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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.
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.
A chiropractic adjustment intends to affect or correct a vertebral joint's alignment, motion, and/or function. Specifically, adjustments are intended to correct "vertebral subluxations", a non-scientific term given to the signs and symptoms that are said by chiropractors to result from abnormal alignment of vertebrae. [3]
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 retrolisthesis is a posterior displacement of one vertebral body with respect to the subjacent vertebra to a degree less than a luxation (dislocation). Retrolistheses are most easily diagnosed on lateral x-ray views of the spine. Views where care has been taken to expose for a true lateral view without any rotation offer the best diagnostic ...
Nor is there any reason to believe that 'pelvic deficiency' or its associated 'subluxations' are pathologic conditions." [ 3 ] "Activator Methods Chiropractic Technique is a nonsensical diagnostic and treatment system centered on the notion that leg-length analysis can locate subluxations and determine when to adjust the spine."
The worst-case scenario for these injuries is that dislocation or subluxation of the cervical vertebrae occurs. This often happens at the C2 level, where the body of C2 moves anteriorly with respect to C3. Such an injury may well lead to spinal cord involvement, and as a consequence quadriplegia or death may occur.
Lumbar, cervical and thoracic chiropractic spinal manipulation. In the late 19th century in North America, therapies including osteopathy and chiropractic became popular. [8] Spinal manipulation gained mainstream recognition during the 1980s. [1] In this system, hands are used to manipulate, massage or otherwise influence the spine and related ...