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Researching Chiropractic: Torticollis, Sports-related Concussion

Researching Chiropractic

Chiropractic clinical case histories have been a regular feature of our patient newsletter since its inception. There seems to be no limit to the health problems that respond positively to chiropractic care. How many people suffering, reliant on medication and drugs, and facing a life of limitation could be helped by chiropractic care?                      

Probably most of them.

Resolution of Torticollis, Breastfeeding Difficulties, and Cranial Distortion

Chiropractic care was sought for a 13-day-old baby boy with torticollis, difficulty breastfeeding on his mother’s left breast, and cranial distortion. The baby received chiropractic treatment for a period of six weeks, with a total of seven visits. As a result, the baby’s initial complaints were resolved. 

Sports-related concussion

A 20-year-old male athlete visited a chiropractor complaining of a headache, feeling nauseous, experiencing dizziness, and having double vision. He had previously suffered a concussion related to sports activities 16 days ago, which marked his third concussion within five years. The symptoms were diagnosed as “post-concussion syndrome.”

The chiropractor conducted an analysis and performed adjustments to address subluxations. Following the first adjustment, the patient reported a significant 50% reduction in symptoms, instilling a sense of hope and confidence in the effectiveness of chiropractic care. Over the course of five weeks, the patient had a total of nine visits and experienced complete relief after one week of care. The symptoms did not reoccur throughout the entire treatment plan. 

Do you know someone with these issues?

Please encourage them to make an appointment with us!

(517) 627-4547

Chiropractic for Seniors: Enhancing Quality of Life

Chiropractic for Seniors

As the population ages, the demand for healthcare solutions tailored to the unique needs of seniors is rising. One such solution is chiropractic care, which addresses age-related spinal issues and osteoarthritis. This form of healthcare is particularly beneficial for older adults, offering non-invasive treatments that can significantly improve their quality of life.

The Role of Subluxation-Based Chiropractic Adjustments

Subluxation-based chiropractic care focuses on identifying and correcting subluxations-misalignments of the vertebrae that can interfere with nerve function. 

Subluxations contribute to various health issues, including pain, reduced mobility, and decreased organ function. 

Subluxation-based adjustments can be particularly beneficial for seniors. By correcting these misalignments, chiropractors aim to restore proper nerve function, which can improve overall health and well-being. Studies have shown that regular chiropractic care can lead to improvements in balance, coordination, and flexibility, which are crucial for preventing falls and maintaining independence in older adults.

Addressing Age-Related Spinal Issues

As we age, the spine undergoes various degenerative changes. These changes can lead to multiple issues, including reduced mobility, chronic pain, and decreased overall function. Age-related spinal conditions often include spinal stenosis, degenerative disc disease, and osteoporosis. Chiropractic care focuses on maintaining spinal health through regular adjustments, which can help mitigate these conditions. 

Chiropractors can alleviate pressure on nerves and reduce pain by improving spinal alignment and function. This is particularly important for seniors, as maintaining mobility and reducing pain can significantly enhance their independence and quality of life.

Managing Osteoarthritis

Osteoarthritis is a common condition among seniors, characterized by the breakdown of joint cartilage and underlying bone. It often affects the spine, causing pain and stiffness. Chiropractic care offers a holistic approach to managing osteoarthritis. Through gentle spinal adjustments, chiropractors can improve joint function and reduce inflammation. 

Improving Quality of Life

Chiropractic care is a valuable tool in enhancing the quality of life for seniors. Chiropractors can address older adults’ unique health challenges through regular adjustments and personalized treatment plans. This holistic approach alleviates pain, improves mobility, and promotes overall well-being.

If you are interested in discovering Chiropractic Care, give us a call! (517) 627-4547

Chiropractic Myths vs. Facts

chiropractic myths

Despite its growing popularity and recognition within the health community, chiropractic care is still surrounded by myths and misconceptions. Let’s debunk some of the most common chiropractic myths and provide evidence-based information to clarify the facts.

Myth 1: Chiropractors Are Not Real Doctors

Fact: Chiropractors are highly trained healthcare professionals who undergo rigorous education and training. A Doctor of Chiropractic (D.C.) degree in the United States requires at least seven years of higher education, including undergraduate study and four to five years of chiropractic college. The curriculum includes anatomy, physiology, neurology, radiology, and diagnostic imaging coursework, followed by clinical internships. Chiropractors must also pass national board exams and obtain state licensure to practice.

