The American Chiropractor Volume 36, Issue 6 | Page 56

VISCERAL STRESS MANAGEMENT "Why Don't Your Thoracic Adjustments Hold?" Article 3 of 12 By Howard Loomis, DC This is article 3 of a 12 part series, which began running continuously in April. The May issue was listed incorrectly as article 3, hoewever it was article 2. Please take note, and sorry for any confusion. This is the 3rd in the series. his column is devoted to the 2nd Factor in Chiropractic, specifically recognition of visceral dysfunctions that cause muscle contractions and perpetuate and prevent the correction of structural misaligmnents. The related loss of joint range of motion and associated discomfort and/or pain are often diagnosed as being caused by a structural problem. If the real cause is not accurately identified, the patient does not receive the benefit of chiropractic care they deserve. T Any form of prolonged stress can create this diagnostic dilemma. In my first article I detailed the body 's response to stress and explained why it doesn' t matter if the stress is structural, emotional or caused by visceral dysfunction. Muscle contractions and loss of range of motion are always involved regardless of the source. The key to success is finding the cause, because when the cause is known the required therapy becomes obvious. Last month I asked "what do you have to see before you know what to do?" I suggested that whatever your present therapeutic procedure, before the patient leaves the treatment room you ask them to be seated and perform the 60-second Chiropractic Screening Test. The test includes three simple palpatory findings and one passive range of motion test. It literally takes 60 seconds or less to perform and identifies a patient whose body cannot meet the demands for energy presently placed upon it. The purpose of our examination is to identify stress. What we seek from our examination procedure is a sound, scientific method of determining the source of the patient's problem. It is based on finding involuntary muscle contractions being used by a body trying to maintain its position against gravity or muscle contractions related neurologically to an organ or tissue unable to perform its responsibilities for maintaining homeostasis within the extracellular fluid. Pottenger's Saucer- Loss of Normal Thoracic Kyphosis Have the seated patient sit up as straight as possible and ask them to bend their head down. Slide your fingers down the spinous processes from TI toward TI2. Normally you should 52 I The American Chiropractor I JUNE 2014 I I I feel the "C-shaped" posterior curve of a normal thoracic kyphosis. Observe if there is a loss ofthe normal kyphosis between the shoulder blades, a depression. This is referred to as a saucer because if the patient were prone it would literally "hold" water. This condition is neither permanent nor static. It is transitory and caused by muscle contractions emanating from the abdominal organs. Especially those associated with digestive dysfunction, stomach, biliary, pancreas, duodenum, and jejunum. Obviously low glucose levels are implicated. Interestingly this is consistently found in muscle-tension headaches. The Effect of Chronic Stress on Digestion One of the major effects of the stress reaction is to increase blood flow to the muscles and reduce blood flow to organs not essential for the stress