Miami Chiropractor

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Introduction

Chiropractic is a health care approach that focuses on the relationship between the body's structure—mainly the spine—and its functioning. Although practitioners may use a variety of treatment approaches, they primarily perform adjustments to the spine or other parts of the body with the goal of correcting alignment problems and supporting the body's natural ability to heal itself.

Key Points

• People seek chiropractic care primarily for pain conditions such as back pain, neck pain, and headache.
• Side effects and risks depend on the type of chiropractic treatment used.
• Chiropractic practitioners in the United States are required to earn a Doctor of Chiropractic degree from properly accredited colleges.
• Ongoing research is looking at effects of chiropractic treatment approaches, how they might work, and diseases and conditions for which they may be most helpful.
• Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

Overview and History

The term "chiropractic" combines the Greek words cheir (hand) and praxis (action) to describe a treatment done by hand. Hands-on therapy—especially adjustment of the spine—is central to chiropractic care. Chiropractic, which in the United States is considered part of complementary and alternative medicineA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. (CAM), is based on these key concepts:

• The body has a powerful self-healing ability.
• The body's structure (primarily that of the spine) and its function are closely related, and this relationship affects health.
• Therapy aims to normalize this relationship between structure and function and assist the body as it heals.

While some procedures associated with chiropractic care can be traced back to ancient times, the modern profession of chiropractic was founded by Daniel David Palmer in 1895 in Davenport, Iowa. Palmer, a self-taught healer, believed that the body has a natural healing ability. Misalignments of the spine can interfere with the flow of energy needed to support health, Palmer theorized, and the key to health is to normalize the function of the nervous system, especially the spinal cord.

Patterns of Use

According to the 2007 National Health Interview Survey, which included a comprehensive survey of CAMA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. use by Americans, about 8 percent of American adults and nearly 3 percent of children had received chiropractic or osteopathic manipulation in the past 12 months. Adjusted to nationally representative numbers, these percentages mean that more than 18 million adults and 2 million children received chiropractic or osteopathic manipulation in the previous year.

Many people who seek chiropractic care have chronic, pain-related health conditions. Low-back pain, neck pain, and headache are common conditions for which people seek chiropractic treatment.

What To Expect From Chiropractic Visits

During the initial visit, chiropractors typically take a health history and perform a physical examination, with a special emphasis on the spine. Other examinations or tests such as x-rays may also be performed. If chiropractic treatment is considered appropriate, a treatment plan will be developed.

During followup visits, practitioners may perform one or more of the many different types of adjustments used in chiropractic care. Given mainly to the spine, a chiropractic adjustment (sometimes referred to as a manipulation) involves using the hands or a device to apply a controlled, sudden force to a joint, moving it beyond its passive range of motion. The goal is to increase the range and quality of motion in the area being treated and to aid in restoring health. Other hands-on therapies such as mobilization (movement of a joint within its usual range of motion) also may be used.

Chiropractors may combine the use of spinal adjustments with several other treatments and approaches such as:

• Heat and ice
• Electrical stimulation
• Rest
• Rehabilitative exercise
• Counseling about diet, weight loss, and other lifestyle factors
• Dietary supplements

Side Effects and Risks

Side effects and risks depend on the specific type of chiropractic treatment used. For example, side effects from chiropractic adjustments can include temporary headaches, tiredness, or discomfort in parts of the body that were treated. The likelihood of serious complications, such as stroke, appears to be extremely low and related to the type of adjustment performed and the part of the body treated.

If dietary supplements are a part of the chiropractic treatment plan, they may interact with medicines and cause side effects. It is important that people inform their chiropractors of all medicines (whether prescription or over-the-counter) and supplements they are taking.

Qualifications To Practice

To practice chiropractic care in the United States, a practitioner must earn a Doctor of Chiropractic (D.C.) degree from a college accredited by the Council on Chiropractic Education (CCE). CCE is the agency certified by the U.S. Department of Education to accredit chiropractic colleges in the United States. Admission to a chiropractic college requires a minimum of 90 semester hour credits (approximately 3 years) of undergraduate study, mostly in the sciences.

Chiropractic training is a 4-year academic program that includes both classroom work and direct experience caring for patients. Coursework typically includes instruction in the biomedical sciences, as well as in public health and research methods. Some chiropractors pursue a 2- to 3-year residency for training in specialized fields.

Regulation

Chiropractic is regulated individually by each state and the District of Columbia. Board examinations are required for licensing and include a mock patient encounter. Most states require chiropractors to earn annual continuing education credits to maintain their licenses. Chiropractors' scope of practice varies by state in areas such as laboratory tests or diagnostic procedures, the dispensing or selling of dietary supplements, and the use of other CAM therapies such as acupunctureA family of procedures that originated in traditional Chinese medicine. Acupuncture is the stimulation of specific points on the body by a variety of techniques, including the insertion of thin metal needles though the skin. It is intended to remove blockages in the flow of qi and restore and maintain health. or homeopathyA whole medical system that originated in Europe. Homeopathy seeks to stimulate the body's ability to heal itself by giving very small doses of highly diluted substances that in larger doses would produce illness or symptoms (an approach called "like cures like")..

Insurance Coverage

Compared with other CAM therapies, insurance coverage for chiropractic services is extensive. Many HMOs (health maintenance organizations) and private health care plans cover chiropractic treatment, as do all state workers' compensation systems. Chiropractors can bill Medicare, and many states cover chiropractic treatment under Medicaid. If you have health insurance, check whether chiropractic services are covered before you seek treatment.

Other Points To Consider

• Research to expand the scientific understanding of chiropractic treatment is ongoing.
• If you decide to seek chiropractic care, talk to your chiropractor about:
  • His education, training, and licensing
  • Whether he has experience treating the health conditions for which you are seeking care
  • Any special medical concerns you have and any medicines or dietary supplements you are taking.
• Tell all of your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

NCCAM-Funded Research

Recent research projects on chiropractic care supported by the National Center for Complementary and Alternative Medicine (NCCAM) have focused on the:

• Effectiveness of chiropractic treatments for back pain, neck pain, and headache, as well as for other health conditions such as temporomandibular disorders
• Development of a curriculum to increase the number of chiropractors involved in research
• Influence of people's satisfaction with chiropractic care on their response to treatment.

