A clinical case of curing spinal canal stenosis with reduction in the size of a herniated intervertebral disc by manual therapy methods, which was considered in the concepts of fundamental physiology

A clinical case of cure of spinal canal stenosis and reduction in the size of a herniated intervertebral canal by manual therapy methods and involvement of the patient in therapeutic activities through physical exercises is considered through the prism of neurophysiological knowledge about reality, the principles of national Russian and the preceding Soviet medicine. There is an analysis of the ideas, which are typically used in clinical practice by neurologists and neurosurgeons for analysis, synthesis, and justification of treatment prescription according to their profile and the limited use by them of knowledge of fundamental physiology about the real structure of the human body and its functions in a specific clinical case. Attention is focused on the scientific nature of the methods of manual therapy, applied for diagnosis and treatment, of the national Russian and Soviet schools of medicine, including the Czechoslovak school of manual medicine, which differs significantly from traditional medical chiropractic with different metaphysical justification in the chiropractic schools of American osteopathy and chiropractic, applied kinesiology, and also in Indian Ayurveda, Japanese shiatsu, reiki, mutual aid techniques of martial arts of Indochina, traditional Chinese medicine. The clinical analysis uses scientific knowledge of fundamental physiology, neurophysiology, systemic psychophysiology, cognitive science about the activity of functional systems, which is significant for the patient’s recovery, including ensembles of neurons of central generators of the ordered activity, sensitivity regulation systems, medial and lateral movement control systems, and neuromuscular complexes of motor units. The normalization of their activity by manual therapy methods leads the patient to clinical recovery and an active life of high quality.