article archive
February 2006
Visceral dysfunction and neck
pain
by Dr. Howard Loomis
The maintenance of internal health can be a unique practice
specialty for the chiropractor since other professions direct
their attention at the relief of symptoms without discerning
the true cause. You may recall that in the year 2000 the
American Medical Association announced that 100,000 Americans
die each year from the side effects of prescription drugs
that were correctly prescribed. There is an inherent flaw
in a system that finds this number acceptable.
What is needed
is a system to find the underlying cause of the symptoms.
chiropractic is such a system. Medical tests only identify
disease conditions, those problems that have progressed beyond
normal limits. It is not possible using blood tests, for
example, to identify a potential disease process before the
normal test parameters are exceeded. Symptoms develop and
become bothersome, but blood tests do not identify the symptoms'
cause. Without that knowledge, any therapy becomes hit‑or‑miss
and even dangerous.
I have previously written about a simple
screening examination that will help you identify those patients
suffering from apparent structural problems who actually
have an underlying visceral cause. I have already described
the rationale for such an exam and suggested that it can
be done quickly but at a special time, in a special room,
perhaps with a special assistant, and at a special price.
This would ensure the patient understands its importance
and serves to educate and by making them part of the process.
It also establishes when further testing might be required.
This
exam is not intended to be a complete dissertation on clinical
diagnosis; rather, it is intended only to serve as a screening
process and to identify opportunities for increased service
to the patient. It consists of observing the patient for head
tilt, shoulder level, hip level, knee flexion, and ankle pronation.
The object is to identify any obvious muscle contraction and
then, using palpation, determine whether a structural or visceral
cause is involved. I will not attempt to describe structural
faults since the reader is already an expert in that area.
My objective is to distinguish possible visceral causes for
the observed muscle contraction.
I suggest that when head tilt
is accompanied by any symptoms in the head and neck, the examiner
should palpate for tenderness in the area of the symptoms.
Next, correct whatever structural problem you find and then
repalpate the involved symptomatic area. If the tenderness
is now remarkably diminished or gone, you will know the cause
was structural. But if the muscle contractions are still present,
even though the head tilt may be corrected, the cause was visceral
dysfunction and the symptoms will continue or soon return.
Head
tilt and the eyes
As much as any organ in the body, the eyes
are dependent upon normal homeostasis for delivery of adequate
nutrients for normal function. Parasympathetic dominance is
characterized by excessive alkalinity and calcium deficiency.
This can produce increased secretions from the eyes, nose,
and mouth (salivary glands). In such cases, the mucosa becomes
congested and swollen and the glands become overactive producing
a secretion of thin, watery mucus.
The muscles involved with
eye movement and vision will become weak and contracted. The
patient may complain of pain when moving the eyes, vision problems,
poor light accommodation, excessive tearing, and runny nose.
A drug may be prescribed or a chiropractic adjustment given
but unless the underlying cause is identified, neither will
be effective in restoring normal function.
Head tilt and the
sinuses
Perhaps the most common cause of congested sinuses is
toxicity from the liver and bowel. Potassium deficiency may
also be a problem and leads to symptoms associated with sympathetic
dominance as well as muscle contractions at the base of the
occiput and upper cervical spine.
The blood vessels in the mucous
membranes of the head constrict decreasing mucous secretion,
and the pupils of the eyes dilate. This may be associated with
increased mattering of the eyes or thick mucous secretions
in the nasal passages. The saliva will be thick and the mucous
membranes of the head will be pale and dry.
The muscles involved
with facial expressions such as smiling and frowning are weak
and contracted. The patient may complain of sinus headaches,
facial neuralgia, and even Bell's palsy. Tenderness can be
found in the tissues under the cheekbone and running to the
zygomatic bone and crossing the angle of the jaw. It may extend
to the teeth in both upper and lower jaws and to the tissues
of the nose.
Finding the true cause of your patients' symptoms
is possible. Your chiropractic profession has prepared you
for it, and your patients will depend on it.
(Dr. Loomis welcomes
input on the subjects covered in this column. To make a comment
or ask a question, write to him at 6421 Enterprise Lane, Madison,
WI 53719. Visit www.loomisinstitute.com online or call 800‑662‑2630
for information on upcoming Loomis Institute seminars.)