References

1. Agency for Health Care Policy and Research. Chiropractic in the United States: Training, Practice, and Research. Rockville, MD: Agency for Health Care Policy and Research; 1997. AHCPR publication no. 98–N002.
2. Meeker WC, Haldeman S. Chiropractic: a profession at the crossroads of mainstream and alternative medicine. Annals of Internal Medicine. 2002;136(3):216–227.
3. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. CDC Advance Data Report #343. 2004.
4. Coulter ID, Hurwitz EL, Adams AH, et al. Patients using chiropractors in North America: who are they, and why are they in chiropractic care? Spine. 2002;27(3):291–296.
5. The Council on Chiropractic Education. Standards for Doctor of Chiropractic Programs and Requirements for Institutional Status January 2007. The Council on Chiropractic Education Web site. Accessed on June 28, 2007.
6. Dagenais S, Haldeman S. Chiropractic. Primary Care. 2002;29(2):419–437.
7. Eisenberg DM, Cohen MH, Hrbek A, et al. Credentialing complementary and alternative medical providers. Annals of Internal Medicine. 2002;137(12):965–973.
8. Ernst, E, Pittler, MH, Wider, B, eds. The Desktop Guide to Complementary and Alternative Medicine: An Evidence-Based Approach. 2nd ed. St. Louis, MO: Mosby Elsevier; 2006.
9. Kaptchuk TJ, Eisenberg DM. Chiropractic: origins, controversies, and contributions. Archives of Internal Medicine. 1998;158(20):2215–2224.
10. Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22(4):435–440.

For More Information

NCCAM Clearinghouse

The NCCAM Clearinghouse provides information on CAM and NCCAM, including publications and searches of Federal databases of scientific and medical literature. The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.

Toll–free in the U.S.: 1-888-644-6226
TTY (for deaf and hard-of-hearing callers): 1-866-464-3615
Web site: nccam.nih.gov
E-mail: info@nccam.nih.gov

PubMed®

A service of the National Library of Medicine (NLM), PubMed contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. CAM on PubMed, developed jointly by NCCAM and NLM, is a subset of the PubMed system and focuses on the topic of CAM.

Web site: www.ncbi.nlm.nih.gov/sites/entrez
CAM on PubMed: nccam.nih.gov/camonpubmed/

ClinicalTrials.gov

ClinicalTrials.gov is a database of information on federally and privately supported clinical trials (research studies in people) for a wide range of diseases and conditions. It is sponsored by the National Institutes of Health and the U.S. Food and Drug Administration.

Web site: www.clinicaltrials.gov

CRISP (Computer Retrieval of Information on Scientific Projects)

CRISP is a database of information on federally funded scientific and medical research projects being conducted at research institutions.

Web site: report.nih.gov/crisp/

Acknowledgments

NCCAM thanks Partap S. Khalsa, D.C., Ph.D., for his technical expertise and review of this publication.

This publication is not copyrighted and is in the public domain. Duplication is encouraged.

NCCAM Publication No. D403
Created November 2007

 

What is chiropractic?

Chiropractic is a branch of the healing arts 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 musculoskeletal area of the body which is functioning improperly.

What is the Chiropractic Philosophy?

The chiropractic perspective on health and disease emphasizes two fundamental concepts:

1. the structure and condition of the body influences how the body functions and its ability to heal itself; and
2. the mind-body relationship is instrumental in maintaining health and in the healing processes.

Although chiropractic shares much with other health professions, its emphasis and application of philosophy distinguishes it from modern medicine. Chiropractic philosophy gravitates toward a holistic ("total person") approach to healing which combines elements of the mind, body and spirit and maintains that health depends on obedience to natural laws, and that deviation from such laws can result in illness

What conditions benefit from chiropractic care?

Although chiropractic is used most frequently to relieve low back pain, studies have found it to be effective for a variety of conditions, such as migraine headaches, neck and shoulder pain, carpal tunnel syndrome, fibromyalgia, and infantile colic.

Does Chiropractic hurt?

Under normal circumstances, adjustments don't hurt. The patient may experience a minor amount of discomfort during the adjustment which lasts only seconds.

Is Chiropractic safe?

Chiropractic adjustments or manipulations are extremely safe. The risk factor is estimated to be in excess of one million to one.

What kind of education and training do doctors of chiropractic have?

Chiropractors receive an education that emphasizes neuromuscular diagnosis and treatment. Preparation for the practice of chiropractic is concentrated on three areas of learning; basic training in the biological and health sciences (anatomy, physiology, histology, biochemistry, clinical and radiological diagnosis); specialized training in the chiropractic discipline (theoretical studies, practice, diagnosis and applications); and extensive clinical training.

Have any studies been published showing what chiropractic is effective for?

Several studies have documented the effectiveness of chiropractic in relieving back pain. More recent studies have shown chiropractic to be effective in treating infantile colic and migraine headaches.

What can I expect on my first visit?

The first thing a chiropractor will do is ask you about the health complaints about which you are chiefly concerned. The DC will also ask about your family history, dietary habits, other care you may have had (chiropractic, osteopathic, medical, etc.), your job, and other questions designed to help determine the nature of your illness and the best way to go about treating the problem.

A physical examination will be performed in accordance with your DC's clinical judgement, which may include x-rays, laboratory analysis and other diagnostic procedures. In addition, a careful spinal examination and analysis will be performed to detect any structural abnormalities which may be affecting or causing your condition. All of these elements are important components of your total health profile, and vital to the doctor of chiropractic in evaluating your problem.

What other services do you offer besides chiropractic?

Our office offers a variety of alternative health treatments, including acupuncture, aromatherapy, homeopathic formulas, herbal medicine, Chinese medicine and nutritional consulting.

Can you Offer any Healthy Tips for a Healthy Spine?

The following tips can help you take better care of your spine:

1. Make sure you have a firm mattress that keeps the spine aligned and supports the spine's natural curve. The best sleeping positions are on your back or side.
2. When standing for extended periods, rest one foot on a small stool to maintain spinal curvature and relieve pressure. The knees should be bent when bending forward. Low-heeled shoes may help by maintaining spinal curvatures and cushioning your weight.
3. Use chairs that promote good posture and support your back. Placing a lumbar support in the lower portion of your back may help support your spine's natural curve. Readjust the seat of your car so that your knees are level with your hips.
4. When bending forward, bend at the knees and hips, but keep your back straight. This will help to keep your spine's curvature in proper alignment. When lifting, keep your spine straight while using your legs to do most of the work. Hold the objects being lifted close to your body to keep the weight on your spine to a minimum.

What are Subluxations?

Vertebral subluxations are displacements of the spinal bones (vertebrae) that can cause stress to your spinal cord and nervous system. Subluxations may be caused by poor sleeping habits, poor posture, strenuous exercise, injuries, auto accidents, sports, slips or falls, and in some cases, the birthing process itself.

Chiropractic adjustments are very helpful in correcting subluxations and restoring optimal health

Introduction

Low-back pain is a common condition that can be difficult to treat. Spinal manipulationThe application of controlled force to a joint, moving it beyond the normal range of motion in an effort to aid in restoring health. Manipulation may be performed as a part of other therapies or whole medical systems, including chiropractic medicine, massage, and naturopathy. is among the treatment options used by people with low-back pain in attempts to relieve pain and improve functioning. It is performed by chiropractors and other health care professionals such as physical therapists, osteopaths, and some conventional medical doctors. This fact sheet summarizes the current scientific knowledge about the effects of spinal manipulation on low-back pain.

