This article provides an overview of chiropractic health care, its theories about the onset of repetitive strain injuries (RSIs), and how it goes about treating these injuries.
Dr. Timothy Jameson
Description of author's specialty
A Doctor of Chiropractic, specializing in the diagnosis, treatment, and rehabilitation of RSIs. Besides RSI complaints, I also treat patients with all maladies, from internal complaints to musculoskeletal complaints. I also specialize in pediatric chiropractic.
Brief description of chiropractic health care
Chiropractic health care is based upon the fact that all organ, tissue, and gland functions are controlled via nervous system input starting from signals in the brain cascading downward via the spinal cord and peripheral nerves. On some occasions, the spinal bones (vertebra) which protectively surround the spinal cord can misalign or subluxate creating increased pressure upon the nerve roots that pass between the vertebrae. This increased pressure strangles or pinches the nerve roots, thus decreasing the impulses to the end organs. Prolonged pressure upon these nerves causes disease states to develop, whether it be muscular or internal. Spinal adjustments are high speed, low force procedures that restore the spinal bones into their correct alignment, thus relieving stress upon the spinal nerves. Once the stress has been relieved upon the nerves, the body can naturally be restored to 100% of its healing capacity.
The theory chiropractic uses to describe the onset of RSIs
Nerve root irritation due to spinal subluxations leads to increased muscle tension, fixation of joints with resulting loss of range of motion, and weakening of the body's innate healing capacity. Spinal subluxations can be painless and can go undetected for many years. Poor nutrition, stress, biomechanical problems, poor posture, emotional factors, and overexertion can lead to spinal subluxations. It is generally thought in chiropractic circles that this loss of function (the subluxation) is the initiating factor that leads to the development of the RSI. For example, a person who is unknowingly experiencing spinal subluxations works with increased muscle tension (below thresholds of detection - subclinical states) over a long period of time, and begins developing symptoms such as tendonitis and peripheral neuropathies. These symptoms develop because the body is suffering from a weakened state. It can no longer keep up with tissue repair and begins to develop symptoms.
How does chiropractic go about treating RSI based upon above statements
The doctor of chiropractic detects vertebral subluxations via various methods. Some rely solely on palpation skills, while others use palpation in combination with instrumentation such as surface EMGs, and imaging techniques. The chiropractor will restore nerve function by adjusting the spinal bones back into their normal alignment. Some chiropractors also provide nutritional advice and set their patients up on rehabilitation programs. Some will also include myofascial therapies along with the adjustment. This is quite helpful for difficult RSI cases. The doctor of chiropractic is a primary health care provider in all 50 states. You do not need a referral to see a chiropractic (unless you're involved with "mangled care" - aka managed care organizations, where they dictate who you see). The chiropractic adept at diagnosing RSIs can be the most important part of your health care team.
About the author
Dr. Tim Jameson is the author of Repetitive Strain Injuries: The Complete Guide to Alternative Treatments and Prevention available in March 1998 through Keats Publishing Company of New Canaan, CT. (http://www.keats.com) He is beginning his 10th year of chiropractic practice in 1998. He, along with his wife, Dr. Laurie Gossett, DC, own Bayshore Chiropractic Holistic Health Center, located in Castro Valley, CA. Besides chiropractic care, Bayshore Health Center also offers massage therapy and naturopathy. We will soon be adding an acupuncturist as well. Dr. Jameson specializes in RSI prevention and treatment in the musician population. He writes a newsletter entitled The Musician's Health and Wellness Newsletter, available throughout the San Francisco Bay Area.
Dr. Jameson's wife, Dr. Laurie Gossett specializes in chiropractic for pregnant women and also teaches the Bradley Method of Natural Childbirth.
He is always available for a free email consult. Feel free to contact him if you have questions about your condition.
Dr. Timothy Jameson
Business phone: 510-582-5454
e-mail address: firstname.lastname@example.org
Last Updated: 02/18/98