external coccygeal adjustment

[Guest guest]

re: "Tissue

pull I to S then thrust P to A and I to S."

What does this accomplish for the coccygeal ligaments and/or spasmed

coccygeus muscles that are in fact holding the coccyx in an anterior

position?

and "ANTERIOR coccyx, which is about the onyly way it moves

without fracture."

I agree with this observation.

The anterior coccyx requires careful evaluation to determine which

choice to make.

Years ago there was a sharp difference of opinion on how to correct

anterior coccyx. Appearantly the discussion continues.

J. Pedersen DC

[Guest guest]

From: dcdocbrian@...To: mheller@...Subject: RE: external coccygeal adjustmentDate: Sun, 10 Aug 2008 10:18:24 -0700

I totally agree with Dr. Heller regarding mindset. I have performed the internal procedure maybe 3 x in my practice lifetime. I was uneasy about it d/t my apprehensions plus what I felt my patients "expected" from a chiro regarding procedures. In the "end" everything was fine on each occasion by making sure I fully explained the procedure and rationale. On another note, I recently had a patient referred for what turned out to be a SI sprain. Prior to referral the MD performed a rectal exam. He felt he needed too and just did it. A totally different mindset. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724

skrndc1@...CC: jkehr@...; From: mheller@...Date: Sun, 10 Aug 2008 06:40:34 -0700Subject: Re: external coccygeal adjustment

I would second everything Sunny said here.The internal coccyx adj does something very different from external,its not complicated.As far as uncomfortable, invasive, etc,at least 50% of the issue is in the doctor's mind set,if you get comfortable with the procedure, are confident that it will help the patient,the pt. will usually be fine with it. i alway make sure that I explain what I am going to do, and get their permission,document this as a PARQ- Procedures, alternative, risks, questions.Definitely have an assistant in the room!MarcMarc Heller, DC

mhellerMarcHellerDC

www.MarcHellerDC.com

Sunny Kierstyn wrote:

Why is it that so few docs are willing to do this procedure?! It is so simple and so rewarding to the patient ... and, when needed, it is the only thing that twill work. How can you walk away knowing you have not served your patient? Doctors need to get past the perceived notion that it is invasive -and that is all that is stopping you is the perception that it is a 'nasty' - put on a glove and make the correction. Yes, you want to have your CA in the office but so what .... when a patient needs this service, they need that service THEN...not a week down the road. me 2 cents... Sunny Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401541- 344- 0509; Fx; 541- 344- 0955

From: jkehr@...Date: Tue, 5 Aug 2008 12:14:34 -0700Subject: RE: external coccygeal adjustment

I have had success on multiple anterior coccyx using the external procedure. Using ligament tension to create movement in the coccyx causes a reflex reaction of increased blood flow and muscle relaxation in the involved muscles. I have also had patients with an anterior coccyx that did not respond to external adjusting and referred to a DC willing to perform the internal procedure. Hopefully you can still find a chiro utilizing this procedure.

Kehr

From: [mailto: ] On Behalf Of JPedersen DCSent: Tuesday, August 05, 2008 11:56 AMorSubject: external coccygeal adjustment

re: "Tissue pull I to S then thrust P to A and I to S."What does this accomplish for the coccygeal ligaments and/or spasmed coccygeus muscles that are in fact holding the coccyx in an anterior position?and "ANTERIOR coccyx, which is about the onyly way it moves without fracture."I agree with this observation.The anterior coccyx requires careful evaluation to determine which choice to make. Years ago there was a sharp difference of opinion on how to correct anterior coccyx. Appearantly the discussion continues.J. Pedersen DC

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