Thompson Terminal Point

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22/04/22 1 Thompson Terminal Point Chiropractic

Transcript of Thompson Terminal Point

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Thompson Terminal Point Chiropractic

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Checking Legs in EXTENSION

1.UNEVEN: CS

D-

D+

2. EVEN : N

BCS

UOS

POS

X-D

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1. UNEVEN Legs in extension CS (1) CS Cervical Syndrom:one side turn only equals the legs,same side CS,but on opposite side

tastbar nodule.The vertebra is posterior and same side as nodule rotated(spinous proc.opposite).

DSL Double Cervical Lock:both sides turn equals the legs,on both sides nodules

on different levels,start treatment cranial!

AS Atlas Subluxation :as in CS but no nodule on opposite side means atlas subluxation lateral posterior superior - toogle recoil.

OCCS Overcompensated cervical syndrom:as in CS but,

1.chronic C2 sublux.(adjusting does not balance the legs) 2.TP on trapezius on opposite C2 nodule side 3.fixation 1st rib on same nodule side 4.stair stepping on A-P X-ray T 1 subluxation posterior and oppos. Side nodule rotated,adjust S-I,L-M from above.

Stucky Friction Lock:as in any CS but corrections are unsuccesful and the X-ray shows degenerations try both side adjustment on opposite nodule side first(pre-stress manoeuver).

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UNEVEN Legs in Extension CS (2) CS-Stucky Stuck(chronic C2 subluxation):as in OCCS but if any

criteria is missing provided the 1.loss of proper cervical lordosis (x-ray) and 2.chronic C2 cervical syndrom , stucky stuck should be tried!

CS Anterior Cervical:cervical syndrome nodule is present,ipsilateral posterior

cervical muscle concavity and spinous rotation (x-ray a-p) is towards the nodule.

PCS posterior cervical synd.:both sides balances the legs in extension,nodules on both side on same level,and decreased kyphosis is present.cave:neck kyphosis,gooseneck,bentstick.

CS C1 Flexion Lock:as in CS without nodule ,toogle recoil no improvement! Check if in the begin was BCS(manipulation fault),palpation + x-ray reveals aproximation of occiput(relation C0/C1 andC1/C2 is 1/3 and 2/3)LOC P-A and I-S .

CS C7/T1 Extension Lock:contracted leg balances with head rotation 1.two nodules are palpated on same side , one at C7 and at another segment 2.two nodules are palpated on both sides ,one at C7 and at another opssite segment 3.only one nodule at C7,with no results to common CS adjustment motion palpation ,x-ray confirms C7 locked in extension ,adjustment on inferior edge of spinous procces of C7.

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UNEVEN Legs Pelvis D- Derefield negative(sacrum AI):the short leg remains short in flexion plus one of five

tender points are present -same side medial knee,tuber,PSIS,tuberculum pubis,opossite spinous and transverce procesi.Sacral apex adjustment with crossed legs.

D+ Derefield positive:the short leg becomes absolute longer in flexion.Use of arm fossa test in supine:blow out in the upper half of inguinal lig=lower boot subluxation blow out in the lower part=upper boot

Lower boot adjust PI Illium – Upper boot adjust os pubis caudal supine

UNEVEN Legs Lumbar (secondary)

LS Lumbar Spine: as in D- but there is no tender point,palpation reveals spinous deviation to short leg side,muscle tonicity and aberrant lumbar interspinous spacing. Contact contalateral mamillar and adjust P-A

LS Hyperactive Psoas:once the sacral origin is ruled out (D-) 1.toeing out of the same short leg side 2.complain of groin pain ipsilateral 3.been consistent with a lumbar subluxation 4.reflex point medial aspect of great toe ipsilateral , knife edge in psoas belly A-P

Acute lumbar pain:L5-S1 Distraction (knife edge technique)

Spondylolisthesis: (- grade 2 myerding scale)supine ,bent knees A-P

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UNEVEN legs Thoracic (tertiary)

TS thoracic spine PI:short leg persists after primary and secondary corrections. Palpation on spinous procces shows concavity over and approximation under the segment.Adjust P-A , I-S.

TS lateral listhesis:lateral deviation with painful muscle spasm opposite and muscle bulge ipsilateral with no pain.X-ray.

TS Dorso-cervical rotation:spinous deviation with painful muscle tension bilateral X-Ray shows spinous rotation without vertebral body subluxation.

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2. EVEN legs in Extension BCS Bilateral Cervical Syndrome:in extension left turn left leg short,right turn right

leg short , occiput is AS,in supine adjust with chin tuck.

UOS Unilateral Occiput Syndrome:as before but one side only,named same side UOS but is the opposite true subluxated side.In prone lesion side up,A-P and S-I.(contact ant. mastoid).

POS posterior occiput Syndrome:in extension left turn right leg short , right turn left leg short , occiput is PS adjust best rotation side first AI (contact post.mastoid).

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3. EXCEPTION DEREFIELD X-D Patient presents with EVEN legs in Extension and with rota-

tions the legs stay EVEN,flex the legs,one goes short: 1.if the legs become even with head rotation then

an X-D Cervical Syndrom (CS) is present. 2.if head rotation does not balance the legs then an

X-D D-(derefield negative)is present.Check tender points.

However if in flexion the legs remain EVEN,turn head 1.left head turning left leg becomes short and vice versa an

X-D BCS is present. 2.as before but on side only X-D UOS 3.if left turn draws right leg and vice versa X-D POS

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4.CLEAN UP Moves Rotated Sacrum:stabilize sacral basis and let patient lift extended leg on each side: one leg will

not raise as high as the other or sway off to one side or cog-wheeling or pain and clicking.The sacral base rotate to the lower leg.

PRI Posterior rocked ischium:short leg persists,palpation reveals a posterior ischium and ipsilateral calf tender point.

Posterior sacral apex:hyperlordosis and limitation on both sides of prone extended leg extension,and possible toeing out or the feet.

Anterior Coccyx:pain on coccyx reproduceable by palpation after recent fall (x-ray check)

IN ILIUM:toeing out of the foot(differentiate psoas) plus flattening of gluteal muscles.In X-Ray there is a decrease in distance from PSIS to midline,foramen obturatum appears small and split-like and tubercle pubic shifts away from mid-line.LOC M-L (Hip complain common).

EX ILIUM:opposite as before ERC Elevated rib cage(S A):asthma type symptoms with high shoulder plus flexed

thoracic posture coughing ,wheezing-tender point on second intercostal space along the mid-clavicular line. LOC P-A scissors like.

Rotated Rib:pain in inhalation with large intercostal space under the rib on the back and a large intercostal space over the rib in front.LOC posterior SI ,anterior IS.

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THOMPSON LEG CHECK