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Trauma & Care · Nervous System

What Can Be Known Without a Word Being Spoken

You do not have to tell anyone your story for something useful to be known about how your body is running.

Briefly

You do not have to tell anyone your story for something useful to be known about how your body is running.

The running of a nervous system is physical, and physical things can be observed: muscle tone, breathing, posture, how readily a body settles.

That matters, because the story itself belongs to you. It is yours to tell or not, and to whom you choose.

What follows is what can be seen without a word being spoken, what cannot, and where the story itself belongs.

What can be known without a word being spoken?

Start with what is observable. A great deal about how a nervous system is running can be described before anyone explains anything, because the running of it is physical, and physical things can be measured.

In a Swedish laboratory study, Ulf Lundberg and colleagues put 62 women through mental arithmetic and the Stroop colour-word test, no lifting, no physical work of any kind, and recorded a significant rise in electrical activity in the trapezius, the muscle running from the base of the skull across the top of the shoulder. Blood pressure, heart rate, adrenaline and cortisol climbed with it (International Journal of Behavioral Medicine, 1994). A demand made of the mind arrived, within seconds, in the shoulders.

One afternoon of that means nothing. Years of it is different arithmetic. Muscles asked to brace often enough stop waiting to be asked, breathing settles higher in the chest, and shoulders find a resting height that is not really rest. None of it requires a catastrophe: deadlines do it, caring for someone does it, grief does it, and so does the ordinary accumulation of a life lived at pace.

This is not a claim that feeling causes structure in one tidy line. It is narrower and better supported: the body has a small number of ways of preparing to cope, they are physical, they are repeatable, and they can be observed.

Why does defence settle into a pattern rather than passing?

The clearest map comes from Kasia Kozlowska and colleagues, writing in the Harvard Review of Psychiatry in 2015. Human beings, they argue, share a continuum of hard-wired defensive responses, the defence cascade. Arousal comes first: muscle tension, breathing and heart rate all climb. Then flight or fight. Then freezing, which they describe as flight-or-fight put on hold, the body loaded and still. Beyond that lie tonic immobility and collapsed immobility, responses of last resort when nothing active remains available, and finally quiescent immobility, the settled state that permits rest and repair.

What matters here is what the authors say happens afterwards. An animal that escapes a threat discharges the state and returns to baseline. People frequently do not. They can remain in the same recurring pattern of response long after the danger that called for it has gone. That is not weakness, and it is not damage. It is a nervous system that learned something thoroughly and has been given no reason to update.

Traces show up in measurement. Schneider and Schwerdtfeger pooled 43 studies for Psychological Medicine in 2020 and found that people with post-traumatic stress disorder had consistently lower heart-rate variability and higher resting heart rate than controls, the signature of a system running with the brake partly off. Those findings describe a diagnosed group, not everyone carrying a difficult history.

What does the research on early adversity actually show?

Adverse childhood experiences, abuse, neglect, and household conditions such as violence, substance problems or a parent’s imprisonment, are common. In a Centers for Disease Control and Prevention analysis of 264,882 American adults, Elizabeth Swedo and colleagues reported that 63.9% recalled at least one and 17.3% recalled four or more (MMWR, 2023). Those are counts across a population; they say nothing about any single person within it.

The health signal is a dose signal, and it is likewise a population signal. Karen Hughes, Mark Bellis and colleagues pooled 37 studies covering 253,719 people for The Lancet Public Health in 2017. People reporting four or more adverse childhood experiences were at raised risk of every one of the 23 outcomes examined, weakest for physical inactivity, being overweight and diabetes; moderate for smoking, heavy drinking, cancer, heart disease and respiratory disease; strongest for problematic drug use and for interpersonal and self-directed violence. Each of those figures describes risk spread across large groups, never an individual’s fate.

What do the trials of other body-based approaches show, and where do they stop applying?

There is a research literature asking whether people can improve without narrating anything. It is worth reading accurately, including the part where it stops applying here.

Bessel van der Kolk and colleagues randomised 64 women with chronic post-traumatic stress disorder that had not responded to earlier care into either ten weekly hour-long trauma-informed yoga classes or a supportive women’s health education group. By the end, 16 of 31 in the yoga group (52%) no longer met diagnostic criteria, against 6 of 29 (21%) in the comparison group (The Journal of Clinical Psychiatry, 2014). Melissa Polusny and colleagues compared mindfulness-based stress reduction with present-centred group therapy in veterans and found greater improvement in the mindfulness group, by an average margin the authors themselves called modest (JAMA, 2015). Peter Payne, Peter Levine and Mardi Crane-Godreau offered a theoretical account of why attention directed to interoception and proprioception might engage defensive systems differently from explanation (Frontiers in Psychology, 2015), noting candidly that no peer-reviewed studies of their approach existed at the time of writing.

