Spinal Misalignments and Somatovisceral-Viscerosomatic and Nutritional Relationships

A paper exploring the need for nutritional integration for the chiropractic physician

By Dr. Michael Wald

Spinal misalignments have potential and known consequences, not only at the spinal level, but also through somato-visceral (SV) and viscera-somatic (VS) reflexes collectively referred to within this paper as SVVS.

Cellular, tissue, organ and organ system derangements that result from nutritional deficiencies/inadequacies or end-organ disease can reflect their injury to their corresponding spinal segments resulting in misalignments of spinal vertebrae (SV) that are palpable or otherwise measureable by a variety of methods.  On the other hand, VS dysfunctions compromise, to varying degrees, pathways essential for relaying fundamental neurologic messages to the organs compromising their energetics and ultimately result in cellular breakdown compromising or otherwise increasing the nutritional requirement of the struggling organ.

Integration of visceral and somatic information is crucial for homeostasis, health maintenance and disease prevention.  Varying degrees of loss of SVVS-integration either resulting directly from acute  spinal injuries (ASCI), spinal misalignments (subluxations considered lesser “injuries” relative to ASCI), end-organ wasting or inadequate nutrition, can disrupt the delicate VSSV reflex relationships.  Depending upon the severity of autonomic dysfunction end-organ cellular nutrition is compromised contributing to organ-wasting (sarcopenia) and suboptimal dysfunction; these dysfunctions may manifest as subtle or obvious health issues and are also known to contribute and/or cause virtually every major health malady of human beings including, but not limited to, heart disease, cancer, arthritis, chronic fatigue, fibromyalgia, glandular/hormonal disorders, increased risk of infection from immune compromise and more.

Efferent and afferent tracks and their terminal projections form the fundamental neurologic pathways (SVVS) that maintain the well-orchestrated communications between body tissues of all types.  Furthermore, the SVVS pathways provide an anatomical substrate for mediating SVVS reflexes via efferent connections with autonomic centers in the brain, brainstem and spinal cord and their peripheral connections.  Through some unknown and known pathways these SVVS communications systems form the fundamental rationale for chiropractic spinal manipulation techniques.  Complementary retrograde and anterograde axonal transport techniques, proven on the light and electron microscopic level, form just one of the physiological mechanisms through which chiropractic adjustments improve SVVS functionality.

Scientific data is abundant regarding the essential and conditionally essential nutritional requirements of cells, tissues, organs and the organ systems that they comprise.  Nutritional deficiencies/inadequacies may result in tissue decay and compromised function reflected in spinal vertebral segments forming of vertebral misalignments.  Spinal misalignments, resulting from virtually any cause (i.e., physical trauma, congenital, nutritional, etc.) can compromise organ function either sub-clinically or clinically resulting in increased cellular nutritional requirements, that if not met, can result outright disability and loss of quality and/or length of life.

Spinal manipulative therapies delivered even by the most skilled of chiropractic physicians may be met with either partial, severely limited  or complete lack of therapeutic results if the cells, tissues and organ systems, the ultimate focus of the chiropractic adjustment,  are not met.  In other words, if the tissues (i.e., muscles, tendons, ligaments, blood vessels, CSF flow, lymphatics, organs, glands, etc.) are undernourished then their neuro-physiologic response to the chiropractic adjustment may be blunted.

Optimizing nutrition for the chiropractic patient should take place simultaneously when receiving the chiropractic adjustment.  A great deal is known regarding the neurologic relationships between spinal segments and their corresponding end-organs.  The nutritional needs of many organs, including those of the central and peripheral nervous system and the musculoskeletal system are also known.  Knowledge of these innate physical-nutritional interactions can be put to immediate clinical use with Blood Logic TM software technology developed by Dr. Michael Wald.  Such a technology must be quick and scientifically accurate allowing the doctor of chiropractic, either seasoned or new to nutritional therapeutics to provide sound nutritional advice to his/her patients within minutes of spinal assessment (i.e., palpation, etc.).

As a second-generation doctor of chiropractic, Dr. Wald learned from his father Dr. George J. Wald who practiced nutrition over fifty years ago, that diet and nutritional supplements along with a healthy lifestyle in other areas was essential for maintaining health and disease prevention.

To contact Dr. Wald for comments please go to: www.intmedny.com or www.blooddetective or call 914-242-8844 or 914-552-1442.



Love hurts: the evolution of empathic concern through the encephalization of nociceptive capacity., Tucker DM, Luu P, Derryberry D.Dev Psychopathol. 2005 Summer;17(3):699-713.

The ion channel ASIC1 contributes to visceral but not cutaneous mechanoreceptor function., Page AJ, Brierley SM, Martin CM, Martinez-Salgado C, Wemmie JA, Brennan TJ, Symonds E, Omari T, Lewin GR, Welsh MJ, Blackshaw LA., Gastroenterology. 2004 Dec;127(6):1739-47.

Representations of pain in the brain., Verne GN, Robinson ME, Price DD., Curr Rheumatol Rep. 2004 Aug;6(4):261-5. Review.

Psychological abnormalities in patients with irritable bowel syndrome., Porcelli P., Indian J Gastroenterol. 2004 Mar-Apr;23(2):63-9. Review.

Cancer pain, pathophysiology, characteristics and syndromes., Kocoglu H, Pirbudak L, Pence S, Balat O., Eur J Gynaecol Oncol. 2002;23(6):527-32. Review.

Neural substrates linking balance control and anxiety., Balaban CD., Physiol Behav. 2002 Dec;77(4-5):469-75. Review.

Neurological bases for balance-anxiety links., Balaban CD, Thayer JF., J Anxiety Disord. 2001 Jan-Apr;15(1-2):53-79. Review.

Presence of functional neuronal nicotinic acetylcholine receptors in brainstem motoneurons of the rat., Zaninetti M, Tribollet E, Bertrand D, Raggenbass M., Eur J Neurosci. 1999 Aug;11(8):2737-48.

[Problems of psychosomatics and somatopsychiatrics in internal medicine]., Paleev NR, Krasnov VN, Podrezova LA, Chereĭskaia NK, Martynova NV., Vestn Ross Akad Med Nauk. 1998;(5):3-7. Review. Russian.

Responses of fish populations and communities to pulp mill effluents: a holistic assessment., Adams SM, Crumby WD, Greeley MS Jr, Shugart LR, Saylor CF., Ecotoxicol Environ Saf. 1992 Dec;24(3):347-60.

Convergence of visceral and somatic inputs onto subnucleus reticularis dorsalis neurones in the rat medulla., Roy JC, Bing Z, Villanueva L, Le Bars D., J Physiol. 1992 Dec;458:235-46.

Physiological interactions of the basic rest–activity cycle of the brain: pulsatile luteinizing hormone secretion as a model., Rasmussen DD., Psychoneuroendocrinology. 1986;11(4):389-405. Review.


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*DISCLAIMER: Dr. Michael Wald is a doctor of chiropractic with a masters degree in nutrition. He is also a Certified Dietitian Nutritionist and a Certified Nutritional Specialist and Sports Nutritionist. Dr. Wald is certified to provide acupuncture in several states, but not New York. Dr. Wald has two board certifications in nutrition. Dr. Michael Wald earned his MD diploma, but did not complete a residency and is thus not licensed to practice medicine. The information on this site is intended for educational purposes only and is not to substitute for sound medical or health advice. Information contained within this website may change at any time without prior notice. The information on this website is under copyright, 2021.