Question
hi doc:),..I work as a mental health tech.,  and approx. 2 weeks ago,  had to reach with my right hand (bad weight point of wrist) to stop a patient from falling.  I felt a sting in my wright wrist,  but the rest of the day no problems.  the next day  beginning from the back under my shoulder blade and under my right arm,  was apinfu.  no problems  cause that  goes with the job,..however,  then my right hand started tingling as when one falls asleep and a limb goes to sleep.  the next day after that my wrist and 2 smaller fingers became numb.  now the numbness is subsiding,  and the feeling is returning somewhat but i don't haVE any strength in my right hand:( i never had any swelling at all... will this pass,  or what are your thoughts.  thanx for taking the time to help:)  ron

Answer
Dear Ron,

Thank you for your question about your injury situation.  Yours is a question somewhat 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.  It may be that, because of your background or training for your work, some of the information following may be a bit rudimentary for you, but I would rather give you too much information than too little which would lead to misunderstanding or lack of clarity.  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 long-lever lifting, as may have happened with you, 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, as you probably know from your professional educational background, 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 the weakness or unusual sensations you describe in your question or if it may be related to a vertebral subluxation.  At best, such a conclusion would be no more than a guess.  

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, then, would be, Is someone who had initially injured their wrist (and is now having various other symptoms) 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.  It's not that you should see a non-therapeutic straight chiropractor FOR your complaints ?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 this 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.  What information I give you must not be interpreted from the mixed viewpoint.  

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 for your reported injury-related complaints.  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.

Ron, 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.