What is chiropractic care?
Chiropractic is a healthcare field that focuses on the connection between the spine, nervous system, and the structure and functioning of the body. Chiropractors assist their patients in reducing pain, allowing them to live active and pain-free lives. With various treatment regimens, chiropractors treat neck pain, back pain, arthritis, headaches, injuries, and more.
Chiropractors are specialists in treating the spine, muscle, and neurological system and can evaluate, diagnose, treat, and establish care plans to keep clients mobile and pain-free. They also play an essential role in an inter-professional team dedicated to solving the healthcare system's complicated difficulties.
Professionals can address patients' physical, psychological, and social requirements and provide better coordination of treatment by collaborating with other healthcare practitioners to tackle chronic and complicated illnesses. They can assist and minimize the burden of chronic conditions by enhancing care through referral networks or collaborative teams.
Chiropractors work in various settings, including private practices, clinics, and multidisciplinary healthcare facilities. Some own and operate their practices, while others work as employees or contractors in larger healthcare organizations. Many chiropractors also practice sports medicine, providing care to athletes and active individuals to help them recover from injury and improve their overall performance.
Education and training of chiropractors
Chiropractors have to complete rigorous education and medical training. To become a chiropractor, individuals must first obtain a bachelor's degree, although some chiropractic schools require a higher level of education. After getting a bachelor's degree, chiropractors complete a Doctor of Chiropractic (DC) program, typically taking four years. The curriculum of a chiropractic program combines theoretical instruction and hands-on clinical training, and covers topics such as anatomy, physiology, neurology, and spinal adjustment techniques.
Chiropractors must then pass a national board examination and a state-administered clinical competency exam to be licensed to practice in their state. Additionally, many chiropractors choose to complete continuing education courses/training programs to stay updated with the newest techniques and advancements in the field.
Tests performed by chiropractors
Chiropractic is a hands-on medical specialty. Thus, chiropractors utilize a variety of tests and examinations to achieve the correct diagnosis and provide appropriate treatment plans. Here are a few examples:
- Services for evaluation and management: Chiropractors thoroughly examine the joints, muscles, bones, and tendons of the spine, head, extremities, and other body parts. They usually perform diagnostic tests for misalignment, discomfort, asymmetry, abnormalities, and other issues.
- Procedures for neurologic and other routine physical examinations: Chiropractors obtain training to perform several neurologic tests, including nerve root compression, nerve root tension, motor strength, coordination, deep tendon, and pathological reflexes.
- Specific assessments: Chiropractors evaluate and examine a range of motion, stability, muscular strength, muscle tone, and other factors directly affecting the lower back.
- Other tests include: Chiropractors use diagnostic tests and tools such as radiography (X-rays), laboratory diagnostics, and neuro-diagnostics. X-rays locate and diagnose subluxations (subluxations are the altered position of the vertebrae).
Chiropractors can also use devices that measure the skin's temperature in the spinal region to identify spine locations with significant temperature differences. These types of tests will help practitioners determine if manipulation is required.
What are the major chiropractic technique systems?
Chiropractic care includes a variety of techniques, each offering a unique approach to spinal and joint adjustment. These methods differ in tools used, force applied, areas targeted, and underlying treatment philosophies. Here's a revised overview of the key systems:
- Diversified technique: The most common chiropractic method involves manual high-velocity, low-amplitude thrusts that often produce a joint “pop.” Chiropractors use it to target spinal misalignments, and chiropractic schools widely teach it.
- Extremity adjusting: This technique focuses on joints outside the spine, such as shoulders, wrists, hips, and knees, to treat conditions like carpal tunnel syndrome or posture-related issues.
- Activator method: A spring-loaded handheld device delivers quick, low-force adjustments, offering a gentler alternative to manual manipulation. It is ideal for those who prefer or require less physical force.
- Gonstead technique: This method uses manual adjustments, focusing on posterior-to-anterior movements, and relies on X-rays, palpation, and thermographic scans to determine precise areas for correction.
- Cox flexion-distraction: This technique combines manual and mechanical movements, using a specialized table to flex and stretch the spine. Chiropractors commonly use it to treat disc herniations and improve spinal mobility.
- Thompson technique: This approach uses a drop table with spring-loaded segments to support manual adjustments. The table gently drops under the patient during thrusts, reducing the force required for alignment.
- Sacro occipital technique (SOT): SOT uses wedge-shaped blocks under the pelvis and low-force adjustments to address spinal and cranial issues. Chiropractors use this technique as a primary or supplementary technique.
- Applied kinesiology: Combining chiropractic adjustments with muscle testing, nutritional advice, and light massage, this method bases treatment on muscle strength evaluations and body reflex points.
- NIMMO/receptor tonus technique: Focused on muscle trigger points, this technique applies pressure to relax muscles and restore normal joint function, addressing the muscular causes of joint dysfunction.