Key Points

• Evidence indicates that spinal manipulation can provide mild-to-moderate relief from low-back pain. It appears to be as effective as conventional treatments, and recent guidelines for health care practitioners include it as a treatment option for pain that does not improve with self-care.
• Spinal manipulation is generally a safe treatment for low-back pain. The most common side effects (e.g., discomfort in the treated area) are minor and go away within 1 to 2 days. Serious complications are very rare.
• Recent research into spinal manipulation for low-back pain has begun to look at the effects of different forms of manipulation, as well as treatment duration and frequency.
• Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

About Low-Back Pain

Each year, up to one-quarter of U.S. adults experience low-back pain. Most people have significant back pain at least once in their lives; often, the cause is unknown. Back pain varies widely. For many people, it lasts only a few weeks, no matter what treatment is used. But for others, the pain can become chronic and even debilitating. Low-back pain is a challenging condition to diagnose, treat, and study.

Spinal Manipulation and Low-Back Pain

Spinal manipulation—sometimes called "spinal manipulative therapy"—is practiced by health care professionals such as chiropractors, physical therapists, osteopaths, and some conventional medical doctors. Practitioners perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine, moving it beyond its passive range of motion. The amount of force applied depends on the form of manipulation used. The goal of the treatment is to relieve pain and improve physical functioning.

In the United States, spinal manipulation is often performed as part of chiropractic care. ChiropracticA whole medical system that focuses on the relationship between the body’s structure—mainly the spine—and function. Practitioners perform adjustments (also called manipulation) with the goal of correcting structural alignment problems to assist the body in healing. is a health care approach that focuses on the relationship between the body's structure—mainly the spine—and its functioning. In chiropractic, spinal manipulation is sometimes called "adjustment." Back problems are the most common reason people seek chiropractic care. (For background information on chiropractic, see the fact sheet Chiropractic: An Introduction.)

What the Science Says

Study Findings to Date

Overall, studies have shown that spinal manipulation can provide mild-to-moderate relief from low-back pain and appears to be as effective as conventional medical treatments. In 2007 guidelines, the American College of Physicians and the American Pain Society include spinal manipulation as one of several treatment options for practitioners to consider using when pain does not improve with self-care.

Research is under way to determine whether the effects of spinal manipulation depend on the duration and frequency of treatment. Recent studies have found that spinal manipulation provides relief from low-back pain at least over the short term (i.e., up to 3 months), and that pain-relieving effects may continue for up to 1 year. In one study funded by the National Center for Complementary and Alternative Medicine (NCCAM) that examines long-term effects in more than 600 people with low-back pain, results to date suggest that chiropractic care involving spinal manipulation is at least as effective as conventional medical care for up to 18 months. However, less than 20 percent of participants in this study were pain free at 18 months, regardless of the type of treatment used.

Challenges Facing Researchers

When considering the evidence on spinal manipulation for low-back pain, it is important to know about the research behind the evidence. Although many clinical trials have been conducted, earlier trials tended to be small and poorly designed, making their findings less reliable. Moreover, studies have differed in focus (the specific type of back pain treated and form of manipulation used) and design (comparisons with other treatments vs. placebos). It can be difficult to clearly interpret findings when what is being measured varies widely from one study to the next. Recent research has begun to address these issues.

Side Effects and Risks

Common Side Effects

Reviews have concluded that spinal manipulation is relatively safe when performed by a trained and licensed practitioner. The most common side effects are generally minor and include temporary discomfort in the treated area, headache, or tiredness. These effects usually go away in 1 to 2 days.

Serious Complications

The rate of serious complications from spinal manipulation, although not definitely known, appears to be very low overall. A potential complication from low-back manipulation is cauda equina syndrome, a condition in which nerves in the lower part of the spinal cord become compressed, resulting in pain, weakness, and loss of feeling in one or both legs. Other functions—such as bowel or bladder control—may also be affected. Reports indicate that cauda equina syndrome is an extremely rare complication. In people whose pain is caused by a herniated disc, manipulation of the low back also appears to have a very low chance of either causing or worsening cauda equina syndrome.

NCCAM Research

Projects supported by NCCAM to study spinal manipulation for low-back pain include studies of:

• The optimal number and frequency of treatments, and the duration of care
• Estimated use, costs, and outcomes of chiropractic care for recurrent back pain
• What happens in the body during manipulation of the low back.

Selected References

• Assendelft WJ, Morton SC, Yu EI, et al. Spinal manipulative therapy for low back pain. Annals of Internal Medicine. 2003;138(11):871–881.
• Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. CDC Advance Data Report #343. 2004.
• Bronfort G, Haas M, Evans R, et al. Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Spine Journal. 2008;8(1):213–225.
• Bronfort G, Haas M, Evans RL, et al. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine Journal. 2004;4(3):335–356.
• Cagnie B, Vinck E, Beernaert A, et al. How common are side effects of spinal manipulation and can these side effects be predicted? Manual Therapy. 2004;9(3):151–156.
• Cambron JA, Gudavalli MR, Hedeker D, et al. One-year follow-up of a randomized clinical trial comparing flexion distraction with an exercise program for chronic low-back pain. Journal of Alternative and Complementary Medicine. 2006;12(7):659–668.
• Centers for Disease Control and Prevention. Health, United States, 2006. Hyattsville, MD: Centers for Disease Control and Prevention; 2006. Publication no. 2007–1232. Accessed on March 27, 2008.
• Cherkin DC, Sherman KJ, Deyo RA, et al. A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. Annals of Internal Medicine. 2003;138(11):898–906.
• Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low-back pain: a review of the evidence for and American Pain Society/American College of Physicians clinical practice guideline. Annals of Internal Medicine. 2007;147(7):492–504.
• Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low-back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine. 2007;147(7):478–491.
• Coulter ID, Hurwitz EL, Adams AH, et al. Patients using chiropractors in North America: who are they, and why are they in chiropractic care? Spine. 2002;27(3):291–296.
• Ferreira ML, Ferreira PH, Latimer J, et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain. 2007;131(1–2):31–37.
• Ferreira ML, Ferreira PH, Latimer J, et al. Efficacy of spinal manipulative therapy for low back pain of less than 3 months' duration. Journal of Manipulative and Physiological Therapeutics. 2003;26(9):593–601.
• Gudavalli MR, Cambron JA, McGregor M, et al. A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain. European Spine Journal. 2006;15(7):1070–1082.
• Haldeman S, Kohlbeck FJ, McGregor M. Stroke, cerebral artery dissection, and cervical spine manipulation therapy. Journal of Neurology. 2002;249(8):1098–1104.
• Hoiriis KT, Pfleger B, McDuffie FC, et al. A randomized clinical trial comparing chiropractic adjustments to muscle relaxants for subacute low back pain. Journal of Manipulative and Physiological Therapeutics. 2004;27(6):388–398.
• Hurwitz EL, Morgenstern H, Kominski GF, et al. A randomized trial of chiropractic and medical care for patients with low back pain: eighteen-month follow-up outcomes from the UCLA low back pain study. Spine. 2006;31(6):611–621.
• Kaptchuk TJ, Eisenberg DM. Chiropractic: origins, controversies, and contributions. Archives of Internal Medicine. 1998;158(20):2215–2224.
• Kinkade S. Evaluation and treatment of acute low back pain. American Family Physician. 2007;75(8):1181–1188.
• National Institute of Arthritis and Musculoskeletal and Skin Disorders. Handout on Health: Back Pain. Bethesda, MD: National Institute of Arthritis and Musculoskeletal and Skin Disorders; 2005. NIH publication no. 05–5282. Accessed on March 27, 2008.
• Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. Journal of Manipulative and Physiological Therapeutics. 2004;27(3):197–210.
• Santilli V, Beghi E, Finucci S. Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. The Spine Journal. 2006;6(2):131–137.
• Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22(4):435–440.
• Tindle HA, Davis RB, Phillips RS, and Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Alternative Therapies in Health and Medicine. 2005;11(1):42–49.
• van Tulder MW, Koes B, Malmivaara A. Outcome of non-invasive treatment modalities on back pain: an evidence-based review. European Spine Journal. 2006;15(suppl 1):S64–S81.

