Sunday, April 5, 2009

Allergic Disease Linked to Spinal Misalignment

In a study published in The Internet Journal of Orthopedic Surgery in 2004 titled Relationship Between Vertebral Deformities and Allergic Disease, researchers drew a clear connection between disease and vertebral structure. This study emphasized that there exists a relationship between disturbances in sympathetic nerves and visceral disease. More specifically, the researchers highlighted what chiropractic has long known to be true - that structure is highly related to function.

It was demonstrated that vertebral misalignments of the thoracic spine (what chiropractors would refer to as hypokyphosis or akyphosis) were present in 98% of a total of 1028 patients who suffered from allergic disease. Now this is interesting on two levels. First this study clearly looked at the spine from a structural point of view and found a very high correlation between disease and what they call "spinal curvature disappearance". Next the researchers go on to reveal that the misalignments were very consistent in each individual, occurring at the T8 - T10 level of the thoracic spine. This is important because it links a specific area of the spine with a given disease process and set of symptoms.

What we have at this point is a set of symptoms or allergic diseases, such as atopic dermatitis and bronchial asthma, that are shown to directly correspond with what the chiropractic sciences term a subluxation (flexed or laterally flexed vertebra) of a hypo-to-akyphotic thoracic spine. That is, asthma and auto-immune inflammation is directly related in this study to subluxations of the thoracic spine. For chiropractors and students everywhere, this is an important reinforcement of the importance of chiropractic coming from scientific research. But wait, we are not done yet.

[Note: the term subluxation has been substituted for the original phrase
"chronic vertebral misalignment" used by the researchers. The study clearly identifies flexed and laterally flexed vertebra of the thoracic spine and associated disk narrowing as the cause for vertebral misalignment. This definition is congruent with this author's understanding of the term subluxation.]

The question we need to ask now is how does a subluxation in the spine cause things like bronchial asthma and atopic dermatitis? The researchers in this study addressed this question well when they state:

"When the intervertebral disk is compressed forward and downward by changes in the vertebra, further downward pressure will thin the front area of the disk [subluxation]. The direction of the spinous process becomes horizontal due to the inclination of the front side of the vertebra in a downward direction. The upper articulating process that is causing the changes in the vertebrae is pushed forward and can penetrate the intervertebral foramina in the upper part of the changed vertebra" (emphasis added)

The important piece of information here is that the superior articulating process encroaches into the foramen and it is here that nerve interference is present. The sympathetic nerves of the autonomic nervous system originate from the T1-L2,3 level of the spine. It is through a disruption of these nerves at the T8 - T10 spinal segment level which causes altered adrenal cortex function which the researchers claim is related to allergic disease. Thus it now makes sense how a compromised thoracic spine can inflict changes to the body in areas far removed from the site of the subluxation.

Another impressive aspect of this study concerns the treatment of 906 bronchial asthma patients. In particular these scientists highlight the T2-T4 thoracic segments as being directly related to bronchial asthma. They pointed out that the more severe subluxations at the T2-T4 level resulted in more severe asthma. There appears to be a connection between not only the presence but also the magnitude of the subluxation and the severity of the symptom. These patients were treated for their chronic vertebral misalignments [subluxations] and reacted very well, with improvement rates ranging from 80%-93% over a four to ten month period. Clearly such high numbers suggest that treating the spine for allergic disease yields beneficial results. Chiropractors have long claimed that adjustments help with allergies and asthma, and here is a study that is in complete agreement.

What this study has shown is that chiropractic is an important tool in all of our lives. This was one study looking at just a small area of the spine. Yet despite the focus upon small areas of the spine, the researchers were able to connect the dots and clearly show the complex, integrative, big-picture effects of spinal problems. This is suggestive of a more holistic approach and less reliance upon over-specialization and myopic thinking. I believe it is this broader focus that is lacking in our health care system today. This study out of Japan is encouraging to the entire profession of chiropractic. There is one thing we need more of and that is independent, peer-reviewed science to validate the clinical and case-study data gathered over decades by the chiropractic profession.

Here you have it - structure and function cannot be separated and they play a role in all of our lives. Finals begin tomorrow and there is much work to be done.

Yours in Health,

Andrew

1 comment:

  1. Good information, especailly for me and for this time of year!

    ReplyDelete

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