Myth 2: Chiropractic Adjustments Are Dangerous

Fact: Chiropractic adjustments are safe and effective when performed by a licensed and trained chiropractor. The risk of serious adverse effects is extremely low. Research has shown that chiropractic care can effectively help patients with acute and chronic low back pain, neck pain, and certain types of headaches, in addition to much more. A study published in the Journal of Manipulative and Physiological Therapeutics found that spinal manipulation is associated with minimal risk and can significantly relieve musculoskeletal pain. (2)

Myth 3: Chiropractic Care Is Only for Back Pain

Fact: While chiropractic care is well-known for addressing back pain, it is not limited to this condition. Chiropractors also address issues related to neck pain, headaches, joint problems, and musculoskeletal injuries. Additionally, they often provide guidance on nutrition, exercise, and lifestyle modifications to promote overall health and well-being.

Myth 4: Chiropractic Adjustments Are Painful

Fact: Most patients feel relief rather than pain during chiropractic adjustments. The techniques used are typically gentle and tailored to the individual’s needs. Patients may experience a mild soreness like that felt after exercise, which usually resolves quickly.

Myth 5: Once You Start Chiropractic Care, You Have to Keep Going Forever

Fact: The frequency and duration of chiropractic care depend on the individual’s condition and health goals. Some patients may require a short series of appointments for acute issues, while others may benefit from ongoing care for chronic conditions or preventive maintenance. Chiropractors work with patients to develop personalized treatment plans that align with their specific needs.

If you are interested in discovering Chiropractic Care, give us a call! (517) 627-4547

 

Chiropractic and Pregnancy: Exploring the Benefits

Chiropractic care has long been recognized for its holistic approach to health and wellness. During pregnancy, this natural form of healthcare can offer significant benefits to expectant mothers, addressing common discomforts and promoting overall well-being. Let’s explore how chiropractic care, mainly through the removal of subluxations, can provide pain relief, improve posture, and enhance overall wellness during pregnancy.

Pain Relief

Pregnancy often brings about various aches and pains, primarily due to the extra weight and altered biomechanics associated with carrying a child. One of the most common complaints is lower back pain. Chiropractors use specific techniques to adjust the spine, targeting misalignments or subluxations that may be causing discomfort. By realigning the spine, chiropractic adjustments can relieve nerve pressure and reduce pain. This non-invasive approach is precious as it provides a drug-free alternative for pain management, ensuring both mother and baby’s safety.

Improved Posture

As pregnancy progresses, the body undergoes significant changes, including a shift in the center of gravity and increased lumbar lordosis (inward curvature of the lower back). These changes can lead to poor posture, which can cause musculoskeletal strain and discomfort. Chiropractic care aims to maintain proper spinal alignment, which helps in supporting better posture. Regular adjustments can correct any deviations caused by the growing abdomen, ensuring that the spine and pelvis are correctly aligned. This alignment is crucial for reducing discomfort and supporting a healthier pregnancy and delivery process.

Overall Wellness

Chiropractic care extends beyond pain relief and posture improvement. By focusing on the nervous system, chiropractors can enhance overall wellness. The nervous system controls and coordinates all bodily functions; optimal performance is crucial during pregnancy. Removing subluxations or misalignments in the spine ensures that the nervous system operates efficiently, which can boost the body’s natural healing processes. This can lead to improved sleep, reduced stress levels, and better digestion, all of which are important for the health of both the mother and the developing baby.

Moreover, chiropractic care can potentially lead to shorter labor and delivery times. Proper pelvic alignment can facilitate a smoother and more efficient birth process. When the pelvis is balanced, it provides more room for the baby to move into the optimal birthing position, potentially reducing complications during delivery.

Chiropractic care offers many benefits for expectant mothers. By removing subluxations, chiropractors can provide pain relief, improve posture, and promote overall wellness. As a noninvasive, drug-free option, chiropractic care is a valuable addition to prenatal care, supporting the health and comfort of both mother and baby throughout pregnancy.

Do you know someone who is expecting?

Please encourage them to make an appointment with us!

