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Chiropractic Education
Purpose of Chiropractic
The purpose of chiropractic is to provide a first health care contact
for wellness and the optimization of health.
Chiropractic Defined
Chiropractic is a health care discipline which emphasizes the inherent
recuperative power of the body to heal itself without the use of
drugs or surgery.
The practice of chiropractic focuses on the relationship between
structure (primarily the spine) and function (as coordinated by
the nervous system) and how that relationship affects the preservation
and restoration of health. In addition, Doctors of Chiropractic
recognize the value and responsibility of working in cooperation
with other health care practitioners when in the best interest of
the patient.
What
is a Subluxation?
A subluxation is a complex
of functional and/or structural and/or pathological articular changes
that compromise neural integrity and may influence organ system
function and general health.
A subluxation is evaluated,
diagnosed, and managed through the use of chiropractic procedures
based on the best available rational and empirical evidence.
Chiropractic Education
- Four year doctorate degree with classroom and laboratory
work in basic sciences, diagnosis, treatment procedures,
and a clinical internship
- Educational requirements for medical doctors and chiropractors
in basic and clinical sciences are very similar
- Postgraduate continuing education required annually
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Chiropractors are Primary Care Providers Focused on
Healthy Lifestyle Promoting and Cost-Saving Preventative Care.
- Chiropractors promote preventative care by providing advice
on diet, exercise and lifestyle. Preventive care results in cost
savings as health is maintained, disease avoided, and costly procedures
forgone.
- Chiropractic was founded in 1895 and since that time has been
the choice for millions of patients with a variety of health concerns
who want safe and effective treatment without drugs or surgery.
- Doctors of chiropractic are required to refer patients to the
appropriate health care provider if a condition is detected that
is not subject to appropriate management by chiropractic methods
or techniques.
Scope of Practice
Doctors of chiropractic are trained to diagnose all conditions:
- History taking and physical exam techniques
- Appropriate use of laboratory and other tests such as
MRI and x-ray
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Doctors of chiropractic are educated, trained and licensed by the
state of California to treat all conditions, diseases, or injuries
in a manner consistent with chiropractic methods and techniques.
Doctors of chiropractic provide treatment without drugs or surgery:
- Prevention stressed, including wellness protocols such
as diet, exercise and lifestyle
- Natural approach including nutrition, vitamins, minerals,
herbs and other options
- Typical treatment uses manual adjustments to spine and/or
extremities
- Physiotherapy and other soft tissue techniques also utilized
- Exercise and rehabilitation are prescribed to enhance
function and condition prevention
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Overwhelming Evidence Shows Chiropractic Effective
for Pain Reduction and Restoration of Function
Numerous studies throughout the world have shown that chiropractic
treatment, including manipulative therapy and spinal adjustments,
is both safe and effective. Many other studies have shown that chiropractic
care can be a cost-effective remedy that brings healing in less
time than other treatments. The following are excerpts from just
a few of these studies:
For Acute Low-Back Problems:
“For patients with acute low-back symptoms without radiculopathy,
the scientific evidence suggests spinal manipulation is effective
in reducing pain and perhaps speeding recovery within the first
month of symptoms.” - Clinical Practice Guidelines,
AHCPR (1994)
For Long-Term Low-Back Problems:
“There is strong evidence that manipulation is more effective
than a placebo treatment for chronic low-back pain or than usual
care by the general practitioner, bed rest, analgesics and massage.”
- Spine, Van Tulder and Bouter et al. (1997)
“...improvement in all patients at three years was about 29%
more in those treated by chiropractors than in those treated by
the hospitals. The beneficial effect of chiropractic on pain was
particularly clear.” - British Medical Journal, Meade
et al. (1995)
“Manipulative therapy and physiotherapy are better than general
practitioner and placebo treatment. Furthermore, manipulative therapy
is slightly better than physiotherapy after 12 months.” -
British Medical Journal, Koes et al. (1992)
For Pain:
“...patients suffering from back and/or neck complaints experience
chiropractic care as an effective means of resolving or ameliorating
pain and functional impairments, thus reinforcing previous results
showing the benefits of chiropractic treatment for back and neck
pain.” - Journal of Manipulative and Physiological Therapeutics,
Verhoef et al. (1997)
“...for the management of low-back pain, chiropractic care
is the most effective treatment, and it should be fully integrated
into the government's health care system.” - The Manga
Report (1993)
For Headaches:
“Cervical spine manipulation was associated with significant
improvement in headache outcomes in trials involving patients with
neck pain and/or neck dysfunction and headache.” - Duke
Evidence Report, McCrory, Penzlen, Hasselblad, Gray (2001)
“The results of this study show that spinal manipulative therapy
is an effective treatment for tension headaches...Four weeks after
cessation of treatment...the patients who received spinal manipulative
therapy experienced a sustained therapeutic benefit in all major
outcomes in contrast to the patients that received amitriptyline
therapy, who reverted to baseline values.” - Journal of
Manipulative and Physiological Therapeutics, Boline et al. (1995)
For the Elderly:
“[Elderly] chiropractic users were less likely to have been
hospitalized, less likely to have used a nursing home, more likely
to report a better health status, more likely to exercise vigorously,
and more likely to be mobile in the community. In addition, they
were less likely to use prescription drugs.” - Topics in
Clinical Chiropractic, Coulter et al. (1996)
For Containing Costs and Getting Workers Back on the
Job:
“Findings from this analysis of the Florida DWC claims and
medical files indicated that considerable cost savings and more
efficient claims resolution may be possible with greater involvement
of chiropractic treatment in specific low back cases and other specific
musculoskeletal cases.” - MGT of America (2002)
“The overwhelming body of evidence” shows that chiropractic
management of low-back pain is more cost-effective than medical
management, and that “many medical therapies are of questionable
validity or are clearly inadequate.” - The Manga Report
(1993)
First contact chiropractic care for common low back conditions costs
substantially less than traditional medical treatment and “deserves
careful consideration” by managed care executives concerned
with controlling health care spending. Medical Care, Stano
and Smith (1996)
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