The Spine – New Horizons
"The word 'tensegrity' is an invention: a contraction of 'tensional integrity.' Tensegrity describes a structural-relationship principle in which structural shape is guaranteed by the finitely closed, comprehensively continuous, tensional behaviors of the system and not by the discontinuous and exclusively local compression member behaviors. Tensegrity provides the ability to yield increasingly without ultimately breaking or coming asunder."
The spine has been the subject of endless study and debate. Back pain is a universal complaint and scientists and clinicians have probed, imaged, dissected, fused, discectomized, injected, bolted, inserted rods, pummeled, cracked, stretched, twisted and exercised - ad infinitum - in the elusive attempt to alleviate this age-old affliction.
The advent of early imaging techniques, namely the X-ray, presented the spine as a disembodied stack of bones, separated by essentially invisible (to the X-ray) discs and other soft tissues. The apparent misalignment of vertebrae and/or the collapse of the intervening space, led to the conclusion that this “fragile” and frequently imbalanced structure must be the source of the patient’s symptoms.6 Indeed the spine is richly supplied with pain and kinesthetic receptors of every description, and stimulation of these pain receptors will reproduce the presenting complaint. The ultimate medical intervention to relieve this condition has been to ablate the offending pain nerve fibers.2 Nothing like treating the cause!
A Unified Structural Model
Theories regarding the function of the musculoskeletal system have borrowed piecemeal from mechanical engineering principles which were originally developed to describe the characteristics of man-made materials and structures. Columns, posts and lintels, hinges, struts, suspension braces, guy wires, pulleys and levers have variously been applied to living organisms with limited success and even less consistency. Conventional engineering models apply to one or several of the characteristics associated with organic forms, but cannot be universally applied.
The need for a unified model applicable to living structures has important clinical implications. The principles, which govern the intrinsic nature of living tissue, should, in theory, form the basis of restoration of function. The fact that there exist so many divergent therapeutic models is a testament to the veritable Babylon of structural concepts upon which they are based. The various therapeutic systems each have some value within certain applications, but appear to be limited in others. This fact would support the conclusion that the structural model upon which they are based, must, in some way be deficient.
The concept of Tensegrity or the Tensegrity Structural Model (TSM), as a viable model to explain the complex properties of living organisms was put forward by Stephen M. Levin, M.D.4 This model, which is essentially an icosohedral crystalline extension of the carbon atom, appears to answer many of the seemingly impossible functional characteristics of organic forms. It is inherently stable and independent of gravitational forces and has properties to allow for controlled movement and the transmission of forces throughout the entire contiguous structure of the organism. This model explains the tremendous forces required to support vertical weight-bearing as well as the horizontal forces necessary to allow for a giraffe to bend over for a drink of water and for a gymnast to project her body over seemingly impossible distances and bend into extreme contortions. Many of these postures and movements would cause a column supported by guy wires to literally fly apart.3
The Tensegrity Structural Model has now been verified as the underlying structure of all organic tissue.3 It explains many of the observed phenomena related to body support, movement, response to stress and trauma as well as the effects of various therapeutic interventions. This theory has been verified by several studies in recent years. According to Ingber, a key investigator who has proven the existence of this structural model:
“The principles of tensegrity apply at essentially every detectable size scale in the human body. At the macroscopic level, the 206 bones that constitute our skeleton are pulled up against the force of gravity and stabilized in a vertical form by the pull of tensile muscles, tendons and ligaments. In other words, in the complex tensegrity structure inside every one of us, bones are the compression struts, and muscles, tendons and ligaments [and all, interconnected internal fascial structures] are the tension-bearing members.”
Diagnostic and Therapeutic Horizons
This feature of tissue is not confined to articular or myofascial structures. It permeates every layer of the body, including visceral structures and bone itself. Visceral fascia and intraosseous (within bone) lesions have been found to be common primary areas of involvement by those using Matrix Repatterning.
One method of applying this phenomenon is through the use of inhibition as described by Barral.1 He found that by placing pressure on one area of suspected somatic involvement, a secondary area of involvement would demonstrate a connection to the primary area by alteration of its tone. Therapeutically, this translates into the ability to trace back the source of a condition, to its primary dysfunctional locus. The application of this characteristic of the Tensegrity model provides for an increased efficiency of diagnosis.
Therapeutically, the application of minimal force at the focal point of restriction, as determined by the above method, will rapidly and permanently restore the original form of the molecular ultrastructure (as in Figure 1a). This molecular state is, being a lower energy state, is the native condition of normal tissue. The disturbed biomechanics created by the traumatically induced, pre-stressed state, can be restored to the original, tonally balanced condition, by providing an appropriate, directional and minimal amount of energy (via recoil or sustained pressure, known as induction). The rapid restoration of normal tone, including the release of rigid, apparently fibrotic muscle and fascia, normalization of articular biomechanics and improved flexibility and conformation of bony tissue, is often surprising to the novice in this new field. The fact that these experiences are common and routine for the experienced Tensegrity therapist, bears out the validity of this approach.
Spinal Dysfunction – Primary or Secondary?
