Although some researchers would respectfully disagree, the sequence of evaluation and decision making from your orthopod is well thought out.There are structural components, neurological components metabolic, psychologic etc etc.....all sharing similar resources (look at the PNS and pain modulation for example). Any competition for such and we must compensate somewhere.It's up to the doc/therapists to break down the puzzle to see if their expertise can help while remaining flexible that it may not so they can refer out. So, while structural components are important for both anatomy and neurology, the blog post seems to forget much of that important component. To paint some who deal with structure with such a broad brush is not only disingenuous, as many also consider and treat the biochemical systems mentioned, thus making the blog pretty silly. Almost as silly as to suggest a blog post is a scientific article.From: Guy MoormanSent: Friday, August 30, 2013 10:03 AMSubject: RE: [ACEsthetics] No, your back is not "out": the myth of structuralism--Went to an orthopedist a month or so ago about this rotten ankle I have. Can't be replaced or fused so I am stuck with pain meds. My left leg is 1.5 inches shorter than my right. We got into the chiropractic stuff of one leg being shorter than the other. The doc laughed and said that measured properly one leg is always shorter than the other. He said true pathology with this starts at the knees, which go first, and then the hip and then the back. He said as far as pathology goes, the back is the last to go with discrepancy in leg length. I wish I had found this guy years ago. He changed my shoes to a New Balance shoe that actually comes in sizes which most walking shoes don't. He had me put orthotics in them that gives me an arch and keeps my worthless ankle from turning my foot in rather than up as it should. It has fixed my horrible foot pain. When your feet go, everything goes.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of GRANT RITCHEY
Sent: Thursday, August 29, 2013 4:42 PM
To: gnr
Subject: [ACEsthetics] No, your back is not "out": the myth of structuralism
Interesting science based article on how the model of structuralism is flawed. It is seen in chiropractic (leg length discrepancies, so-called subluxations, pelvic tilt, etc.), but there's really not a lot of good evidence behind it (except in extreme examples). In fact, there's significant evidence refuting such a paradigm.
Does this extend to dentistry? Does it really matter if our atlas is "out"? Does it matter if we have Forward Head Posture (FHP)? Is our "ascending problem" causing our TMD? I would submit that, by and large, no.
Discuss.
Grant
(PS and please don't tell me about your patient that got better when you put a lift in her shoe. Let's discuss evidence, not anecdotes.)
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