Frequently Asked Questions about Chiropractic
We receive many questions about chiropractic. The following information is provided
to help answer some of the most commonly asked Chiropractic questions. Please keep
in mind that this information is for informational purposes only. Do not attempt
self-diagnosis or self-treatment based on this information alone.
If you are interested in following up on the information presented below, or elsewhere
in our website, take advantage of our FREE Consultation to determine if chiropractic
is an option for you or your condition.
What is chiropractic?
Chiropractic is a health care profession that focuses on disorders of the musculoskeletal
system and the nervous system, and the effects of these disorders on general health.
Chiropractic care is used most often to treat neuromusculoskeletal complaints, including
but not limited to back pain, neck pain, pain in the joints of the arms or legs,
and headaches.
Doctors of Chiropractic – often referred to as chiropractors or chiropractic physicians
– practice a drug-free, hands-on approach to health care that includes patient examination,
diagnosis and treatment. Chiropractors have broad diagnostic skills and are also
trained to recommend therapeutic and rehabilitative exercises, as well as to provide
nutritional, dietary and lifestyle counseling.
The most common therapeutic procedure performed by doctors of chiropractic is known
as “spinal manipulation,” also called “chiropractic adjustment.” The purpose of
manipulation is to restore joint mobility by manually applying a controlled force
into joints that have become hypomobile – or restricted in their movement – as a
result of a tissue injury. Tissue injury can be caused by a single traumatic event,
such as improper lifting of a heavy object, or through repetitive stresses, such
as sitting in an awkward position with poor spinal posture for an extended period
of time. In either case, injured tissues undergo physical and chemical changes that
can cause inflammation, pain, and diminished function for the sufferer. Manipulation,
or adjustment of the affected joint and tissues, restores mobility, thereby alleviating
pain and muscle tightness, and allowing tissues to heal.
Chiropractic adjustment rarely causes discomfort. However, patients may sometimes
experience mild soreness or aching following treatment (as with some forms of exercise)
that usually resolves within 12 to 48 hours.
In many cases, such as lower back pain, chiropractic care may be the primary method
of treatment. When other medical conditions exist, chiropractic care may complement
or support medical treatment by relieving the musculoskeletal aspects associated
with the condition.
Doctors of chiropractic may assess patients through clinical examination, laboratory
testing, diagnostic imaging and other diagnostic interventions to determine when
chiropractic treatment is appropriate or when it is not appropriate. Chiropractors
will readily refer patients to the appropriate health care provider when chiropractic
care is not suitable for the patient’s condition, or the condition warrants co-management
in conjunction with other members of the health care team.
What is a chiropractic adjustment?
The chiropractic adjustment is a gentle, quick thrust to a particular joint, typically
in the spine, intended to restore normal position and movement. Adjustments are
important for releasing adhesions in the joint and reducing stress on the nervous
system. Because of the fact that the nervous system is that master controller of
all muscles and organs in the body, removing stress on the nervous sytem through
chiropractic adjustments will frequently lead to improved health in the entire body.
How many adjustments will I need?
The total number of djustments you need depends on fibe main factors: 1) your age,
2) your overall health, 3) the severity of your condition, 4) how long you have
hand your condition and 5) what your ultimate goals are.
If you are young, in good health, and have a mild condition that occurred very recently,
you will need far fewer adjustments than if you are older, in poor general health,
and have been struggling with a problem for many years. The total number of adjustments
you will need also depends on whether you are just interested in reducing the pain
you are currently experiencing, or are interest in creating optimal long-term health.
Will adjustments hurt?
Usually not. There have been some patients who have experienced mild soreness after
being adjusted, but this is more the exception than the rule. Most people feel better
very quickly after being adjusted.
Have side effects or problems been reported from using chiropractic to treat back
pain?
Patients may or may not experience side effects from chiropractic treatment. Effects
may include temporary discomfort in parts of the body that were treated, headache,
or tiredness. These effects tend to be minor and resolve within 1 to 2 days.
Do I still need to see the chiropractor if my pain is gone?
It is very common for pain to disappear long before the total correction of your
condition is attained. As in our discussion earlier in this chapter, pain is not
a very good indicator of health. Often times people are completely unaware of problems
that are developing in them because there is no pain associated with them. Consider
heart disease, cancer, diabetes – the three top killers – don‘t have any symptoms
at all until they have become very advanced. The same is true with cavities in your
teeth – there is usually no pain until a cavity becomes severe. The point is that
just because you are no longer experiencing pain does not mean that your problem
no longer exists. It is important to continue being treated so that the underlying
cause of the pain can be corrected.
