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CHIROPRACTIC CARE

PRINCIPLE-21

The Mission of Innate Intelligence
is to maintain the material of the body of a ‘living thing’ in active organization.

- Daniel David Palmer (Circa 1895)

Viral-induced HMR/D: Chiropractic Principles of DD Palmer Revisited

According to chiropractor Daniel David Palmer, the human body is a self-regulated innate program that maintains ‘homeostasis’, or a functional balance of all the systems essential for organization of life. The role of a chiropractic is to detect and remove any interferences to neuro-cognitive transmission and to reset the nervous system at its regular function. Interestingly, a definition for the ongoing global health crisis with the ‘novel’ virus (SARS-CoV-2)-induced human metabolic reprogramming/dysregulation (HMR/D), based on THIRTY THREE (33)- Chiropractic Principles of DD Palmer (as amended in circa 2024).

PRINCIPLE-21: The Mission of Innate Intelligence
The mission of innate Intelligence (genetic program) is to maintain the material of the body (cellular structure/ function) of a ‘living thing’ (human body) in active organization (redox ‘metabolic’ homeostasis).

PRINCIPLE-29: Interference with Transmission of Innate Forces
There can be interference (reprogramming or dysregulation) with the transmission of innate forces (redox metabolic pathways).

Precision Chiropractic Care: A Global Health Opportunity

Viral-induced human metabolic reprogramming and dysregulation (HMR/D), the newly emerged global health crisis, necessitates a strategic inter-disciplinary alliance to initiate science & research-driven, chiropractic education program. It is time to establish an accredited, evidence-based health technology training program, the Precision Chiropractic Care to reverse or ‘reset’ viral-induced HMR/D, and prepare the next generation of chiropractors to provide an effective and responsible complementary and integrative healthcare services worldwide.Post-acute sequelae of COVID-19 (PASC) or long-COVID with viral-induced HMR/D has emerged as a major

‘new onset’ metabolic syndrome affecting over 500 million people worldwide. PASC (virus-free, hospital-discharged disease survivors) is categorized into four sub-phenotypes based on symptomatic clinical manifestations involving specific human organs/systems. In particular, the HMR/D Sub-Phenotype-2 with neuro-cognitive, and Sub-Phenotype-3 with skeleto-muscular impairments account for 32.8% and 23.4% of global cases, respectively. Viral-induced HMR/D has brought greater insight into unique COVID-19-related neuro-cognitive disorders such as brain fog, post-traumatic stress disorder (PTSD), sensory disorders (anosmia, ageusia), headache, tinnitus (earaches), insomnia, and chronic fatigue syndrome (CFS). On the other hand, skeleto-muscular indications range from typical dermatomyositis to rhabdomyolysis, and paraspinal afflictions with back pain. For patients with established myositis, chronic care was disrupted during the pandemic with several logistic challenges and treatment dilemmas leading to high flare rates.

Chiropractic care has been used by athletes, first responders, and the general population for decades to maintain full range of motion with a healthy skeleto-muscular system. Spinal adjustment and other chiropractic protocols are proven to minimize inflammation, reduce pain, and sustain optimal physiological function. Immune functions are regulated by the nervous system through the network neuronal plexus with the endocrine and the autonomic nervous system (ANS). Chiropractic treatments could augment the circulation of both blood as well as lymphatic fluids through spinal manipulation and help relieve stress while improving immune function.

Viral-induced HMR/D is a ‘new onset’ metabolic syndrome and specific diagnostic biomarkers to identify organ-specific impairment(s) have been developed. Real-time monitoring of such biomarkers could help evaluate efficacy of treatment as well as recovery of an HMR/D patient. Recent advances in specific system-targeted precision nutrition research to reverse or ‘reset’ viral-induced HMR/D has emerged as an effective protocol in global healthcare. Therefore, ‘chiropractic’ in combination with specific system-targeted ‘metabolic reset’ could establish a ‘novel’ synergistic regimen – collectively known as the Precision Chiropractic Care, with an exceptional opportunity to combat ongoing global health crisis – the viral-induced HMR/D,

Viral-induced HMR/D: Neuro-cognitive impairments

Neuro-cognitive impairments in viral-induced HMR/D involve the central nervous system (CNS) with central demyelination, seizures, encephalopathy/encephalitis, and strokes; the peripheral nervous system (PNS) with Guillain-Barréé syndrome/other neuropathies, neuralgias, myopathy, and myositis; and the autonomous nervous system (ANS) with dysautonomia, temperature and exercise intolerance. Long-term neurological indications could be attributed to direct viral infection, , severe systemic and neuro-inflammation, inflammation-inflicted vertebral misalignment, microvascular thrombosis, and neurodegeneration. Viral-induced HMR/D could involve damage to brain parenchyma and blood vessels, affect the blood-brain barrier (BBB)—cerebrospinal fluid barriers that regulate neurons, supportive cells and brain vasculature. Systemic/neuro-inflammation could lead to spinal dysregulation and cognitive decline and the likelihood of neurodegeneration in viral-induced HMR/D. Furthermore, vertebral misalignment in tandem with spinal dysregulation could affect the ANS and may trigger multiple neurological complications such as dysautonomia, orthostatic hypotension, and postural tachycardia syndrome (POTS) in HMR/D.

Neuro-cognitive Impairments

Viral-induced HMR/D and Skeleto-muscular Impairments

Skeleto-muscular impairments in viral-induced HMR/D include sarcopenia, cachexia, myalgia, myositis, atrophy, rhabdomyolysis, peripheral neuropathy, and Guillain-Barré Syndrome. The risk of developing sarcopenia during acute COVID-19 or after recovery is relatively high. In critically ill patients, diaphragm damage has distinct myopathic features, which may contribute to long-term dyspnea and fatigue in HMR/D patients. Viral infection could affect the skeleto-muscular system due to hyper-inflammation and its affect on the vertebral column. Vertebral misalignment and dysregulation of nerve impulses and blood supply could further damage spinal cord function. The viral hijack of hACE2 could also dysregulate the RAAS activity and induce severe consequences such as loss of muscle mass, strength, physical dysfunction and delay recovery from viral-induced HMR/D. Elevated levels of IL6, the proinflammatory cytokine, could also trigger myalgia and joint pain.

Skeleto-Muscular Impairments
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