By Emanuel Sammut

Divided into sections, one facing osteopathy theoretically, and the opposite facing the extra scientific facets, this ebook considers the sensible implications of difficulties linked to spinal curvature. It additionally bargains designated exploration of evaluation of every physique sector.

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Example text

It will be clear by now that osteopaths do not treat 'conditions', diseases or syndromes such as a disc prolapse, stomach ulcer or asthma. Appropriateness of osteopathic treatment may be determined from the following questions. • Is there somatic dysfunction or abnormal musculo-skeletal function present? • Is this dysfunction related to the symptoms either as a result of or as a predisposing or contributing factor to the immediate cause of the symptoms? • Is it considered that the dysfunction can be improved or eliminated by treatment?

Somatic' Within conventional medical circles the term somatic refers to the body structures to differentiate it from the psyche and thus includes internal viscera. In Definition of somatic dysfunction the above definition, somatic is defined as relating to neuro-musculo-skeletal structures only. As we shall demonstrate, this is an artificial differentiation, since somatic dysfunction may be initiated by visceral disturbance and somatic dysfunction may affect visceral structures. Notice that the above definition does not restrict somatic dysfunction to spinal structures but includes any part of the somatic system.

When damage occurs in the periphery a barrage of nociceptor activity causes 'sensitization' of the dorsal horn. ) This causes reduced thresholds, increased spontaneous discharge, 33 34 Theoretical aspects of dysfunction an increased response to afferent input (hyperalgesia), increased response to repeated stimulation and an expansion of receptive fields. It has been demonstrated that neurones from different somatic structures may converge on the same interneurones. Thus in experiments on cats a single neurone in the dorsal horn may be stimulated by mechanical pressure on the skin, facet joint, ligament or muscle [14].

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