This article will consider real cases and tips from the practice of a chiropractor B. Naboychenko.
The phone rings. A male voice asks: “Doctor, you are treating hernias? The question is amateurish, but it is necessary to answer. However, hernia and hernia are different. There are Schmorl's hernias, there are others: protrusion-failure of the intervertebral disc towards the posterior longitudinal ligament or towards the root (radicules).
At the appointed time of admission, the patient complained of pain when swallowing, he had limited mobility of the head and neck. Computed tomography recorded a posterior disc displacement between the II and III cervical vertebrae by 5 mm, and between the IV and V cervical vertebrae a herniated protrusion of the intervertebral disc by 4 mm, as reported by the online publication for girls and women from 14 to 35 years old Pannochka. net Doctors suggested surgery in parallel with conservative treatment. What to do? Can the patient be helped in other ways Indeed, due to the fact that the spinal canal at the level of the upper cervical vertebrae is quite wide, a displacement of up to 5-6 mm is often not accompanied by compression of the nerve roots, but often causes neuralgia due to compression of the posterior longitudinal ligament (a symptom of the recurrent nerve of Luschka). This case was not particularly dangerous..
The Chinese Scheuff system was applied to the patient, t. hand treatment. Initially, traction was performed (stretching of the cervical vertebrae) with rotation and massage of the collar zone with the study of biologically active points of the head and neck. After the first session, the patient felt a noticeable relief..
After the second session, the patient was asked to perform exercises with tilts and turns of the head (without turning it). After the third session, the patient had minor pain sensations.. The patient was asked to sleep on a high pillow for the first two weeks and undergo a course (5-7 sessions) of massage of the collar zone according to Shcherbak with a qualified massage therapist.
An interesting case of the cure of the patient Igor P.
An interesting case of the cure of the patient Igor P. happened in 1995. Within six months the patient complained of shortness of breath. X-rays showed no pathology of the lungs. In the study of the cervical spine, pain was determined at the level of 4 and 5 vertebrae. A pinched phrenic nerve was suspected. During the correction of the cervical spine after the first session, the patient forgot about his problems.
Patient Victor 3. suffered from heart pain for more than 9 years. The drugs had almost no effect.. Electrocardiogram was normal. Liver and kidneys without pathology. The points "
Everything indicated that the etymology of this disease must be sought in thoracic osteochondrosis, in addition, the soreness of the spinous processes of 3-5 thoracic vertebrae confirmed this diagnosis.. It took 3 sessions of manual therapy With 7 sessions of segmental reflex massage of the interscapular zone and Zakharyin-Ged zones for the patient to forget about his ailments.
Case with pianist M.
More than 7 years ago, pianist M was diagnosed with Raynaud's disease (dysregulation of vascular tone in the upper limbs). Hands were often cold, in the fingers during sleep and, especially, in the morning, " Playing the piano became more and more difficult.
The patient came to the author not with this problem, but with a pain in the neck, which had been haunting her for a whole week.. After three sessions of manual therapy, the pain in the cervical spine stopped, but at the same time the patient forgot about the parasthesia in her fingers, which prevented her from devoting herself to her favorite work.. Was it Raynaud's disease? No, most likely, these were clinical manifestations of cervical osteochondrosis.
Case with student Sergey N.
In 1994. to the doctor B. Naboychenko turned student Sergey N. He was brought by car, and with difficulty he entered the office on crutches.. Sergey had a herniated disc between the 4th and 5th cingulate vertebrae, 12 mm in size. He was preparing for surgery in a military hospital.
On the computed tomogram, a protrusion in the posterolateral direction of the disc with root compression was clearly visible.. The patient could not walk without crutches, but was afraid of the operation and hoped for a favorable outcome of treatment from a manual therapist.
According to N. Yakhno and co-authors, in all patients with radicular syndromes, computed tomography of the lumbar spine revealed prolapses (fallouts) of discs of varying severity. The most common are prolapses of medium size, t. protrusions of 3-6 mm, less often - insignificant (1-3 mm), the so-called prolapses and disc herniations, protruding into the cavity of the spinal canal by 7-9 mm.
A more severe clinical course is observed with medial and mediolateral disc herniations.. In this case, with a hernia of 12 mm, it was easier to refuse help to the patient, and no one could condemn the doctor. But in front of him lay a young handsome guy with a plea in his eyes for help, and \!
At first, if anything could be done, then only traction, then massage along the paravertebral zone and work out biologically active points (BAP) on the legs along the meridian of the bladder. Serezha was brought for treatment every other day.. After a two-week course, the patient left the crutches and began to walk with a stick.