(517) 627-4547

 

Researching Chiropractic: Constipation, Cerebral Palsy, Ear Conditions and more

Chiropractic clinical case histories have been a regular feature of our patient newsletter since its inception. There seems to be no limit to the health problems that respond positively to chiropractic care. How many people suffering, reliant on medication and drugs, and facing a life of limitation could be helped by chiropractic care?

Probably most of them.

Constipation

The patient, a 54-year-old woman, had been experiencing constipation for the past eight months, with less than three bowel movements per week. Along with this, she also complained of bloating in her stomach but without any pain. Chiropractic adjustments were performed on her C1, C2, T6, L4, and sacroiliac joints to address any vertebral subluxations. After receiving one month of care, the patient was able to have at least one bowel movement per day. (1)

Cerebral Palsy in an infant

An infant diagnosed with Cerebral Palsy was brought to a chiropractic clinic at the age of 3½ weeks. The baby boy had suffered from encephalopathy, a brain damage caused by low oxygen during birth. It took 30 minutes for the ambulance to arrive, and the infant was already 70 minutes old when he reached the hospital. The doctors had informed the parents that their child might be confined to a wheelchair for the rest of his life. However, after starting chiropractic treatment twice a week, adjustments were made to his sacrum, atlas, and cranium. As he progressed, the frequency of visits reduced to once a month over a period of five years. The patient’s mother also provided physical therapy sessions at home. As a result, the patient can now walk, talk, and function like any other normal child, although with slight developmental delays. The patient is no longer wheelchair-bound. (2)

Ear Conditions

Five individuals, ranging from infancy to five years old, were battling with persistent otitis media despite having been on antibiotics for no less than half a year. Each of these patients then embarked on a regime involving chiropractic care. Remarkably, they all showed signs of recovery within the time frame of 3 days to 8 weeks, with the results being highly satisfactory. Among the five, three patients had misalignment at the atlas vertebra; one manifested a dislocation at the occipital bone, while another had both atlas and axis vertebrae out of place. In addition to this, comprehensive spine adjustments were performed on them. [3]

Sciatica and Back Pain

A 30-year-old woman suffered from upper back pain and sciatica. She also had scoliosis and significant pelvic rotation. Medical interventions such as physical therapy failed to make significant improvements to her complaints.

Vertebral subluxations were found at the levels of C2, T6, and Right Ilium.

She was seen twice a week for six weeks and once a week for six weeks. After care, she reported a resolution of sciatica, a significant decrease in upper back pain, and marked improvements in neck and lower back ranges of motion. [4]

Do you know someone with these issues?

Please encourage them to make an appointment with us!

(517) 627-4547


  1. Acosta B. Resolution of Chronic Constipation in a 54-Year-Old Female Following Chiropractic Care: A Case Study & Review of the Literature Annals of Vertebral Subluxation Research, Volume 2024 Annals of Vertebral Subluxation Research. January 2, 2024, Pages 1-7
  2. Rubin D, Taylor C. Chiropractic Care & Long Term Follow Up of an Infant with Cerebral Palsy: A Case Report & Review of the Literature. Journal of Pediatric, Maternal & Family Health Chiropractic, Volume 2023Journal of Pediatric, Maternal & Family Health, Chiropractic ~ December 12, 2023 ~ Pages 35-42
  3. Fysh PN. Chronic recurrent otitis media: case series of five patients with recommendations for case management. Journal of Clinical Chiropractic Pediatrics 1996 1(2):66-78. 
  4. Hamstead A. Reduction of Upper Back Pain & Resolution of Sciatica Following Chiropractic Care to Reduce Vertebral Subluxation in a 30-Year-Old Female with Scoliosis: A Case Study Annals of Vertebral Subluxation Research ~ January 16, 2024 ~ Volume 2024 ~ Pages 8-14

Chiropractic Care When You Are Feeling Down

In today’s fast-paced world, mental well-being is as crucial as physical health, yet it often receives less attention. While traditional mental health interventions focus on psychotherapy and medication, emerging evidence suggests that chiropractic care can also play a vital role in managing mood disorders and improving overall mental wellness. This holistic approach to health care, primarily known for addressing musculoskeletal issues, might offer a surprising benefit to those feeling mentally down.

The spine is a central conduit of nerve impulses throughout the body, and misalignments, known as subluxations, can disrupt this system, potentially affecting mood and mental health.

