and other therapy and treatments
CHIROPRACTIC is the Science, Art and Philosophy that concerns itself with the restoration of good health by restoring and maintaining a properly functioning nervous system, without the use of drugs or surgery. Chiropractic is based on the scientific fact that your body is a self-regulating, self-healing organism.
These important functions are controlled by the brain, spinal cord, and all the nerves of the body. The skull protects the delicate tissues of the brain. The moving bones of the spine protect the vulnerable communication pathways of the spinal cord and nerve roots. If the nervous system is impaired, it can cause malfunction of the tissues and organs throughout the body. Doctors of Chiropractic call this the Vertebral Subluxation Complex. The Chiropractic adjustment has been proven to increase motion, increase circulation, reduce swelling and pain, and remove nervous irritation. Once this nervous irritation is removed, your body is able to do what it is designed to do – heal itself.
Chiropractors help in restoring nervous system function. Many chiropractors also focus on the biomechanics of the body such as joint motion. Helping to restore proper spinal biomechanics and improved nervous system function begins with a case history. Your case history is vital, as it reveals the background about your health such as surgeries, accidents, the onset of your condition, and other details, which brought you into the office. After reviewing your history and discussing your specific problem, a thorough orthopedic, neurological, and chiropractic examination is performed. X-rays may be taken which will help uncover structural and functional problems. Then, once the examination is complete, your chiropractor will explain the findings and outline a treatment plan. Progress is then monitored with periodic examination and follow-up reports.
Many studies have concluded that manual therapies commonly used by chiropractors are generally effective for the treatment of lower back pain1-2, as well as for treatment of lumbar herniated disc for radiculopathy3-4 and neck pain, among other conditions.5
In fact, when patients with non-specific chronic low back pain are treated by chiropractors, the long-term outcome is enhanced by obtaining maintenance spinal manipulation after the initial intensive manipulative therapy.6
A chiropractic adjustment typically involves:
It should be known that joint cavitation or cracking does not occur at times, typically as a result of significant muscle splinting or the patient not being adequately relaxed during the chiropractic manipulation. At times like this, it is sometimes best for the chiropractorto apply ice, have the patient rest, or do electrical stimulation and massage prior to attempting the chiropractic adjustment.
In the assessment of lower back pain, differential diagnosis utilizing a "triage" concept of classifying low back injuries into one of three categories helps to guide the doctor of chiropractic. These categories of chiropractic diagnosis include:
With chiropractic diagnosis of potentially serious injuries, the chiropractor will typically refer the patient to a relevant medical specialist and possibly a surgeon, and as appropriate the chiropractor may co-manage the patient's care with other back pain specialists.7 With this classification, chiropractic manipulation is typically avoided over the relevant anatomy.
Some physiological therapeutic measures that are often utilized in chiropractic care include:
An initial chiropractic exam for back pain will typically have three parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may be performed.
Many chiropractors utilize a holistic, biomechanical concept of treating the bipedal structure in its entirety, in an attempt to balance the structure from the feet upward.
The medical diagnosis, also called a clinical diagnosis, serves to identify the underlying cause of the patient’s back pain.
Medical professionals determine the cause of the patient’s pain through a combination of the following two to three steps:
A Review of the Patient's Medical history
The physician will spend time asking the patient a series of questions, such as a description of when the low back pain, sciatica, or other symptoms occur, a description of how the pain feels, what activities, positions, or treatments make the pain feel better and more.
A Physical Examination
The physicians will conduct a thorough physical exam of the patient, such as testing nerve function and muscle strength in certain parts of the leg or arm, testing for pain in certain positions, and more. Usually, this series of physical tests will give the spine professional a good idea of the type of back problem the patient has.
Diagnostic Testing (Maybe)
After the physician has a good idea of the source of the patient’s pain, a diagnostic test, such as a CT scan or an MRI scan, may be recommended in order to confirm the presence of the suspected cause of the patient's pain. For example, if a disc problem is suspected, an imaging test can provided a detailed image showing the location and size of the herniated disc and affected nerve roots.