As part of the interconnected fascial-crystalline icosohedral matrix of the body, the spine would be subject to abnormal strain patterns emanating from any one of a number of possible primary sites. (See Figure 2)
The painful signals relayed to the conscious perception of the individual may be an attempt to alert the sufferer of a potentially dangerous range of motion, which would jeopardize the viability of the organism (i.e. threatening his or her ability to ambulate, feed, escape predators and reproduce). Perhaps the pain is simply a useful symptom, which has nothing to do with the source of structural dysfunction. The spine may be simply reacting to the overall structural imbalances being expressed throughout the body and performing its overriding function of protecting the delicate tissues housed within it. The distortions of vertebral segments, seen on X-ray, might be an expression of this protective response. I would suggest that, in some cases, the source of apparent spinal dysfunction is extra-spinal, i.e. arising from some other tissue, which is exerting a fascial distortion via the tensegrity structure of the body, and thus affecting the spinal motor unit.
Given this scenario, is it logical or advisable that the spine should be subjected to the numerous therapeutic interventions designed to force it to conform to some artificial concept of normal range of motion or position? I believe it is worth reconsidering the source of spinal pain and addressing the body as a whole.
A 38-year-old female presented to our office with a complaint of neck pain of over 10-year’s duration. She had a history of numerous sports injuries – a self-confessed tomboy as a youngster. She had received extensive and repeated chiropractic care over the years as well as physical therapy – all to no avail.
My examination revealed hypertonic paraspinal musculature in the area of the cervical spine, especially on the left. C3 was noticeably rotated to the left, translated to the left and exquisitely tender to the touch. Left rotation and right lateral flexion of the cervical spine were reduced. Tensegrity assessment revealed four major primary foci. The left femur was compressed in the long axis (I have found this to be a common sequel to a fall on the knee.). The left femoral neck was compressed in the long axis, which is the result of a common type of injury namely falling sideways onto the hip. This usually also causes the ipsilateral sacroiliac to become strained medially along the X-axis (‘inflare’). The third lesion involved the fascia of the left kidney, which was tense and tender and in relative ptosis (the dense, water-filled viscera are common victims of impact-type trauma and are often a missed part of the diagnosis of musculoskeletal dysfunction). The fourth area of involvement was in the shoulder girdle, where a previous lateral impact to the head of the humerus and the acromion had resulted in a typical compression of these elements and a medial translation of the scapula in relation to the posterior thoracic wall (scapulothoracic articulation).
Treatment was directed to the above primary lesions over two sessions. The apparent cervical strain completely resolved upon re-examination. Range of motion was restored and the rigid hypertonicity of the paraspinal musculature was normalized. The patient has had no further complaints of neck pain in the four months since treatment was rendered.
The above case is typical of the types of undiagnosed primary areas of tension, which can alter spinal biomechanics. The spine is a potential source of dysfunction, however, I would submit that it is much less frequent than would be assumed from the amount of therapy traditionally directed to this region.
The spine has been a central theme in chiropractic and in several other major specialties within medicine. The fact that it is often the site of pain, may be a case of guilt by association. If we consider the recently revealed truth about the nature of organic tissue, we must consider many other possibilities as the source of spinal dysfunction and the related painful symptoms. It has been the experience of the author and many of his students, that, when therapy is directed appropriately to the source of the dysfunction, spinal biomechanics are often instantly restored. Many practitioners, using Matrix Repatterning®, have found upon re-examining the spine, after therapy has been performed, a presumed ‘subluxation’ is no longer in evidence. Primary lesions of the spine do exist, but, based on the new information about the underlying structure of organic tissue, we should keep an open mind, and consider that the primary source of spinal dysfunction may lie elsewhere.
“He who treats the site of pain is lost.”
1. Barral JP: Visceral Manipulation: Eastland Press, St. Louis, 1990.
2. Gray G: Functional Kinetic Chain Rehabilitation; Overuse and Inflammatory Conditions and Their Management: Sports Medicine Update, 1993.
3. Ingber, DE: The Architecture of Life: Scientific American, January 1998, pp. 48-57.
4. Levin SM: The icosohedron as the three-dimensional finite element in biomechanical support. Proceedings of the Society of General Systems Research on Mental Images, Values and Reality Philadelphia, PA: Society of General Systems Research, St. Louis, May 1986.
5. Roth, GB, D’Ambrogio, KJ: Positional Release Therapy: Assessment & Treatment of Musculoskeletal Dysfunction: Mosby – Harcourt-Brace, 1997.
6. Schultz, AB: Biomechanics of the Spine. In Nelson L (Ed): Low Back Pain and Industrial and Social Disablement. London, American Back Pain Association, 1983, pp. 20-25.
7. Wang N, Butler JP, Ingber DE: Mechanotransduction Across the Cell Surface and Through the Cytoskeleton: Science, Vol. 260, May 21, 1993.
Dr. George Roth, D.C., N.D. is a practitioner with over 25 years experience in the field of energy medicine. He has developed a number of leading-edge technologies to assist individuals in the achievement of optimal wellness. He lectures extensively to various groups and educational institutions and is a published author.
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