Routine chiropractic care is one of the simplest ways to maintain the health of
your body. Numerous research studies have shown that people who receive regular
chiropractic care suffer fewer illnesses, injuries and degenerative diseases, and
they report a better overall quality of life. In spite of the health benefits of
chiropractic care, many people have never been to a chiropractor, most often because
they don‘t really understand what chiropractic care is all about. The bottom line
is that chiropractic care is a safe, effective treatment for a wide range of physical
complaints, such as headaches, neck pain, low back pain, Carpal Tunnel Syndrome,
Thoracic Outlet Syndrome, stomach and gastrointestinal complaints, wrist, elbow
and shoulder pain, knee, hip and ankle pain, scoliosis, otitis media, and a host
of other problems. While most of these disorders resolve within a few weeks or months,
routine chiropractic care will help ensure optimal health for life.
Can Chiropractors prescribe medication?
Currently, chiropractors do not prescribe medications, although you may be referred
to another provider for prescription medication if deemed necessary. However, in
most cases, patients are better off with physical, rather than chemical, treatments
for physical problems.
Is chiropractic treatment appropriate for children?
Yes, children can benefit from chiropractic care. Children are very physically active
and experience many types of falls and blows from activities of daily living as
well as from participating in sports. Injuries such as these may cause many symptoms
including back and neck pain, stiffness, soreness or discomfort. Chiropractic care
is always adapted to the individual patient. It is a highly skilled treatment, and
in the case of children, very gentle.
Why is there a popping sound when a joint is adjusted?
Adjustment of a joint may result in release of a gas bubble between the joints that
makes a popping sound – it’s exactly the same as when you "crack" your knuckles.
The noise is caused by the change of pressure within the joint that results in gas
bubbles being released. There is no pain involved.
Do insurance plans cover chiropractic?
The majority of all insured American workers have coverage for chiropractic services
in their health care plans. For example, the federal government’s Office of Personnel
Management offers chiropractic coverage for federal employees in both the Mail Handlers
and BCBS benefit plans. In addition, there is a chiropractic benefit in Federal
Workers’ Compensation, and chiropractic care is available to members of the armed
forces at more than 40 military bases, and is available at nearly 30 veterans’ medical
facilities.
To obtain information on chiropractic coverage by your insurance company, call our
office anytime.
Does chiropractic treatment require a referral from an MD?
No, a patient does not need referral by an MD before visiting a doctor of chiropractic.
Chiropractors are first contact physicians, and are so defined in federal and state
regulations. Following a consultation and examination, the doctor of chiropractic
will arrive at a diagnosis under chiropractic care, or refer the patient to the
appropriate health care provider.
Is chiropractic care safe during pregnancy?
Yes. It is gentle and safe. In fact, because of hormones produced during pregnancy
which relax the ligaments, much less force is needed when performing the adjustment.
Chiropractic care can help you and your baby achieve a healthier pregnancy and delivery.
In fact, research shows that women who received chiropractic adjustments in their
third trimester of pregnancy were able to carry and deliver children with more comfort.
The best time to be checked for subluxations is before you would like to become
pregnant. This will ensure proper pelvic and spinal alignment. If you are already
pregnant, chiropractic adjustments can be given throughout your pregnancy and directly
after your labor and delivery.
Is it true that once you go to the chiropractor, you have to go for the rest of
your life?
No! Your health is your responsibility. As doctors, our responsibility is to teach
and to educate you about health and chiropractic so that you can make the right
choice for yourself. The choice to go to a chiropractor short-term or for a long
time is your choice.
When making this choice,you should understand that chiropractic offers three types
of care:
Acute or relief care - the objective of this type of care is simply
to relieve your symptoms. Depending on the severity of your condition, this may
take just a few visits or it may take several visits over weeks or even months.
Corrective or stabilization care - the objective of this type of
care is to stabilize the spine and nervous system by correcting the vertebral subluxation
complex. This type of care seeks to optimize the structure and function of the spine
in order to minimize interference to the nervous system (i.e. spinal cord and spinal
nerves). This type of care may take months or even years depending on the condition
of the spine and nervous system.
Maintenance or wellness care - the objective of this type of care
is to maintain the correction achieved during corrective care. Once you have regained
your health, doesn't it make sense to insure it in the future?
Regardless of which type of care is right for you, we will support you in that decision.