Adjust the vertebrae

The settling of a vertebra is usually carried out when the mobility of individual vertebral bodies is restricted by a so-called blockage of the vertebra. The underlying blockage is a clinical picture of manual medicine, for which only a few studies and research results are available. Typical complaints that occur in the context of the blockage can be remedied by setting the spinal cord by a treating physician who has an additional qualification in the field of manual medicine and chiropractic. Since there are various studies with contradictory recommendations on how to perform the setting-in procedure and the measure is not without possible risks, there is no general recommendation to date that includes the setting of vertebral bodies in certain clinical pictures.

Carrying out the setting-in

The dislocation of a vertebral body is also known as deblocking. The dislocation can occur spontaneously during everyday movements or can be achieved with the help of certain measures. However, this measure should only be carried out by a specially trained physician who has been able to rule out other diseases with similar symptoms.

There are a number of different measures that can provoke the settling of a vertebral body. A distinction can be made between exercises that are performed either by the doctor on the patient or by the patient himself under supervision. Once the vertebra has been set and the blockage has been released, the symptoms usually improve immediately.

It should be noted, however, that the settling of vertebrae is not undisputed. There are contradictory study results that compare the effectiveness of the measure with the risks. Some studies have shown that manual adjustment of the vertebral bodies does not have a significantly better effectiveness than the administration of pain-reducing drugs.

Manual setting-in is also critical because of certain contraindications. Since these may be overlooked, serious complications can arise, which do not usually occur during drug and physical therapy. There are various ways of setting a blocked vertebra.

In many cases, the blockage is released spontaneously during everyday movements. If this is not the case, manual resetting may be indicated. The manual setting-in should be performed by a physician with the additional title of manual medicine or chiropractic.

Orthopedic surgeons often carry this additional designation. Non-orthopedic specialists with the additional designation are often specialists in general medicine. Physiotherapists can also receive the additional designation and are thus also qualified to perform the manual setting-in of a vertebral body.

There are a number of exercises and application techniques that make it possible to set oneself. It is important to perform the exercise only to the extent described and not to force a result with unthinking force. You should stop the exercise as soon as you feel pain.

There is a danger of unintentional injuries. In the case of acute tension due to incorrect posture, the pain can be improved by putting the vertebral bodies in the correct position. For chronic pain, dislocation will not help.

Therefore, if it is chronic back pain or an injury, an orthopedist or trauma surgeon must be consulted. It is certainly also advisable to consult a physician if the pain is frequent and to clarify an independent setting-in in advance. Stretching exercises are generally a supporting factor when it comes to incorrect posture and the associated need to adjust the back again.

Not too frequent settling-in is harmless if it is done carefully. However, it should not become a habit. The Dorn Method describes a holistic therapy approach based on manual application, i.e. working with the hands and following traditional Chinese medicine.

In order to adjust the back after Dorn, it is best to stand in front of a tray on which you can support yourself. Then you look for the vertebral body that causes pain and while you apply pressure with your thumb on the side of it, you swing your leg on the same side backwards and forwards until you feel relief of the pain.A Black Roll is a foam roll that can be used to do stretching exercises against resistance from the floor or a wall. The roll massages the muscles, thereby loosening them and can prevent injuries from incorrect movements.

You put the roll on the floor and place it between your shoulders. The feet are positioned hip-wide, the knees bent and the lower back raised. The feet as a source of power, the roll is now rolled along the back from top to bottom, whereby in the lower back the weight should always be shifted to the right or left.

The possible risks of dislocating one or more vertebrae are highly controversial. However, it is important to always carry out a detailed diagnosis before carrying out the procedure in order to minimize the risk: After all, by excluding serious diseases, a large part of the risks can be prevented. Especially in the case of tumors of the spinal column and herniated discs, there should be no repositioning of the vertebrae, as this can have serious consequences.

Recent studies have also shown that in rare cases, dislocation of the vertebrae of the cervical spine can lead to damage to the arteries running through them (aortic dissection) and, in the worst case, to a stroke. Nerve damage can also occur. If the impulse is too strong and the procedure is performed incorrectly, bone fractures may also occur. Especially patients with a known osteoporosis should therefore not be put back.