S.O.T.’S Visceral Organ Adjusting

Ano: 2014 | Volume: 5 | Número: 1

Autores: John Crescione

Palavras-chave: Bloodless Surgery, Sacro Occipital Technique, Chiropractic Manipulative Reflex Technique

Resumo Inglês:

Originally called “Bloodless Surgery,” from old time Osteopathy, the branch of Sacro Occipital Technique called Chiropractic Manipulative Reflex Technique (CMRT), deals with the relationship between somatovisceral and viscerosomatic reflexes and the relationship between the somatic and autonomic nervous systems. Bloodless Surgery was historically used in chiropractic as a term describing soft tissue treatment affecting an organ and its related vertebral relationship.
Major Bertrand DeJarnette, DO, DC, founder and developer of Sacro Occipital Technique, published a comprehensive book on the topic entitled, “Technic and Practice of Bloodless Surgery” in 1939.
DeJarnette continued to teach, practice and refine bloodless surgery through the 1940s and began to use more reflex applications and referred pain indicators to affect organ symptomatology and function. By the 1960s, DeJarnette modified Sacro Occipital Technique’s procedures so that they could be done in a short period of time, unlike the old methodology which could take up to 2 hours. DeJarnette changed the name of his method to Chiropractic Manipulative Reflex Technique (CMRT).
Treatment involves location and analysis of an affected vertebra by SOT Methods Occipital fiber muscular palpation. Once the vertebra and active reflex arcs are located and identified, first the specific vertebra is treated and then the related organ reflexes are treated through soft tissue and organ manipulation on the front of the body. Nutritional support and diet change may also be needed.
Why and how CMRT Physiology works requires a book. This is a small overview to explain some of the basic concepts and techniques. When new practitioners do CMRT, many just put their hands on the places they have learned and expect a miracle to happen. Many times it does, but more often it doesn’t and it’s not CMRT’s fault. It’s usually the Drs’-then the patient’s.
When looking at the work of CMRT, anatomy, neurology and physiology have to be reexamined from a functional “Chiropractic eye” of understanding. A few Points to consider when working on the front half of the body:
1) Skin and the Nervous system: both derive from ectoderm. That means the same embryological origin which means there will be similar function. The ectoderm splits into surface and neural ectoderm-skin and nervous tissue.
Within the skin, there are light touch and deep touch receptors which have different spinal pathways.
A section of skin the size of a quarter contains:
a. 36 inches of blood vessels
b. 144 inches of nerves (4 yards)
c. 1300 nerve cells
d. 50 nerve endings
e. 100 sweat glands
f. Over 3 million cells
Receptors
Meissner’s corpuscles: light touch-anterior spinal thalamic tract which go into the posterior columns-of the spinal cord and are concerned with pressure touch, movement-vibration
Ruffini: heat and pressure-lateral spinal thalamic tract
Free Nerve ending: pain-lateral spinal thalamic tract
Pacinian Corpuscle: pressure-posterior columns
Krause End Bulb: cold- lateral spinal thalamic tract.
Merkel’s disc: pressure-posterior columns
2) Nerve Anatomy and Function-Pre and Post Ganglionic Nerves and Corrective Technique
The Post Ganglionic Nerve runs from the spinal ganglion to the organ. In the parasympathetic branch acetylcholine is the primary neurotransmitter. In the sympathetic branch epinephrine and norepinephrine are the primary neurotransmitters. Both neurotransmitters have a relaxing effect on visceral tone.
In the Post Ganglionic Corrective Technique, the practitioner is trying to stimulate the Spinal Accessory and Vagus nerves to the reflex area of both embryological origin reflexes and anatomical reflex areas through the Sternocleidomastoids and Trapezius muscles. This will involve the structures that leave the Jugular Foramen: Vagus, Spinal Accessory, Glossopharyngeal and Sigmoid sinus (internal Jugular vein).
The Pre Ganglionic Nerve runs from the brain to the spinal ganglion.
All pre ganglionic fibers, in the sympathetic division or in the
parasympathetic, use acetylcholine as their neurotransmitter.
Acetylcholine acts to stimulate visceral tone through Vagal stimulation.
The Pre Ganglionic Corrective Technique involve rubbing and or thumping the mid Sternum area while contacting Reflex area and it’s called the “Motor Technique” due to it’s multiple stimulating effects and correlates to the only neurotransmitter used in the motor division of the somatic nervous system.
- Stimulates thymus/immune system response
- Thumping the Mid sternum is said to release Acetylcholine which is produced in bone marrow as well as the more common sites of production made in nerve tissue of Cns and Pns, especially at sites of IVF. It is postulated that possible vibration into ribs to Tp’s to IVFs’ in the rib cage stimulates nervous tissue and nerve response.
- Tapping stimulates Phrenic nerve (nerve to diaphragm) next to heart and Vagus nerve stimulation as it passes in through Esophageal Hiatus.
3) Anatomical: All soft tissue corrections will involve stretching of fascia, muscle, tendons and ligaments, even the ligaments that support the internal visceral system. When correcting for a pseudo hiatus hernia, keep in mind the involved anatomy that will be stretched and released (Phrenico-Esophageal ligament, Gastro-Phrenic ligament, the Esophagus which attaches to the cervical spine through the Diaphragm, and the Vagus nerve goes through Thoracic Inlet through the hiatus as some examples).
4) Chemistry Considerations: Post Ganglionic Nerve fibers are more sensory in nature from spinal ganglion to organ. Epinephrine is secreted at synapse, it is considered generally inhibitory to smooth muscle.
In a Post Ganglionic problem, the message leaves the organ but doesn’t get to the brain.
A Pre Ganglionic Nerve problem is more of a motor function issue (a.k.a. Motor Technique) from brain to ganglion. Acetylcholine is generally considered an excitatory neurotransmitter for smooth muscle, which has its receptor neurons found in visceral organ walls.
About 75% of all Parasympathetic fibers are found within the Vagus nerves, the cranial nerves, especially 3,7,9, as well as the sacral plexus. In a Pre Ganglionic problem, the message can’t get from Brain to Organ.
5) Adhesion Formation: Long standing irritation and inflammation, even on a sub threshold level when caused by friction between two folds of peritoneum rubbing results in adhesion formation, which causes more inflammation to the surrounding tissue. This creates an immune system response, which leads to tissue breakdown and scar tissue/adhesion formation. Adhesions can be broken within itself; sometimes broken completely, sometime stretched for more range of motion. Sometimes surgery is the only option.

In summary, C.M.R.T. incorporates all the anatomy, physiology and neurology from both a chiropractic and soft tissue manipulation perspective in a total holistic package from a functional treatment plan to harmonize the total human being from the back and the front of the body.