The connection between chiropractic adjustments and improved mental health lies in the body’s response to treatment. Adjustments to the spine can reduce physical pain, which in itself is a significant factor in mental distress. Chronic pain is a known contributor to depression, anxiety, and reduced quality of life. By alleviating this pain, chiropractic care can indirectly lift one’s mood and enhance feelings of well-being.

Moreover, chiropractic adjustments may influence the body’s biochemistry. Research suggests that spinal adjustments can lead to hormonal changes, including increases in endorphins and cortisol, which are associated with pain relief and mood elevation. These hormonal shifts can provide a natural boost to one’s mental state, particularly for those dealing with stress, anxiety, or mild depression.

A critical piece of evidence supporting the link between chiropractic care and improved mental health comes from a study published in the “Journal of Upper Cervical Chiropractic Research.” This research found significant improvements in psychological health in participants following chiropractic adjustments, with reductions in depression and anxiety scores. The study underscores the potential of chiropractic care as a complementary approach to traditional mental health treatments.

While chiropractic care is traditionally associated with physical health, its benefits may extend far beyond, offering a complementary solution for those feeling mentally down. By addressing the physical discomfort and promoting hormonal balance, chiropractic adjustments can play a role in improving mental wellness. As always, it’s essential to consult with healthcare professionals to determine the most appropriate care plan for your specific needs. Integrating chiropractic care with conventional mental health interventions might provide a holistic path to improved well-being.

Make an appointment with us today.
517-627-4547

What is a Subluxation?

From a chiropractic perspective, a subluxation is defined as a misalignment of the vertebrae, regarded as a key cause of health problems through its impact on the nervous system. Unlike the medical definition, which emphasizes partial dislocation of any joint, chiropractic subluxation focuses specifically on the spine and its influence on overall health. Chiropractors believe that these spinal subluxations can interfere with the body’s self-healing capabilities by disrupting the flow of nerve impulses between the brain and the rest of the body.

Subluxations are thought to result from various stress factors that can be physical (such as poor posture, accidents, or repetitive motions), chemical (like poor nutrition or substance abuse), or emotional (stress, anxiety). These stressors can lead to changes in the spinal tissues, causing vertebrae to move out of their normal position and potentially affect nerve function.

Symptoms of a subluxation may not be as immediately apparent as those of a medical subluxation and can vary widely among individuals. Some may experience back or neck pain, while others may have systemic issues such as digestive problems, headaches, or fatigue, suggesting that the effects of subluxations can extend beyond the immediate area of misalignment to influence overall health.

The chiropractic approach to removing subluxations is through adjustments, a specialized technique designed to correct vertebral misalignments, thereby restoring proper nerve function and promoting the body’s natural healing processes. Chiropractors use their hands or specific instruments to apply controlled force to the spine, aiming to realign the vertebrae to their proper position.

Research and clinical studies support the chiropractic assertion that addressing spinal subluxations can have a positive impact on overall health. For instance, a study published in the Journal of Manipulative and Physiological Therapeutics highlights the potential benefits of chiropractic adjustments in improving nerve function and reducing pain (3).

In summary, from a chiropractic standpoint, a subluxation is not just a physical misalignment but a significant health concern with the potential to affect the nervous system and overall well-being. Chiropractors emphasize the importance of correcting these subluxations to maintain health and prevent disease.

How can chiropractic care enhance childhood development?

D.D. Palmer, the founder of chiropractic, posited that many health issues stem from misalignments in the spine (subluxations), which can impede the flow of innate intelligence or the body’s natural healing capability. For children, ensuring that the spine is properly aligned is believed to support the body’s natural development processes and overall health. Traditional chiropractic care aims to correct these subluxations through specific adjustments, thereby enhancing the nervous system’s function.

One of the primary ways chiropractic can enhance childhood development is by improving nervous system functionality. A healthy spine is crucial for a well-functioning nervous system, which in turn is essential for the growth and development of children. The nervous system controls and coordinates all the body’s organs and structures and plays a key role in developmental milestones such as walking, talking, and fine motor skills. By ensuring that there are no spinal misalignments, chiropractic care can support the optimal functioning of the nervous system, facilitating better health and development outcomes for children.

Additionally, chiropractic care has been associated with improvements in specific childhood issues such as colic, asthma, and ear infections, which can affect a child’s overall development and quality of life. A systematic review published in the “Journal of Manipulative and Physiological Therapeutics” highlights the potential benefits of chiropractic interventions in reducing colic symptoms in infants, suggesting a positive impact on early developmental stages (1).

