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Diseases of the spine

The spinal column is a complex structure consisting of bones, spinal discs, nerve tracts (spinal cord), arteries, veins and structures akin to sensory organs. Age-related wear and tear, accidents, diseases and deformations of the vertebrae can cause certain complaints and lead to irritations of the nervous system. The cervical spine is a multifunctional organ. The loss of water content in the discs usually leads to wear around the age of 30, which is accompanied by a geometric change in the joints (arthrosis). Even today, patients are left with the not exactly comforting advice from their family doctor: "It's arthrosis, wear and tear, you have to live with it". In today's modern medicine, nobody has to live with this suffering. Congenital or acquired instabilities can also be treated. Classical spondylolisthesis is a persistent disease that occurs more and more frequently in young patients. This is often followed by spinal stenosis, which is usually caused by degenerative herniated discs. This leads to an ever increasing load on the small vertebral joints. As a result, these small vertebral joints become ever thicker, larger and more distended in order to resist the impending instability. The result is a further narrowing of the spinal canal. Persistent defects after healing due to fractures, osteoporosis and post-operative treatments can be treated. Another focus is the therapy of acceleration injuries ("whiplash injury") with and without cerebral involvement. We treat these injuries on an interdisciplinary basis. An X-ray almost never shows torn ligaments or injuries to the bone. The patient still complains for weeks of unexplained neurological symptoms such as "flashes from the neck into the legs" or "loss of memory" or "tingling of the legs or arms" etc. Therapy with CCM Manteuffel®™ and VT Manteuffel®™ will improve the quality of life considerably. Not every body reacts immediately and shows the desired effect. But as a rule, a desired effect is quickly achieved. Many of these diseases can be healed conservatively with CCM Manteuffel ®™ and VT Manteuffel ®™.

 

KISS syndrome

KISS syndrome is in the sense of a disease, which is supposed to lead clinically to various disorders is not proven according to conventional methods.
Evidence-based medicine does not recognize this diagnosis. The scientific studies on the recommended therapy methods have not yet been submitted. It also shows very difficult to find something on a baby where you should measure something, take blood or stab somewhere in the baby's body. In addition, the patient is not yet able to speak to express himself.
In this complex of symptoms, i.e. syndrome, one can only resort to the existing methods, which are not recognized. However, since the babies show disturbances and differ in their behaviour from other babies, it can be assumed that something that is currently not measurable.
But the disorder can be detected by a trained therapist and by treatment techniques. However, this is not accepted by evidence-based medicine.
In addition, symptoms such as paediatric posture sasymetry or refusal to store positions or crying the baby are not considered a symptom of disease.
The posture asymetry is not recognized in evidence-based medicine, but the sickle foot.
In the sickle foot an anomaly is also visible, also measurable and in contrast to posture sasymetry can be represented above all in the X-ray image (i.e. imaging visible). But the posture asymetry is visible and partly measurable with the meter.
On the other hand, there are also societies, e.g. in neuropediatrics in Germany, that do not recommend manipulative procedures on the cervical spine. There are isolated randomized studies on this subject area, according to which a superior efficacy of manual therapeutic grip techniques cannot be demonstrated, but gentler methods are recommended in turn, such as osteopathy.
But it is also right to make the claim to propagude something eternally, but not to submit studies during this period. Studies, especially in Germany, are only interesting when it comes to something where you sell and which are paid by the health insurance company even then. The situation of interest is also an example. The difficulties for studies have already been described above, so new ways of assessing them should be taken.
KISS syndrome therefore does not stand up to scientific testing. But something is there and if a therapist treats something it goes away. Why don't babies lie quietly and keep going back to the same position? Why do babies scream excessively, especially when the baby is about to change position? Why are there breastfeeding problems and later drinking problems? Positional sleep disorders? Are the mothers of these babies just overburdened with the baby and react in a form of hysteria? Far from that. Only mothers exchange ideas and compare their babies. There is the internet for research and some doctors also have their own conspicuous babies, at the latest then you come to think.