- Cranial technique: This involves gentle adjustments to the skull’s joints, often without producing any popping sound. Since cranial anatomy varies, practitioners adapt their technique accordingly.
- Adjustive instruments (other than Activator): Beyond the Activator, other instruments deliver precise, low-force corrections with a focus on accuracy and clinician comfort, often used when manual adjustments aren't suitable.
- Palmer upper cervical (Toggle Recoil): This specialized upper neck technique addresses the atlas and axis (C1 and C2). It often uses X-rays and thermographic scans to guide treatment and avoids cavitation.
- Logan basic technique: A gentle method using light pressure on the sacral ligaments, often combined with spinal adjustments to ease symptoms and improve muscular balance—suitable for all ages.
- Meric system: A clinical decision-making model rather than a specific technique, it targets spinal segments linked to nerves serving the affected body areas, often using diversified adjustments.
- Pierce-Stillwagon technique: This system incorporates drop-table pelvic adjustments and cervical instrument work, guided by motion X-rays or videofluoroscopy and thermal imaging for treatment precision.
Conditions treated by chiropractors
You can see a chiropractor near you for several medical conditions, which include the following:
- Lower back pain: Various factors, such as improper lifting, poor posture, muscle strain, arthritis, and spinal misalignment lead to lower back pain. In some cases, it may also result from underlying conditions like spinal stenosis or degenerative disc disease. Chiropractors combine manual adjustments, therapeutic exercises, and lifestyle modifications to treat low back pain. They aim to improve spinal alignment, reduce inflammation, and enhance muscle strength and flexibility. It reduces the risk of future injury and improves the overall quality of life.
- Temporomandibular jaw problems: These are a collection of jaw joint disorders. These conditions cause significant pain and dysfunction in the joint and the muscles that regulate jaw movement. Chiropractors thoroughly examine the jaw and neck to identify misalignments or restricted motion areas. They then use manual adjustments to gently realign the jaw and neck, reducing pressure on the temporomandibular joint and improving overall function. In addition, chiropractors may also provide patients with specific exercises to help improve their bite and increase jaw flexibility. By addressing the root cause of temporomandibular jaw problems, chiropractors can help relieve pain and improve overall health.
- Headaches and migraines: Chiropractic care can diagnose and treat headaches. According to current research, manual therapy and chiropractic care appear to help treat tension headaches. Chiropractic therapy can also reduce the severity and frequency of migraines. Some treatment procedures include manual, electrical stimulation, soft tissue therapy, and rehabilitation.
- Scoliosis: The spine usually has a slight curve, but in scoliosis, the curve becomes pronounced, taking on a C or S shape. This abnormal curvature can lead to back pain, poor posture, and difficulty breathing in severe cases. Various factors, including congenital conditions, developmental problems, and muscle imbalances, can cause scoliosis. It can also develop due to degenerative diseases such as osteoporosis or arthritis. Chiropractors can diagnose scoliosis and recommend treatment to alleviate or minimize pain. Adults with scoliosis believe that chiropractic treatments (which do not involve drugs and invasive surgeries) can help relieve strain on their nervous system and strengthen the core muscles.
- Neck pain: Chiropractors can treat neck pain by performing various procedures, including neck adjustments. A neck adjustment is a precise treatment usually performed by hand on the neck joints, also known as cervical manipulation. A neck adjustment improves the spine's mobility, restores the range of motion, and increases the movement of the muscles surrounding it. Patients usually experience an improvement in their ability to turn/tilt their heads and a decrease in discomfort, stiffness, and soreness.
What is a chiropractic adjustment?
Chiropractic adjustments (spinal adjustments and chiropractic manipulations) are a significant component of chiropractic care. This treatment aims to restore normal muscle balance and joint function. When you move or stretch, small cavities between your joints trap gases like carbon dioxide, oxygen, and nitrogen. Chiropractic adjustments release these gases, resulting in cracking or popping sounds you might hear during the procedure.
Before undergoing an adjustment, you lie face down on a chiropractic table, slightly elevating certain body parts. Your chiropractor applies quick, controlled pressure to those body parts using their hands or a small tool. Alternatively, they can stretch your joints beyond the normal range of motion, aligning the vertebrae in your spine and releasing gaps between your joints.
What happens after a chiropractic adjustment?
After a chiropractic adjustment, you might experience the following:
- Fatigue
- Mild headache
- Soreness, discomfort, or mild pain in the areas your chiropractor treated
Typically, these subside within 24 hours and rarely affect people who receive chiropractic care regularly. Further, after the procedure, your chiropractor might make specific recommendations for you to extend therapy beyond the session. These include:
- Stress management
- Icing or heat therapy
- Stretches and exercises
- Muscle relaxation techniques
- Electrical muscle stimulation
Risks associated with chiropractic care
While the side effects of chiropractic care are usually mild, in rare instances, they might include:
- Cauda equina syndrome - a condition in which the lower spinal nerves get compressed
- Herniated disks or worsening of existing disk herniation
- Cervical arterial strokes
To avoid medical complications, discuss with your healthcare provider beforehand if you are a suitable candidate for chiropractic treatment.
