What are VSC and NIS?

What are VSC and NIS?

Nerve tissue is so important it is protected by bone. The skull encases the brain, and 24 moving bones of the spinal column cover the spinal cord.

Many everyday things can cause these bones to lose their normal motion or position. This sets off a chain reaction affecting the spinal bones, nerves, muscles, soft tissues, and results in degenerative changes throughout the body. Doctors of Chiropractic refer to this as the 'Vertebral Subluxation Complex' (VSC) , where "vertebral" meaning relating to bones of the spine; "subluxation" meaning the improper motion or position of the vertebra; and "complex" meaning that the condition consists of many elements.

NIS (Nerve Impingement Syndrome)  also referred to by chiropractors as a subluxation... a mis-aligned vertebra pinching nerves. In medicine, it is referred to as a compression or entrapment neuropathy  caused by direct pressure on a nerve. It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example). It oc curs when spinal nerves that exit the vertebral spinal column are often pinched or entrapped... often corrected by mainly painless chiropractic specific spinal and joint adjustments or manipulations.

Nerve Impingement Syndrome (NIS) Facts:

  • 80% of all childbirths result in Nerve Impingement Syndrome.
  • 40% of all children fall on their heads by age 1, according to OSHA; this can result in Nerve Impingement Syndrome.
  • Between the ages of 2 and 5 years old, children fall over 200 times; this can be a major cause of Nerve Impingement Syndrome.
  • Within 2 years of receiving a drivers license, 70% of all teens are involved in an auto accident. Car accidents often result in Nerve Impingement Syndrome.
  • Because there are so many causes of Nerve Impingement Syndrome, everyone at some time or another will suffer from NIS. In many cases, the symptoms do not appear for months or even years.
  • When the body detects a problem, over time it compensates for it. This compensation causes PAIN. If left untreated, this condition could lead to the destruction of the joint and irreversible damage to the nerve, causing chronic pain, or worse.

Chiropractic is not the only health care discipline that recognizes the effect of the Vertebral Subluxation Complex. The effects of the Vertebral Subluxation Complex are generally relied upon and accepted among different healing disciplines, and are being studied in many parts of the world. When the Vertebral Subluxation Complex is present, many things can happen to the spine, to its related soft tissues, and to the organs and tissues controlled by the affected nerves. Besides describing how the spine can affect your overall health, the Vertebral Subluxation Complex explains why it takes time to restore optimum health.

The Vertebral Subluxation Complex is the underlying cause of many health problems and is recognized by it's five component parts (look for the common Latin roots in these words: kine - movement; patho - disease; neuro nerve; myo - muscle; histo - tissue), as explained below:

