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#86 Total Subluxation Value (TSV)

4/14/2014

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Vertebral subluxation is the chiropractic name for spinal damage, the primary condition that chiropractors treat.  There are 5 components or sub-parts of subluxation that researchers study.  Of those 5 parts I normally examine 4 as these are the 4 that lend themselves to be measured and quantified.  These measurements are critical so that we can re-measure and compare 3 of the 4 of these components over time to see your progress.  In an ideal world, our treatment goal would be to make each of these components normal:

1)      Range of motion – Normal degrees of motion without any pain.

2)      Nerve Stress Value – Zero (Can range from zero to 192)

3)      Inflammation Value – Zero (Can range from zero to 102)

Since we are not in an ideal world our goals are to get your spine as close to ideal as is humanly possible.  To simplify the process I have developed a measurement system that is unique to my practice.  I call it the Total Subluxation Value or TSV.  TSV is the combination of components 2 and 3 above, specifically Nerve Stress and Inflammation.  It does not include the other components but it can be correctly assumed that the TSV represents how well, or poorly, your spine is functioning.  In other words, as you and I use the tools of chiropractic to lower your TSV this will mean that your spine is working better at every level.  The TSV can range from a low of 0(good) to a high of 304(really bad) with most new patients somewhere between 25 and 125. 

Not only does the TSV measure how well or how poorly your spine is working, but your TSV value relative to your initial exam also determines your phase of care, the goals of care, and the cost of care.

During what we call Initial Intensive Care, our goal is to get your TSV to 50% of wherever it started.  So if it was 150 we want it to be 75.  If it was 50 we want it to be 25.  The frequency of treatment is 2-4 times per week and the fees are per visit with discounts available for family care and pre-payment.  A TSV of 0-50 (mild) will typically require about 12 treatments to get it to 50%.  51-100 (moderate) about 20 treatments.  101+ (severe) about 30.     

When your TSV is at 50% you should feel much better and will be offered Reconstructive Care.  During Reconstructive Care, our goal is to get the TSV from the 50% point to as close to zero as possible, typically another 50%.  The frequency of treatment is 1-2 times per week and the fees change to our monthly program with additional discounts also available for family care and pre-payment.  Therefore Reconstructive Care is significantly less expensive.  We offer this for two reasons.  First, to allow people to more readily afford subluxation correction, and second, to encourage people to adopt a wellness and prevention attitude toward their spine, and health in general.  As such, after Reconstruction we offer Wellness Care to help keep your TSV at its new lowest level. 

In conclusion the TSV is our main gauge of the health and functioning of your spine and nervous system.  You should memorize your current TSV.  It’s like the chiropractic equivalent to your cholesterol level for your heart health.  And as a final point, there are cases in which the TSV is not the primary measure of spinal health due to complicating factors, such as disc herniation, bone spurs, nerve compression, and other conditions.  These are situations in which the subluxation was ignored for too many years, situations in which the TSV should have been measured a long time agoL  If you have such complicating factors, this will be discussed in detail with you at your report of our findings.  

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    Dr. Rick

    After writing an article per week for a year, I just kept going.  These are most of my collection.  They are written with my existing patients in mind, so some stuff may seem odd or unusual, but would make perfect sense to those who know chiropractic and who know me.  Enjoy and share!  For my personal blog visit: 

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     Hello, My name is Andrew and I am a happy, healthy one year old.  But I wasn’t so happy or healthy when I first met Dr. Rick a few months ago.  I had been having problems with my ears for four months, I couldn’t sleep at night and I was miserable.  We’d been to the doctor lots of times but nothing was helping.  In fact, all the medicines the doctor had tried seemed to make me worse instead of better!  Both the regular doctor and the Ear-Nose and Throat doctor said that if the antibiotics didn’t work, then they’d just have to put tubes in.  Now my Mom and dad weren’t about to let them do surgery on me, especially since they had been reading and learned that tubes can cause more problems than they solve.  My mom and dad did a lot of praying.  Then my mom heard that sometimes babies who have a traumatic birth like mine have ear trouble.  You see when I was born they used a vacuum extractor and forceps to pull me out.  I guess all that yanking on my head, hurt my neck.  She also heard that chiropractic care can be the answer.  Now she was skeptical because she couldn’t imagine a chiropractor helping ear infections!?!  But at that point she was willing to try anything!!  Happily, a few weeks of adjustments and my ears were all cleared up.  In addition, I no longer had a stiff neck or shoulders and my whole personality was happier.  I have to tell all babies who have ear troubles, don’t let them give you tubes until you at least try chiropractic care first.  After all, it can’t hurt and if you’re like me, you could be perfectly well with no drugs and no surgery.  In my family, we thank God for Dr. Rick, because I feel better, my mom and dad are happier and sometimes, I even sleep through the night.