Academy of Chiropractic

Quickie Consult 1317
Clinical Information 306 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

Ligament Innervation and Post-Trauma Actions



“Truth is not perception, it only has 1 version” Mark Studin 2021

Ligaments have a covering called the  "Epiligament." This structure is  highly innervated and mildly vascularized. The evidence reports:
The precise distribution of myelinated sensory, unmyelinated sensory, and sympathetic nerve fiber types in ligament remains unknown, but histologic studies of the articular nerves have shown that 20% of the axons are myelinated Ab-, Ag-, and Ad-sensory fibers, 40% are unmyelinated C-sensory fibers and the remaining 40% are sympathetic efferents. The larger myelinated Aa- and Ab-fibers innervate specialized multicellular end organs. These end organs are mechanoreceptors that are activated by mechanical stimuli and have low thresholds and high sensitivity.

What this means, is ligamentous innervation sensors get triggered at a very low threshold, but respond quickly. What we also know is the there are opioid neuropeptides released in ligaments with pathology (secondary to trauma). These neuropeptides quell pain so the joint can function while the mechanoreceptors through central sensitization can allow the body to compensate in disparate regions to reduce the stress to the joint, while the joint "wound repairs." The ligament NEVER heals, it wound repairs. 

This is going to be one of the major topics in our Primary Spine 
Care Symposium 11, on May 14-16, 2021. This tidbit is part of a much larger picture. I will also be creating a Qualification on Connective Tissue Pathology that will be completed by the end of the year. 

To sign up for the Symposium:
20 CE Credits
10 CV Citations

Friday May 14th: 10 am - 6 pm ($100) CLICK HERE
Saturday May 15th: 10 am - 6 pm 
Sunday May 16th: 10 am - 3 pm
Sat-Sun ($299) CLICK HERE

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