How does chiropractic care work? » Top
Chiropractic helps to remove postural imbalances and structural misalignments that
can accumulate in our bodies over time. Our spines change and develop problems just
like our teeth, eyes and heart. Left unchecked for a long time, these changes may
lead to pain, stiffness or other more serious problems.
The nervous system is a key part of your body. It is the communication system between
your brain and all of your body's muscles, organs and tissues. For your body to
remain healthy, your nervous system must function well. For your nervous system
to function well, it must be free of interference. The spine is the most common
site of nervous interference because nerves travel from the spinal cord through
openings on either side of the spine to get to all of your cells and organs.
Each of us is born with the ability to heal and recover from illness. Our bruises
heal, cuts mend and common colds are overcome.Your nervous system regulates this
inborn healing ability. Think of your brain as a central command post sending and
receiving information through telephone wires (your nerves) which branch out to
connect all areas of a city (your body). A short circuit in a wire cuts off communication
just like misalignments in your spine can put pressure on the nerves. This pressure
interferes with your nervous system, affects your ability to self-heal and may prolong
injury or illness.
The customized care you receive from your chiropractor may help to improve your
posture, muscle balance and mobility. It can also restore the integrity of your
nervous system and get rid of pain quickly, so you can get back to feeling good…today!
Is chiropractic care effective?
» Top
Yes, chiropractic care is safe and effective.
Over the past 20 years, many controlled and independent research studies have shown
again and again that chiropractic care is safe and effective for treating low back
pain, neck pain, headaches and other conditions relating to the spine. Based on
these studies, the consensus is that chiropractic care is the treatment of choice
for most spinal problems. The extent to which a person can benefit from care varies
depending on their problem and how long it has existed.
What kind of training
and education do chiropractors have? » Top
Chiropractors are educated as primary contact health care practitioners, with an
emphasis on neuromusculoskeletal diagnosis and treatment. Preparation for the practice
of chiropractic is concentrated on three areas: basic training in the biological
and health sciences, specialized training in the chiropractic discipline, and extensive
clinical training.
Becoming a chiropractor in Canada requires a minimum of six years of post-secondary
education including no less than 4500 hours of classroom and clinical instruction
at an institution approved by the Council on Chiropractic Education Canada.
Do many people see a chiropractor? » Top
Alternative and non-medical health care is on the rise in this country and chiropractic
is by far the most popular form. According to current research, approximately one-third
of the population recognizes the benefits of alternative health. The majority of
these alternative healthcare users choose chiropractic.
The non-surgical, drug-free healing nature of chiropractic provides benefit to the
health of millions of people worldwide each year. Most chiropractic patients experience
real relief and general well being and continue to make regular visits a part of
their healthy lifestyle choice.
How often do I need to see a chiropractor?
» Top
Your chiropractor will discuss the need for ongoing care with you and it will depend
on your specific problem. For some people, chiropractic treatment is like a regular
physical tune-up—it helps the body deal with the daily wear and tear of life. For
others, it's simply an effective treatment when back pain or other health issues
strike. Take the time to discuss with your chiropractor the level of care that's
best for you.
What conditions do chiropractors
treat? » Top
Chiropractors are experts trained in the neuromusculoskeletal system. They diagnose
and treat disorders of the spine and other body joints by adjusting the spinal column
or through other corrective manipulation. Chiropractors provide conservative management
of neuromusculoskeletal disorders including, but not limited to, back, neck and
head pain (over 90 percent of conditions treated). They also advise patients on
corrective exercises, lifestyle and nutrition.
What happens during a treatment? » Top
During your first visit, the chiropractor will want to know about your health history
as well as your current complaint. Your home and work life as well as your level
of physical activity may also affect your health, so don't be surprised to be asked
questions about these.
Although chiropractors use their hands for most treatments, they also use other
methods such as heat, light, specialized adjusting instruments, ultrasound, electrotherapy,
personalized exercise programs, muscle-testing and balancing. Your chiropractor
can also give you information and guidance on how you can stay healthy through proper
nutrition, exercise and lifestyle changes.