NCCAM Publication No. D409
Created April 2008
Updated April 2009

Introduction

Selecting a health care practitioner—of conventional1 or complementary and alternative medicine (CAM)A group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine.--is an important decision and can be key to ensuring that you are receiving the best health care. The National Center for Complementary and Alternative Medicine (NCCAM) has developed this fact sheet to answer frequently asked questions about selecting a CAM practitioner, such as issues to consider when making your decision and important questions to ask the practitioner you select.

1 Conventional medicine is medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals, such as physical therapists, psychologists, and registered nurses. Other terms for conventional medicineMedicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals such as physical therapists, psychologists, and registered nurses. include allopathy; Western, mainstream, orthodox, and regular medicine; and biomedicineMedicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals such as physical therapists, psychologists, and registered nurses.. Some conventional medical practitioners are also practitioners of CAM.

Key Points

• If you are seeking a CAM practitioner, speak with your primary health care provider(s) regarding the therapy in which you are interested. Ask if they have a recommendation for the type of CAM practitioner you are seeking.
• NCCAM does not provide CAM therapies or referrals to practitioners.
• Make a list of CAM practitioners and gather information about each before making your first visit. Ask basic questions about their credentials and practice. Where did they receive their training? What licenses or certifications do they have? How much will the treatment cost?
• Check with your insurer to see if the cost of therapy will be covered.
• After you select a practitioner, make a list of questions to ask at your first visit. You may want to bring a friend or family member who can help you ask questions and note answers.
• Come to the first visit prepared to answer questions about your health history, including injuries, surgeries, and major illnesses, as well as prescription medicines, vitamins, and other supplements you may take.
• Assess your first visit and decide if the practitioner is right for you. Did you feel comfortable with the practitioner? Could the practitioner answer your questions? Did he respond to you in a way that satisfied you? Does the treatment plan seem reasonable and acceptable to you?

Questions and Answers

1. What is complementary and alternative medicine?
2. I am interested in a CAM therapy that involves treatment from a practitioner. How do I go about finding a practitioner?
3. Will insurance cover the cost of a CAM practitioner?
4. I have located the names of several practitioners. How do I select one?
5. I have selected a practitioner. What questions should I ask at my first visit?
6. How do I know if the practitioner I have selected is right for me?
7. Can I change my mind about the treatment or the practitioner?
8. Can I receive treatment or a referral to a practitioner from NCCAM?
9. Can I receive CAM treatment through a clinical trial?

1. What is CAM?

CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. Some health care providers practice both CAM and conventional medicine. The list of what is considered to be CAM changes continually as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge. For more about these terms, see the NCCAM fact sheet "What Is CAM?"

2. I am interested in a CAM therapy that involves treatment from a practitioner. How do I go about finding a practitioner?

Before selecting a CAM therapy or practitioner, talk with your primary health care provider(s). Tell them about the therapy you are considering and ask any questions you may have. They may know about the therapy and be able to advise you on its safety, use, and effectiveness, or possible interactions with medications. Here are some suggestions for finding a practitioner:

• Ask your doctor or other health professionals whether they have recommendations or are willing to make a referral.
• Contact a nearby hospital or a medical school and ask if they maintain a list of area CAM practitioners or could make a recommendation. Some regional medical centers may have CAM centers or CAM practitioners on staff.
• Ask if your therapy will be covered by insurance; for example, some insurers cover visits to a chiropractor. If the therapy will be covered, ask for a list of CAM practitioners who accept your insurance.
• Contact a professional organization for the type of practitioner you are seeking. Often, professional organizations have standards of practice, provide referrals to practitioners, have publications explaining the therapy (or therapies) that their members provide, and may offer information on the type of training needed and whether practitioners of a therapy must be licensed or certified in your state. Professional organizations can be located by searching the Internet or directories in libraries (ask the librarian). One directory is the Directory of Information Resources Online (DIRLINE) compiled by the National Library of Medicine (dirline.nlm.nih.gov). It contains locations and descriptive information about a variety of health organizations, including CAM associations and organizations. You may find more than one member organization for some CAM professions; this may be because there are different "schools" of practice within the profession or for other reasons.
• Many states have regulatory agencies or licensing boards for certain types of practitioners. They may be able to provide you with information regarding practitioners in your area. Your state, county, or city health department may be able to refer you to such agencies or boards. Licensing, accreditation, and regulatory laws for CAM practices are becoming more common to help ensure that practitioners are competent and provide quality services.

3. Will insurance cover the cost of a CAM practitioner?

Few CAM therapies are covered by insurance, and the amount of coverage offered varies depending on the insurer. Before agreeing to a treatment that a CAM practitioner suggests, you should check with your insurer to see if they will cover any portion of the therapy's cost. If insurance does cover a portion of the cost, you will want to ask if the practitioner accepts your insurance or participates in your insurer's network. Even with insurance, you may be responsible for a percentage of the cost of therapy.

4. I have located the names of several practitioners. How do I select one?

Begin by contacting the practitioners on your list and gathering information.

