Clearly as chiropractors, we see spinal degeneration on a daily basis. We are well acquainted with what it looks like on an x-ray, we know of its progressive nature, and we know of the long-term consequences of leaving the cause uncorrected.
So, besides using spine models and x-rays, what are some ways that we can make a practical connection in the innate mind of the patient?
One that I like to use begins in the initial examination, and it sets the stage for the report of findings later. I have a chiropractic assistant who does some of the basic examination intake. One being, checking the height and weight of the patient.
When it comes to checking their height, the CA will ask the patient, “How tall were you when you were at your tallest?” The patient responds with their answer, let’s say 5′ 10”. The CA will then measure the patient, and it will typically be less. Sometimes it is considerably less. The CA tells them their actual height, and then says “the reason we ask you first, and then check it is because if you have lost height, it’s usually lost in the spine.”
When I come in to do the examination, I’ll bring it up again about how they have lost height, and point to the spinal degeneration poster, reiterating what the CA had already told them about height loss in the spine.
This all sets the stage for what the x-rays will ultimately show, and thus they are a confirmation for what was suspected.
This all gets reinforced in the patient education class. A straight piece of wire is bent, and then straightened demonstrating how once it is bent, it is never the same again. It can’t be made perfect, and it is forever weak in that spot where it was bent. Then we take it one step further and ask, “What if this wasn’t a new piece of wire, but rather a piece of wire that had laid out in the grass for about 10 years. What would be different about the wire?” Of course, they are able to say it would be rusty, brittle, etc.
From this I take them back in their recollection to their own x-rays and remind them that I had told them they were in a phase of degeneration on a scale of 1 to 4 with 4 being the worst, and to think of that as the rust on the wire. The higher the level of degeneration, the longer the care will take, the more gentle we need to be, and the degree to which it can be corrected all come into play when the plan of care is created.
I hope you all find these ideas to be beneficial. I know they have been for me, and for the patients that I serve.
Be blessed.
