What is Chiropractic? Chiropractic is a branch of the healing arts which is based upon the understanding that good health depends, in part, upon a normally functioning nervous system (especially the spine, and the nerves extending from the spine to all parts of the body). "Chiropractic" comes from the Greek word Chiropraktikos, meaning "effective treatment by hand." Chiropractic stresses the idea that the cause of many disease processes begins with the body's inability to adapt to its environment. It looks to address these diseases not by the use of drugs and chemicals, but by locating and adjusting a musckuloskeletal area of the body which is functioning improperly.Accidents, falls, stress, tension, overexertion, and countless other factors can result in a displacements or derangements of the spinal column, causing irritation to spinal nerve roots. These irritations are often what cause malfunctions in the human body. Chiropractic teaches that reducing or eliminating this irritation to spinal nerves can cause your body to operate more efficiently and more comfortably. While chiropractors make no use of drugs or surgery, Doctors of chiropractic do refer patients for medical care when those interventions are indicated. In fact, chiropractors, medical doctors, physical therapists and other health care professionals now work as partners in occupational health, sports medicine, and a wide variety of other rehabilitation practices. How is a chiropractic adjustment performed?A chiropractic adjustment is a manual procedure that utilizes the highly refined skills developed during the intensive years of chiropractic education. The chiropractor typically uses his/her hands to manipulate the joints of the body, particularly the spine, in order to reduce pain, and restore or enhance joint function. Chiropractic adjustments are a highly controlled procedure that rarely causes discomfort. The chiropractor adapts the procedure to meet the specific needs of each patient. Patients often note positive changes in their symptoms immediately following treatment. Some doctors also choose to use a hand-held adjusting instrument called an Activator to adjust the joints. Is chiropractic treatment ongoing?The hands-on nature of the chiropractic treatment is essentially what requires patients to visit the chiropractor a number of times. To be treated by a chiropractor, a patient needs to be in his or her office. In contrast, a course of treatment from medical doctors often involves a pre-established plan that is conducted at home (i.e. taking a course of antibiotics once a day for a couple of weeks). A chiropractor may provide acute, chronic, and/or preventive care thus making a certain number of visits necessary. Once the initial phase of care is completed, your doctor will discuss your maintenance care plan, similar to that of a dentist or eye doctor, to prevent future problems from arising. Your doctor of chiropractic should tell you the extent of treatment recommended and how long you can expect it to last.Is chiropractic treatment safe?Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours. Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation, often called a neck adjustment, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck manipulation is a remarkably safe procedure. While some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, there is not yet a clear understanding of the connection. The occurrence appears to be very rare—1 in 5.85 million manipulations— based on the clinical reports and scientific studies to date. If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider. It is important for patients to understand the risks associated with some of the most common treatments for musculoskeletal pain -- prescription and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS) -- as these treatments may carry risks significantly greater than those of chiropractic manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen. Are all patients adjusted the same way?No. The doctor evaluates each patient's unique case and develops an individual course of care. Each chiropractic adjustment builds on the one before. The resulting recommendations are based upon years of training and experience. Each patient's care is uniquely different from every other patient. Can I adjust myself?No. Since a chiropractic adjustment is a specific force, applied in a specific direction to a specific joint, it is virtually impossible to adjust oneself correctly and accurately. It is possible to turn or bend or twist in certain ways to create a "popping" sound that sometimes accompanies a chiropractic adjustment. Unfortunately, this type of joint manipulation is usually counterproductive, often making an already unstable spine even more unstable, and can sometimes be dangerous. Adjusting the spine is not for amateurs!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.What can I expect my first visit?Your initial visit will begin with a consultation. Your doctor will take a case history and ask about your present condition. Next, the doctor will perform an examination to evaluate the nature of your problem. This examination generally includes a series of basic physical tests, as well as a specialized chiropractic evaluation of spinal movement and posture. If necessary, your doctor may recommend X-rays or diagnostic tests to obtain further information about the mechanics of your spine and the details of your condition. After completing the analysis, your doctor will explain your problem and map out an appropriate plan of action with you. If necessary, you may be referred to another health care specialist for further evaluation or treatment. Doctors of chiropractic work with a variety of health care professionals in the best interest of their patients. Your doctor will discuss your care plan with you, taking into consideration your health habits, stress, and activity levels.