The study of BAP on the sciatic nerve according to the Lednev method (with a voltage of minus nine volts) also gave its results: the nerve stopped disturbing the patient within a month. The patient regularly performed exercise therapy exercises daily 2-3 times for 15-20 minutes.
Three weeks later, the patient was discharged from the hospital, and after a month and a half, he could only remember his serious illness, although he temporarily had to give up heavy physical exertion, but jogging was not only allowed to him, but also recommended..
He got married, has a son, his back doesn't bother him anymore.
The doctor, as a researcher, was interested to know whether the disk had entered its place and, if not completely, then at least by how many millimeters. Another CT scan was performed. And again, the same 12 mm hernial protrusion is visible in the picture.
The question arises: why are there no pain symptoms? Neither specialists of neurosurgery institutes, nor many medical theorists can answer this question.. And are surgeons in a hurry to perform operations on everyone who has a hernia of 5-6 mm? The patient did without surgery and for almost 4 years, being under control, does not complain of back pain.
Letter from a patient to the editors of the newspaper "
One of the most common injuries of the knee joint is the infringement of the meniscus, which is accompanied by acute pain and the inability to step with a straight leg.. As a rule, athletes in this case are offered surgery.. But there is another way. In this regard, the letter of the patient to the editorial office of the newspaper "
“I, Ekaterina Vasilyevna Bezuglaya, age 61, have worked for more than 40 years in hard work at chemical industry enterprises. She earned a pension of 49 hryvnia and a lot of diseases, such as osteochondrosis, hypertension, liver poisoning. But most of all I was worried about my right leg, which I could hardly walk on, it no longer bent at the knee joint.. Walked with a stick. For the past three years, doctors have been treating the knee joint with various drugs.. But there was no improvement.. Then my attending physician tells me that he can no longer help and therefore sends me for an operation in. Kyiv.
I gathered my strength and went. it was impossible to endure the pain. They tell the truth that the ways of the Lord are inscrutable: when I drove up to the clinic, an unfamiliar woman, seeing my suffering, gave me the address of the doctor and said that he cured her in three sessions, and if anyone can help me, then only this doctor is from God.
I found it at the address: Saksaganskogo 306, in the editorial office of the newspaper " This is a diagnostician and a specialist in manual therapy Naboychenko Valery Nikolaevich.
After waiting in line for a while, I got to see him.. He gave each patient about half an hour. After listening to me, he identified diseases that I did not tell him about.. Then he performed a spinal correction and set the subluxated knee and displaced meniscus with his hands. It hurt a little, and I didn’t quite believe in recovery.. And when Valery Nikolaevich, bandaging his knee with an elastic bandage, said: “Get up and go,” I cautiously tried to step on my right foot, got up and. calmly went.
After the correction of the cervical vertebrae, the pain in my head stopped, I began to hear better. The back pain that has plagued me for many years is gone.. I received information on the treatment of hypertension, liver and periodontal disease. I learned that diseases of the genital area in women and men, especially prostatitis and hemorrhoids, must be started with the correction of the coccyx, and therefore I now refer relatives with prostatitis and pain in the back and legs to Valery Naboychenko.
I am grateful to the editors of the newspaper "
And hernia patients keep coming and going, asking for help.. One has a hernia of 5 mm, the other has 7 mm, the third has 9 mm. Each of them has a direction for surgery. Does a chiropractor have the right to treat them? Yes, with faith in God and in the noble mission of healing.
Patient with Schmorl's hernia.
And at the door again the patient, but with a more complex problem - Schmorl's hernia. This hernia is characterized by a breakthrough of the disc substance beyond its limits through defects in the hyaline plate into the vertebral body and is called the cartilaginous node of the body or Schmorl node. Such nodes most often occur due to local degenerative changes in the hyaline plates, sometimes after an injury to the spinal column, and are located in the thoracic and lumbar regions..
There are central, anterior, posterior and lateral nodes (single and multiple). This leads to a further decrease in the supporting and motor functions of the spinal column.. With a decrease in bone density as a result of a decrease in the amount of bone substance or its insufficient calcification (osteoporosis), restructuring zones may occur and arthrosis may form in the arches and processes of the vertebrae.
However, slippage of the vertebra is usually not observed.. This is due to the fact that in osteoporosis, cartilaginous nodes of the bodies are more often formed, leading to disc fibrosis and fixation of the corresponding segment of the spinal column..
With severe osteoporosis, the vertebral bodies can flatten to 1/4 of their normal height..
