Commonly known as arms and legs, extremity joints are classified as upper or lower. Upper extremities consist of the shoulder, collar bone, AC joint, elbow, wrist and hand. Lower extremities consist of the hip/head of the femur, knee, ankle mortise and foot.
Festering, chronic injuries to these upper and lower extremities may accumulate in a number of ways. Examples of trauma to extremities include, falls with outstretched arms, car accidents, skiing, combat sports, contact sports, gymnastics, accidents playing around, gym mishaps, occupational injuries, prolonged computer time, and repetitive stressful motions to name a few.
Chronic or acute extremity subluxations are more prevalent than one would suspect, unfortunately. This fact is overlooked in the health care literature. In fact, extremity subluxation is the rule and not the exception post trauma to these vital extremities where the joints are traumatized beyond the bio-articular threshold. Many walking wounded don’t consider an extremity evaluation because it is not in their knowledge base.
A proper analytic work-up is necessary when considering the extent of extremity subluxation. Like the spinal column, a comprehensive clinical past and present case history, an extremity evaluation and X-rays or other special study, if necessary, are the industry standard. This information allows for a more customized correction, should one be necessary.