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Frequently asked questions:
Chiropractic is a natural healing art that developed from the research and
clinical work done by Dr. D.D. Palmer in 1895, in Davenport, Iowa. Since
then, Chiropractic has grown to the second largest primary healing art in the
United States. Doctors of Chiropractic are now licensed in all 50 States
and most Western Nations. The State of New Hampshire has been licensing
Doctors of Chiropractic since 1923.
Chiropractic is based on three basic principals:
- Disease may be caused by irritation of the nervous system.
- Irritation of the nervous system may be caused by alterations of the
musculoskeletal system. These alterations are typically
misalignments and/or dysfunctions of the joints of the spine and the related
structures. In Chiropractic, these are referred to as subluxations.
- Correction of subluxations, and the subsequent relief of nervous system
irritation, may reduce or eliminate disease in various parts or
functions of the body.
Chiropractors relieve the body of subluxations. Although they usually
focus on the spinal column, Chiropractors can evaluate and treat the entire
nervous, muscular and skeletal systems for such dysfunctions. Free of
subluxations, your body is more balanced, has improved function, and can deal
with the daily physical and emotional stresses of your life.
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Comparison of
Chiropractor and Medical Doctor’s Education
Chiropractors
go through an immense amount of schooling to receive a "Doctor of Chiropractic"
degree (also known as a D.C.). Their collegiate agenda is as follows:
- Graduate from a four year college.
- Complete at least two years undergraduate study, with a focus on the sciences.
- Four years of Chiropractic Education.
- Take mandatory internships.
- At least 900 hours of work in a Chiropractic Clinic.
- After graduating, pass written and oral board exams, at national and state
levels.
A Chiropractor may opt to choose to advance their degree in an area of
specialty. These areas include: Chiropractic neurology, radiology, sports
medicine, as well as many other fields
This chart shows the number of hours served under study by Chiropractic students
and Medical students.
CLASS DESCRIPTION
CHIROPRACTIC
STUDENT HOURS
MEDICAL
STUDENT HOURS
Anatomy
520
508
Physiology
420
326
Pathology
271
335
Chemistry
300
325
Bacteriology
114
130
Diagnosis
370
374
Neurology
320
112
X-Ray
217
148
Psychiatry
65
144
Obstetrics & Gynecology
65
198
Orthopedics
225
156
Total Hours
2,887
2,756
Specialty Courses
1,598
1,492
Entire Total Hours
4,485
4,248
Because
chiropractic is already a specialty, it is unnecessary for students to go on to
internships and residencies.
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Chiropractic care is safe enough to be of use for your newborn infant as well
as for your 90 year old grandmother!
- Researcher A. Terrett, in a review of literature between 1934 and 1994,
found Chiropractic to be the safest in the delivery of vertebral
manipulation.
- The risk of death from using NSAIDS (ie: ibuprofen) is 400 times the risk
from manipulation, when performed by a Chiropractor.
- Chiropractors are the musculoskeletal specialists, with the greatest
degree of education and experience in this field.
- In an evaluation of musculoskeletal competency, 82% of Medical Graduates
fail to demonstrate basic competency. 1
-
85 Residents who graduated from 37 Medical schools were tested
-
43% of Orthopedic Residents Failed
-
87% of Medical Residents Failed
-
82% of Surgical Residents Failed
1. Freedman KB, Bernstein
J., The Inadequacy of Medical School Education in Musculoskeletal Medicine.
Journal of Bone and Joint Surgery, 80-A:1421-1427. Oct. 1998.
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Chiropractic care has been evaluated extensively over the past fifty years to
determine it's safety and effectiveness for spinal conditions. In fact, no
other health care modality has been researched to the extent as has been done to
evaluate Chiropractic effectiveness for low back pain relief. Although the
majority of Chiropractic research has been in regard to low back pain, current
research is providing evidence of a myriad of other health benefits.