Patients complain of pain in the back and lower back, there are signs of secondary sciatica. At the moment of increased load or with a minor injury, sometimes compression of the bodies of several vertebrae occurs..
A decrease in the height of the spinal column causes not only a decrease in height, but also significant disorders of the cardiovascular, respiratory and digestive systems.. Osteoporosis of the spinal column can be a manifestation of a number of diseases (hyperparathyroid osteodystrophy, endocrine disorders). X-ray with osteoporosis, there is a deformation of the vertebral bodies in the type of fish.
On the x-ray of a patient with Schmorl's hernia, osteophytes are clearly visible on the vertebral bodies 1-2 segments above and below the hernia. How so: in one place osteoporosis, in the other, on the contrary - bone growths? There is a question, but there is no answer, and the patient needs to be treated.
According to all the canons of orthodox medicine, manual therapy is contraindicated for Schmorl's hernia.. But why not spend it on other segments of the spine?
Currently, the practice of leading osteopaths and chiropractors teaches that by stopping pain in any part of the spine, we put the patient in the ranks of healthy people and the future will depend on the patient himself, on his thoughts, deeds, lifestyle and much more..
Practice shows that some patients, leading a healthy lifestyle after pain in the spine has been stopped, do not feel them for many years and decades.. How so? After all, the problem of osteophytes, hernias in the anatomical and physiological terms has not been eliminated, and, according to the laws of official medicine, such a patient is subject to surgical or, at best, conservative treatment with the introduction of pyrozolone and hormonal drugs, physiotherapy and other types of therapy that take away the patient's health. And for this, you need to change the way you look at the problem of back pain..
A recent study by American chiropractors at the University of Illinois of tens of thousands of radiographs before and after manual therapy sessions confirmed the very rare occurrence of hernia reduction.. Meanwhile, more than 70% of patients have been clinically cured, that is, people have gone from pain..
Practical experience shows that both thorns and hernias in most cases remain, but the pain, nevertheless, disappears.. To many doctors, this seems completely impossible.. But facts are stubborn things.
On the other hand, back pain often does not depend on the presence of thorns, hernias and the so-called osteochondrosis, which the doctor Jolondz in his series of books “Medicine Against. medicine" At the same time, this thinking, searching doctor notes that manual therapy often contradicts the theory of discogenic osteochondrosis, because it cures where either surgery or long-term treatment is theoretically needed..
Manual therapy practice.
The practice of manual therapy leaves no stone unturned from the theory of osteochondrosis. Maybe what Kasyan, Ogulov, Bobyr and thousands of other chiropractors are doing will force not only doctors, but also scientists to rethink the outdated theory of osteochondrosis. But it is very difficult to abandon established theories and traditions, so for now everything is going along the already knurled path of old views.
Often, the true cause of back pain is convulsive contraction (contracture) of the deep intervertebral muscles.. It is very difficult to get them with your hands using massage techniques, almost impossible..
Various manipulations on the spine, in addition to its correction, are aimed at relaxing the muscles. Therefore, post-isometric muscle relaxation (PIR) is also very important, which relieves their spasm.. Spasm is relieved, pain is also relieved.
Having heard a crunch (click) during the manipulation, the patient, and often the doctor himself, believe that the vertebrae and discs are in place. But this may be an erroneous impression, since muscles often give a crunch when stretched, especially where they were spasmodic.. In physiological terms, this can be explained by the structure of myofibrils (structural muscle units consisting of myosin and actin): during contraction, thin actin filaments move between thick myosin and the muscle shortens..
The practice of manual therapy testifies: when a single click is heard during the receptions, this indicates the removal of muscle spasm, while a double click more often confirms the reduction of the vertebra to the place of the joint.
Removal of spasm is of great practical importance. Today, the discovery of the outstanding American professor of irridology B. Jensen, who, studying the iris of the eye with back pain, found that not only each internal organ has a projection on a certain section of the iris, but also the segment of the spine corresponding to it. Jensen made a special scheme-topography of such connections.
For example, if a patient has a neck pain, then the point is not that he was blown. The root cause lies in the violation of the broncho-pulmonary system or in the large intestine. Neck pain can be caused even by banal constipation..
The cause of pain in the thoracic region can be the pathology of the heart, lungs, small intestine, liver and other abdominal organs..
Lumbosacral pain is usually provoked by pathology in the pelvis. With kidney pain, the lower back hurts from the side of the affected kidney, chronic tension of the deep lumbar muscles develops there..
Referral of Internal Medicine Treatment with Manipulation in the USA.