Furthermore, research documented in the “Chiropractic & Manual Therapies” journal indicates that chiropractic care may improve behavioral and emotional health outcomes in children, pointing to its holistic benefits on childhood development. These studies underline the significance of a well-aligned spine for general health and development, echoing D.D. Palmer’s foundational principles of chiropractic care.

Make an appointment with us today. 517-627-4547

[1] American Chiropractic Association. “What is Chiropractic?” Accessed April 2023. This reference provides a foundational understanding of chiropractic care, its principles, and its practice, highlighting the importance of continued care for overall health and wellness.

3 Food Myths Could Be Hurting Your Health

These 3 Food Myths Could Be Hurting Your Health, According to a Stanford Nutrition Professor

This article originally appeared in Fortune Magazine by Christopher Gardner and was updated: on Jan 19, 2017.

This week Christopher Gardner, a nutrition professor at Stanford University and a long-time vegetarian, debunks common misconceptions about healthy eating.

Now that the holidays have come and gone, it’s time to hunker down and commit to the resolutions we’ve made. For many of us, this means striving for and more importantly sticking to, a healthier diet.

Unfortunately what that actually entails can be hard to pin down. We live in the age of fad diets: Nutrients, foods, and entire regional cuisines are dismissed as unhealthy, only to be re-embraced shortly thereafter.

If you’re confused, at least take comfort in the fact you’re far from alone. With that in mind, I’ve decided to dispel some fundamental misconceptions about how we approach healthy eating.

  1. Carbohydrates. The anti-carb/low-carb craze has gone too far. No matter the health philosophy you prescribe to — be it veganism/vegetarianism/pescetarianism, or a Paleo/gluten-free/low-carb/high-fat diet — you’re likely in favor of eating a wide variety of delicious and vibrantly colorful non-starchy vegetables, such as heirloom tomatoes, butternut squash, carrots, mixed salad greens, swiss chard, and sweet red bell peppers. For carb watchers, the irony here is that these are all carbohydrate-rich foods (65% to 90% of their calories come from carbohydrates). For the record, beans, whole grains, fruits and all other vegetables are carbohydrate-rich foods, too.

So instead of stripping out all carbs from your diet, which would mean eliminating healthy and delicious foods such as the veggies listed above, focus on reducing your intake of added sugars (i.e. sugars not naturally found in fruits and other plant foods) and refined grain.

The average American consumes far too much of both. While the United States Department of Agriculture (USDA) recommends that less than 10% of our daily calories should come from these sugars, the typical American exceeds that benchmark. This is true across all age groups, particularly for children two to 19 years old. On average, boys and girls in this demographic get around 16% of their daily calories from added sugars. Because the body breaks up and absorbs sugar very quickly, a sugary diet floods the bloodstream with high amounts of glucose. Over time, this can lead to a range of metabolic problems including obesity, diabetes, and heart disease.

In addition to sugar, as a nation we’re eating far too much refined flour, the main ingredient in household staples such as white sliced bread, cereals, cookies, crackers, and pastries. Unlike whole grain flour, refined flour grain is milled to remove its bran and germ, which also removes most of its nutritional value, leaving behind starchy carbohydrates. Because starch is essentially just long strings of glucose, a diet high in refined flour can lead to many of the same problems as a diet packed with added sugars.

Bottom line: Instead of vilifying carbohydrates focus on eating whole, unprocessed meals and avoiding processed foods that often contain refined wheat and added sugars.

  1. Protein. Judging from the explosion of protein products — a category that includes bars, smoothies, and even protein water — you’d think our national diet is deficient in this basic food component.

Which, frankly, boggles my mind. As a country, we consume more protein per person than any other nation.

While some demographic groups do fall short of protein recommendations, including teenage girls and the elderly) others greatly exceed it. Teenage boys and adult men, for example, average 100 grams of protein a day, nearly double the recommended 56 grams.