Physiological background
The cervical spine is associated with important control centers in the brain (Hassenstein, B. et al.1988). It represents a biomechanical unit of joints, the dura mater, vasal, fascial and nervous parts. The suboccipital muscles have an enormous density of receptors. The cervical spine has a leading function for regulatory processes. And it is precisely through this musculature, which the craniozervical transition switches its affecands and efferences, that has a special significance in terms of functional complexity compared to other articulated joints. The region of high cervical segments represents a functional interface between head, torso, and extremity movements. This is ensured, among other things, by the combination of fast-conducting (1a fibers) and slow-conducting fibers (IV fibers) as well as by the high density of muscle spindles and other mechanoreceptors (Hülse and Neuhuber, et al.2005). The afferent signals from the neurons of the cervical marrow to Formatio reticularis, Medulla oblongata, Stem Brain and the vestibular system are of particular importance. Blockages (in the understanding of manual therapy) or osteopathic lesions of the head segments, which are clinically manifested, among other things, by muscle tone increase, pain and restriction of movement, result in a segmental stimuli lowering of the stimuli and can lead to a central overexcitability with vegetative consequences. This is then called facilitation from the medicine of tonakupuncture (Krah, et al.2010). Particularly important are affections from the trigeminal area, including the teeth, tonsils and sinuses (Hülse and Neuhuber, et al.2005).
One should not forget nociceptive affections from the visceral area, which reach the central marrow via sympathetic pathways and the N.vagus as well as secondary neurons (Quin et.et al.2001). Considering that the Formatio reticularis important bodily functions such as breathing, wakefulness, circulation, influencing extrapyramidal motor pathways and miction, as well as monoaminergic cell groups (especially dopamine, norepinephrine, serotonin), the great clinical significance of neurovegetative relationships becomes really clear (Trepel, et al.A cervical dysfunction can clinically cause a variety of symptoms. A classical symptom image thus almost no longer occurs (Gutmann, et al.1988).

Intervention
Treatments in the cervical, cranial, mandibulary range with a combination of manual gentle techniques and targeted influence of the mechanoreceptors lead to a reflective change of the affected segments. The selection of manual methods is made by selective assessment in the affected area or segment.
This leads to the tonus normalization of the suboccipital muscles and mobilization of the hypomobile segments. Dynamic treatment processes from the field of physiotherapy are applied. A large segmental correction is already very often made after a treatment session. The patient immediately shows a significant improvement in the sympathetic balance. A positive stress adaptation is immediately shown as a result of the treatment stimulus (the sympathetic influence increases).
After correcting the structures on the patient, the parasympathetic level is increased and the patient relaxes significantly and the intestinal discomfort is rapidly reduced (breastfeeding problems and drinking problems, frequent vomiting, reflux, flatulence and problems with bowel movements).

Conclusion
In physiotherapeutic practice, we meet patients with multimorbid diseases every day, from infant to adult. The known effects of cervical affections on the central nervous system require interdisciplinary diagnostic and therapeutic approaches.
Only by simultaneous therapy of structure and metabolism (Bortfeld, S. et al.2014) complaints can be better treated, including therapy-resistant and recurrent complaints (Kuklinski, B.et al.2009).
Cervical dysfunctions are to be regarded as triggers of neurovegetative changes.
Kiss syndrome is therefore not to be considered in isolation, i.e. rather than cervikal-cranial-mandibulary syndrome.
Thus, a"CCM syndrome" is to be assumed.

CCM MANTEUFFEL™®© is a highly efficient way to handle this.

Literature
Bortfeldt,P. 2014. The Importance of Heart Rate Variability and vegetative Nervous System in Regulation Medicine, Oldenburg: Naturopathy
Gutmann,G. 1988. Clinic of post-traumatic dysfunction of the upper HWS: symptom combination and symptom duration, question of latency. In "The Special Position of the Head Joint Area. Basics, Clinic, Review, ed. Wolff". Berlin: Springer Verlag
Sleeve M, Neuhuber W. 2005. The upper cervical spine. Heidelberg: Springer Verlag
Hassenstein B. 1988: The head joint area in the functional structure of spatial orientation: system theory, biocybernetic aspects. In "Special Position of the head joint area. Basics, Clinic, Review, ed. Wolff", Berlin: Springer Verlag
Crow. 2010. Tonakupuncture in the therapy of the facial cervical spine segment. Oldenburg. Naturopathy
Kuklinski B. 2006. Weakness of the neck. Bielefeld: Aurum Verlag
Kuklinski B. 2009. SOD-2 polymorphism, mitochondrial cytopathy and nitrosative stress. OM + Nutrition 129: 2 - 12
Quin C., Chandler M., Miller KE., Foreman RD. 2001. Responses and Afferent Pathways of Superficial and Deeper C1-C2 Spinal Cells to intrapericardial Algogenic. Chemicals in Rats. Journal of Neurophysiology 5, 4:1522-1532
Whiting W + Whiting R. 2012: Heartbeat variability: early warning system, stress and fitness indicator. Heiligenstadt: Eichsfeld Verlag

Neurophysiological treatments

Many patients, from infants to adults, have been owe a better quality of life to this form of therapy since its inception. An outstanding building block is the Bobath concept. This therapy applied in its form in humans deserves to be called neurophysiologically.