What kind of education
and training do chiropractors have? » Top
Chiropractors are educated as primary contact health care practitioners, with an
emphasis on neuromusculoskeletal diagnosis and treatment. Preparation for the practice
of chiropractic is concentrated on three areas: basic training in the biological
and health sciences, specialized training in the chiropractic discipline, and extensive
clinical training. Becoming a chiropractor in Canada requires a minimum of 7 years
of post-secondary education including no less than 4 years of full-time classroom
and clinical instruction at an institution approved by the Council on Chiropractic
Education Canada.
What results can I expect from
treatment? » Top
That depends on your condition. The length of time you have had the problem, your
age and the degree of your disability all affect the length of your treatment. Your
chiropractic doctor should tell you the extent of treatment recommended, and how
long you can expect it to last.
One of the main reasons people choose chiropractic is that they often get quick
results. Individual cases vary and chronic conditions obviously need more treatment,
but Workers' Compensation Board studies show that people with low back pain get
back to work much faster with chiropractic care.
You might also consider the benefits of regular chiropractic adjustments even when
you feel healthy. Sometimes you won't know you have a disorder of the neuromusculoskeletal
system until it becomes acute and painful. So, just as you see your dentist to have
your teeth checked and your optometrist for eye exams, regular visits to your chiropractor
can catch related health conditions early, often preventing them from developing
into major problems. Remember, your spine is every bit as susceptible to wear and
tear as your teeth and your eyes so you should look after it.
How is chiropractic adjustment
performed? » Top
Chiropractic adjustment or manipulation is a manual procedure that utilizes the
highly refined skills developed during four intensive years of chiropractic education.
The chiropractor typically uses his/her hands to manipulate the joints of the body,
particularly the spine, in order to reduce pain, and restore or enhance joint function.
Chiropractic manipulation is a highly controlled procedure that rarely causes discomfort.
The chiropractor adapts the procedure to meet the specific needs of each patient.
How many people see chiropractors? » Top
Statistics Canada data found that over 11 percent (3 million) Canadians consulted
a chiropractor in 1996. The figures today are closer to 15 percent, or over 4 million
Canadians annually.
Is chiropractic covered by insurance
plans? » Top
Most federal government departments (such as the RCMP and Veteran’s Affairs) cover
chiropractic services. All worker’s compensation boards and most employer and other
third party insurance plans cover chiropractic services as well. Motor vehicle collision
injury insurance also covers chiropractic care.
Is chiropractic manipulation
a safe procedure? »
Top
Chiropractic adjustment or manipulation is a drug-free, non-invasive approach to
common musculoskeletal conditions such as headache, and neck and back pain. As such,
it is a low risk therapy. Complications arising from adjustment are rare.
Is chiropractic evidence-based? » Top
Chiropractic is a healing discipline firmly grounded in science. Few other health
care interventions have been assessed as extensively as chiropractic manipulation,
both in terms of safety and effectiveness. There have been at least six formal government
studies into chiropractic worldwide over the last 25 years and all have concluded
that contemporary chiropractic care is safe, effective, cost-effective and have
recommended public funding for chiropractic services. In addition, there have been
countless scientific clinical studies assessing the appropriateness, effectiveness,
and/or cost-effectiveness of spinal manipulation or chiropractic manipulation, most
notably for low back pain. The Canadian Institutes for Health Research (CIHI) now
offers research grants in partnership with the Canadian Chiropractic Association
to chiropractors and other scientists for high quality, chiropractic research.
Is chiropractic regulated in Canada?
» Top
Like medicine and dentistry, chiropractic is a self-regulating profession, and each
provincial chiropractic regulatory body has the authority to grant a license to
practice chiropractic. There are Chiropractic Acts in all 10 provinces and the Yukon
Territory which establish a self-regulatory process which includes extensive testing
for licensure. In all provinces, licensure requirements include university studies
followed by graduation from an accredited chiropractic institution, and passing
national and provincial board examinations.