In the USA, there is a whole direction of treatment of internal diseases with the help of manipulations on the spine.. And, conversely, the spine can be treated with manipulations on the internal organs. In this case we are dealing with visceral manual therapy. Do-it-yourself pressure on the abdomen for back pain can be far more beneficial to the patient than all other conservative treatments combined..
The above once again confirms that the spine cannot be considered as a separate human organ.. Western experts are increasingly saying that in most cases, spinal blockades begin " They argue that if a person’s life is not easy and he is in a state of discontent, anger, aggression, resentment, this will inevitably affect the spine.
Therefore, a chiropractor should be not only a specialist in spinal correction, but also a confessor who helps a person to realize the cause of his disease: if he offended or insulted someone, the pain is usually on the right side of the spine, he takes offense at someone - the pain occurs on the left, etc.. To be a confessor means to be clean both spiritually and physically.. It is appropriate here once again to quote the statement of Seraphim of Sarov: “Save yourself! Thousands will be saved around you"
Therefore, for a doctor and a healer, the motto will be relevant: “Heal yourself (spiritually and physically), everyone around you will be healed”.
Many healers, doctors, psychics, starting to treat a person not from the spiritual level, but from the physical, are likened to "
Archimandrite Father Ambrose has a saying: “If the Holy Spirit lives in a person, a demon will never enter a person.. And if there is no Holy Spirit in him, it means that the spirit of a demon lives in him.. The soul is never idle"
Without spiritual healing of a person, healing of the body is only a temporary phenomenon: the disease returns again after a certain time.. Therefore, the correct diagnosis at the psycho-somatic level is very important..
Misdiagnosis - a false button, starting from which everything else is fastened incorrectly. We treat diseases, cripple the soul and internal organs of a person. Now it becomes obvious that in general, treatment should begin with the human psyche, and treatment at the somatic level - with the correction of the spine..
Parental help for a child Often, parents bring their children to the doctor with scoliotic posture, scoliosis or rib humps. And if the curvature of posture is the result of hypodynamia, prolonged stay in an uncomfortable position, weakness of the muscular corset, then scoliotic disease is most often based on genetic causes that cause the so-called idiopathic forms of scoliosis in orthodox medicine..
It’s good if scoliotic disease was diagnosed at a preventive examination in a kindergarten or school before the age of 10-12. If after 14, then this is much worse: because before the age of 15, the sacrum ossifies and it becomes more difficult to align the posture, although not hopelessly. In many cases, not all children are covered by preventive examinations, and at home they are embarrassed to undress in front of their parents, which makes it difficult to identify defects in the development of the spine..
At home, it is recommended to undress the child to the waist, put him straight and invite him to slowly lean forward, trying to reach the floor with his hands without bending his knees.. The protruding spinous processes can easily determine the curvature of the spine. The presence of a muscle roller in the area of \u200b\u200bcurvature is a sign of scoliotic disease..
Human bone tissue is a dynamic structure in which there is a constant metabolism. Russian physiologist P. Lesgaft convincingly showed that the external shape of the bones changes under the influence of traction and pressure, and the bones develop the better, the more intense the activity of the muscles associated with them..
The structure of bone tissue is greatly influenced by the profession of a person.. Depending on his posture and body position during the work performed, the shape, width and length of the bones, the thickness of the compact layer, the size of the bone marrow cavity, etc.. In this regard, the formative role of physical culture and sports is essential.. All this confirms that the growth and strength of bones is determined by the intensity of activity of the muscles surrounding the bone..
The rudiments of bone tissue appear on the 6-8th week of intrauterine life of the embryo. Diaphyses ossify even in the prenatal period (primary ossification points). During the last month of intrauterine development of a person and after his birth, 1-3 secondary ossification points appear in the cartilaginous epiphyses, which increase in size, endochondral ossification occurs. Later, periosteal ossification of the epiphyses also occurs..
Cartilage is preserved in the form of a thin plate only in the area of \u200b\u200b\u200b\u200bthe future articular surface of the bone - articular cartilage and the cartilaginous layer between the epiphysis and diaphysis - epiphyseal cartilage, due to which the tubular bone grows in length up to 16-24 years. At this age, the epiphyseal cartilage is completely replaced by bone tissue - the epiphysis fuses with the diaphysis. Cancellous bones (including the vertebral bodies) ossify similarly to the epiphyses.
Throughout life, the human skeletal system undergoes significant age-related changes.. So, in a newborn, the musculoskeletal system consists mainly of cartilage tissue.. During the first year of life, bones grow slowly, and from the first year to seven years, growth accelerates.. After 11 years, active growth begins again, processes are formed, the bone marrow cavities acquire their final shape.. It is very important for scoliotic disease not to miss this particular time..
