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January 2006

Internal Health: A chiropractic specialty

by Dr. Howard Loomis

Previously, I wrote about a simple screening examination that will help you identify those patients not responding adequately to stress in their lives (and I'll have more to say about that). This month, I'm devoting my column to explaining why you, as a chiropractor, should be interested in differentiating between a structural (somatic) or functional (visceral) cause of a patient's symptoms. In addition, it's important to identify patients who'll respond quickly and those who'll need extended care. This can only be done by examining for visceral (functional) dysfunction as well any structural dysfunction. (See table 1)

·                     Stiff, sore joints

·                   Constipation or diarrhea

·                     Headaches

·                   Restlessness or irritability

·                     Heartburn

·                   Anxiety

·                     Indigestion

·                   Depression

·                     Gas and bloating

·                   Insomnia

Is the cause of these symptoms structural dysfunction or is there an underlying visceral cause exhausting the body's ability to maintain normal structure and function? You can quickly find the answer by palpating for viscero‑somatic stress points before and after correcting any spinal involvement. All of the symptoms listed in table 1 suggest inadequate intake or inadequate digestion of protein, lipids, complex or simple carbohydrates. And the most common cause of all of these symptoms is diet. Any patient suffering frequently with these symptoms requires some dietary modification. I am not talking about vitamin and mineral supplements, nor am I referring to any body‑type system.

Would you consider adding a symptom‑based screening procedure that would allow accurate recognition of the cause of these common symptoms quickly and easily? This diagnostic procedure is scientifically sound, legally defensible, and will lead to greater patient confidence in your abilities. Before you answer, think about whether you are prepared for:

***  More patients

***  Better results and better compliance

***  More referrals

***  More respect in the community

***  Increased income

Chiropractors are uniquely suited to establish themselves as internal health specialists who can quickly recognize the cause of and specific treatment for headaches, digestive disorders, and other related symptoms, thereby bringing patients, recognition, and financial security.

If you adopt my suggestion, you will be competing directly with the pharmacies. They dispense information and sell products that give symptomatic relief for pain, allergies, constipation, and heartburn without benefit of case history or examination to determine the cause. I always made it a point to tell my patients that drugs cannot restore normal function and they should be reserved for the treatment of disease. I would add that you cannot maintain health using drugs, regardless of their use as recreational, over‑the‑counter, or prescription remedies.

According to trade magazines, the three biggest sellers in a pharmacy are digestive inhibitors (antacids and proton‑pump inhibitors), laxatives, and anti‑inflammatory/anti‑histamine preparations. Obviously, if you retard or block digestion in the stomach, you will create dietary deficiencies and alter bowel function. Hence, the need for laxatives. The only backup system the body has to compensate for inadequate digestion is the immune system, and that creates the need for anti‑inflammatory and anti‑histamine preparations.

You cannot only compete in that market, you can gain the recognition and respect you seek because you have a huge advantage: you can also identify the source of the symptoms. You just need to lay your hands on the patient, find the painful stress points, and get that patient's attention. No hard sell is required. Just offer drug‑free symptom relief and explain the cause of the problem. Once the cause is known, the treatment becomes obvious.

Imagine what you could do if your patients knew you specialized in identifying the underlying problem and eliminating those annoying symptoms without the use of drugs. It would come down to identifying how much dietary modification was required in each individual patient. You would need to know how to advise a change in the patient's intake of proteins, fat, complex carbohydrates, and sugars.

In prior columns, I have highlighted palpation of the abdomen and Pottenger's Saucer as a diagnostic test that chiropractors can readily use in their offices. This simple palpatory examination, combining spinal and visceral stress points, can quickly identify the symptomatic cause that has probably eluded both the patient and other clinicians. The procedure is quite revealing and very accurate when done about 30‑to‑60 minutes following a meal or during the appearance of any of the symptoms I've listed. Such a procedure requires only a minute or two and is combined with a few specific inquiries.

There are no laboratory tests that can give you the same information, but you are familiar with the most common and earliest symptoms of a protein, lipid, or carbohydrate deficiency. This gives you a clear edge because inadequate digestion of any of these substrates can result in the appearance of indigestion, heartburn, gas or bloating, even constipation and diarrhea. (See table 2)

THE MOST COMMON SYMPTOMS

Protein

Carbohydrates

Lipids

Excessive wetness

Excessive dryness

Dry skin

Retains fluid, edema

Easily startled

Eczema, dermatitis

Watery eves, nose,

Memory loss and poor

Hair loss

 mouth

concentration

 

One of the questions I heard frequently was, "Why didn't they do this exam at the hospital?" I would always reply as Dr. James Parker did: "They didn't do this exam? No wonder they didn't find the cause." Remember, it's the satisfied patient that builds your practice.

What if you had started your career with this kind of practice? What if you added this specialty to your already existing practice?

(Dr. Loomis welcomes input on the subjects covered in this column. To make a comment or ask a question, write to him at 6421 Enterprise Lane, Madison, WI 53719. Visit www.loomisinstitute.com online or call 800‑662‑2630 for information on upcoming Loomis Institute seminars.)

 

 

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