The "Agency for Health Care Policy & Research (AHCPR) Guidelines on
Acute Low Back Problems", a report from the Federally funded agency of the
U.S. Department of Health & Human Services, found Chiropractic care of acute
low back pain to be safe, more effective than pharmaceutical therapies or
surgery, and less costly than drugs or surgery.
A report from T. W. Mead, et. al., entitled "Low back pain of mechanical
origin: Randomized comparison of Chiropractic and hospital outpatient
treatment," which was published in the British Medical Journal in 1990,
concluded that:
- "Our trial showed that Chiropractic is a very effective treatment,
more effective than conventional hospital out-patient treatment for low-back
pain, particularly in patients who had back pain in the past and who got
severe problems. So in other words, it is most effective in precisely
the group of patients that you would like to be able to treat...One of the
unexpected findings was that the treatment differences---the benefit of
Chiropractic over hospital treatment---actually persists for the whole of
that three-year period...it looks as though the treatment that the
Chiropractors give does something that results in a very long-term
benefit."
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Not at all! Several studies have
demonstrated the cost effectiveness of Chiropractic in relation to other forms
of care for the same conditions. Chiropractic care repeatedly proves to be
cheaper than other treatment methods.
- In a report by S. Wolk, "Chiropractic vs. Medical Care: A Cost
Analysis of Disability and Treatment for Back-Related Workers' Compensation
Cases," the cost of Chiropractic care was only 55% and 56% of Medical care for
nonsurgical and surgical patients, respectively.
Foundation for Chiropractic Education and
Research, 1988.
- P.S. Ebral studied mechanical low back pain cases, and found that, on the
average, those receiving Chiropractic care only lost 6.26 days of work and
paid $392 for care, as compared to those receiving Medical care who lost 25.56 days
of work and paid $1,569 for care.
Ebral, P.S., "Mechanical
Low-Back Pain: A Comparison of Medical and Chiropractic Management within
the Victorian Work Care Scheme", Chiropractic Journal of Australia.
22(2):47-53. 1992
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Anyone with a spine! Chiropractic care is
a safe and effective way of treating people of all ages and walks of life.
We care for spines from 2 days to 102 years old. Infants, children,
adolescents, expecting mothers, middle aged or elderly, all spines need
proper care.
Occasionally, someone presents to our office with a condition that would
prohibit us from treating them Chiropractically, but this is a rare
occurrence. Since each case and condition should be evaluated and
treated independently, it is best to discuss your options with the Chiropractor
directly.
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Who is using Chiropractic?
-
73% of adults say that they would use chiropractic. 1
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67% of adults say that alternative care inclusion is
important in choosing a health plan. 1
-
31% of adults say that it is very important. 1
-
42% with annual incomes of less than $20,000 say that it is
very important. 1
-
Usage of Chiropractic care had DOUBLED in the last 15-20
years.
-
42% of the US population have sought alternative care. 1
-
74% of those using alternative forms of care, including
Chiropractic, use it along with traditional care. 1
-
30% of users of alternative health care experienced a
decrease in the number of visits to their MDs. 1
-
31% (61 million) of all adult Americans have visited a
Chiropractor in the last 12 months. 3
1. The Landmark Report on Public
Perceptions of Alternative Care, Landmark Healthcare, Inc. 1998.
2. Chiropractic in the United States:
Training, Practice, and Research. Agency for Health Care Policy and
Research, publication98-N002, 1997.
3. Dynamic Chiropractic, "Chiropractic
Use Going Up!", 16(5), 1998.
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Not necessarily! A lot of people assume
that all Chiropractors x-ray all their patients all the time. This
couldn't be further from the truth.
X-rays are a means of diagnostic evaluation. As with other diagnostic
tools, they are necessary in some cases, not necessary in others, and
contra-indicated in a few.
We NEVER x-ray a woman we know or suspect to be pregnant!
We SELDOM x-ray anyone under the age of 18 years old.
We AVOID x-raying nursing women if possible.
Although x-rays are deemed safe, excessive exposure can be harmful to the
body. For this reason, we impose various restrictions on our use of this
form of diagnosis.