• Ask what training or other qualifications the practitioners have. Ask about their education, additional training, licenses, and certifications. If you have contacted a professional organization, see if the practitioners' qualifications meet the standards for training and licensing for that profession.
• Ask if it is possible to have a brief consultation in person or by phone with the practitioners. This will give you a chance to speak with them directly. The consultation may or may not involve a charge.
• Ask if there are diseases/health conditions in which the practitioners specializes and how frequently they treats patients with problems similar to yours.
• Ask if the practitioners believe the therapy can effectively address your complaint and if there is any scientific research supporting the treatment's use for your condition. (For information on how you can look for scientific information regarding a therapy, see our fact sheet "Are You Considering Using CAM?")
• Ask how many patients the practitioners typically see in a day and how much time they spend with each patient.
• Ask whether there is a brochure or Web site to tell you more about the practice.
• Ask about charges and payment options. How much do treatments cost? If you have insurance, do the practitioners accept your insurance or participate in your insurer's network? Even with insurance, you may be responsible for a percentage of the cost.
• Ask about the hours appointments are offered. How long is the wait for an appointment? Consider whether this will be convenient for your schedule.
• Ask about office location. If you need a building with an elevator or a wheelchair ramp, ask about it.
• Ask what will be involved in the first visit or assessment.
• Observe how comfortable you feel during these first interactions.

Once you have gathered the information, assess the answers and determine which practitioner was best able to respond to your questions and best suits your needs.

5. I have selected a practitioner. What questions should I ask at my first visit?

The first visit is very important. Come prepared to answer questions about your health history, such as surgeries, injuries, and major illnesses, as well as prescriptions, vitamins, and other supplements you take. Not only will the practitioner wish to gather information from you, but you will want to ask questions, too. Write down ahead of time the questions you want to ask, or take a family member or friend with you to help you remember the questions and answers. Some people bring a tape recorder to record the appointment. (Ask the practitioner for permission to do this in advance.) Here are some questions you may want to ask:

• What benefits can I expect from this therapy?
• What are the risks associated with this therapy?
• Do the benefits outweigh the risks for my disease or condition?
• What side effects can be expected?
• Will the therapy interfere with any of my daily activities?
• How long will I need to undergo treatment? How often will my progress or plan of treatment be assessed?
• Will I need to buy any equipment or supplies?
• Do you have scientific articles or references about using the treatment for my condition?
• Could the therapy interact with conventional treatments?
• Are there any conditions for which this treatment should not be used?

6. How do I know if the practitioner I have selected is right for me?

After your first visit with a practitioner, evaluate the visit. Ask yourself:

• Was the practitioner easy to talk to? Did the practitioner make me feel comfortable?
• Was I comfortable asking questions? Did the practitioner appear willing to answer them, and were they answered to my satisfaction?
• Was the practitioner open to how both CAM therapy and conventional medicine might work together for my benefit?
• Did the practitioner get to know me and ask me about my condition?
• Did the practitioner seem knowledgeable about my specific health condition?
• Does the treatment recommended seem reasonable and acceptable to me?
• Was the practitioner clear about the time and costs associated with treatment?

7. Can I change my mind about the treatment or the practitioner?

Yes, if you are not satisfied or comfortable, you can look for a different practitioner or stop treatment. However, as with any conventional treatment, talk with your practitioner before stopping to make sure that it is safe to simply stop treatment—it may not be advisable to stop some therapies midway through a course of treatment.

Discuss with your practitioner the reasons you are not satisfied or comfortable with treatment. If you decide to stop a therapy or seek another practitioner, make sure that you share this information with any other health care practitioners you may have, as this will help them make decisions about your care. Communicating with your practitioner(s) can be key to ensuring the best possible health care.

8. Can I receive treatment or a referral to a practitioner from NCCAM?

NCCAM is the Federal Government's lead agency for scientific research on CAM. NCCAM's mission is to explore CAM healing practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals. NCCAM does not provide CAM therapies or referrals to practitioners.

9. Can I receive CAM treatment through a clinical trial?

NCCAM supports clinical trials (research studies in people) on CAM therapies. Clinical trials on CAM are taking place in many locations worldwide, and study participants are needed. To find out more about clinical trials on CAM, see the NCCAM fact sheet "About Clinical Trials and CAM." To find trials that are recruiting participants, go to the Web site nccam.nih.gov/clinicaltrials/. You can search this site by the type of therapy being studied or by disease or condition.

 

The following are a few samples of the open studies that entail Chiropractic Treatment.  For further information please visit: clinicaltrials.gov

1. Education/Exercise and Chiropractic for Chronic Back Pain
   Condition: Low Back Pain
   Interventions: Behavioral: Education & Exercise; Procedure: Chiropractic treatment (plus Education & Exercise)
   
   
2. Pilot Study: Does Chiropractic Care Decrease Fall Risk in Older Adults
   Condition: Musculoskeletal Equilibrium
   Interventions: Procedure: Chiropractic Manipulation; Behavioral: Balance Exercises
   
   
3. Individualized Chiropractic and Integrative Care for Low Back Pain
   Condition: Sub-Acute and Chronic Low Back Pain
   Interventions: Other: Chiropractic care; Other: Multidisciplinary, integrative care|
   
   
4. Chiropractic and Self-Care for Back-Related Leg Pain
   Condition: Sub-Acute and Chronic Back-Related Leg Pain
   Interventions: Other: Home exercise; Other: Chiropractic Spinal Manipulative Therapy + Home exercise
   
   
5. The Effect of Chiropractic Manipulation on Spine-Related Pain and Balance in Older Adults
   Conditions: Musculoskeletal Equilibrium; Back Pain
   Intervention: Procedure: Chiropractic Manipulation
   
   
6. Tobacco Cessation Via Doctors of Chiropractic
   Condition: Tobacco Use Cessation
   Intervention: Behavioral: Brief counseling (Ask, Advise, Arrange)
   
   
7. Chiropractic Management of Chronic Lower Back Pain in Older Adults
   Condition: Chronic Low Back Pain
   Intervention: Procedure: Spinal Manipulation
   
   
8. Logan Basic During Pregnancy on Labor and Childbirth
   Condition: Pregnancy
   Intervention: Procedure: Logan Basic
   
   
9. Dose of Spinal Manipulation for Chronic Low Back Pain
   Condition: Low Back Pain
   Interventions: Procedure: Spinal Manipulation; Procedure: Light Massage; Procedure: Pulsed Ultrasound
   
   
10. Algometer and Category II Pelvic Blocking and Cranial Protocol
    Conditions: Pain; Sacroiliac Joint Dysfunction
    Interventions: Procedure: Category II Pelvic Blocking; Procedure: Category II Pelvic Blocking and Cranial; Procedure: Cranial Only
    
    
11. Clinical Assessment of Two Manipulative Protocols in Treatment of Hip Osteoarthritis
    Condition: Osteoarthritis, Hip
    Interventions: Procedure: manual or manipulative therapy; Procedure: Manual / Manipulative Therapy; Procedure: Supportive Care
    
    
12. Effect of Spinal Manipulation on Sensorimotor Functions in Back Pain Patients
    Condition: Low Back Pain
    Interventions: Other: HVLA-SM; Other: LVVA-SM; Other: light effleurage followed by SMT
    
    
13. Osteopathic Manipulative Medicine in Pregnancy: Physiologic and Clinical Effects
    Conditions: Low Back Pain; Pregnancy
    Interventions: Other: Osteopathic Manipulative Treatment; Other: Placebo Ultrasound; Other: Standard Care

 

 

Is Chiropractic Treatment Effective for Colic?

