Download video: Gohl Clinic of Chiropractic - How we use x-rays by Carlsbad Chiropractor
Channel: Gohl Clinic Of Chiropractic
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For Educational Purposes Only
Students: Here's an example of a 14x36 spinograph analysis. Pelvic markings, AP and lateral cervical markings are Gonstead's. I use Dr. Gohl's lines for comparison and posteriority purposes.
A quick disclaimer. What I say in the video is what I use the pictures for in my office. I use them as philosophically sound as I can. Degeneration and curves, though caused by subluxtions, are a medical condition, not a chiropractic concern. The great thing about full spines is that they require only three exposures to get a series. Sectional xrays may require up to 9 exposures to get what we can with these views, which makes full spines much less exposure to the client.
This video is by no means definitive, and I've left out quite a few things. In my office, I do rely on the spinograph heavily. Next to the Nervoscope or Delta-T, this is the second most important thing. Physiology is constantly changing in the body which is why I don't use (anymore) the Insight. Posteriority in the spinograph won't change unless a proper adjustment is given.
Sorry for the sloppiness on the video, I did alone with a FlipCam, live with no rehearsing. Most of the things I say I was trying to say is what I meant, just not as smooth.
In Gonstead chapters, the value of the spinographs is for confirmation. This is the last criterion used by exclusively Gonstead practitioners, for confirmation of your other findings. It's best to look at the xray last after you have found your subluxated segments, and confirm.
In my office, a very important use of spinographs is to differentiate between an L5 and a base posterior adjustment, since so many people are subluxated here. And since we are moving the bone from P to A, it's important not to push a spondy at L5 P to A. I know there are clues for this including proper motioning and palpation, but I'm much more comfortable seeing it on the picture, since the instrumentation reading will be the same. I also like to see how the spine changes after adjustments, to prove the body is making the correction. This is basically what Dr. Gohl does, and he has tens of thousands of pre and post-spinographs.
In the AP view, you can see he's shifted to the right a bit from the plumb line by 12mm. Once the subluxation is corrected and stays corrected, this will tend to shift, to whatever is normal for that person.
Also, in the lateral lumbar, once we can correct the subluxation, the posteriority at L5 and L4 will become less, and the intervertebral foramen will get bigger. This will also be measured on the post-spinograph.
The lines that I did nothing with in the lumbar can be used to measure lumbar curve. This can also be done in the cervicals.
Notice I'm particularly vague on discussing finding the subluxation on a spinograph, because that is not what it's used for. Gonstead gave clues on where to find the subluxation based solely on the spinograph as discussed in Chapters. But those in practice for years and years will tell you they've broken the rules. So it's on the chiropractor to find exactly where the subluxation is and that is the most important thing. Droessler told me that he's adjusted a C2 that did not converge quickly with C3, but actually diverged. Gohl told me he adjusted a 14mm Ex ilium as an In, and the post-spinograph one year later showed a completely balanced ilium. They did not adjust off the picture, but with their other findings. It's just important to find the subluxation and "accept it where you find it."
Sorry for the poor quality, but it gives a great insight into how the body is misaligning due to the nerve pressure at the point of the subluxation.
Dr. Gohl has an excellent video called "Marking System Demonstration" that is very explanatory on this. It's a nice compliment to his book.
Joseph P. Kametz, DC
Gohl Clinic of Chiropractic