Academy of Chiropractic

Quickie Podcast 1298
Clinical Information 297 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006

The Difference Between Mobilization and Adjustment



This is being recorded with permission. Good morning. Good morning. I know you were in an airport. Ask, ask me and I know you're going to Disney world, right? Yes. I am not, not, not not you. You and me both. I canceled my Disney world trip, but my grandkids and so depressing, um, asked me your question and then tell me why you're asking me that. So what is the difference between, is there a difference in documentation, um, between mobilization and a chiropractic adjustment, particularly if I'm on the stand for example, or, um, yeah, just in that whole medical legal round. Why is there a difference when we put that on our documentation? There there's a huge difference. Mobilizations has to do with gliding of the joints, the Fossette you glide them, you move the joint in the range of the Fossette. The goal is just to try to put motion in there, uh, stretch the, the, the attachments.

Um, I would like to say breakup fixations, but you're not doing that. Um, and the chiropractic spinal adjustment is a high velocity, low amplitude thrust, which is the purpose of putting that, um, that little plica or the, I keep forgetting the name of what it is. Another name for a plica drives me crazy. I can never remember the name of it. Um, but resetting that back into the joint space and the success and the Disher with the hive, lot of swimming up the food thrust, you're creating a neurological cascade, which you're not with with mobilization, right? You also have the potential of getting, um, an audible crack, a popping cavitation, which you don't get with legalization. Now, the differences is osteo. So the key is, is that even if you say manipulation, okay, doctor you're on the witness said, doctor, where you an osteopath, you have physical therapy.

They manipulate so chiropractic and spinal adjustment takes that argument out. But for mobilization versus a chiropractic spinal adjustment, the chiropractic spinal adjustment increases substance P, which is well pro uh, polymorphic, uh, nucleotides. I know I don't have the name, right. It's rubbing the crazy. I can't remember that. I've got, I'm getting older. So many things I can't remember. Um, but you're releasing a substance P by twofold, you're causing a central sensitivity sensitization, meaning you're effecting changes in the brain with the chiropractic spinal adjustment. You're not wearing mobilization. You're, you're affecting different parts of the body and causing, um, um, hypo allergies and disparate parts, meaning pain reduction and other parts because you're activating the brain. So there's a huge amount of difference and both application and results. And the physical therapist is not trained in a high velocity, low amplitude chiropractic, spinal adjustment. They are trained in mobilizations period, and there is a huge, huge difference. Does that answer your question? Yes, it does. And I'll, I guess all in all it, the research it's different when you're talking about mobilization and for the very reasons I just named yes. And the polymorphic nucleotides. Oh God. Um, yeah, there, there is a very, very, very big difference. Plus from a biomechanical perspective, when you separate the Fossette in that little clique, it has an opportunity to receive itself. You're separating the Fossette, uh, uh, 0.7 to a 1.2, two mil millimeters, which lasts for at least 20 minutes, which makes by mechanical changes. So there's a lot of things that you don't get with mobilizations. Okay. Got it. Thank you. Awesome. Okay. Listen, you would have a safe flight. Enjoy yourself. Call me if you need me. Okay. Later on, we'll get it.

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments.