Your Spine In Health And Disease

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Chiropractic Mechanisms in everyday practice. PLEASE NOTE PHONE NUMBER IS NO LONGER VALID

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Your Spine In Health And Disease

  1. 1. Your Spine in Health and Disease Andrew S. Bonci, BA, DC 5830 Woodson Mission, Kansas 66202 (913) 236-5030 © 2000, Dr. Andrew S. Bonci, All 1 Rights Reserved.
  2. 2. Hello! I’m Dr. Bonci, © 2000, Dr. Andrew S. Bonci, All 2 Rights Reserved.
  3. 3. “I want to show you how your spine can play a major role in magnifying the potential for disease.” © 2000, Dr. Andrew S. Bonci, All 3 Rights Reserved.
  4. 4. “I’ll let you see my personal research notes and help you to understand what you can do to stay healthy!” © 2000, Dr. Andrew S. Bonci, All 4 Rights Reserved.
  5. 5. “Your spine is important because it houses your spinal cord. Your spinal cord is a giant communication cable between your brain and nearly every cell of your body!” © 2000, Dr. Andrew S. Bonci, All 5 Rights Reserved.
  6. 6. Here is your brain and spinal cord. Isn’t it magnificent! It is a master controller. © 2000, Dr. Andrew S. Bonci, All 6 Rights Reserved.
  7. 7. Your brain and spinal cord are very delicate. They are protected by bone. © 2000, Dr. Andrew S. Bonci, All 7 Rights Reserved.
  8. 8. Solidly encased in bones, your delicate nervous system is protected. © 2000, Dr. Andrew S. Bonci, All 8 Rights Reserved.
  9. 9. This type of protection is a double edged sword. It can cause some problems too. © 2000, Dr. Andrew S. Bonci, All 9 Rights Reserved.
  10. 10. The problem can arise at the place where the nerves of the spinal cord exit between the spinal bones. © 2000, Dr. Andrew S. Bonci, All 10 Rights Reserved.
  11. 11. “Here are those openings for the spinal nerves.” © 2000, Dr. Andrew S. Bonci, All 11 Rights Reserved.
  12. 12. The spaces are vulnerable to injury. And the inflammation caused by “Here are these small those injuries irritate openings the spinal nerves. for the spinal nerves.” © 2000, Dr. Andrew S. Bonci, All 12 Rights Reserved.
  13. 13. Let’s correct a long-standing error. Rarely, if ever, do the spinal bones “pinch” the spinal nerves. A “pinched nerve” in your back is probably not a bone on a nerve. Most of the times, what feels like a pinched nerve is inflammation or a muscle spasm. © 2000, Dr. Andrew S. Bonci, All 13 Rights Reserved.
  14. 14. Okay, what I’ve told you so far is nothing earth shaking. It is very well understood by any respectable doctor. What follows is earth shattering! © 2000, Dr. Andrew S. Bonci, All 14 Rights Reserved.
  15. 15. Research Note In the late 1980’s, a pioneering scientist took a group of rats into his laboratory. He irritated their spinal nerves and watched for what happened. What he found was quite amazing. Szolcsanyi J. Antidromic vasodilation and neurogenic inflammation. Agents and Actions 1988; 23(1/2): 4-11. © 2000, Dr. Andrew S. Bonci, All 15 Rights Reserved.
  16. 16. Research Note This researcher stated that his findings were remarkable in that inflammation was produced in a variety of internal organs. Szolcsanyi J. Antidromic vasodilation and neurogenic inflammation. Agents and Actions 1988; 23(1/2): 4-11. © 2000, Dr. Andrew S. Bonci, All 16 Rights Reserved.
  17. 17. Boomsma JD, Said SI. The role of neuropeptides in asthma. Chest 1992; 101(6): 389S-392S. Let’s put this into perspective. If you irritate the spinal nerves you can produce irritation in the internal organs that the particular nerve goes to. © 2000, Dr. Andrew S. Bonci, All 17 Rights Reserved.
  18. 18. Presently, there have been over 45,000 articles written on this subject which you can find on the “Medline” data-basing system. © 2000, Dr. Andrew S. Bonci, All 18 Rights Reserved.
  19. 19. Or if you’d like, you can read the book Neurogenic Inflammation edited by Geppetti and Holzer which was published by CRC Press in 1996. This book should be on the self of everyone dealing with spinal and joint health as well as internal disorders! © 2000, Dr. Andrew S. Bonci, All 19 Rights Reserved.
  20. 20. So, what can we do to stop this irritation to your internal organs? © 2000, Dr. Andrew S. Bonci, All 20 Rights Reserved.
