Question

I am 33 yrs old male, in excellant shape. I play semi pro baseball, and off season I play ice hockey (compatativly)My chiropracter has diagonsed me with iliolumbar sacroiliac syndrome. Because I swing with such torque in my back, I have constant pain before the game, and much worse as the game progresses. I've tried strenghtening my back and abs, but it pursists. Is there anything that can be done besides retiring ?


Thank you very much for all help

Mark

Answer
Dear Mark,

Thank you for your question about your difficulties and chiropractic experiences thus far.  First, though, I wish to apologize for not getting a response to you sooner.  I was away from my office when this message was posted.  

In order to answer you properly, I抣l first need to give you some background on the chiropractic profession.    

There are two branches or schools of thought in chiropractic.  Briefly, they are differentiated by whether they deal with the limited therapeutic approach for aches and pains (commonly termed "mixed" chiropractic because it represents a mixture of a chiropractor with a non-chiropractic matter) or a non-therapeutic approach to optimum body performance (termed "straight" chiropractic because there is no mixing of chiropractic with anything else).  My expertise is in non-therapeutic straight chiropractic.

Therapeutic "mixed" chiropractic is the older approach based on a split from the founding principles of chiropractic about a century ago.  

Non-therapeutic "straight" chiropractic is the more modern of the two.  It deals with a particular, common situation called a vertebral subluxation.  This is not the same as the diagnosis of iliolumbar sacroiliac syndrome or the other details you mention in your question, though they may exist together with vertebral subluxations.  The spine is made of many bone segments which house and protect the spinal cord and the smaller spinal nerve branches that come off the spinal cord and exit between the bones.  These nerve pathways carry information or messages between the brain and the cells of the body.  These messages are essential for the life of the cells.  Without brain messages, the cells immediately begin the process of dying; i.e., they can no longer function the way they should to maintain life.

Because the bones are moveable, they can misalign in such a way as to interfere with the messages and, ultimately, the ability of the person to function at their best or express their optimum potential, whatever that may be.  People with vertebral subluxations are not able to get all they can out of life.

Vertebral subluxations can be caused by a wide variety of factors, what we'll generally call stresses.  These stresses can be physical (such as sports, of course, but also exercise routines, sleeping posture and mattress condition, the birth process, sneezing, falling down, etc.), mental / emotional (in its many forms, probably the most familiar use of the word stress), or chemical (such as pollution, drugs, food additives, etc.), which are, unfortunately, uncontrollable and regular parts of daily living for all age groups.  In short, a vertebral subluxation can occur for a multitude of reasons.

It抯 evident that you were motivated to visit a chiropractor by back pain.  Tragically, however, vertebral subluxations are rarely obvious to the individual they affect.  They usually have no symptoms.  The reason is that most of what goes on inside you happens without your awareness.  As an example, try to "feel" your liver.  What's it doing right now?  You can't know, so you can't know if it's functioning at its best or something less.  To complicate things, nerve pathways that carry messages of control (termed "motor" nerves) have no way of transmitting ache or pain messages, so your body function may be far from perfect and you'd not have any alerting signal whatsoever.  The branching of the nerve pathways is complex and extensive, making it exceedingly difficult to predict or determine exactly how the person will be affected.  For this reason alone, it is impossible for anyone to give you reliable answers as to a connection between the spine and specific symptoms of any kind, including back pain.  Certainly, every part of the body must have connections to the nerve system so that vital information may be transmitted between the brain and the cells.  There are some who would attempt to review the possible nerve connections between a nerve root and specific organs or tissues, but this ignores the multitude of variables that determine the expression of function.  The question of how your individual body carries out the myriad of activities just to maintain life is enormous and would require your Creator抯 (or creator抯, for the agnostic) knowledge, or at least far more than our educated knowledge of the complexities of life.

The only way to know if someone has a vertebral subluxation is to have that person抯 spine checked by a non-therapeutic straight chiropractor using a method of "analysis."  When a vertebral subluxation is detected this way, it is obviously important to correct it as soon as possible.  The term for this procedure is 揳djustment.? 

Notably, since vertebral subluxations are caused by so many different things, people choose to go to a non-therapeutic straight chiropractor on a regular basis to enjoy the most time free of the life-robbing effects of vertebral subluxation. There's a saying that straight chiropractic is not about your back, it's not about pain, it's about your life.  Each person has a unique potential in life.  With vertebral subluxation, it's impossible to realize that potential.

As I mentioned earlier, not all chiropractors adhere to this and it is important that you be able to distinguish which ones do if you're going to seek this type of service.  You need to understand very clearly that the practice objectives of therapeutic mixed chiropractic and non-therapeutic straight chiropractic are quite different, as described above.  What I can tell you must not be interpreted from the mixed viewpoint.  It is likely, from the limited information you provided, that the chiropractor you had visited is of the therapeutic mixed viewpoint.  The reason I say this is because the office you visited seems to have been addressing your symptoms, not vertebral subluxations at all.  It is quite understandable, then, why he would rely on therapeutically intended procedures and terminology, such as a diagnostic evaluation of pain.  

I cannot comment on the use of these things.  Remember, the two types of chiropractic objectives are not the same.  The non-therpaeutic straight chiropractor will use methods of analysis, as I mentioned, to determine whether you have any vertebral subluxations, and effect necessary adjustments.  Therapeutic diagnoses are not part of appropriate non-therapeutic straight chiropractic.  

Incidentally, it would be wise to have your spine checked for subluxations by a non-therapeutic straight chiropractor even if you still elect to have therapeutic attention for your therapeutic concerns with another provider, whether that is with a therapeutic mixing chiropractor or some other provider to do so.  A key question to ask for your purposes would be, Is someone with back pain better off with vertebral subluxation / nerve interference or free of subluxation / with the nerve channels open?  It is easy to see that having all the available nerve messages getting through is better than only some of them getting through, regardless of the person's situation otherwise.  So, having one抯 spine checked for vertebral subluxation is tremendously important, but it抯 not for the purpose of dealing with back pain or even sports-related symptoms.  In other words, non-therapeutic straight chiropractic can be of benefit to any spine-owner, but perhaps in ways that you may not have considered.  It抯 not that you should see a non-therapeutic straight chiropractor FOR your back pain ?you should visit one in an effort to be free of vertebral subluxations, even WITH such matters in your history.  The question you pose about the evaluation and management of back pain are perhaps better suited for a therapeutic practitioner.  Non-therapeutic straight chiropractic is not about diagnosing and/or treating iliolumbar sacroiliac syndrome or any therapeutic-model or medical condition.  It is entirely separate in its goal.  As far as answering what to do about iliolumbar sacroiliac syndrome, then, you can see that this is not a non-therapeutic straight chiropractic matter.  

If you are interested in finding out how to locate a non-therapeutic straight chiropractor in your area, please contact me at this site again or at [email protected].  You may also visit www.gschiro.com, a site that represents non-therapeutic straight chiropractic organizations on a state level.

Mark, I wish you the best in understanding what non-therapeutic straight chiropractic has to offer.  It has been my pleasure to provide you with some information.

Sincerely,
James W. Healey, D.C.