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The differences between a medical subluxation and a chiropractic "vertebral subluxation" create confusion and difficulties when it comes to following official ICD-9 and ICD-10 coding. In a 2014 article in Dynamic Chiropractic [ 21 ] by a chiropractor who is a certified professional coder , these difficulties were discussed in detail.
These tables stretch and decompress the spine's facets and ligaments in a gentle rocking motion. The Directional Non-Force Technique utilizes a diagnostic system for subluxation analysis consisting of gentle challenging and a unique leg check. It allows the body to indicate the directions of misalignment of structures producing nerve interference.
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. [83] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. [84]
A spinal subluxation is visible on X-rays and can sometimes impinge on spinal nerve roots, causing symptoms in the areas served by those roots. In the spine, such a displacement may be caused by a fracture, spondylolisthesis, rheumatoid arthritis, [7] severe osteoarthritis, falls, accidents and other traumas.
The core concept of traditional chiropractic, vertebral subluxation, is not based on sound science. [3] Collectively, systematic reviews have not demonstrated that spinal manipulation, the main treatment method employed by chiropractors, was effective for any medical condition, with the possible exception of treatment for back pain. [3]
Spinal manipulation is generally regarded as cost-effective treatment of musculoskeletal conditions when used alone or in combination with other treatment approaches. [61] Evidence supports the cost-effectiveness of using spinal manipulation for the treatment of sub-acute or chronic low back pain whereas the results for acute low back pain were ...
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