In reality, it’s not hard to find naturally protein-rich foods. This goes for vegetarians and vegans as well. (Side note: Stop asking these folks where they get their protein. They are fine, really!) While lean meats such as chicken and salmon are good sources of the stuff, protein is also found in plant foods. And despite the widespread misunderstanding around the topic, it’s possible to get all 20 amino acids (including the nine essential amino acids not synthesized by our bodies and thus supplied only by our diets) from a combination of legumes, whole grains, nuts, vegetables, and fruits

Bottom line: Our obsession with artificial protein products is a distraction. In lieu of seeking out the protein powder, bars, etc., focus on eating a balanced diet (think lots of vegetables, legumes/beans, nuts, seafood, whole grains and fruits, and less processed snacks and foods high in saturated fat, salt and sugar).

  1. Fiber. What with all the attention being paid to carbohydrates and protein, it’s easy to forget about fiber. We shouldn’t, though. Fiber, which is a form of carbohydrate that we can’t digest and thus can’t be absorbed in our upper small intestine, travels on to our lower intestine and feeds the microbial community living in our colons. This may sound gross, but it’s important: A slew of recent research has connected the health of our gut bacterial populations, known as the microbiome, to our overall health, impacting everything from digestion to weight, to mental health.

In the absence of enough fiber, the microbiota chew on, and subsequently thin, the colon’s protective mucus lining, which wreaks havoc with our immune function and promotes an inflammatory state that can contribute to a variety of chronic conditions, including cardiovascular disease, diabetes, and cancer.

If you’ve noticed a theme in this column, the trend doesn’t stop here. The solution to getting enough fiber is simple: eat more whole foods, especially nutrient-dense vegetables and other plant foods that are rich in fiber.

The final word: Don’t buy into the industry-driven hype. Stop fearing carbohydrates, and stop obsessing over protein products. Healthy eating isn’t about adding supplements or avoiding entire nutrient categories. Instead, it’s about consuming plenty of carbohydrate-rich (which usually means fiber-rich) plant foods, and balancing those with smaller amounts of grains, dairy, meat, and the occasional treat. Love your food, and let it love you back.

 

Researching Chiropractic: Rheumatoid Arthritis & Parkinson’s Disease

Chiropractic clinical case histories have been a regular feature of our patient newsletter since its inception. There seems to be no limit to the health problems that respond positively to chiropractic care. How many people suffering, reliant on medication and drugs, and facing a life of limitation could be helped by chiropractic care?

Probably most of them.

Rheumatoid arthritis (RA) is a condition that affects a 28-year-old woman. 

It is classified as a disorder with an unknown cause and is considered to be incurable. Apart from RA, she also experienced symptoms such as fatigue, headaches, dizziness, pain in the toes, and occasional double vision. To manage her symptoms, she was taking 500mg of NaproxenT multiple times a day and using moist heat on the affected joint.

After receiving care for 12 weeks, she no longer needed to take the prescription medications Methotrexate or Naproxen for her joint pain. Her symptoms of fatigue, swollen and painful joints, difficulty sleeping, headaches, dizziness, blurred or double vision, chest pain, frequent colds or flu, and digestive problems had significantly decreased.

At the time of this case study, she continues to receive care for her condition. (1)

A woman who is 58 years old is dealing with Parkinson’s disease. She experiences tremors in her right hand at rest, weakness in her right arm, and sluggish body movements. The diagnosis of Parkinson’s disease was made one year before she started chiropractic care.

Over one year of care, she has seen significant improvements. Her muscle strength has increased, her range of motion in her neck has improved, and her neck and upper back muscles have become more relaxed. She has also noticed improvements in her resting tremors, bradykinesia (slowness of movement), and weakness in her right arm. As a result, she has resumed daily walks for exercise. (2)

Do you know someone with these issues?

Please encourage them to make an appointment with us!

(517) 627-4547


  1. Brown D, Korten J. Improvement Following Subluxation-Based Corrective Chiropractic Care in a 28-Year-Old Female Diagnosed with Rheumatoid Arthritis: A Case Study & Review of Literature. Annals of Vertebral Subluxation Research, Volume 2023. Annals of Vertebral Subluxation Research ~ October 24, 2023 ~ Volume 2023 ~ Pages 141-149
  2. Coutinho K, Shuford M. Improved Health Outcomes in a 58-Year-Old Female Patient with Parkinson’s Disease Following Chiropractic Management Utilizing Diversified Technique: A Case Study & Review of the Literature. Annals of Vertebral Subluxation Research, Volume 2023 Annals of Vertebral Subluxation Research ~ October 2, 2023 ~ Vol. 2023 ~ Pp. 130-140..