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What is Chiropractic?

Posted: May 1, 2006

Chiropractic is a form of health care that focuses on the relationship between the body's structure, primarily of the spine, and function. Doctors of chiropractic, who are also called chiropractors or chiropractic physicians, use a type of hands-on therapy called manipulation (or adjustment) as their core clinical procedure.

Key points

  • Chiropractic is most often used to treat musculoskeletal conditions – problems with the muscles, joints, bones, and connective tissue such as cartilage, ligaments, and tendons.
  • Research studies of chiropractic treatment for low back pain have been of uneven quality and insufficient to allow firm conclusions. Nonetheless, the overall sense of the data is that for low back pain, chiropractic treatment and conventional medical treatments are about equally helpful. It is harder to draw conclusions about the relative value of chiropractic for other clinical conditions.
  • The risk of experiencing complications from chiropractic adjustment of the low back appears to be very low. However, the risk appears to be higher for adjustment of the neck.
  • It is important to inform all of your health care providers about any treatment that you are using or considering, including chiropractic. This will help each provider make sure that all aspects of your health care are working together.

The basic concepts of chiropractic can be described as follows:
  • 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.
  • Chiropractic therapy is given with the goals of normalizing this relationship between structure and function and assisting the body as it heals.

What kind of training do chiropractors receive?
Chiropractic training is a four-year academic program consisting of both classroom and clinical instruction. At least three years of preparatory college work are required for admission to chiropractic schools. Students who graduate receive the degree of Doctor of Chiropractic (D.C.) and are eligible to take state licensure board examinations in order to practice. Some schools also offer postgraduate courses, including residency programs in specialized fields.

What do chiropractors do in treating patients?
If you become a chiropractic patient, during your initial visit the chiropractor will take your health history. He will perform a physical examination, with special emphasis on the spine, and possibly other examinations or tests such as X-rays. If he determines that you are an appropriate candidate for chiropractic therapy, he will develop a treatment plan.

When the chiropractor treats you, he may perform one or more adjustments. An adjustment (also called a manipulation treatment) is a manual therapy, or therapy delivered by the hands. Given mainly to the spine, chiropractic adjustments involve applying a controlled, sudden force to a joint. They are done to increase the range and quality of motion in the area being treated. Other health care professionals – including physical therapists, sports medicine doctors, orthopedists, physical medicine specialists, doctors of osteopathic medicine, doctors of naturopathic medicine, and massage therapists – perform various types of manipulation.

Most chiropractors use other treatments in addition to adjustment, such as mobilization, massage, and non-manual treatments.

Examples of non-manual chiropractic treatments:
  • Heat and ice
  • Ultrasound
  • Electrical stimulation
  • Rehabilitative exercise
  • Magnetic therapy
  • Counseling about diet, weight loss, and other lifestyle factors
  • Dietary supplements
  • Homeopathy
  • Acupuncture

Source: National Center for Complementary and Alternative Medicine


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