Where does the story belong?

With you. And, when you want company with it, with a psychologist, a counsellor or your GP.

Psychological work is a skilled, evidence-led field with its own long training, and it belongs to the people who do it. The Australian PTSD Guidelines, developed by Phoenix Australia and approved by the National Health and Medical Research Council, recommend trauma-focused psychological therapies. healthdirect advises speaking with your GP when distressing symptoms persist beyond two to three weeks; a GP can arrange a mental health plan and referral, and the Australian Psychological Society’s Find a Psychologist service lists psychologists directly. Lifeline is on 13 11 14, around the clock.

Some people need that support and deserve it, and it is the right support for the work it does. Choosing it is not a detour from looking after your body; for many people it is the main road. Dr Ari, who provides the care here, is a Chiropractor rather than a psychologist. What the care works with is the physical side of what has been carried. It is not psychological therapy, and care of the body alone should never be chosen instead of psychological support that someone needs.

What is physical, and what physical means here

What a Chiropractor can attend to is narrower than a life, and it is physical: muscle tone, breathing, how a spine is carried, how readily a nervous system moves into defence and how readily it comes back out again. That layer can be described without a history attached to it, which is the whole reason for measuring it.

Touch belongs to that layer too. Skin carries a dedicated slow pathway for gentle, unhurried contact: C-tactile fibres that respond most strongly to slow stroking and project toward the insula, the region mapping the body’s internal state, rather than to the cortex mapping where you were touched (Löken and colleagues, Nature Neuroscience, 2009). Gentle contact is information, and a nervous system reads it in its own language. That is a fact about touch. It is not a claim about histories.

How does Diskin Life approach the load a life leaves in a body?

Everyone starts the same way: a free, no-obligation Discovery Session, which is a conversation with Dr Ari and nothing else at that visit.

From there, understanding is assembled from three readings, and none of them is allowed to speak alone. The first is measurement. The Life Assessment brings careful baseline testing plus seven extraordinary measures, so that muscle, posture and autonomic state are described rather than guessed at. The second is your own reading of your body, weighed in the context of what you value: where you brace, what you notice, and what it costs you. The third is Dr Ari’s interpretation of the first two together, recorded and revisited over time, and weighed through more than forty years and 25,000+ clients.

Care itself is gentle Nervous System Adjustments: light, precise contacts that cue the nervous system rather than forcing it, with the body doing the work. The 3 Pulse Integration Process holds all of it: Life Assessment, Life Upgrade and Life Momentum, interdependent, each strengthening the others rather than following on from the last. Education runs alongside in the 13 Vitality By Design presentations, whose four themes run in sequence: Respond Better, Move Better, Eat Better, Think Better. Premium Vitality is the framework behind it, Whole-Person and brain-based, taking physical, cognitive and emotional performance as one connected system. It is a partnership, not a spectator sport: no lock-in contracts, and health is a commitment that is yours to make, never ours to impose.

What this cannot show

Here is what the evidence does not show. No trial has tested gentle Chiropractic care against trauma-related symptoms. The yoga and mindfulness trials described above examined different interventions in different populations, and their results do not carry across; citing them describes a research field, and says nothing about this care.

Those trials are themselves modest in scale, 64 women at a single site in the yoga study, and an average benefit its own authors called small in the mindfulness one.

The adverse childhood experiences literature rests largely on adults recalling their own childhoods, which cannot separate cause from association, and its sternest test found it poor at predicting any one person’s future. Its numbers describe large groups; a high count is not a diagnosis, a prophecy or a verdict about anybody.

The heart-rate-variability findings are associations. Whether a defended physiology follows a history or shapes what comes after it is unsettled, and the arrow probably runs both ways.

No measurement anywhere can tell you what a hard thing meant to you. Care of the body does not resolve, release, process or reverse trauma, and it should never be chosen instead of psychological support that someone needs.

What to hold on to

A great deal can be described without a word being spoken. Mental demand alone raises measurable muscle activity within seconds, and repeated often enough, bracing becomes the way a body is held.

Defence has steps, arousal, flight or fight, freezing, immobility, and people can stay in one long after the reason for it has passed.

The adverse childhood experiences research describes risk across large groups, with a clear dose gradient. It never describes an individual’s fate: a high count is not a diagnosis or a prophecy, and a count of zero is not immunity.

Trials of yoga and mindfulness in post-traumatic stress disorder studied different interventions in different populations. No equivalent claim is made for Chiropractic care, which has not been tested this way.

The story belongs with you and, where you want it, with a psychologist or GP. That work is skilled, evidence-led and, for some people, necessary.

What Chiropractic care attends to is narrower and physical: the pattern of tone, posture and readiness a life has left behind.

