Dr. George Goodheart’s approach
- The legendary chiropractor George Goodheart was one of the few chiropractors to take a good look at Dr. Jone’s work and develop it.
- He dispensed by and large with Jone’s focus on the memorization of points, and instead looked at restricted range of motion or pain on action as a means of quickly looking for the primary subluxation complex.
- Then he would deduce which muscle was causing the restriction and search that muscle for tender points.
- He then would passively move the articulation in the direction that would be the action of the restricted muscle, thereby slackening it until the tender point disappeared, and hold it for 30 to 90 seconds.
Example: Midscap pain, thoracic hypokyphosis
- Fixation found at (Body right fixations Limited in R lateral bending and forward flexion)
- Tenderpoints found at
- Treat: patient prone, rotate tender spinous towards Ipsilateral transverse below, or tender transverse toward spinous above via extension and pull back right shoulder/spine.
Cervical example: left sided tender point, restricted right lateral bending and left rotation
Goodheart would look for:
1) Restricted motion,
2) Pain on muscle action against resistance.
3) Find tender points in that region to slacken via passively moving the body to shorten the muscle that was tender or pained when actively contracted (In this case they may be found in the deep rotators and the muscles that insert into the scapula and ribs.
Goodheart: right sided lumbar somatic dysfunction
- Limited flexion
- Limited or painful rotations, such as:
- Pain on twisting to look over left shoulder, activating right intrinsics
- Pain on twisting right, stretching right intrinsics
- Limited left lateral bending
- Tenderness on the right side