What is Chiropractic?

Chiropractic is a licensed health care profession that emphasises the body’s ability to heal itself. Treatment typically involves manual therapy, often including spinal manipulation.

What to expect at your first visit

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.
1. Consultation. The patient meets with the chiropractor and provides a brief synopsis of his or her lower back pain, such as:
  - Duration and frequency of symptoms
  - Description of the symptoms (e.g. burning, throbbing)
  - Areas of pain
  - What makes the pain feel better (e.g. sitting, stretching)
  - What makes the pain feel worse (e.g. standing, lifting).
2. Case history. The chiropractor identifies the area(s) of complaint and the nature of the back pain by asking questions and learning more about different areas of the patient's history, including:
  - Family history
  - Dietary habits
  - Past history of other treatments (chiropractic, osteopathic, medical and other)
  - Occupational history
  - Psychosocial history
  - Other areas to probe, often based on responses to above questions
  - Physical examination. A chiropractor may utilize a variety of methods to determine the spinal segments that require chiropractic treatments, including but not limited to static and motion palpation techniques determining spinal segments that are hypo mobile (restricted in their movement) or fixated. Depending on the results of the above examination, a chiropractor may use additional diagnostic tests, such as:
    1. X-ray to locate subluxations (the altered position of the vertebra)
    2. A device that detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance that requires manipulation.
      Chiropractors are trained in a variety of methods to assess the underlying cause of the problem, including:
      1. Evaluation and management services. Chiropractors are trained in examining the joints, bones, muscles and tendons of the spine, head, extremities and other areas of the body with the purpose of noting any misalignment, tenderness, asymmetry, defects or other problems.
        Neurologic and other common physical examination procedures. Chiropractors are trained to perform a variety of neurologic tests (nerve root compression/tension, motor strength, coordination, deep tendon and pathological reflexes, etc.) and are skilled in performing orthopedic, cardiovascular and many other common examinations.
        Specialised assessment. Chiropractors are trained to assess range of motion, stability, muscle strength, muscle tone and other assessments with the lower back.
        Common diagnostic studies. Chiropractors are trained in use of diagnostic studies and tools such as radiography (X-rays), laboratory diagnostics and neurodiagnostics.

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