Since every case is unique, it is best to discuss your concerns about x-rays with the Doctor.
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That all depends on you. Every case, every condition, every person we
see is different. There is no magical formula to determine how long a
patient will need care or how much care must be rendered.
We treat all of our patients on an individual basis, determining your
response to care and what follow-up is required at each visit. As your
body responds and changes, your treatment type and schedule are altered for the
greatest results. Like you, we want to see fast, long-lasting results
because we take pride in our work.
In order to speed yourself along in the healing process, you can take several
steps in your daily life.
-
Rest. The body requires energy to
heal. Allowing for enough rest and avoiding over exertion helps the
body provide the necessary energy.
-
Eat well. If a mason doesn't have
enough bricks, he cannot build a wall. Likewise, if you don't provide
the proper building blocks, your body cannot complete it's task.
-
Drink plenty of water. It's the single
most important element in your body...need we say more?
-
Avoid alcohol, tobacco, recreational drugs and
excessive physical activity.
-
Limit stress/relax.
-
Follow
the Doctor's instructions.
Over all...Be Patient! Healing takes time. Chances are, it took
long time for you to get this way...It will take time to get better.
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If you mean "Could I get addicted to a feeling of wellness and health,
in which my body functions at the greatest possible level, where I have more
energy, strength and stamina, and am able to perform my daily activities in the
safest and most efficient manner?" Then...yes, you may never want to
stop.
But if you are referring to the over used adage, "Once you go to a
Chiropractor, you have to keep going forever," then the answer is a firm,
"NO".
Those who choose to make Chiropractic a long-term or life-long addition to
their personal health habits do so, primarily, as a form of preventative health
care, much like a healthy diet or exercise.
There is nothing about Chiropractic treatments/adjustments that would cause a
need for extended care. On the contrary, research has shown that the
benefits of Chiropractic care are longer lasting than those achieved by Medical
care for some conditions. (See "Is
Chiropractic care effective?")
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Anyone can move bones. Anyone can make joints "pop".
Not just anyone can do it right.
Chiropractors have extensive, specialized training in the art, science and
philosophy associated with spinal manipulation.
The sensation of tightness, restriction or pain that you are feeling in your
back or neck is caused by a jammed or fixated bone (vertebra) or joint.
Often, this fixated joint is accompanied by one or more joints that moves too
much (hypermobile), as a compensation. When you, or a friend,
"crack" or "pop" your spine, you are introducing a force and
a motion into a series of bones. Without the proper control of this force,
it will tend to be taken up by the hypermobile joints, since they are easier to
move. The fixated joint stays fixed...the hypermobile joints are forced to
move even more. Not only does the problem remain...it gets worse.
"But I feel better when I crack my neck (back)." --
Research shows that the mobilization of joints, whether they need it or not,
causes the body to release special pain killing compounds, known as endorphins
and enkephlins, which cause a brief period of euphoria and pain relief. If
the proper correction is not performed, the pain returns when the 'pain killers'
wear off. That's why most self-adjusters need to "crack"
themselves more and more all the time, until they do it every few minutes.
The more they do it, the worse they get, the more they need to do it...
When a Chiropractor performs an adjustment, he/she controls the force/motion
to alleviate the fixated joint, without applying undue stress or strain to
joints that are already moving enough or too much. This is why a
Chiropractic student has over a thousand hours of training specifically in
manipulation techniques. Add to that the years of experience that
Doctor Carr has, and you have a level of care that
you cannot easily match.
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Absolutely!
Not only is it possible for
your Chiropractor to treat you after surgery, it is recommended in most cases.
Surgery traumatically alters the natural structures of the body. Like
other forms of trauma, the typical process is for scar tissue to develop,
biomechanics to be altered, and supportive tissues (muscles, ligaments, tendons
and cartilage) to become compromised. Chiropractic care helps to maintain
the highest degree of function in the tissues and joints surrounding the
surgical site. Although the body needs time to heal after surgery,
visiting a Chiropractor regularly may help to prevent future problems from
developing.
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