Is chiropractic treatment
appropriate for children? »
Top
Yes, children may benefit from chiropractic care. Children are very physically active
and experience many types of falls and blows from activities of daily living as
well as from participating in sports. Injuries such as these may cause many symptoms
including back and neck pain, stiffness, soreness or discomfort. Chiropractic care
is always adapted to the individual patient. It is a highly skilled treatment, and
in the case of children, very gentle.
While there is some clinical evidence that musculoskeletal treatment of infants
may have positive effects, well-controlled studies are required to verify the benefits
that are seen in clinical practice.
Is every patient’s treatment the same?
» Top
The treatment a patient receives is related to the specific condition diagnosed
by the chiropractor, and will vary from person to person depending on each persons
unique situation.
Is chiropractic treatment ongoing?
» Top
The hands-on nature of chiropractic treatment is essentially what sends patients
back to the chiropractor a number of times. To be treated by a chiropractor a patient
needs to be in his or her office. A chiropractor may provide acute, preventative
and/or maintenance care thus making a certain number of visits necessary. The average
number of annual visits per patient is eight.
Can chiropractic treatment cure
colds, earaches and other ailments? » Top
Chiropractic care cannot "cure" these conditions, but there is some evidence to
indicate that adjustment may have a beneficial effect on a variety of conditions.
Adjustment may alleviate some of the secondary, or referred pain, arising from the
response of the musculoskeletal structures to the primary cause. For example, research
conducted in Denmark resulted in chiropractic treatment being recommended for the
relief of infantile colic. Similarly, a recent U.S. study concluded that the application
of manipulative techniques in children with recurring ear infections can prevent
or decrease surgical intervention or antibiotic overuse.
Can chiropractic
treatment provide a preventative function? »
Top
Clinical experience suggests that individuals with chronic conditions such as degenerative
joint disease (osteoarthritis) or recurrent neck pain, back pain or headaches may
experience less frequent and less severe symptoms when under regular chiropractic
care. This also applies to individuals in highly stressful situations and those
who experience repetitive physical and postural strain from their daily activities.
Whether ongoing chiropractic treatment can prevent back pain from occurring in the
first place, or prevent a previous condition from re-occurring, requires further
study.
What is the difference
between physicians and chiropractors? » Top
That's like asking the difference between a physician and a dentist: they are different
professions within the health care spectrum. Both chiropractors and physicians are
legally entitled to use the title "doctor". As the appellation MD means "Doctor
of Medicine", so DC means "Doctor of Chiropractic".
The role of chiropractic is complementary to other areas of primary health care.
Chiropractic is not, for example, a replacement for medical care, but may offer
an alternative to medication and surgery in appropriate circumstances.
Do chiropractors refer
patients to medical doctors when necessary? »
Top
Yes, like medical doctors, chiropractors refer patients to other health professionals
when they feel it is appropriate. Chiropractors are well trained to recognize risk
factors as well as individual disease patterns and will not hesitate to make a referral
when it is in the best interest of the patient’s health.
Does chiropractic
treatment require a referral from an MD? »
Top
No. A patient does not have to be referred. Chiropractors are legislated as primary
contact health care professionals in every province in Canada. This means that patients
can consult them directly.
Do chiropractors take a medical
history? » Top
Like MD’s, the chiropractor will take a detailed health history during the first
visit, prior to initial treatment. This will include details on lifestyle and risk
factors to give the chiropractor a full picture of the patient’s health in order
to determine the best treatment. As well, a detailed health history is important
to rule out any contraindications to treatment and to fully investigate risk factors
before a diagnosis and treatment recommendation can be reached.
Does chiropractic treatment
require x-rays? » Top
X-rays can play an important role in diagnosis and are taken when a need has been
determined after taking a patient case history and conducting a physical examination.
