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A
subluxation syndrome is the clinical signs and symptoms relating
to pathophysiology or dysfunction of spinal motion segments that
may be amenable to manipulative / adjustive procedures.
This entails an aberration of normal spinal biomechanics,
usually involving a restriction or loss of a motion segment, and
associated aberrations in the tissues that support articular
motion. This clinical
condition can be assessed by careful motion palpation documenting
loss of joint play or end range of motion, and may also be
evidenced via subtle biomechanical changes in diagnostic imaging.
For Medicare purposes, a chiropractic provider, or a
radiologist should determine substantiation of a subluxation for
determination of a manipulable lesion on diagnostic imaging with
training in chiropractic manipulative treatment procedures. |
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