Are chiropractor s educated as well medical doctors (MDs) and osteopaths (DOs)? To receive the doctor of chiropractic degree,

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1 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. Are chiropractor s educated as well medical doctors (MDs) and osteopaths (DOs)? To receive the doctor of chiropractic degree, candidates must complete extensive undergraduate prerequisites and four years of graduate-level instruction and internship at an accredited chiropractic institution. Comprehensive knowledge of all systems of the body and diagnostic procedures enable the DC to thoroughly evaluate a patient, address disorders relating to the spine and determine the need for referral to another health care provider. For a thorough discussion of the requirements of a chiropractic physician check out this page. Do I have to see my medical doctor before I see a chiropractor? No. Doctors of Chiropractic are primary health care providers. According to the Center for Studies in Health Policy, "The DC can provide all three levels of primary care interventions and therefore is a primary care provider, as are MDs and DOs. The doctor of chiropractic is a gatekeeper to the health care system and an independent practitioner who provides primary care services. The DC's office is a direct access portal of entry to the full scope of service." Does a chiropractor have to have a license to practice? Doctors of Chiropractic are licensed in all 50 states. DCs have been licensed and recognized for many decades in all states, the District of Columbia and Puerto Rico. I've heard that chiropractic really doesn't have a scientific basis. What are the facts? The practice of chiropractic is based on sound scientific principles. The existence of the nervous system as the primary control mechanism of the body is an undisputed scientific fact. Its relationship with the spine is the focus of the practice of chiropractic. The spine develops in utero to provide two primary functions: (1) allow for freedom of movement and (2)

2 house and protect the spinal cord. When the vertebrae of the spine become misaligned through trauma or repetitive injury, two major consequences will result: (1) the range of motion becomes limited and (2) spinal nerves emerging from the spinal cord are compromised. DCs use the term "subluxation" to describe such disruptions. (For a thorough discussion of the subluxation go here). Interruption of nerve flow can eventually lead to pain, disability, and an overall decrease in the quality of life. Conversely, the removal of that interference has been shown to have significant, lasting health benefits. Through the adjustment of the subluxation, the doctor of chiropractic endeavors to restore normal nerve expression. The body is then able to respond appropriately to any imbalance in the system, thus relieving symptoms and restoring health. Go to the chiropractic studies section to read more detailed information. Can a person who had back surgery see a chiropractor? Yes. It's an unfortunate fact that up to half of those who had spinal surgery discover a return of their original symptoms months or years later. They then face the prospect of additional surgery. This too common occurrence is known as "Failed Back Surgery Syndrome." Chiropractic may help prevent repeated back surgeries. In fact, if chiropractic care is initially utilized back surgery can often be avoided in the first place. Is it OK to see a chiropractor if I'm pregnant? Anytime is a good time for a better functioning nerve system. Pregnant mothers find that chiropractic adjustments improve their pregnancy and make delivery easier for themselves and their baby. Adjusting methods are always adapted to a patient s size, weight, age, and condition of health. Why won't my medical doctor refer me to a chiropractor? I think it would help. Find another doctor who will. Your doctor may be still "in the dark" as to the benefits of chiropractic care. The relationship between the medical & chiropractic professions has improved vastly over the past 10 years, but there remains a few staunch medical doctors out there who refuse to look at the benefits of chiropractic care. Do chiropractors treat conditions other than back pain? Chiropractors provide effective treatment for all types of soft tissue disorders and

3 not just back and neck ailments. This includes conditions of the joints of the extremities like the ankle, knee and shoulder. What you may not be aware of is chiropractic's success in treating a number of non-soft tissue conditions like dysmenorrhea (painful menses), ulcers, migraine headaches, and ear infections in children. While we cannot claim to cure these conditions, we believe that many of these problems can be mimicked, aggravated and some times caused by disruptions in the nervous system as a result of spinal abnormalities. By correcting these spinal abnormalities like the vertebral subluxation, chiropractic has helped thousands of individuals overcome these conditions and regain control of their lives. A number of studies have also supported these findings. In one such study, spinal manipulative therapy was compared with standard medical treatments in the treatment of duodenal ulcers. The researchers Pikalov, MD, and Kharin, MD, found those subjects receiving spinal manipulations took an average of 16 days to heal vs. 26 days to heal in the standard medical treatment group. JMPT 1994;17(5): 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. Are All Patients Adjusted the Same Way? No, each patient is adjusted according to their unique requirements. Your chiropractor will determine the best way to adjust your spine after completing a detailed examination. Many chiropractors will adjust your entire spine, even though you don't have pain in that area. Pain is a poor indicator of problems as many problems refer pain into other areas. Some patients who complain of headaches may actually have a lower back problem that is causing a compensation reaction at the base of the skull. Other patients may be experiencing numbness and tingling in their fingers when the actual problem is in the neck. While visits may seem similar, each visit builds on the one before. Chiropractic care is customized to each patient s age, condition, and problem.

