violent overhead stretch or reach, as in when trying to stop a fall

Symptoms of a Shoulder Tear.

·         Pain, in overhead activities

·         Pulling locking, cracking or grinding

·         Occasional pain with daily activities

·         Perhaps a sense of instability in the shoulder

·         Decreased range in movement

·         Lack of strength

(Listed under our Cold Laser Therapy Section under Inflammatory conditions.)

Orthopaedic consultant is available at Central Chiropractic Clinic.

Biceps Tendon Tear at the Shoulder

The tendons attach muscle to bone. The biceps muscle in the upper arm divides into long head and a short heads near the shoulder both attach to the shoulder at different points. At the other end of the muscle the distal biceps tendon connects to the smaller bone in the lower arm called the radius. These connections help the muscle stabilize the shoulder and rotate the lower arm; it also controls the acceleration or deceleration of the arm during overhead motion.

 The long head of the biceps tendon is vulnerable to injury because it travels through the shoulder joint to its point of attachment. The tears of the long head of biceps result in arm weakness; this could also affect arm further by being unable to turn the arm from palm down to palm up. Because the torn tendon can no longer keep the muscle taut, a bulge may also appear it eh upper arm. In case of the distal tendon tears the arm is unable to bed at the elbow.

Causes

Ruptures of the distal tendon near the elbow are not common. They usually occur when an unexpected or extreme force is applied to a bent arm.

The proximal biceps tendons ear the shoulder tear more readily. The tears can be partial or complete, more prevalent in people aged 35 or over and in people with previous shoulder injuries.

Symptoms

·         Perhaps an audible snap.

·         A bulge in the upper arm

·         Bruising to the upper arm, down towards the elbow

·         Sudden, sharp pain in the upper arm.

·         Pain or tenderness at the shoulder

Diagnosis

A Chiropractor will examine the neck, shoulder and arm and ask you to bend the arm and tighten the biceps muscle. This is done to determine the extent of the injury.

Treatment

·         Non-surgical treatment is usually all that is needed for tears in the proximal biceps tendon

·         Ice applications 20 minutes every hour keep down the swelling

·         Anti-inflammatory medications, such as ibuprofen will reduce the pain

·         Rest the muscle completely

·         Flexibility and strengthening exercises will keep the shoulder mobile

·         Surgical repair of a complete tendon tear

·         Complete tears of the distal biceps tendon require surgery to reattach the tendon to the bone

·         Partial tears of the distal biceps tendon may be treated either non surgically or surgically

Cold Laser is extremely effective in treating this type of injury, accelerating the healing process considerably.

(Listed in top left corner for further information on shoulder pain under “Pain” and “conditions” for “Cold Laser Therapy” please go to “Treatments”).

Triceps Anatomy

The Triceps Brachii consists of three heads: the lateral, medial, and long heads. Triceps joins the Humerus (shoulder bone) and the Scapula (shoulder blade) to the ulna which is the forearm bone. If you working out in gym you must assure you implement Triceps exercises that target all three of the Triceps heads, as this will fully develop the heads of triceps muscle.

In Training the triceps muscles, you must keep a constant tension throughout triceps isolation movements over the full range of motion. It is also imperative to flex the entire triceps muscle by simply extending the arms fully to get the most muscle fibre recruitment.

Triceps Injuries Treatment

Chiropractic treatment including Cold Laser Therapy (used by professional weight lifters and body builders and football clubs such as Chelsea FC.)

For further information on shoulder pain, Triceps, Biceps, and other shoulder conditions, Please go to top left under “Pain” or “Conditions” and “Treatments” for Cold Laser Therapy,  

Shoulder Dislocation

A stiff neck may be a symptom of one of these serious conditions when it:

• Develops rapidly

• Occurs along with other symptoms (including nausea or vomiting, fever, headache, sleepiness, confusion, irritability or a seizure).

Seek the advice of a doctor if it is the middle or back of the neck that is stiff and causes pain when you move the head backward or forward. You may be unable to move your chin towards your chest.

