Guest guest Posted October 19, 2005 Report Share Posted October 19, 2005 Another article in the NY Times on exercise and back pain, showing progress on accepting the introduction of motion/activity on a painful spine. The movement toward an acceptable form of exercise for back pain is still very immature. To wit, the article closes with the importance of each person learning to bring a greater level of personal control over their pain, but does not bring any clarity as to how this is accomplished. <http://www.nytimes.com/2005/09/15/fashion/thursdaystyles/ 15fitness.html? ex=1129867200 & en=ca4ace93f53e39c3 & ei=5070 & n=Top%2fNews%2fHealth%2fDiseas es%2c%20Conditions%2c%20and%20Health%20Topics%2fTherapy%20and%20Rehabili tation> Rossner <http://www.chiroweb.com/archives/23/12/30.html> summarizes the factors facing American health care, and places chiropractic's identity within it, at a crossroads between mainstream and alternative care. If surveys are to be believed, we are currently seen by the public as neck and spinal pain specialists, separate from the health advise, maintenance/prevention and wellness that characterize patient-centered care. At the same time, mainstream health care is moving closer to the chiropractic model of addressing the whole person. Rossner quotes Elias Zerhouni, director, National Institute of Health from an April, 2005, lecture at Harvard School of Public Health: " I think we are going to start to focus more on early intervention in the 21st century as compared with the 20th century. The paradigm of medicine is changing. In the past, we just didn't know about biological systems enough to intervene before a disease struck someone. You are going to see an increase, and we are seeing that now, in the approaches that are not just medication, but lifestyle changes. I think that you are going to see a lot of behavioral and social science impact on how we organize society to decrease disease burden. " Chiropractic's ability to reduce neck and spinal pain is a valuable service and we are well positioned to benefit the increasing numbers of people who suffer biomechanically. But we have failed, imho, to achieve equal success on presenting to the public a chiropractic prescription for accessible preventive care which would bring one more control over body and mind. We have failed to date to tie the workings of innate to improved spinal health; this in spite of innate being a central focus of chiropractic history. We've failed at the academic level to provide evidence-based support for the practiced use of controlling the autonomic nervous system. Can you name the one thing that you can simply do right now, without getting up or changing position in any way, that will lower your respiration and heart rates, reduce your blood pressure and improve your immune functioning, all within a minute or two? It's no secret: a calming breath will quiet our stress responses moment to moment regardless of the external circumstances of those moments. Further, I would suggest that stress reduction (the ability to influence one's autonomic nervous system's responses to external circumstances) is intimately tied to spinal health. Since responses to external stress (as well as internal mental and emotional stresses) are a measure of the cascading flow of hormones present at any moment in the body, the body must be the training ground for stress reduction. Accessible resting postures, aligned biomechanically, coupled with a calming breath, practiced over time, enables a person to reduce chronic spinal tensions as the ability to improve stress responses improves. The low level stress of simple resting postures allows one to practice a calming breath, distracting the mind from the stress itself, a skill that transfers to all areas of personal stress response. Life CC is promoting a preventive project, Straighten Up, America, <http://www.life.edu/Chiropractic_and_Wellness/pdf/ Straighten_Up_America.pdf> but it is physically based only and fails to recognize the stress reduction components that will really sell the product. At least, they have recognized the future needs for chiropractic to be identified with simple preventative measures for spinal health. Preventive chiropractic care will be different than pain-reduction care. The time is right for an evidence-based accessible body-centered program for unwinding spines and reducing stress, that is uniquely chiropractic. Sears, DC NW Portland Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.