In times of savings in health care systems, let us take Germany as an example, this method has been greatly saved and replaced by inferior and cheaper methods.

The result on the patient was accordingly. There are also few works and studies on this therapy method (Wikipedia). There is little interest in testing with studies (without changing the study structure) where in the end no lucrativeness comes out. When studies are prepared for drugs, it looks very different.

Physiotherapists bow to the founders of this concept. The daily work with the patients and the successes with this therapy gives the right to do so. We have found documentation with instruments for meaningful therapy documentation in everyday practice. We have also decided to accompany every patient with video documentation. Thus, we are also able to carry outa case-by-case study, which can then be usedin mixed studies.This allows individual patients to be accompanied, includingwith various neurological diagnoses (Note: The concept according to Bobath was originally designed for the diagnosis of "cerebral palsy").

It still applies: who heals is right

 

 

Lymphoedema
Many people have this disease and do not know it. Babies are born with swollen legs and keep them for a lifetime. Some people have a heart-lung disease or others a disease of the kidneys, the body then acts as if it has swollen.  Accidents, operations, obesity are the more common causes.
Lymphedema is a chronic disease of the organ lymphatic system and the patient must adapt his life to it in such a consequence, in order to then come in a pleasant quality of life.

Origin and treatment
This disease develops in the organ lymphatic system. This system goes through the whole body. The structure is similar to that of the arteries and veins with conductive vessels, capillaries and intervening lymph nodes. In order to ensure that lymphatic congestion, it is important to know that the lymphatic system has a semi-circulation. The bloodstream, on the other hand, has a complete circulation. The lymphatic system begins with its capillaries in the organs and can immediately absorb the lymph fluid in the overlapping area of the Arterovenous zone and transport it away into the nearest vein. Lymph nodes are intermediate and serve as a collection of lymphlast, filters and as the central control of the body's own defense system. The lymphatic pathways are an elastic hose system with a wall-mounted pumping system (pull together and relax alternately).
If this overall system of blood circulation and lymphatic circulation is disturbed or damaged, it can cause proteins and tissue fluid to remain between the body's cells and to behave tissue-suppressing ("tissue swelling"). This is then called lymphedema.

There are two forms, a primary lymphedema and a secondary lymphedema
Primary lymphedema is a congenital (congenital) disease. The cause is a restriction in the structure of the lymphatic vessels, so children can also be affected (also referred to as malformation).
The secondary lymphatic system is an acquired lymphedema. The impairment is due to a cause where the event occurred outside the body. The causes are injuries to the body or to the body in all possible structures. In addition to injuries and accidents, fungal diseases, viruses, bacteria and Parasites decompose body tissue.
Some medications also cause damage, including hormone sanding (anti-baby pill ect.), antidepressants, antibiotic preparations with deep cellular efficacy such as those from the "gentamycin group" or chemotherapy drugs. Cortisone also leads to damage in long-term treatment.
The most common edema is "lipoedema".
Lipoedema is a mostly progressive disease. Symmetrical subcutaneous fat tissue propagation associated with the center of gravity of the lower extremities associated with edema formation marks this condition. In the advanced stage, lymphostatic edema develops, i.e. lymphatic congestion.
At the beginning of the disease, thicker legs are especially noticeable without being overweight. In the skin test, the orange skin appears with fat nodules lying in the skin depth. The first feelings of tension occur in the affected area.
Over time, the body's weight gain begins and the skin appears undulating. Voltage cranking due to the lost ability of lymphatic removal and accumulation of more body fat lead to skin Protein accumulations. At the latest now, this disease hinders the Total organism with compensations in other body regions. To the most severe extent, walking becomes almost impossible, the lower legs are more prone to traumas that then heal very badly.

Edema diseases are treated, among other things, with the method MLD Manteuffel ©®™. The treatment results are excellentdepending on the stage of thedisease.

 

Pudendusneuralgie
The peritoneum ist he area oft the perineum and the genitals. The area is almost exclusively from the nerve pudendi innervated. The origin oft he nerves is at S2 to S4 with the Rami ventrales.
Symptoms:
Stinging pain and numbness in the pelvic area when sitting in particular in the area oft he genitals inside. When walking and standing the symptoms diminish. Some patients only complain of pain in the male genitalia. In women, pelvic floor pain occours, especcially between the vagina and the anus. Intense cyclists with an unadjusted on bicycle saddle complain particular pain oft he anus into the rectun into. This pain in the genital area is described by the patient tather than dull and oppressive.
Literature
Roche B. Bembe JC. Karenovics W., Robert J. Yap, Cahana A. 2005. Pudendusneuralgie – anatomical – surgical aspects. Coloproctology 27: 236 - 41