A stiff neck may be muscle related and caused through injury; however, to be on the safe side, if you are at all worried, please visit a doctor.

The Cranio-Sacral system has a faint pulse that can be felt throughout the body and chiropractors Coventry can monitor this pulse in certain points of the body to determine the exact point of an obstruction or some stress; something that is preventing the body from functioning as normal.

When this area has been discovered, the chiropractor can help the soft tissue to heal itself and help the body correct itself. Cranio-Sacral treatment can be combined with other therapies to help the body further.

Treatment

In a Cranio-Sacral treatment session the client remain clothed and lies on the examination table. The chiropractor will then use very light forces to manipulate certain areas. Slowly moving the limbs allows the tissues to unwind themselves. Key evaluation areas include the ankles, head, neck and lower back.

Cranio-Sacral treatment can be used to treat, among others:

• Headaches and migraines
• IBS and digestive problems
• Depression
• Back pain
• Problems and injuries with the brain, spinal cord and nervous system
• M.S. and M.E.
•  For further information in depth on Headaches go to top left corner under pain or conditions

Stiff Neck.

Inflammatory Diseases, Severe Injuries, Cervical Disc Degeneration, When Should You Seek Medical Care? What is Whiplash associated Disorder (WAD) commonly known as “Whiplash” Diagnosis,

Non specific term for limited neck mobility, often due to muscle cramps and accompanied by pain.

The neck (cervical spine) is composed of vertebrae that begin at the base of the skull and end in the upper torso. The vertebrae along with the ligaments provide stability to the spine. The muscles allow for support and movement of the neck. The neck supports the weight of the head which is 12lbs amounting to a significant load for the neck to cope with during motion thus increasing stress onto the neck (cervical spine). Compare to the rest of the spine, the neck is less protected and is more susceptible to injury and various disorders that can result in pain and restricted motion. Sometimes neck pain is a temporary condition going away on its own accord. Other cases require medical diagnosis and treatment to relieve the symptoms.

Cause

Neck pain may result from injury to the soft tissues including muscles, ligaments, nerves, bones and joints of the spine. Soft tissue injuries or prolonged wear and tear are amongst the most common causes of neck pain. Infection or tumours may cause neck pain in rare instances. Sometimes neck problems may be the source of pain in the upper back, shoulders, or arms.

Inflammatory Diseases

The vertebral  column. Rheumatoid arthritis involves joints in the neck and may cause severe stiffness and pain. Rheumatoid arthritis usually occurs in the upper neck area.

Cervical Disc Degeneration

Cervical disc degeneration usually occurs in people aged 40 and older. Disc’s act as shock absorbers between the bones. During cervical disc degeneration the normal gelatine like centre of the disc dries out and the gap between the vertebrae narrows. As the disc space narrows, added stress is imposed onto the joints of the spine exacerbating further wear and degenerative changes. When occurs when cervical disc protrudes due to the weakening of its rim, putting pressure on the spinal cord or nerve roots.

Injury

Due to its flexibility and the weight of the head it supports the neck is extremely vulnerable to injury. Road traffic or diving accidents, contact sports, and falls are the main causes of neck injury. A “rear end” shunt during car accident may result in hyperextension, a backward motion of the neck beyond normal limits, or hyper flexion, a forward motion of the neck beyond normal limits. The use of seat belts and head restrains in cars can help to prevent or minimize neck injury. The soft tissues such as muscles and ligaments are most commonly involved. Severe injuries including fracture or dislocation of the neck may lead to the damage the spinal cord and cause paralysis.

What is whiplash associated disorder (WAD) or ”whiplash’?

Whiplash injury occurs when the body reacts to sudden deceleration or acceleration force causing hyper flexion or hyperextension of the neck.

‘Whiplash” (WAD) injuries are associated with car accidents. The “whiplash”(WAD) injury is sustained when the muscles of the neck and shoulders do not have enough time to brace and hold the head during sudden acceleration or deceleration force application, leading to injuries of the muscles, ligaments, capsule of the facet joints and discs of cervical spine.