  21. 21. You can take medications to stop the irritation in your internal organs. Smith CM, Reynard AM. Essentials of pharmacology. Philadelphia: WB Saunders. 1995. © 2000, Dr. Andrew S. Bonci, All 21 Rights Reserved.
  22. 22. WARNING! Most medications have unwanted side-effects including liver and kidney failure. Smith CM, Reynard AM. Essentials of pharmacology. Philadelphia: WB Saunders. 1995. © 2000, Dr. Andrew S. Bonci, All 22 Rights Reserved.
  23. 23. OR, you can stop the irritation of the spinal nerves which can be done without drugs in many cases. © 2000, Dr. Andrew S. Bonci, All 23 Rights Reserved.
  24. 24. Let me tell you how spinal irritation happens in the first place. © 2000, Dr. Andrew S. Bonci, All 24 Rights Reserved.
  25. 25. When the spinal bones and joints become stiff, the ligaments surrounding the joints produce inflammatory fluids. Cavanaugh JM, et al. Lumbar facet pain: Biomechanics, neuroanatomy, and neurophysiology. J Biomechanics 1996; 29(9): 1117-1129. © 2000, Dr. Andrew S. Bonci, All 25 Rights Reserved.
  26. 26. It shouldn’t be a big surprise. You folks who work for a living put your spine through the kind of wear-n-tear that causes joint stiffness and spinal nerve irritation. © 2000, Dr. Andrew S. Bonci, All 26 Rights Reserved.
  27. 27. I hope you’re ready for some science. I want to let you know that what I’m saying is very well supported by the kind of science that is on the cutting edge! © 2000, Dr. Andrew S. Bonci, All 27 Rights Reserved.
  28. 28. Taking a microscopic look at these spinal ligaments we can see what the inflammatory fluids are made of and where they come from. Cavanaugh JM, et al. Lumbar facet pain: Biomechanics, neuroanatomy, and neurophysiology. J Biomechanics 1996; 29(9): 1117-1129. © 2000, Dr. Andrew S. Bonci, All 28 Rights Reserved.
  29. 29. Your ligaments are made of fibers and cells. Each of these cells are made of membranes like the one below. Cavanaugh JM, et al. Lumbar facet pain: Biomechanics, neuroanatomy, and neurophysiology. J Biomechanics 1996; 29(9): 1117-1129. © 2000, Dr. Andrew S. Bonci, All 29 Rights Reserved.
  30. 30. When these cells have their membranes distorted, inflammatory chemicals called “prostaglandins” are produced. Inflammatory Prostaglandins Spinal Tissue Strain Cavanaugh JM, et al. Lumbar facet pain: Biomechanics, neuroanatomy, and neurophysiology. J Biomechanics 1996; 29(9): 1117-1129. © 2000, Dr. Andrew S. Bonci, All 30 Rights Reserved.
  31. 31. The formation of inflammatory prostaglandins that results from mechanical tissue strain is sophisticated chemistry, but well understood by respectable doctors. Cotran RS, et.al. Robbins pathologic basis of disease. 5th ed Philadelphia: WB Saunders Co., 1994, pp 51-92. © 2000, Dr. Andrew S. Bonci, All 31 Rights Reserved.
  32. 32. These inflammatory prostaglandins build up around the spinal nerves. This causes irritation to the nerves. Chen CC, et. Al. Effects of phospholipase A2 on lumbar nerve root structure and function. Spine 1997; 22(10): 1057-1064. © 2000, Dr. Andrew S. Bonci, All 32 Rights Reserved.
  33. 33. This is where the inflammatory fluids build-up. Some scientists call these fluids the “inflammatory soup.” Chen CC, et. Al. Effects of phospholipase A2 on lumbar nerve root structure and function. Spine 1997; 22(10): 1057-1064. © 2000, Dr. Andrew S. Bonci, All 33 Rights Reserved.
  34. 34. Nerve injury can result within hours of this kind of irritation. Ozaktay AC, et al. Phospholipase A2 sensitivity of the dorsal root and dorsal root ganglion. Spine 1998; 23(12): 1297-1306. © 2000, Dr. Andrew S. Bonci, All 34 Rights Reserved.
  35. 35. Research Note Revisited! This kind of irritation and injury results in the same “nerve generated” inflammation discussed earlier. Szolcsanyi J. Antidromic vasodilation and neurogenic inflammation. Agents and Actions 1988; 23(1/2): 4-11. © 2000, Dr. Andrew S. Bonci, All 35 Rights Reserved.
  36. 36. Let’s Review! © 2000, Dr. Andrew S. Bonci, All 36 Rights Reserved.