4 I have heard that once I start chiropractic care, I'll have to continue with it for the rest of my life. Is this true? You may have heard the notion that once you go to a chiropractor you have to keep going back. Before we answer that question, ask yourself how many times you have visited a dentist? Like most people, you've probably gone dozens of times. Why? Quite simply, to prevent your teeth from literally rotting out of your head. Once chiropractic care eliminates your pain and rehabilitates the injured tissues we do recommend that you maintain a schedule of periodic spinal checkups. Like your dentist and like many of the medical experts are now recognizing, prevention is the key to reducing recurrences of existing health conditions and minimizing new injuries in the future. So the answer is yes, we want you to keep coming back, but just periodically. Periodic chiropractic care minimizes spinal and nerve stresses, reduces recurrences of old injuries, prevents new injuries from developing, minimizes degenerative processes, which enhances overall health and wellness. 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. How safe is chiropractic for a child? Chiropractic is one of the safest forms of children s health care. A chiropractor does not adjust a baby or a child the same way as he or she adjusts an adult. A baby s spine is very supple during the first few months of life, so the doctor of chiropractic applies only a slight pressure to make an adjustment. For older children whose spine is still made of mainly cartilage, slight pressure followed by a gentle push is all that is required to put the vertebra back in place. When should I take my child to a chiropractor? When you want to give your child a head start in good health and all the benefits of a conservative, drugless approach to health care, you should take your child to a chiropractor. It is important to have a chiropractic exam during the first year of a child s life as spinal trauma can occur during birth, as well as from tumbles while learning to sit up or walk. Improper lifting and carrying can also contribute to spinal stress.your child s spine grows almost 50% in length during the first year. This is equivalent to a six-footer

5 growing to nine feet in just 12 months! It s this kind of tremendous growth and developmental changes which make a complete chiropractic examination so important in the early stages of a child s life. If there is a problem, the earlier it is corrected the less likelihood there is of it becoming a chronic or more serious problem later in life.doctors of chiropractic believe it s much more important to prevent diseases than wait till some disease occurs. How effective is chiropractic care for children? Chiropractors have been providing safe and effective care for children for more than 103 years. Without efficacy, parents would have long ceased to seek out a doctor of chiropractic for their children. A 1992 survey showed that the most common conditions for which children visit a chiropractor are: earaches, neck pain, check-up, headache, upper respiratory, low back pain, allergies, asthma, enuresis, and thoracic pain. Other reasons are ADD and ADHD, colic, torticollis, insomnia, growing pains, and persistent crying in infants. How can chiropractic care help an older child who is not sick? Chiropractors do not treat diseases, they help to correct spinal misalignments that can cause health problems. Through regular adjustments, counseling on proper nutrition, exercise, and posture, the chiropractor can help you raise a child who is structurally and functionally sound.the number one illness in children is accidents. You may not realize it, but youngsters take numerous tumbles -- learning to ride a bike, or even just jumping and running around. If your child takes part in athletic activities, the sack of a quarterback could twist a young spine, pitching a ball can throw a vertebra out of alignment. These underlying injuries, if left uncorrected, can cause serious problems as the child grows into adulthood. Doctors of chiropractic can do more than correct these problems. They can also help improve performance on and off the field by helping the body to function at its optimum level, naturally, and without drugs Can I Be Too Old For A Chiropractic Adjustment? More and more people are consulting chiropractic doctors, especially in their later years. With growing concerns about over-medication and the side effects of combining various prescription drugs, safe, natural chiropractic care is growing in popularity. Restoring better spinal function can help improve mobility, vitality, endurance and appetite. Many patients report improvement with arthritic symptoms and other chronic ailments often associated with the aging process. The adjusting technique used by your doctor will be modified for maximum comfort and results. Regardless of your age, chiropractic care can help improve mobility and maintain vitality.

6 Are chiropractors allowed to practice in hospitals or use medical outpatient facilities? Chiropractors are being recognized to admit and treat patients in hospitals and to use outpatient clinical facilities (such as labs, x- rays, etc.) for their non-hospitalized patients. Hospital privileges were first granted in 1983.

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