General information only, not a diagnosis or personal health advice. If distress is persistent, please speak with your GP. In a crisis, Lifeline is on 13 11 14.

The science

Load is not a figure of speech. In a Swedish laboratory study, Ulf Lundberg and colleagues put 62 women through mental arithmetic and the Stroop colour-word test, no lifting, no physical work at all, and recorded a significant rise in electrical activity in the trapezius muscle, alongside higher blood pressure, heart rate and stress hormones (International Journal of Behavioral Medicine, 1994). A demand made of the mind arrived, within seconds, as tension across the shoulders. Across whole populations the association compounds: in a meta-analysis of 85 studies and 826,452 adults, the odds of reporting chronic pain in adulthood rose step by step with the number of adverse childhood experiences, from about 1.29 for one to 1.95 for four or more (European Journal of Psychotraumatology, 2023). Those odds describe risk across large groups and never an individual's fate, a high count is not a diagnosis and not a prophecy. A great many people with four or more such experiences never report chronic pain, and a great many with none do. None of this is offered as evidence that Chiropractic care treats trauma as a diagnosed condition; no such claim is made here.

Sources: Lundberg U, Kadefors R, Melin B, et al. “Psychophysiological stress and EMG activity of the trapezius muscle.” International Journal of Behavioral Medicine, 1994;1:354–370.; Kozlowska K, Walker P, McLean L, Carrive P. “Fear and the Defense Cascade: Clinical Implications and Management.” Harvard Review of Psychiatry, 2015;23(4):263–287.; Schneider M, Schwerdtfeger A. “Autonomic dysfunction in posttraumatic stress disorder indexed by heart rate variability: a meta-analysis.” Psychological Medicine, 2020;50(12):1937–1948.; Swedo EA, Aslam MV, Dahlberg LL, et al. “Prevalence of Adverse Childhood Experiences Among U.S. Adults – Behavioral Risk Factor Surveillance System, 2011–2020.” MMWR (Centers for Disease Control and Prevention), 2023.; Hughes K, Bellis MA, Hardcastle KA, et al. “The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis.” The Lancet Public Health, 2017;2(8):e356, e366.; Bussières A, Hancock MJ, Elklit A, et al. (Hartvigsen J, senior author). “Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a systematic review and meta-analysis.” European Journal of Psychotraumatology, 2023;14(2).; Baldwin JR, Caspi A, Meehan AJ, et al. “Population vs Individual Prediction of Poor Health From Results of Adverse Childhood Experiences Screening.” JAMA Pediatrics, 2021;175(4):385–393, Duke University and King’s College London.; Anda RF, Porter LE, Brown DW. “Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications.” American Journal of Preventive Medicine, 2020;59(2):293–295.; van der Kolk BA, Spinazzola J, Stone L, West J, Rhodes A, Emerson D, Suvak M. Randomised controlled trial of trauma-informed yoga as an adjunct for chronic post-traumatic stress disorder. The Journal of Clinical Psychiatry, 2014;75(6):e559, e565.; Polusny MA, Erbes CR, Thuras P, et al. “Mindfulness-Based Stress Reduction for Posttraumatic Stress Disorder Among Veterans: A Randomized Clinical Trial.” JAMA, 2015;314(5):456–465.; Payne P, Levine PA, Crane-Godreau MA. “Somatic experiencing: using interoception and proprioception as core elements of trauma therapy.” Frontiers in Psychology, 2015;6:93, Dartmouth.; Löken LS, Wessberg J, Morrison I, McGlone F, Olausson H. “Coding of pleasant touch by unmyelinated afferents in humans.” Nature Neuroscience, 2009;12(5):547–548.; Phoenix Australia. Australian Guidelines for Acute Stress Disorder, Post-traumatic Stress Disorder and Complex PTSD: recommendations approved by the National Health and Medical Research Council, 2020 (updated 2021).; healthdirect (Australian Government). “Psychological trauma – symptoms”, when to seek help, and how to reach a psychologist.

For our clients, going deeper

This is one of the themes Diskin Life clients explore in depth through our 13-part Vitality By Design presentation series: a guided education process for understanding and working with your own nervous system. Explore the series →

About the author

Dr Ari Diskin, Doctor of Chiropractic (USA), is the founder of Diskin Life in Fitzroy, Melbourne, Australia, where he practises Premium Vitality: the Whole-Person, brain-based nervous-system approach he created, built on 4 keys: Your Master Regulator, the Survival Cycle, the 4 Levels of Spiraling Health and the 3 Pulse Integration Process. Day to day that means gentle Nervous System Adjustments and, as part of the same process, an in-depth wellness education, so clients understand how their own nervous system works, how the way they move, eat, think and respond shapes it, and take an active role in every domain of their health. Meet Dr Ari →

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