It should be noted that the process of ossification of the cartilaginous intervertebral discs between the sacral vertebrae begins from the periphery to the center at the age of 13-15 years.. Since the sacrum is the foundation, the basis of the spine, working with it in the treatment of scoliosis will be more effective at the age of 11-15 years.. And it is recommended to improve posture by strengthening the muscular corset at any age.. And of course the sooner the better..
In case of violation of posture, scoliosis in children, as well as for advice on strengthening the bone and muscle systems in order to prevent these diseases, it is recommended to contact a specialist in manual therapy and massage.
Much attention in the treatment of scoliotic disease should be given to massage of the internal organs through the abdominal cavity, which helps not only to improve their work, but also relieve spasm of the ligaments and muscles that cause spinal curvature..
In many cases, the curvature of posture is not due to defects in the spine, but due to the pathology of the internal organs..
Among the methods of treatment of the spine and internal organs, manual therapy should take the first place.. And although manual therapy and visceral chiropractic as specialties are not recognized by everyone, no one doubts them as methods of diagnosis and treatment..
The essence of the technique boils down to one thing: the most advanced of them, the hand, is used as instruments and apparatus, and diagnosis and treatment are carried out with the help of movement. The human musculoskeletal system can be conditionally represented as a system of levers and engines. The role of levers is performed by bones and joints. The engines are muscles with the whole complex of ligaments, tendons and fascia. Muscles are attached to bones and can be either in a normal, that is, balanced state, or in a tense or relaxed state.. The distribution of the load on the joints and bones depends on this..
Human muscles perform various functions. Static (postural or postural) muscles are responsible for maintaining the body in certain postures and are able to perform static work for a long time..
Other muscle groups that perform the function of movement are called motor muscles.. Static and dynamic muscles differ in structure, in the mechanism of oxygen exchange of nutrients, and even in color.. When a person performs various movements, these two muscle groups are antagonists. Normally, they balance the joints and spine.
But this balance can be disturbed, and due to a variety of reasons: from injuries, excessive physical exertion and physical inactivity to diseases of the musculoskeletal system - a single chain of joints, bones, muscles, ligaments and tendons held in an upright position by muscles. Therefore, if the balance is disturbed in any of the parts of the musculoskeletal system, the balance is also disturbed in neighboring areas.. A condition develops, which in manual therapy is called natural muscle imbalance.
The simplest model for the development of natural muscle imbalance can be the phenomenon of pain in the lumbar and cervical spine when walking in new shoes, especially high heels.. There is an imbalance that is transmitted through the chain of joints and muscles from the bottom up. As a result, spasm develops in static muscles, and relaxation develops in motor muscles.. The alignment is disturbed in the joints, and therefore the load on the levers.
But the state of the musculoskeletal system is affected not only by diseases or neurological pathology. Movement disorders may be associated with diseases such as angina pectoris, chronic lung and bronchial diseases, diseases of the gastrointestinal tract and genitourinary system. It is in these cases that a specialist in manual therapy needs to master the techniques of visceral chiropractic, because without learning how to treat internal organs in accordance with the metameric theory, it will be impossible to cure the disease of the spine..
Observations of the human musculoskeletal system show that it is ideally suited for upright walking.. Each person develops a specific, inherent only to him motor stereotype, within which each of us develops an individual gait and plasticity..
The musculoskeletal system is a complex system in which there are often various anomalies that have not yet developed into a disease.. It is much easier to prevent their progression than to cure the disease later..
Quite often, curing of torticollis, curvature of the spine and its other diseases occurs in 1-3 sessions, but there are cases when 10-15 or more sessions of manual therapy, massage, and exercise therapy (exercise therapy) do not help.. Then the parents and the patient himself should become the fight against the disease next to the doctor, massage therapist, exercise therapy instructor..
To do this, in each apartment where a child with scoliosis lives, it is necessary to install a horizontal bar or a gymnastic wall, put a mat for performing therapeutic physical exercises on the floor.
Parents should master the techniques of massaging the paravertebral zone of the back and, specifically, the muscle roller.. It is desirable that the patient constantly monitors his posture and regularly performs a set of therapeutic physical exercises prescribed by a manual therapy doctor.. Without work, creativity and perseverance, one cannot expect positive results..
Even in those rare cases when the disease cannot be completely cured, a person is able to stop its development and can put himself in the ranks of healthy full-fledged people..
Danilov, V. Naboychenko medbe. en.