Question
Dear Sir,

I have been experiencing pain in my right wrist for the last six months. I was lifting weights, so I stopped that and wore a brace. The pain has not subsided.

I sought physical therapy but they were dumfounded by the fact that I have full mobility and no pain except when I want to put pressure on the wrist. (like when doing pushups)

The pain is located on the wrist on the thumb side and it is a sharp continuous pain (until pressure is released). Also, there has been some cracking with movement of the wrist.

I really appreciate your help, and one final note: I have played the violin for 15 years and that wrist is the bow hand. Should I stop my passion for music?

Seeking solace,
Aaron

Answer
Dear Aaron,

Thank you for your question.  Yours is a question similar to those I have heard from others who are investigating chiropractic.  Unfortunately, though, it is based on some misconceptions.  In order to answer it properly, I'll 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.  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.  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 exercise routines, as you described, but also such things as 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, etc.), which are, unfortunately, regular parts of daily living for all age groups.  In short, a vertebral subluxation can occur for a multitude of reasons.

Tragically, 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.  Perhaps of more use to you, the branching of the nerve pathways is quite 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 what may cause your wrist pain or particularly if it may be related to a vertebral subluxation.  At best, such a conclusion would be no more than a guess.  A vertebral subluxation is certainly a serious matter, but it is not revealed by pain.

In order to know if someone has a vertebral subluxation, it is necessary to have that person's 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.

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 your pain, it's about your life.  Each person has a unique potential in life.  With vertebral subluxation, it's impossible to realize that potential.

A key question to ask for your purposes would be, Is someone who has pain in their wrist and wishes to have peak performance in their physical activities 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.  Non-therapeutic straight chiropractic can be of benefit to you, but perhaps in ways that you may not have considered.  It's not intended as a treatment for a wrist injuries or symptoms, whatever may be their cause, but is a benefit even if a person simply wishes to get the best out of their exercise or music (whether playing or enjoying) or healing potentials or any other aspect of their many gifts of life performance.  It's not that you should see a non-therapeutic straight chiropractor FOR your symptoms ?you should visit one in an effort to be free of vertebral subluxations, even WITH such complaints.  Non-therapeutic straight chiropractic is not about diagnosing and/or treating the symptoms you described or any therapeutic-model or medical condition.  It is entirely separate in its goal.  

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.  It would certainly be wise to have your spine checked for subluxations by a non-therapeutic straight chiropractor, even if you still elect to have therapeutic attention - excuse me, solace! - for your wrist pain.  Remember, the two objectives are not the same.  

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.

Aaron, I wish you the best in understanding what chiropractic has to offer.  It has been my pleasure to provide you with some information.

Sincerely,
James W. Healey, D.C.