Uncomplicated cases

“Whiplash”(WAD) cases that are uncomplicated are the result of sprained ligaments in the neck. The muscles spasm naturally to form a protective mechanism for the neck. The “whiplash”(WAD) injury may cause a stiff neck and pain may be present down one or both arms if the nerve roots of cervical part of spinal cord get compressed. Relief for “whiplash”(WAD) can be found with chiropractic treatment, physical therapy or pain medication.

Studies have shown that 35 of 39 patients, or 91%, of patients with chronic whiplash associated disorder (WAD) benefited from chiropractic treatment

Severe cases

In severe cases of “whiplash”(WAD) may last for a month or more with persistent and in some cases constant pain. This may indicate that the “whiplash”(WAD) injury has extensive damage and resulting in disc’s rupturing and trapped nerves in the neck. This may also predispose to a “slipped”, ruptured or herniated disc in the back. (See our Cold Laser Therapy Section under Inflammatory conditions.)

Other Causes of neck pain

Tumors, infections, or congenital abnormalities of the vertebrae are less common causes of neck pain.

When Should You Seek Medical Care?

Cases of severe neck pain occur following an injury such as motor vehicle accident, blow to the head or fall related accident. Only a trained professional, such as a paramedic, should immobilize the patient to avoid the risk of further injury and possible paralysis. Medical care should be sought immediately.

Immediate medical care should also be sought when an injury causes pain in the neck that radiates down the arms and legs. Radiating pain or numbness in your arms or legs causing weakness in the arms or legs without significant neck pain should also be evaluated. If there has not been an injury, you should seek medical care when neck pain is:

·         Continuous and persistent

·         Severe

·         Accompanied by pain that radiates down the arms or legs

·         Accompanied by headaches, numbness, tingling, or weakness

Diagnosis

Determining the source of the pain is essential to recommend the appropriate treatment and rehabilitation. Therefore, a comprehensive examination is required to determine the cause of neck pain.

Your Chiropractor will take a complete history of the symptoms you are having with your neck. The Chiropractor may ask you about other illnesses, any injury that occurred to your neck, and any complaints you have associated with neck pain. Previous treatment for your neck condition will also be noted.

Chiropractor will also perform a physical examination. This examination may include evaluation of neck motion, tenderness of the neck and the function of the nerves and muscles in your arms and legs.

Digital X-rays often will be obtained to allow your Chiropractor to look at the bones in your neck. This entails simple diagnostic imaging study (radiography) and aids your Chiropractor to determine the cause of neck pain and to prescribe effective treatment.

Further evaluation may involve the following:

·  MRI (magnetic resonance imaging). This non x-ray study allows an evaluation of the spinal cord and nerve roots.

·  CT (computed tomography). This specialized x-ray study allows careful evaluation of the bone and spinal canal.

·  EMG (electromyography). This test evaluates nerve and muscle function.

Treatment

The treatment of neck pain depends on the diagnosis. Most patients are treated successfully with Chiropractic Treatment. Also rest, medication, immobilization, exercise, activity modifications, or a combination of these methods can be very useful.

Inflammation is a result of stretching muscles and ligaments beyond their limits, (See also Cold Laser Therapy under conditions treated; this therapy is extremely affective in the treatment of inflammation). Surgery is required in very few cases to relieve neck pain. For most patients, a combination of Chiropractic treatment, rest, medication, and physical therapy will relieve neck pain. Surgery may be necessary to reduce pressure on the spinal cord or a nerve root when pain is caused by a herniated disc or bony narrowing of the spinal canal. Surgery may also be required following an injury to stabilize the neck and minimize the possibility of paralysis, such as when a fracture results in instability of the neck.

Non specific term for limited neck mobility, often due to muscle cramps and accompanied by pain.

For further in depth information on neck pain, go to top left corner under pain and conditions.