You might not be a good fit if you have:
- Bone tumors: Abnormal growths of cells within bones. Bone tumors These tumors can be malignant (cancerous) or benign (non-cancerous). They may cause pain, swelling, and fractures. Diagnosis often involves imaging and biopsy, with treatment varying from monitoring to surgery and chemotherapy.
- Paget's disease: A Chronic bone disorder causing abnormal bone remodeling, leading to enlarged and misshapen bones. Symptoms include bone pain, fractures, and deformities. It commonly affects the pelvis, spine, skull, and legs, with treatment focusing on managing symptoms.
- Severe osteoporosis: An advanced stage of osteoporosis characterized by extremely weak and brittle bones, leading to a high risk of fractures from minor stresses. Symptoms include severe bone pain, loss of height over time, and stooped posture.
- A higher risk of stroke: Involves an increased likelihood of blood flow interruption to the brain due to factors like hypertension, smoking, diabetes, obesity, and heart disease. Symptoms can include sudden numbness, confusion, vision loss, and difficulty speaking.
- Osteomyelitis (spinal bone infection): Typically caused by bacteria or a virus, leading to inflammation and bone destruction. Symptoms entail severe back pain, fever, weakness, tingling, and weight loss. Diagnosis involves imaging and biopsy, with treatment focusing on antibiotics and sometimes surgical intervention.
- Bone abnormalities in the upper neck: Bone abnormalities in the upper neck, such as congenital disabilities or degenerative changes, can cause pain, limited mobility, and nerve compression. Symptoms can include neck stiffness, headaches, and neurological issues. Diagnosis generally requires imaging, and treatment options include therapy or surgery.
- Multiple myeloma: This is a cancer affecting plasma cells in the bone marrow. It causes abnormal cell proliferation, resulting in bone pain, anemia, kidney dysfunction, and frequent infections. Diagnosis involves blood tests, imaging, and biopsy, and treatment includes radiation, chemotherapy, and bone marrow transplant.
- Tingling, numbness, or loss of strength in a limb: This can indicate serious underlying conditions requiring precise diagnosis and treatment. Chiropractic adjustments might aggravate these conditions if not properly evaluated and managed, potentially leading to further injury or complications.
- Inflammatory conditions like rheumatoid, reactive, ankylosing, or psoriatic arthritis
Find the best chiropractor near you in Denver, Colorado
Many people are seeking chiropractic care now more than ever before. As per statistics, back pain is one of the most common reasons for missing work. Every year, half of all working Americans report experiencing back discomfort symptoms. Therefore, finding the finest chiropractor to visit to achieve a pain-free lifestyle and other health goals becomes critical.
Patients do not have to look for the correct chiropractor when using Zocdoc. Users can visit and use Zocdoc's services without creating an account, logging in, or even signing up. It is a free service that enlists top-rated doctors nearby, which helps patients connect with them. Users can select doctors based on their condition, location, appointment date and time, and insurance plan. Zocdoc will then list the best service providers matching your preferences.
Additionally, uploading a photo of your medical insurance card on Zocdoc can simplify selecting the right insurance plan, but it's optional. If you prefer not to upload an image, you can still add your insurance details by manually choosing your plan from the provided list. For more information, visit Zocdoc's patient help center.
You can also review the education, board certifications, licensure, spoken languages, and patient reviews for each chiropractor near you. After scanning the profiles, you can book an online or an in-person appointment.
Booking appointments on Zocdoc is easy, secure, and 100% free!
Chiropractic care statistics in Denver, Colorado
Around 85% of adults might experience back pain that is serious enough to need medical attention at some stage. Lower back pain can cost up to $200 billion annually in the United States (including costs of care/lost time), and it is a prominent cause of disability worldwide.
The Journal of the American Medical Association Network Open 2018 study weighed the benefits and drawbacks of chiropractic treatment for low back pain. The study showed that after six weeks, those who received chiropractic care reported decreased pain intensity, minor impairment, improved function, better satisfaction with their treatment, and the need for less pain medication.
Per the National Institute of Dental and Craniofacial Research, TMJ and TMD issues affect up to ten million people. Experts studied 13 adults and one child to see if chiropractic therapies could help TMD problems. After the trial, these patients showed a decrease in temporomandibular dysfunction symptoms.
Sources
Cleveland University
SPINE-health
American Chiropractic Association[1]
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National Institutes of Health
Harvard Health Publishing
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Canadian Chiropractic Association[2]
Veritas Health
Cleveland Clinic
Verywell Health
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Mayo Clinic[1]
Mayo Clinic[2]
Mayo Clinic[3]
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Cleveland Clinic[2
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