Chiropractors receive 360 hours of education in radiology covering a full range
of topics from protection to X-ray interpretation and diagnosis. Governments in
every province have recognized the training and competence of chiropractors to take
and interpret X-rays and have granted them this right.
Does neck adjustment
require stretching and rotating the neck beyond its normal range of motion? » Top
No, it does not, as anyone who has had their neck adjusted will attest. Neck adjustment
is done within the normal range of motion and is often performed to improve flexibility
and reduce pain. The normal range during treatment is less than what is required
to turn your head when backing up a car.
Is neck adjustment safe?
» Top
All health treatments have the potential for adverse effects and, on rare occasions,
neck adjustment has been associated with stroke and stroke-like symptoms. A Canadian
study, published in 2001, concluded that stroke symptoms associated with neck adjustments
are so rare that it is difficult to quantify. Similarly, a medical review published
in 2002 looked at 73 studies of chiropractic care and found no serious complications
reported in any of them. By way of comparison, neck adjustment is significantly
safer than other common treatments for headache, neck and back pain.
Is neck adjustment a forceful action?
» Top
No. This has been demonstrated in studies to determine the degree of physical strain
applied during adjustment. It is skill, not strength, that is needed to conduct
a safe, effective adjustment.
Are all neck adjustment
techniques equally safe? »
Top
Canadian chiropractors are taught a variety of adjustment techniques and there is
no evidence to suggest that any one technique is less safe than the others. Chiropractic
techniques that are applied appropriately are effective and safe.
Why would neck adjustment have
an effect on anything other than neck pain? »
Top
Pain or discomfort in one area of the body may be linked functionally to discomfort
arising from another area. Consequently, addressing dysfunction in one part of the
body may relieve symptoms in another part. If you look at a model of the spine,
you can see that the spine is an interconnected structure. Adjustment at various
points along the structure may be needed to help reduce biomechanical stresses on
other parts of the spine and to relieve discomfort.
Why is there a popping sound when a joint
is adjusted? » Top
Adjustment of a joint may result in release of a gas bubble between the joints that
makes a popping sound – it’s exactly the same as when you "crack" your knuckles.
It is not painful. It is caused by the change of pressure within the joint resulting
in gas bubbles being released.
Visit the Canadian Chiropractic Association's website for access to
current research on chiropractic. The Research Library contains the latest on: effectiveness
& cost-effectiveness, patient satisfaction, government reviews, lower back and cervical
research, safety, paediatric chiropractic, and evidence-based healthcare.
Scrutiny of the health care profession is much greater today than ever before. Government
ministries and independent researchers conduct scientific trials, track clinical
results and survey patients to assess effectiveness and safety of treatment as well
as cost efficiency.
Chiropractic has been one of the most rigorously assessed health care fields. In
addition to many scientific trials, there have been at least six formal government
inquiries into chiropractic worldwide over the past 25 years. The value of chiropractic
care continues to prove itself through these tests with high marks for effectiveness,
safety and cost efficiency and extremely high patient satisfaction ratings.
Doctors of Chiropractic serve over three million patients each year in Canada. More
and more people are referring their friends and family members to chiropractors.
And government regulators are becoming more aware of the importance of this health
field, especially in treatment of such conditions as lower back pain.
Chiropractic care is identified
among the highest scoring services in Alberta »
Top
According to the 2006 Health Quality Council of Alberta Survey, chiropractic received
a 90% overall satifaction rate with over 67% of respondents indicating extreme satisfaction.
Respondents also indicated an overwhelming 95% satisfaction rating with regards
to ease of access to chiropractic care.
On behalf of Alberta's chiropractors, the Alberta College and Association of Chiropractors
(ACAC) would like to thank Albertans for their exceedingly flattering review of
chiropractic. We will strive to continually provide superior chiropractic care to
Albertans.
To read the full report, please visit
http://www.hqca.ca/.
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