ACTIONS HAVE CONSEQUENCES
My job as a Doctor is to teach my community the keys to live a healthy life. Behavior Trends which impact so many people. The most common self inflicted traumas that come into my clinic are a result of hyper mobility. Excessive joint stretching leads to lack of stabilization of the supporting ligaments. So lets start with a joint that most people have injured and treated, the ankle joint. If you rolled your ankle the ligaments become injured and there is lack of stabilization of the in the joint. Treatment for this type of injury is to Rest, Ice, Compression Elevation. The ankle is a weight bearing joint and that means standing on it the ligaments are compromised. Everyone can agree that stretching the ankle would be one of the most counter productive healing strategies. I find that most patients enter my office with back and neck pain and they are trying to stretch an overstretched problem.
RANGE OF MOTION
Each joint has an amount of movement that is normal we call it the joints range of motion. We can break down the range of motion into 4 ranges.
1. Active Range of Motion
2 Passive Range of Motion
3. Para physiological Space
4. Limits of Anatomical Integrity
Unstable injury is continued to be overstretched this is called hyper mobility. The reason why hyper mobility is inappropriate for treatment for joint trauma, is because the joints are stabilized by ligaments. Ligaments attach bone to bone and when it is stretched it stays stretched. The deformation of a ligament is called plastic deformation, it is unlike elastic deformation. The healing process of a ligament is longer than a broken bone due to its lack of blood supply. A healthy joint is a stable joint. Just as it is unhealthy to be underweight and overweight, health lies in normal body weight. Normal joint range of motion is in the active range.
For instance if you were to tilt your head from neutral to the right when motion is stopped at about 45 degrees this is active range of motion. From there if you were to take your hand and pull your head further toward your shoulder you will be in the passive range of motion. The passive range is where ligament deformation begins joint hyper mobility. I recommend not stretching in passive range of motion. Beyond this range is where the joint cavitates or pops and is the limits of anatomical integrity this is for only professionals.
Injury’s complicate normal function of the spine and need to be evaluated by a Chiropractor. Don’t wait until major joint damage occurs. Make it a priority to see if you are developing spinal arthritis. Call us at 913-608-5441.
Dr. Rory Dopps