  37. 37. #2: These inflammatory fluids can irritate and damage spinal nerves. #3: Irritated and #1: Stiff spinal damaged spinal ligaments produce nerves cause inflammatory fluids inflammation of in the spine. internal organs. © 2000, Dr. Andrew S. Bonci, All 37 Rights Reserved.
  38. 38. #2: These inflammatory fluids can irritate and damage spinal nerves. #3: Irritated and #1: Stiff spinal damaged spinal ligaments produce nerves cause inflammatory fluids inflammation of in the spine. internal organs. © 2000, Dr. Andrew S. Bonci, All 38 Rights Reserved.
  39. 39. #2: These inflammatory fluids can irritate and damage spinal nerves. #3: Irritated and #1: Stiff spinal damaged spinal ligaments produce nerves cause inflammatory fluids inflammation of in the spine. internal organs. © 2000, Dr. Andrew S. Bonci, All 39 Rights Reserved.
  40. 40. A Prime Example of Nerve Generated Organ Irritation Scientists have found that irritated nerves contribute to the severity of asthma. Boomsma JD, Said SI. The role of neuropeptides in asthma. Chest 1992; 101(6): 389S-392S. © 2000, Dr. Andrew S. Bonci, All 40 Rights Reserved.
  41. 41. Your spine’s role in disease largely boils down to spinal nerve irritation. “Inflammatory Soup” © 2000, Dr. Andrew S. Bonci, All 41 Rights Reserved.
  42. 42. Your spine’s role in health largely boils down to flushing out this culprit “inflammatory “Inflammatory soup.” Soup” © 2000, Dr. Andrew S. Bonci, All 42 Rights Reserved.
  43. 43. Now that we’re past most of the chemistry your doctor should know, I want to tell you what to do about all this inflammation ... © 2000, Dr. Andrew S. Bonci, All 43 Rights Reserved.
  44. 44. There are three simple ways to “flush out” the “inflammatory soup” thereby removing spinal nerve irritation © 2000, Dr. Andrew S. Bonci, All 44 Rights Reserved.
  45. 45. #1: Spinal Adjusting #2: Stretching #3: Deep Tissue Massage Seek the guidance of a qualified professional who understands the relationships between spinal strain, prostaglandins and “nerve generated” organ inflammation for the best possible results. © 2000, Dr. Andrew S. Bonci, All 45 Rights Reserved.
  46. 46. #1: Spinal Adjusting Adjusting unlocks stiff joints and allows inflammatory fluids to be flushed from around the spinal nerves. © 2000, Dr. Andrew S. Bonci, All 46 Rights Reserved.
  47. 47. #1: Spinal Adjusting This works a lot like rinsing soap from a kitchen sponge. Diluting the soap with fresh water ... © 2000, Dr. Andrew S. Bonci, All 47 Rights Reserved.
  48. 48. #2: Stretching Specifically designed stretching exercises relaxes tight ligaments and muscles ... © 2000, Dr. Andrew S. Bonci, All 48 Rights Reserved.
  49. 49. #2: Stretching And, helps to flush out the “inflammatory soup” from around nerves. © 2000, Dr. Andrew S. Bonci, All 49 Rights Reserved.
  50. 50. #3: Deep Tissue Massage Deep tissue massage relaxes tight ligaments and muscles ... © 2000, Dr. Andrew S. Bonci, All 50 Rights Reserved.
  51. 51. #3: Deep Tissue Massage ... and, helps to flush out the “inflammatory soup” from around nerves. © 2000, Dr. Andrew S. Bonci, All 51 Rights Reserved.
  52. 52. Let’s Review! © 2000, Dr. Andrew S. Bonci, All 52 Rights Reserved.
  53. 53. Did you notice? Each technique has the same underlying function. © 2000, Dr. Andrew S. Bonci, All 53 Rights Reserved.
  54. 54. They each remove tissue strain and restore flexibility which will lower the production of inflammatory prostaglandins ... © 2000, Dr. Andrew S. Bonci, All 54 Rights Reserved.
  55. 55. AND they each flush out the existing “inflammatory soup!” © 2000, Dr. Andrew S. Bonci, All 55 Rights Reserved.
  56. 56. That's Right! This reduces nerve irritation which, in turn, reduces the likelihood of internal organ irritation. © 2000, Dr. Andrew S. Bonci, All 56 Rights Reserved.
  57. 57. Research Note Reminder Recall the experiments where irritation to the rats’ spinal nerves resulted in inflammation being produced in a variety of internal organs? Szolcsanyi J. Antidromic vasodilation and neurogenic inflammation. Agents and Actions 1988; 23(1/2): 4-11. © 2000, Dr. Andrew S. Bonci, All 57 Rights Reserved.
  58. 58. Combine this with the more than 45,000 articles in the scientific database ... © 2000, Dr. Andrew S. Bonci, All 58 Rights Reserved.