By Vickie Barnes

If you have a baby suffering from colic then you know you will search to the ends of the earth to find some form of treatment to help soothe your baby's suffering and make them stop crying. You may be looking for conventional or natural treatments, or both, to help your baby and may have discovered the option for chiropractic treatment. You might think chiropractic treatment is only for those suffering from problems with their spine's alignment ad the like, and it is to some degree, not to mention this could be the problem that is causing your baby's colic. Amazingly, chiropractic treatment has great results for relieving colic symptoms and helping baby and parents feel better again.

If you are not interested in chiropractic treatment for colic simply because you believe it is too radical or something you just don't approve of, then you can learn some massage moves that might prove effective as well at relieving colic symptoms and soothing your baby. If you do want to try the chiropractic treatments then you need to find a certified chiropractor for infants and you will need to talk with him/her to ensure you are confident in their skills and perhaps even ask for references. This is important because while chiropractic treatment for colic is natural it can be harmful if done incorrectly so you want a qualified chiropractor to perform the treatment. Once you find a chiropractor licensed to perform treatments on infants that you are comfortable with and confident in then you should give it a try and see if it works for your baby.

You are probably anxious about how the treatments will work and what will actually happen to your baby. However, don't worry because the treatments simply include lengthening procedures that lengthen the body to remove the kinks that are in the intestines. Additionally, many chiropractors simply align the baby's spine by adjustments to help relieve colic. Many times this helps and you might be surprised when a chiropractic adjustment helps your baby. You should not worry your baby will be in pain, either, during chiropractic adjustments because they are normally painful. Your baby might look as if he/she is in pain because of the chiropractor's strong hands and movements, but rest assured the adjustment is virtually pain free and will likely help your baby's colic tremendously.

After the chiropractic adjustment your chiropractor will likely show you some exercises to perform on your baby each day. These are generally called colic release exercises and they benefit approximately 70% of babies suffering from this condition significantly while a great many others benefit marginally. So, there is a pretty good chance that a chiropractor can significantly help your baby's colic pain, or at least reduce the pain somewhat, so you ought to give it a try.

The reason chiropractic techniques work so well is that they treat the condition of colic rather than the symptoms. Many parents give their children drugs or other remedies to treat symptoms and while this is ok it really is better to treat and eradicate the problem of colic altogether and that is what a chiropractor does. So, look for a certified chiropractic that can work on infants and give it a try, it just might be the best choice you ever made!

Vickie Barnes is a colic veteran of two colicky babies. Please visit her website ColicHelp.com, for more support and resources for dealing with colic.

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Chiropractic Care - Common Misconceptions Exposed

By Abhishek Agarwal

There are many aspects of chiropractic care that people do not understand and therefore they may rely on the easiest or the most convenient explanation offered. From amongst those who know what chiropractic care entails and what the benefits are, there may be a few who have a completely absurd idea of what chiropractic is. Common misconceptions would be that chiropractic care is the solution to all medical issues or deemed to be a miracle cure, or that it is a con game that could prove to be potentially dangerous for those being treated. Neither of these is true, in fact, chiropractic care focuses on the problems of the musculoskeletal system, and is in no way a miracle cure for all diseases. It is like any other therapeutic treatment, but more suited to the musculoskeletal system.

The first misconception would be due to the emotional high the patient will experience on the first visit to the chiropractor. He my feel he has been cured of all other maladies, including the backache, leading him to conclude that chiropractic is a miracle cure. Such persons then recommend chiropractic care for any type of ailment like aching joints to the common cold. In reality however, chiropractic therapy focuses on the musculoskeletal system and the adjustments or manipulations made to the spine may result in the improvement of other body functions. It is advisable to consult the doctor before deciding to take chiropractic treatment. Unless the ailment is relating to musculoskeletal problems chiropractic therapy is better to be avoided. Medical practitioners can diagnose and treat most of the serious ailments. Chiropractic care enables your body to utilize its natural recuperative powers to restore itself to normal function. A chiropractor may guide the patient in formulating plans for dietary changes and lifestyle improvements, thus helping him lead a healthy life.

The other misconception is that chiropractic care can only damage the body and that chiropractors are not doctors in the real sense. Chiropractic care can however, be a good choice of treatment for certain types of spinal problems or those related to the backbone, as compared to other conventional methods of treatment. Chiropractors are not 'pseudo scientists' or con men, but are licensed practitioners of their field. They have a degree in chiropractic, which is an alternative medicine, although they do not use prescription drugs or surgery in their treatment. Contrary to the misconceptions some people may have, chiropractors are recognized and legitimate medical professionals and quite capable in their field of specialization. There is no reason not to consult a chiropractor in case the patient is suffering from chronic back pain or having problems with mobility. In fact, chiropractors may be a better choice to assist seriously ill patients to ease the discomfort by educating them in exercise, relaxation techniques and nutrition plans, thus complementing the medical treatment. Chiropractic care is a form of alternative medicine and it can be successfully used as a preventive measure to avoid disease and maintain overall good health.

Abhishek has got some great tips to relieve back pain! Download his FREE 127 Page Ebook, How To Win Your War Against Back Pain! from his website http://www.Health-Whiz.com/767/index.htm. Only limited Free Copies available.

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Chiropractic Care - Its Unlimited Benefits

By Abhishek Agarwal

The purpose of chiropractic care is to treat disorders of the spine and musculoskeletal system with the aim to improve health. It may be classified as an alternative medicine therapy and uses manual treatment like spinal adjustment and other joint manipulation. It is based on the concept that spinal joint dysfunction can interfere with the proper functioning of the nervous system and thus deteriorate a person's health. Chiropractic care will use a combination of treatments according to the needs of the patient, including spinal adjustments, exercise and health and lifestyle counseling.

Experts believe that lowered resistance power of the body facilitate the progress of disease. Chiropractic therapy believes in using natural methods in aiding the body to strengthen its efforts to fight disease. Chiropractic care primarily uses manipulation rather than medications and surgery. Very often medicines and drugs have their own side effects, which may increase the complication rather than cure the disease. Our body has the gift of naturally healing itself. Chiropractic care emphasizes patient's inherent recuperative abilities. A chiropractor gives us the tools and the means to understand our body to promote natural healing.

