Chiropractic Treatment

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• QWhat type of education and training do doctors of chiropractic receive?

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  A Dr. Michael Roizen, MD , Internal Medicine, answered

  We all ache back there, and millions of us use a chiropractor to ease the pain, help our posture, or achieve other health benefits. Chiropractors are licensed in all 50 states. Back-whackers, as some skeptics call them, must study for 4 to 5 years (or get 4,200 hours of training) at one of 16 accredited chiropractic colleges recognized by the US Department of Education. They also need to pass a four-part exam.
  
  Unlike conventional doctors, however, they don't need to do an internship or residency. Some states and insurance policies give chiropractors more powers (such as to be someone's primary care doc) than others do. The Federation of Chiropractic Licensing Board Web site (http://www.fclb.org) is a good info source.

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• QIs chiropractic care effective?

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  A American Chiropractic Association answered

  

  Over the past 20 years, many controlled clinical research studies have shown that chiropractic care is safe and effective. Learn more in this video from Dr. Rick McMichael: 
   
• QIs chiropractic care a well-established treatment option?

  2 Answers

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  A American Chiropractic Association answered

  Yes, according to the Annals of Internal Medicine, chiropractic care is the largest, most regulated, and best recognized of the complementary and alternative medicine (CAM) professions. It is the third largest doctoral-level health care profession after medicine and dentistry. 
  
  Furthermore, according to a study in the January-February 2005 issue of Alternative Therapies in Health and Medicine, in 2002 approximately 7.4 percent of the population in the United States used chiropractic care--a higher percentage than yoga, massage, acupuncture or other diet-based therapies.

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• QIf I have chronic pain, is chiropractic care for me?

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  A National Academy of Sports Medicine answered

  Consult with your primary care physician before attending a chiropractic clinic. Your physician can determine if chiropractic care is a good treatment option for you once the cause of the pain is determined. Many physicians work with chiropractors and can provide you with a referral. 
• QCan chiropractic manipulation help in relieving lumbar spinal stenosis?

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  A Dr. Denise Chranowski, DC , Integrative Medicine, answered

  In one word, yes. Anything that allows more movement in the spine, which stimulates proprioceptive nerve fibers (i.e. brain sense more movement), with help reduce pain and increase function. Of course the degree of improvement of symptoms is proportional to the degree of stenosis. A full fused spine is much harder to work with than one with mild degeneration. Bottom line - motion is always important and chiropractic care increases motion.

• QDo doctors of chiropractic diagnose conditions?

  1 Answer

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  A American Chiropractic Association answered

  Yes.  Doctors of chiropractic (DCs) consult with patients to clearly understand their chief complaint(s), review the patient's case history, complete an examination and order any additional diagnostic studies necessary to arrive at a diagnosis. The DC will then determine the most appropriate care plan for the patient, including co-management with another health care provider or referral, when needed. 
• QDo active-duty military personnel have access to chiropractic care?

  2 Answers

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  A Dr. Michael Roizen, MD , Internal Medicine, answered

  For the most part, no -- or only if they pay for it themselves. However, there is a program called the Chiropractic Health Care Program. This program is available to active-duty military personnel (that’s important -- veterans can’t take advantage of this program) who have received treatment for a medical problem, and their primary care physician decides that chiropractic care is required and absolutely necessary for their care. If you (only you ‘cause your family is not eligible at all) do qualify for this program, you will have to receive all your chiropractic care at a designated military treatment facility in the U.S. of A.

   

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• QDo chiropractic adjustments hurt?

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  A Dr. Jason Peloquin, DC , Chiropractic Medicine, answered

  Chiropractic adjustments, when done to the specific subluxation, and using a correct vector to restore the limited range of motion, very rarely hurt and almost immediately have a postive effect on a patient's symptoms.  Of course, the severity of inflammation as well as muscle spasm may play a role in the resistance to an adjustment.  This is why it is important that the adjustment be done with high velocity and a low amplitude.

  Usually after an adjustment a patient may feel a warm sensation or tingly throughout their body.  This is thought to be from increased endorphins being released and an increase in vascular activity post chiropractic manipulation.

  When choosing a chiropractor it is important that he or she be specific in their approach and practice short lever adjustments.

   

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• QShould I see a chiropractor about my back pain?

  3 Answers

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  A Dr. Michael Roizen, MD , Internal Medicine, answered

  

  Chiropractic treatments can be as effective as or more effective than conventional medical management for back pain. Chiropractic theory aims to realign vertebrae and establish normal spinal mobility, which in turn alleviates the irritation to the nerve and surrounding muscle. Multiple sessions are usually required to alleviate pain.

  

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• QWhat conditions do doctors of chiropractic treat?

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  A American Chiropractic Association answered

  

  Doctors of Chiropractic (DCs) care for patients of all ages, with a variety of health conditions.  DCs are especially well known for their expertise in caring for patients with back pain, neck pain and headaches...particularly with their highly skilled  manipulations or chiropractic adjustments. They also care for patients with a wide range of injuries and disorders of the musculoskeletal system, involving the muscles, ligaments and joints.  These painful conditions often involve or impact the nervous system, which can cause referred pain and dysfunction distant to the region of injury. The benefits of chiropractic care extend to general health issues, as well, since our body structure affects our overall function. DCs also counsel patients on diet, nutrition, exercise, healthy habits, and occupational and lifestyle modification.