The Gonstead method helped a patient reduce his anteroposterior total-body lean from 33 mm to 1 mm
The Gonstead Method
Clarence S. Gonstead developed the “foundation principle” to explain how a misalignment in one area of the spine created compensatory biomechanical changes in another. After the consultation, which includes prior health history, trauma history, lifestyle tendencies, and present health concerns, a complete spinal examination is performed. First, all patients undergo a visual inspection. Next, instrumentation is performed using a dual probe heat differential instrument, typically the Gonstead Nervoscope or Temposcope. Areas of rapid breaks are recorded on the patient with a grease marker denoting the site and side of deflection. Digital palpation is then used to evaluate changes in tissue integrity, such as edema and tissue atrophy. Hyper- or hypotonicity of musculature and increased tenderness, especially on the spinus process, are also considered as important indicators. Motion palpation is used to evaluate the quality and quantity of motion and screen for fixation.
With the Gonstead method, if positive findings are uncovered during examination a series of 14-by-36-inch antero posterior and lateral X-rays are taken. Areas of potential subluxation, indicated by a positive instrument reading, changes in tissue integrity, and reduction in joint motion are evaluated as to their spinal misalignment. The x-ray is only used as a directional indicator to ascertain the position of the misaligned segment and therefore the vector of the corrective thrust to be used. Gonstead practitioners use tables unique to the Gonstead technique. The choice of the table is based upon the area of the spine to be adjusted, the specific body type, size and spinal configuration and condition. These modifications afford the Gonstead doctor the ability to better achieve the ideal “set.”
Presentation
A 16-year-old male was standing with some friends
about 5 feet away from a copper mine shaft in England when the earth
collapsed around him. As his friends watched in horror, the boy was sucked
into the mine. He subsequently fell 300 feet, breaking through two safety
platforms on the way. Lying unconscious in the mine shaft, the boy
reportedly lost more than 4 pints of blood. He speaks today of having had a
“near-death experience” during the 12-hour wait before he was
finally rescued from the mine and taken to hospital.
Along with many other injuries, the patient suffered a
triple compound fracture of his left femur. The doctors who treated him
told his mother that he had only a slim chance of surviving the night and
an even smaller chance of ever walking again. After a series of operations,
which included having a steel rod placed in his left leg and a long
hospitalization, the patient returned to New York to consult with a
renowned orthopedic surgeon. By now, the patient had developed a massive
osteomyelitis in his left femur and was placed on large doses of
antibiotics. Overall, he underwent 18 surgeries and ultimately was left
with an 18-mm measured deficiency in his left leg and could only bend the
leg 30°.
The patient then undertook a vigorous rehab program
with two physical therapists and also did independent work for between 4
and 8 hours every day for almost 10 years. During this time as a student at
Stanford University, he found himself in a dorm with a group of athletes
from various college sports teams. The patient used this concentration of
brawn to his advantage and enlisted the athletes to do more rehab work with
him, having them perform hours of assisted stretching. During this time, he
was able to increase the angle of knee flexion to 85°. At this point,
he began to lead a somewhat normal life, albeit with a shortened leg and
considerable pain in his spine, hip, and neck. He ultimately became a
world-class Ultimate Frisbee player.
Analysis
He presented in my office with acute neck spasms and
torticollis pain syndrome. Although he was functioning well on the surface,
he reported bouts of chronic spine, hip, and neck pain. I found
subluxations at L5, T1, T6, C1, C6, and the left sacroiliac joint, with the
major subluxations being at L5, T1, and the left sacroiliac joint. The
examination revealed as much subluxation in his lower spine as there was on
his upper spine and neck.
Care
I adjusted the subluxations in his neck and back, and
his general level of vitality increased. I worked with him slowly over a
5-year period, making regular adjustments using the protocols of the
Gonstead system. I placed him on a regular, rhythmic wellness health
schedule designed to promote a balanced lifestyle. A pre- and post-x-ray
study revealed significant improvement in the posture of his spine.
His anteroposterior total body lean has been reduced
from 33 mm to 1 mm. While the short leg still exhibits a 15-mm deficiency,
there is significant improvement in his anteroposterior weight-bearing
posture. His 37-mm anterior head carriage has improved to 9 mm. His
sacral base angle has improved from 57° to 48° and his lumbar arch
has gone from 54 to 40. His C7 base angle also shows an improvement from 24
to 11°.
The patient essentially willed himself back to health
through perseverance and dedication. However, prior to beginning care in my
office, he still suffered from significant pain and dysfunction. He
reported his use of various chiropractic
techniques over the years with only modest symptomatic results. In this
case, the Gonstead technique was a perfect match for him, given the nature
of his subluxations and his 16-mm short leg syndrome.
He is now significantly better from both a
biomechanical and a symptomatic perspective. The Gonstead technique and its
attendant lifestyle changes has reduced his subluxations and improved his
spinal health and function.
By adopting a lifestyle that includes stress
management, nutritional improvements, regular exercise, and participation
in a wellness adjusting schedule, the patient’s body has recalibrated
itself and he now enjoys much better health.
As is always the case, the presence of vertebral
subluxations will prevent the body from fully healing regardless of other
efforts by the patient or the practitioner. Only through the location and
the correction of vertebral subluxation complex can optimal health ever be
realized.
David J. Rowe, DC, graduated
magna cum laude from Life Chiropractic College in Georgia in 1982. He is
currently president of The Gonstead Clinical Studies Society, a nonprofit
research and educational society dedicated to the advancement of
chiropractic. He can be reached at drowe@rowechiropractic.com or at
www.rowechiropractic.com.