  • SPINAL KINESIOPATHOLOGY (Abnormal motion or position of spinal bones.): The bones of the spine are designed to move, while at the same time protecting the spinal cord and nerve roots. But, sometimes they become "stuck," don't move enough, or they move too much. This can be caused by physical trauma (repetitive motion, car accidents, slips, falls, etc.), emotional stress (worry, negative thoughts, fear, etc.), or chemical imbalances (alcohol, drugs, toxins, pollution, etc.). When spinal joints are fixated ("stuck") and not moving enough, they force other joints to move too much. These problems can distort normal spinal curves and compromise proper function. In some cases, problems in one area of the spine can cause compensation reactions in other areas! Doctors can detect this aspect of the Vertebral Subluxation Complex by analysing your posture, taking diagnostic X-rays, measuring your ability to turn and bend, plus other tests. Spinal Kinesiopathology can set in motion the other four components...
  • NEUROPATHOPHYSIOLOGY (Abnormal nervous system function): Because of the way your spine is designed, abnormal spinal function can rub, pinch, irritate, or choke the delicate tissues of the spinal cord and nerve roots. While commonly associated with spinal problems, the pinched nerve (compressive lesion) is actually quite rare. Researchers suggest that only 10% to 15% of spinal-related problems are caused by direct pressure of bone on nerve tissue! Sometimes, this problem can result in numbness, burning, or a "pins and needles" feeling. More frequently, nerves are irritated (facilitative lesion) by improperly functioning spinal structures. This is caused when nerve tissue is stretched, twisted, or irritated by malfunctioning spinal bones. Nervous system impairment can affect the tissues, organs, and systems of the body, increasing the susceptibility of disease and ill health. Muscles that support the spine are affected too...
  • MYOPATHOLOGY (Abnormal muscle function): When muscle function is impaired from too much or too little nerve supply, muscles that support the spine respond in different ways. When nerve impulses are diminished, muscles supporting the spine can weaken and atrophy. When muscles are over stimulated from nerve irritation, supporting muscles can become tight and go into spasm. In either extreme, fibrotic scar tissue can form in these muscles, changing their elasticity. This damage to the supporting muscles of the spine is why repeated adjustments are often necessary and adjustments don't seem to "hold." It also explains why long-standing spinal problems are so difficult and time-consuming to correct. Without proper rehabilitation, many patients experience a relapse of their original health complaint.
  • HISTOPATHOLOGY (Abnormal soft tissue function): When there is spinal joint malfunction, the discs, ligaments, and other connective tissues are affected, too. While technically you can't have a "slipped" disc, the soft pulpy discs that separate each spinal vertebra can tear, bulge, herniate, and degenerate. Ligaments and other connective tissues in the area of the malfunctioning spinal joint are often involved. Inflammation and swelling accompany the accumulation of blood and lymph, causing a rise in temperature. Unlike many other tissues of the body, these discs and ligaments have a poor blood supply. This makes the healing of soft tissues a very slow and time-consuming process. In fact, proper healing often requires continued care even after the relief of obvious symptoms.
  • PATHOPHYSIOLOGY (Abnormal function of the spine and body): When there is malfunction or trauma to a joint, one of the ways t:he body responds is by stabilizing the area by growing new bone! Over time, calcium deposits can build up, eventually recognizable as bone spurs and other abnormal bony growths. This arthritic "splinting" of adjacent bones is an attempt to stabilize the malfunctioning joint. If ignored or neglected long enough, the body can turn a once mobile joint into a solid block of calcium. Throughout the body, degenerative changes can be seen in other organs and systems. Many health conditions not normally considered related to "back problems", can often be traced back to nervous system impairment by the spine. While often seen in the aged, this degenerative condition is not part of the normal aging process. This type of spinal decay is the result of spinal problems, which have been ignored or neglected for many years. 

More and more researchers have confirmed the far-reaching effects of abnormal spinal function. Every day we're learning more about the implications of these five component parts. Because of the intricacies of the nervous system, more research is being conducted in the areas of immune system response, aging, hormonal involvement, and even genetic consequences. Clearly, the Vertebral Subluxation Complex may be one of the most common, yet overlooked sources of health problems. The Vertebral Subluxation Complex is attracting the attention of wold-wide researchers in many different disciplines. 

REFERENCES:

  1. Cailliet, Rene, M.D., Pain: Mechanisms and Management, F.A. Davis Co., 1977.
  2. Cyraix, J., M.D., Orthopedic Medicine, Diagnosis of Soft Tissue Lesions, Baillere Tindell, Vol. 1, 1984.
  3. Gray, H. 1827-1861, Grays Anatomy, Edited by Peter L. Williams, 37th Edition, Churchill-Livingstone, 1989, Reprinted 1993.
  4. Hochschuler, S., M.D., Texas Back Institute, Back in Shape, Houghton Mifflin Company, 1991.
  5. Jackson, R., M.D., The Cervical Syndrome, Charles C. Thomas Co., 1977.
  6. Kellet, J., Acute Soft Tissue Injuries: A Review of the Literature, Medicine, Science of Sports and Exercise, American College of Sports Medicine, Volume 18, No. 5:489-500, 1986.
  7. Kirkaldy-Willis, W., M.D., Burton Charles, M.D., Managing Low Back Pain, 3rd edition, 1993.
  8. Leach, R., D.C., The Chiropractic Theories, 2nd Edition, Williams and Wilkins, 1986.
  9. Lewit, Karl, MUDr., Doc. Dsc, Manipulative Therapy in Rehabilitation of the Motor System, Butterworth, 1987.
  10. Roy, S., M.D., Irwin, R., M.D., Sports Medicine: Prevent, Evaluate, Management, and Rehabilitation, Prentice-Hall, Inc., 1983.
  11. Schafer, D.C., Faye, D.C., Motion Palpation and Chiropractic Technique, 2nd edition, Motion Palpation Institute, 1990.

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