Greetings Steven,

I find myself explaining the engineering of the Gothic Arch to people (mostly med students, that have been taught the outdated short leg theory and its treatment) and when i get to the end of explaining the WBI phenomena (IS locked up, type I or II spine curve) that can transpire , I have been asked “well how does the foundation or Apex lose its structural functionality” and i dont really have an answer for them. I make up some ideas that i think could throw off the structure. I was hoping you could shed some light on this matter.

Cheers,

hey brian-
i am in the next segment of this trip, however wanted to send out a fast reply:  think about it. 

i know i mentioned it, however clearly not enough-  I/S derangement is always traumatic.  usually an acute event… sometimes though chronic strain resulting from a weightbearing decompensation. 

regarding the actual loss of WBI with either type of adaptation… my point is that we can not prove leg length equality or inequality, though, remember my talk about compensation falling into decompensation.  while none are perfect we all mostly pull of our compensations… yet when trauma and stresses conspire to weaken our ability to pull of our compensations quite often a weightbearing collapse ensues… with the resulting type I or II postural adaptations. 

also remember that there can be true growth inequalities as well, either congenitally or traumatically derived. remember ultimately that we do not care about or treat leg length… only weight bearing symmetry and integrity, right (or loss thereof)?

anyone else want to chime in?

does this give you enough ammunition? 

blessings,

I do have a greater sense of what could alter weight bearing integrity by what you mention. One after thought i have is, if the weight bearing integrity is decompensated by trauma, why don’t we treat out the trauma on the table and allow spirit/creator to treat out the trauma and bring back WBI. The lift makes perfect sense if there is a congenital bone discrepancy, because the WBI may be off for life, simply based on structural anatomy.  And i am sure the lift makes sound sense for trauma that decompensates WBI, I am just trying to see this thought through with you.

Thank YOU,
bmd

excellent commentary, Will!
i will add only that the reminder that the WBI piece is absolutely necessary for the patient to heal!  it is of a similar degree of algorithmic problem solving significance as Midline, in its own way.  think about it:  if we put them on the table and attempt to heal the trauma and as then as soon as they get up and walk away they undo everything we have attempted because they are not intact with respect to WBI, what good have we done/ what healing have we supported?  very often a fully compensated individual (like someone i saw this am) experiences trauma and falls into WBI decompensation (yet it can be emotional, or job occupational or travel related-  this woman today happened to have had a serious car accident a year ago that ended up blowing out her I/S and then lumbar spine and pelvic shape throwing her into WBI collapse and “undiagnosed” chronic debilitating pain ... however after doing the I/S protocol it was clear that there was still a big weight bearing asymmetry (REMEMBER…WE DO NOT EVER HAVE PERMISSION TO EVER USE THE TERM LEG LENGTH DIAGNOSTICALLY EXCEPT BY EXCLUSION AFTER THE PERSON HAS BEEN LIFTED FOR A LONG PERIOD!  go back and review the CD’s if you have any questions about this....we can only describe a functional weight bearing asymmetry or collapse associated with presumptive low and high sides, evaluated by the pelvic rocking test and pelvic ligamentous mechanics.  right?  so after helping to restore functional pelvic mechanics, i was required to jack up the low side 7mm for WBI, which i do not think she will need for very long… until she heals and goes back into compensation, which is where she was before the trauma.  bottom line was that after the I/S protocol, Midline with CVjx treatment and the heel lift, she left the office with a dramatic shift in function and comfort… like kind of miraculous, except that we know better, right?
i wish i had a video of this particular response… it was really so dramatic and right out of Course 5 mostly.
blessings.