Medical practitioners will prescribe drugs and medication to cure the disease. These prescriptions may provide instant relief but may also have disastrous side effects. Chiropractors, on the other hand use a combination of alternative treatment methods, which help to resolve the medical issue. They believe that if the spine is properly aligned, then the overall health will be properly restored, because the spine and health are related in an important and fundamental way through the nervous system.

Although there is still debate about the effectiveness of chiropractic care for the variety of conditions in which it is applied, chiropractic seems to be most effective for treating acute low back pain and tension headaches. Studies have shown that upper cervical spinal manipulation may be beneficial in certain types of hypertension.

However, if the patient is suffering from a life threatening disease like cancer or heart failure, it is best to use allopathic medicine for treatment. A chiropractor may assist such patients to ease the discomfort by educating them in exercise, relaxation techniques and nutrition plans, thus complementing the medical treatment. The best approach would be to consult the doctor and take his advice on whether chiropractic care would benefit the patient in any way.

Chiropractic care is a form of alternative medicine and it can be successfully used as a preventive measure to avoid disease and maintain overall good health. It can benefit the individual because it is a non-invasive procedure. Chiropractors emphasize the importance of healthy lifestyles and do not prescribe drugs or perform surgery; therefore, chiropractic care is appealing to many health-conscious individuals. Research has shown that the major savings from chiropractic care are due to fewer and lower costs of auxiliary services, fewer hospitalizations, and a highly significant reduction in chronic problems, as well as in levels and duration of disability. Chiropractic treatment of the back, neck, extremities, and joints is therefore becoming an increasingly accepted form of therapy.

Abhishek has got some great tips to [http://www.Health-Whiz.com/767/index.htm]relieve back pain! Download his FREE 127 Page Ebook, How To Win Your War Against Back Pain! from his website http://www.Health-Whiz.com/767/index.htm. Only limited Free Copies available.

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Can Chiropractic Treatment Help a Herniated Disc?

By Rob Walcher

What is a Herniated Disc?

People who suffer from back pain, leg pain, excessive weakness in the legs, and abnormal functions of the lower extremities are often diagnosed with a herniated disc. The question is - exactly what is a herniated disc, and how is it determined if this is causing the symptoms?

An intervertebral disc is made up of an outer, fibrous ring, and a central soft portion. The disc itself receives nourishment through the motion of the vertebrae above and below it moving and "squishing" the blood and fluids through the disc. If this movement does not occur, the outer ring can dry and tear which allows the soft portion of the disc to bulge out. This is what is commonly known as a herniated disc. (Also called a slipped disc, bulging disc, disc protrusion, etc.)

Not all herniated discs cause pain or discomfort. It is when the bulge puts pressure on the exiting spinal nerve that pain, or an inflammatory reaction, will occur. It is therefore very important to have a full understanding of what is causing the pain.

What is Subluxation?

Another term important to understand in the diagnosis of a herniated disc is subluxation. Subluxation is when one or more of the bones of your spine (vertebrae) move out of position. The result can be a herniated disc. If this creates pressure on spinal nerves, problems will result. This pressure or irritation on the nerves causes the nerves to malfunction and interfere with the signals traveling over those nerves.

Symptoms can be one or more of the following:

• Pain spreading over the buttocks, down the back of one thigh, and into the calf
• Pain may be in one leg (more common) or both legs
• Numbness, tingling, or weakness in the legs or feet
• Numbness, tingling, or weakness in one or both arms
• In severe cases, inability to find comfort even lying down
• Sudden aching or twisted neck that cannot be straightened without severe pain
• Bowel or bladder changes and/or numbness in the groin

Treatment

Treatments for a herniated can range from physical therapy, to anti-inflammatory medication, to cortisone shots to surgery. Because back surgery is extremely invasive, and because surgery is not always totally successful in correcting the problem, it would be wise to seek out the services of a doctor of chiropractic first. Before resorting to a surgical approach, it just makes good sense to try a more conservative procedure.

A doctor of chiropractic is trained to locate subluxations, and reduce or correct them. This can be accomplished through a series of chiropractic adjustments designed to correct the vertebral subluxations in your spine. Chiropractors are the only professionals who undergo years of training to be experts at correcting subluxations. There are methods to decompress the vertebrae which allow the disc the ability to heal itself.

Early Diagnosis

Be aware that few treatments - even chiropractic treatment - can make up for years of abuse and neglect of spinal health that many people endure. Poor nutrition, poor posture, lack of proper exercise, and even incorrect lifting methods are among the many ways the spine suffers abuse.

Early diagnosis and conservative treatment is the best way to begin correcting the pain suffered from a herniated disc. And the chiropractic approach is an excellent first choice for extended pain relief and for a healthier spine in the future!

Dr. Robert D. Walcher D.C. is a graduate of Palmer College of Chiropractic West located in San Jose, California. He is the proud founder and owner of Personalized Chiropractic located in Pacific Beach. Dr. Walcher makes sure his patients get extensive education about Chiropractic and learn exactly what is going on with their nervous system. He explains precisely what needs to be done for the relief of current pain and the improvement of future health. Are you ready to feel better and to enjoy optimum health? Visit Dr. Walcher at http://www.PBChiropractor.Com

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Fibromyalgia Symptoms and Chiropractic Treatment

By Dr. Raj Banerjee

Fibromyalgia is considered to be a widespread pain through out the entire body or some parts of the body that can last to a few months or maybe even years. The pain that is caused by fibromyalgia is widespread and due to the stiffness of the muscles and the bones.

Fibromyalgia pain can be sometimes bearable, but can also become too unbearable that can disable a person from moving for the entire day. Causes of this pain can come from many factors, either from physical or emotional factors that help develop the syndrome.

Recent studies have shown that frequent sleeping disorders can irritate fibromyalgia symptoms. In most cases extreme fatigue and sleep disturbances can be classified as one of the major causes to the syndrome. Women are more likely to develop the syndrome than men, but that doesn't mean that men are immune to the illness.

One of the treatments used to treat the symptoms of fibromyalgia is by chiropractic treatment.

What is chiropractic treatment?

Chiropractic treatment means that a service is being provided by the chiropractors to their patients by providing them with spinal adjustment. The chiropractors directly review and care the patient's situation by evaluating their spinal needs.

Does chiropractic treatment help?

There are many chiropractic treatment options out there for many people who wants to seek help, especially people who suffer from fibromyalgia. Although there are still many people who don't take advantage of this wonderful service that chiropractors provide, it has shown to help. Knowing the benefits to chiropractic treatment can help the patient to fully understand what they can do with the help of a chiropractor for the improvement of their lives. In addition, chiropractic treatments are often covered and seen in medical insurance so that they can provide more help to those who really need the help.