  59. 59. And you have a compelling argument for keeping your spine healthy! © 2000, Dr. Andrew S. Bonci, All 59 Rights Reserved.
  60. 60. I want to point out that “inflammation is fundamentally a protective process.” Cotran RS, et al. Robbins pathologic basis of disease. 5th ed Philadelphia: WB Saunders, 1994, p 51. © 2000, Dr. Andrew S. Bonci, All 60 Rights Reserved.
  61. 61. I also want to point out that “inflammation may be potentially harmful.” Cotran RS, et al. Robbins pathologic basis of disease. 5th ed Philadelphia: WB Saunders, 1994, p 51. © 2000, Dr. Andrew S. Bonci, All 61 Rights Reserved.
  62. 62. I have an important question to ask! © 2000, Dr. Andrew S. Bonci, All 62 Rights Reserved.
  63. 63. Can spinal nerve irritation CAUSE disease? © 2000, Dr. Andrew S. Bonci, All 63 Rights Reserved.
  64. 64. Thankfully, there is no scientific evidence to suggest this, however ... © 2000, Dr. Andrew S. Bonci, All 64 Rights Reserved.
  65. 65. The evidence suggests that spinal nerve irritation can magnify the potential for disease. © 2000, Dr. Andrew S. Bonci, All 65 Rights Reserved.
  66. 66. Recent studies have demonstrated how some individuals are at greater risk of developing disease from nerve irritation than other individuals. See: Cohen AJ, et al. Low neutral endopeptidase levels in bronchoalveolar lavage fluid of lung cancer patients. Am J Respir Crit Care Med 1999;159(3):907- 10 and Cohen AJ, et al. Neutral endopeptidase: variable expression in human lung, inactivation in lung cancer, and modulation of peptide-induced calcium flux. Cancer Res 1996; 56(4):831-9. © 2000, Dr. Andrew S. Bonci, All 66 Rights Reserved.
  67. 67. Studies have demonstrated that individuals who express lower levels of an anti-inflammatory nerve enzyme have a greater incidence of lung cancers. See: Cohen AJ, et al. Low neutral endopeptidase levels in bronchoalveolar lavage fluid of lung cancer patients. Am J Respir Crit Care Med 1999;159(3):907- 10 and Cohen AJ, et al. Neutral endopeptidase: variable expression in human lung, inactivation in lung cancer, and modulation of peptide-induced calcium flux. Cancer Res 1996; 56(4):831-9. © 2000, Dr. Andrew S. Bonci, All 67 Rights Reserved.
  68. 68. Therefore, in individuals who are susceptible (i.e., individuals with significantly lower levels of this particular nerve enzyme), nerve generated organ irritation may have more detrimental influences. See: Cohen AJ, et al. Low neutral endopeptidase levels in bronchoalveolar lavage fluid of lung cancer patients. Am J Respir Crit Care Med 1999;159(3):907- 10 and Cohen AJ, et al. Neutral endopeptidase: variable expression in human lung, inactivation in lung cancer, and modulation of peptide-induced calcium flux. Cancer Res 1996; 56(4):831-9. © 2000, Dr. Andrew S. Bonci, All 68 Rights Reserved.
  69. 69. I hope you’ve enjoyed this educational piece. Remember, always consult your doctor for advice when it comes to your health and the health of your loved ones. © 2000, Dr. Andrew S. Bonci, All 69 Rights Reserved.
  70. 70. Who is Dr. Andrew S. Bonci? Dr. Bonci holds a BA in exercise physiology and a clinical doctorate in chiropractic medicine. Post-doctoral credentials in Pain Management and Traumatic Stress, attests to Dr. Bonci’s dedication to clinical care. He has been recognized for teaching excellence since he began teaching in 1995. His biography is printed in “Who’s Who in Medicine and Health Care,” “Who’s Who Among America’s Teachers” and is a Lifetime, Honored Member of “Strathmore’s Who’s Who.” Dr. Bonci has dedicated his clinical practice to serve the needs of all individuals, especially those who find themselves in tight financial situations. His fees are a remarkable $20 for a full patient encounter which includes an adjustment. When he is not in the office he is serving the needs of the marginalized and poor of North © 2000, Dr. Andrew S. Bonci, All America. 70 Rights Reserved.
  71. 71. Contact me with your questions. Andrew S. Bonci, BA, DC Diplomate, American Academy of Pain Management Diplomate, American Academy of Experts in Traumatic Stress Fellow, American Academy of Experts in Traumatic Stress 5830 Woodson Road Mission, Kansas 66202 (913) 236-5030 © 2000, Dr. Andrew S. Bonci, All 71 Rights Reserved.

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