GABRIEL QUINTERO BUCARAMANGA, COLOMBIA
Chiropractor: of the Greek "CHEIR" and "PRAKTIKAS", it means Manual Treatment.
The Chiropractor is a branch of the arts of the health, specialized in the identification, correction and rehabilitation of the desajustes biomecánicos of the spine, by means of the manual therapy.
The Chiropractor uses the inherent recuperative capacity of the body and the relationship among her structures muscle-esqueletales (mainly spine) and the function of the organism (mainly the nervous system), for the restoration and maintenance of the health.
HISTORY OF THE CHIROPRACTOR
She was born in Davenport, Iowa, United States in 1895. Their founder, DANIEL DAVID PALMER, observed that when adjusting the position of a deviated vertebra, the patient's symptoms disappeared; she also realized that the vertebral desalineaciones irritates the nervous system and they interfere with the normal transmission of their impulses, altering, this way, the functions of the body and diminishing their capacity to maintain the health. Palmer called it VERTEBRAL SUBLUXACIÓN to these deviations.
Nowadays, the Chiropractor is the second profession of the area of the most important health in countries like United States, Canada, some countries of Europe, Australia and New Zealand. The Chiropractor, from their origin, it has been characterized by not using drugs neither surgery.
WHAT TYPE OF TRAINING SHE RECEIVES A DOCTOR IN CHIROPRACTOR?
To enter to Chiropractor's school in United States they are necessary two years of studies preuniversitarios in basic sciences and humanities.
Chiropractor's student receives her title of "Doctor of Chiropractic" after four to five years of a structured program of so much training in the basic sciences as in the clinics.
The academic level received in the career chiropractor is equivalent to that of medicine in all the courses preclínicos.
The Chiropractor is a highly qualified professional and trained to determine the cause and to give the appropriate treatment for the problems of the column.
THE VERTEBRAL SUBLUXACIÓN
She takes place when being blocked the vertebral articulations; this originates:
Desalineación of the vertebra with regard to the other ones.
Restriction of Movement.
Inflammation, edema, pain, muscular spasm.
Irritation of the nerves raquídeos and,
I increase of the temperature in the affected area.
If it is not corrected on time, a slow process of vertebral degeneration that produces pathological changes to bony level, soft fabrics and organs begins.
SEQUELS OF A VERTEBRAL SUBLUXATION
The most common column problems, due to the vertebral subluxaciones, are: Waist pain (lumbago), pain in the leg (sciatica), hernia discal, escoliosis, back pain, neck pain, torticollis, muscular spasm, neuralgias, etc.
The subluxations also originates organic illnesses due to the nervous irritation, muscular rigidity and restriction of the movement.
THE SPINE
It is a structure of support of the body composed by 24 vertebras, 23 disks intervertebrales and the pelvis (formed by the ilíacos, sacred and coccyx). The muscles and ligaments paravertebrales give him movement and stability.
The spinal marrow protected in its interior transmits the nervous impulses from the brain to the organs and vice versa, by means of the nerves raquídeos that ramify from behind of the vertebras.
The spine is direct seeing it from behind and of side it possesses three curves: cervical lordosis, thoracic cifosis and lumbar lordosis.
Together with the disks, these arches muffle and they absorb the impacts and loads that receives the column.
Of the good state of the arches and of the correct alignment of the vertebras it largely depends our health.
HOW THOSE TAKE PLACE
VERTEBRAL SUBLUXATIONS?
The traumatisms like fallen, blows or accidents; the incorrect postures during the work, when sitting down or to sleep; the sport lesions and the repeated lesions to the column, are the origin of the subluxaciones.
The subluxaciones happens to any age, still during the birth and in any part of the column, base of the skull, sacred, coccyx ilíacos and articulations of the extremities.
The hernias dial them and other column problems, are rarely associated with a single lesion or accident. Rather they are caused by the effects accumulated during years of traumatisms repeated, bad postures, to bend over, to lift weight and/or to sit down curving and/or bending forward.
THE PROCEDURE CHIROPRACTOR
During the consultation, the full patient its clinical history, obtains information on the chiropractor and after a complete column exam the necessary x-rays are ordered to determine its treatment plan.
Once located and analyzed the vertebral subluxation the chiropractor proceeds to adjust the vertebras manually to his normal position.
The treatment should be intensive and continuous until the body is able to maintain its normal operation without pain. The treatment is supplemented with exercises to strengthen and to rehabilitate the muscles and fabrics of the column.
The duration of the treatment depends on several factors: state of the column, physical condition, age, symptoms, time of evolution of the problem and the patient's interest for their treatment.
EVIDENCES ON THE CHIROPRACTOR
According to the scientific literature, the most effective, sure and appropriate treatment for the problems of the column is the manipulation of the spine.
The medications of medical prescription should be avoided due to the secondary effects. Evidence doesn't exist on obtaining of benefits for other treatments, as the massage, t5racción, ultrasonido, TENS (technical of car stimulation), infiltrations in ligaments or in the sides articulares or the acupuncture.
The rest should be avoided in bed for more than three days; the surgery is hardly ever indicated. These dramatic discoveries were published by the Agency of Regulation and Investigation of the Health (AHCPR, initials in English) of the government from the United States, in Washington D. C. in December 8 of 1994.
This titled multidisciplinary guide ACUTE LOW BACK PROBLEMS IN ADULTS, is the most extensive and more important document that has been published on column problems.
OTHER EVIDENCES
It provides long term benefits (until for more than 12 months) still for those that have suffered chronic. A study in a hospital of Canada showed that near 90% of patient with pain and inability for more than 7 years they were functional again, after a treatment chiropractor.
Much more for sure unnecessary surgeries and hospitalizations. According to statistical of medical surgeons, 90% of column surgeries could be avoided and 1% is only truly necessary.
Other reports indicate that 70% of the hospitalizations for column problems doesn't leave positive results.
The patient returns to her quicker work. A study fact in California showed that the employees returned to work in less than half of the time, compared with the medical treatment and another study on compensation to the worker in Nevada it showed that the employees lost 66% less than time with the treatment chiropractor that with the doctor.
It saves time or it avoids pain. The hospitalization for column problems is on the average more expensive 7 times, and the medical expenses when hospitalization is not required they are 50 higher% that with treatment chiropractor, without at least to reach the same reduction of the pain.
He gives more satisfaction to the patient. The studies show that the patients with column problems are more satisfied with this treatment form and they prefer it to anyone another option.
GABRIEL QUINTERO, D. C.
Doctor in CHIROPRACTOR
Specialist in Rehabilitation of the spine in
Palmer College of Chiropractic West San José, California, USES.
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