What do chiropractors do to my muscles and joints?

What chiropractors do is that they base their treatment on the basis that there is restricted movement of the joints, mostly at the spinal area, that may have lead to the reduced functions of the human body and the pain that is being caused. Spinal manipulation or spinal adjustment is one form of therapy that the chiropractor uses in order to treat a patient's restricted spinal mobility.

The chiropractor's goal is to restore regular movement to the patient's spinal area and as a result of this would render the patient decreased pain and better functioning of the human body. Spinal manipulation does not need to be very forceful in order to be very effective. An example would be a chiropractor using soft tissue massage in order to treat a person suffering from fibromyalgia syndrome or FMS. This technique that is being used by chiropractors helps FMS sufferers by stretching their muscles that would be shortened or in spasm.

If a person who needs chiropractic care, say a fibromyalgia syndrome sufferer, does not seek the necessary help, and then that person may be in danger of facing additional pain through out the coming months or even the coming years. Seeking chiropractic treatment now can help the FMS sufferer to find that more relaxed feeling of the body and not having to bear the constant pain the fibromyalgia delivers to the body.

Discover what your doctor may not be telling you about fixing weight problems, depression, fibromyalgia symptoms, chronic fatigue, and how it's related to hormone imbalance. And also about a new diet that is different than any of the current popular diets like The Atkins Diet, Weight Watchers, Jenny Craig Diet and many others.

To learn more please visit my website.

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Chiropractic Care After a Car Accident

By Andrew Stratton

Unfortunately, many people have been involved in car accidents. Sometimes the accidents are severe, being either fatal or life-threatening to the driver or passengers involved but other times they are minor fender benders and the persons involved are able to walk away from the accident unscathed or so it seems at first.

At first drivers and passengers may feel a little stiff but appear to be uninjured. But it is not uncommon for car accident injuries to go hidden for months or even years. When people do begin to have pain, they may feel it in their back and neck and the pain may be accompanied by headaches and tension.

These symptoms may get worse over a period of time and eventually completely debilitate a person, preventing him or her from performing their normal daily activities. Many people suffer from these symptoms without realizing that their injuries resulted from their seemingly small car accident.

Many people go on without getting properly diagnosed, using painkillers to mask the pain and wearing braces to temporarily reduce the pain. Those people would do well to visit a chiropractic doctor. These doctors specialize in soft tissue as well as structural damage and are well acquainted with car accident injuries.

A chiropractor can take x-rays and assess your injuries. Most people are surprised at how misaligned their necks and joints can really get from simple car accidents. But receiving regular chiropractic care is a natural way to treat the pain and tension resulting from whiplash and other car related injuries.

Chiropractors can readjust your neck and back getting it into proper alignment, use muscle stimulation procedures to reduce tension, and assign and instruct you to do the proper exercises to strengthen your back and muscles. A chiropractor will try to correct all of the underlying improper musculoskeletal biomechanics that can be such a great source of pain.

Chiropractic care is great because it is natural; the pain is treated by directly fixing the problem rather than prescribing drugs. It is also less invasive. No surgical tools, cutting, or blood is involved. All joint alignments are done with the force of the hands.

Visiting the chiropractor is not at all like visiting any other general physician or a surgeon which many people are apprehensive about. Rather, many people report their appointments as relaxing and look forward to their next treatment.

Patients can also be assured that chiropractic care is safe for everyone and it is important that all passengers, even children are checked out by a chiropractor. Chiropractors have gone through years of vigorous specialized training and schooling, passed many tests, and gone to great lengths to become licensed and certified to treat all people, children included.

It is wise to see a chiropractor immediately after a car accident to insure that you don't have any hidden injuries that will severely affect your life later. Don't wait, do it before your case with the insurance companies is closed, because often times insurance companies will cover the cost of chiropractic treatment of car accident related injuries.

San Francisco chiropractic care practitioners not only provide relief treatment for your problem, but they also provide massages, nutritional advice and therapeutic exercises to restore and promote your overall health. For information about the procedure, visit http://www.chirocaresf.com

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Chiropractic Care During Pregnancy - 3 Useful Tips Toward Back Pain Relief

By Abhishek Agarwal

Everyone knows that chiropractic care can be a great relief to the new mother plagued by back pain after childbirth. But what most people don't know are the benefits of chiropractic care during pregnancy, both for the mother and the unborn child.

1. Some Common Misconceptions

there are many myths about the dangers of chiropractic care during pregnancy. Some of the more common myths concern the discomfort experienced during therapy, awkward spinal positioning during treatment, and undue pressure on the fetus. these myths may discourage pregnant mothers from seeking chiropractic care during their pregnancy, fearing damage to them selves or the baby. It is certain, though, that no licensed and competent chiropractor every did lasting harm to either a mother or her unborn child. It is too bad that these myths are so common, since there are few people who could use chiropractic care more than a new mother in her first pregnancy.

2. The Benefits of Chiropractic Care During Pregnancy

The most obvious effects of chiropractic care during a mother's pregnancy are the relief of pain in the neck, back, and joints caused by carrying the extra weight of an infant in addition to the demands of supplying both herself and the child with sufficient nutrition. What may not be immediately obvious are other benefits such as relief from morning nausea, because of the central nervous system benefits chiropractic care has. Chiropractic care during pregnancy can also lead to shorter delivery times and less time spent in labor. Regular chiropractic care can also prevent any spinal misalignment or damage caused by the excessive spinal curve many mothers develop from the effort of carrying the weight of the child, especially during the last trimester.

3. Finding a Chiropractor

All licensed chiropractors are trained to work with pregnant women, but you should not settle on the first chiropractor you find. If you are newly pregnant, you should try to find a chiropractor ahead of time. Look for one that specializes in and has advanced training for chiropractic care during pregnancy. Larry Webster, D.C. founded the International Chiropractic Pediatric Association. Ideally, your chiropractor of choice should have an ICPA certificate, be Webster Certified, or hold a DACCP certificate.

Chiropractic care during pregnancy is not only safe, but should be actively sought out my mothers who are currently pregnant or plan on becoming pregnant. The benefits to the spine, musculoskeletal system, and nervous system are undeniable. Even the relief from back pain common to pregnancy (especially in the later stages) can be of enormous benefit to both the mother and the unborn child in the form of reduced levels of pain-caused stress hormones.

Abhishek has got some great tips to relieve back pain! Download his FREE 127 Pages Ebook, "How To Win Your War Against Back Pain!" from his website http://www.Health-Whiz.com/767/index.htm. Only limited Free Copies available.

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Chiropractic Medicine - Health Regulations Committe, Florida Senate

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