Today I will discuss the three components of optimal injury repair, how there are intimately related and how addressing all three is integral to long term healing and injury resolution.
A vital component of the initial chiropractic appointment is the medical or case history. During the history portion of the visit I will ask specific questions, with the aim of obtaining information to formulate a diagnosis and subsequent treatment. These questions also give me an understanding of the underlying physiological mechanisms that may be causing or contributing to pain or dysfunction.
Following a detailed history I will conduct a physical examination, formulate a plan of management, and then begin treatment. As a “diversified” chiropractor, I utilize various techniques, which are chosen based on the patient and their complaint. There is no one size fits all treatment for any specific diagnoses and a good practitioner will always base their treatment plans on the specific information garnered by a detailed history and physical examination.
For me personally it’s important to utilize techniques that will address the three major components of injury repair. These are (in no particular order):
1. The biomechanics of the injury
2. The neurological function of the injury
3. The metabolic state of the injury
In my experience most injuries and painful conditions will be the result of biomechanical, neurological and metabolic dysfunction. After all, joint and tissue biomechanics are governed by the actions of the nervous system, and the overall quality and health of the tissues (nerves, muscles, joints, etc.) depends on the environment in which the tissues reside (the metabolic state).
The majority of the treatment techniques I utilize also don't fall specifically into any one category. There is overlap within and between all the factors mentioned above with things such as spinal manipulation, Functional Range Release (FR), Functional Range Conditioning (FRC), muscle stimulation, dietary and supplement advice and recommendations, etc.
For instance, I can say with confidence that I'm affecting my patient's overall biomechanics, their neurological input to the targeted area, and that I've altered the metabolic state of the tissues by applying FRC and other training principles into a patients rehab program.
If I'm able to step back and say "yup, I've got all three covered", I can have more confidence going forward in my proposed plan of management of your complaint.