Joint Complex Dysfunction is a general term used to describe
the condition in which joints cease to function fully,
and start down the path of progressively limited mobility
and increased pain and stiffness. David R. Seaman, D.C.
has done extensive research to show chiropractic care
to be a valid treatment protocol for a variety of medically
recognized conditions. His article, originally published
in the Journal of Manipulative and Physiological Therapeutics
(JMPT), is posted (with abbreviations spelled out) below.
Joint Complex Dysfunction
Seaman, Dr. DC, MS, DABCN, JMPT 1997, Joint Complex Dysfunction
has been described by DCs PTs MDs. All agree that reduced
mobility promotes pathological changes in the structures
that make up the joint complex, and that pain, inflammation
and stiffness are common manifestations of the lesion.
Restoring mobility is often a primary objective of treatment.
Muscle functional imbalances, such as tightening, shortening
and trigger points are intimately associated with joint
hypomobility/immobility and may be components of joint
complex dysfunction. Muscles develop weakness of tightness
in typical imbalance patterns which promote faulty movement
patterns, an essential component of joint complex dysfunction.
It is likely that joint complex dysfunction develops before
pain is generated. Connective tissue, disc and muscle
pathology (degeneration and atrophy) without any symptoms
can exist in asymptomatic and apparently healthy individuals.
Muscles play a role in stabilizing the spinal column and
muscle weakness may predispose the spine to injury. This
suggests that the great majority of people suffer asymptomatic
joint complex dysfunction before spinal tissue injury
generates pain. Once injury occurs, a new set of dynamics
comes into play, including inflammation nociception and
pain.all of which promote immobility and further development
of joint complex dysfunction including increased formation
and deposition of fibrous tissue which further reduces
mobility and promotes joint complex dysfunction.
Additional Resources:
Chiro Web
http://www.chiroweb.com/archives/20/08/11.html
An article examining various aspects of joint complex
dysfunction
American Manual Medicine
http://www.americanmanualmedicine.com/education/a43z2.html
An article discussing the relationship of vertebral dysfunction,
and secondary symptoms, not to joint displacement (subluxation)
but to abnormal joint connective tissues, such as injured
ligaments.
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