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Historically, the detection of spinal misalignment (subluxations) by the chiropractic profession has relied on X-ray findings and physical examination. At least two of the following four physical signs and/or symptoms must be documented [how?] to qualify for reimbursement [further explanation needed]: Pain and tenderness; Asymmetry/misalignment
The intention of a chiropractic adjustment is to affect or correct the alignment, motion and/or function of a vertebral joint. Specifically, adjustments are intended to correct "vertebral subluxations", a non-scientific term given to the signs and symptoms that are said by chiropractors to result from abnormal alignment of vertebrae. [3]
A spinal subluxation is visible on X-rays and can sometimes impinge on spinal nerve roots, causing symptoms in the areas served by those roots. In the spine, such a displacement may be caused by a fracture, spondylolisthesis, rheumatoid arthritis, [7] severe osteoarthritis, falls, accidents and other traumas.
Spondylolisthesis is when one spinal vertebra slips out of place compared to another. [1] While some medical dictionaries define spondylolisthesis specifically as the forward or anterior displacement of a vertebra over the vertebra inferior to it (or the sacrum), [2] [3] it is often defined in medical textbooks as displacement in any direction.
Back pain itself is not considered a diagnosis, but rather a symptom of underlying (in most cases musculoskeletal) problems. [2] following: Vertebrae misalignment, which can cause nerve interference (also called subluxation), [3] muscle tension, or muscle spasm [4] [5]
The Dorn method is a form of manual, holistic alternative therapy used to correct misalignments in the spinal column and other joints. Medical researcher Edzard Ernst has described the Dorn method as "totally bogus" and "pure nonsense." [1] During a treatment, the practitioner palpates the patient's spine.
Spinal posture is the position of the spine in the human body. It is debated what the optimal spinal posture is, [ 1 ] and whether poor spinal posture causes lower back pain . [ 2 ] Good spinal posture may help develop balance, strength and flexibility .
Others use the term as a diagnosis (i.e. an indication of cause and effect) for nerve dysfunction caused by compression of one or more lumbar or sacral nerve roots from a spinal disc herniation. [4] Pain typically occurs in the distribution of a dermatome and goes below the knee to the foot.