The Subluxation Syndromes
The subluxation syndromes are the aggregate of signs and symptoms produced by subluxation of the various spinal and pelvic motion segments. Case studies along with a limited number of larger studies link the subluxation of articulations with patterns of signs and symptoms characteristic of each region of the spine and pelvis. Each subluxation syndrome is presented with pathophysiology and dysfunction typical of that region of the spine along with appropriate diagnostic and therapeutic measures employed by the chiropractic profession. In each syndrome articular subluxation is amenable to manual therapy, including manipulative and adjustive procedures.
Although the focus of this section of the text is the identification and management of subluxation syndromes, it must be emphasized that the focus of chiropractic care is the patient. Patient-centered care has been identified with the long-standing satisfaction experienced by chiropractic patients. This satisfaction has been related to chiropractors’ egalitarian manner in dealing with patients, understandable explanations of the patient’s condition, and holistic approaches to the care of each individual. This care includes use of the patient’s belief that recovery is possible, diagnostic and therapeutic touch, and counseling aimed toward healthy lifestyle changes. Paramount in the chiropractor patient encounter is actively involving the patient in the recovery process and in health promotion. This focus on the patient as an individual and not just on subluxations or pain patterns prevents separation of the patient from the disease and is the ingredient sought by patients when seeking health care.
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