2. CHIROPRACTIC
• Chiropractic is a complementary and alternative medicine health care profession and an
approach to healing concerned with the diagnosis, treatment and prevention of disorders
of the neuromusculoskeletal system and the effects of these disorders on general health.
• Chiropractors emphasize manual therapy including joint adjustment and manipulation with
particular focus on joint dysfunction/subluxations
• Most times when people go see a chiropractor is to help fix there lower back pain
• Chiropractic was founded in 1895 by magnetic healer, D.D. Palmer, in Davenport, Iowa.
Chiropractic theory on spinal joint dysfunction and its putative role in non-musculoskeletal
disease has been a source of controversy since its inception in 1895.
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3. 3
• Chiropractic is an alternative medical system. Chiropractors perform adjustments
(manipulations) to the spine or other parts of the body. The goal is to correct alignment
problems, ease pain, and support the body's natural ability to heal itself. They may also
use other treatments including
• Heat and ice
• Electrical stimulation
• Relaxation techniques
• Dietary supplements
5. TREATMENT TECHNIQUES
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• Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic
adjustment", is the most common treatment used in chiropractic care. Spinal manipulation
is a passive manual maneuver during which a three-joint complex is taken past the normal
range of movement, but not so far as to dislocate or damage the joint.
8. FUN FACTS
• The U.S. congress has authorized that certain chiropractic service be covered by
Medicare and Medicaid.
• Low back pain is the 5th most common reason for all physicians visits in the united states.
• One half of all working Americans admit to having back pain symptoms each year.
• Americans spend at least $50 billion per year on back pain – and that’s just for the more
easily identified costs
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10. • The expected salary for a typical chiropractor in the united states is $132,838.
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11. SAFETY
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• Sustained chiropractic care is promoted as a preventative tool, but unnecessary
manipulation could present a risk to patients.
• Rarely, spinal manipulation, particularly on the upper spine, can also result in
complications that can lead to permanent disability or death; these can occur in
adults and children.
• Several case reports show temporal associations between interventions and potentially
serious complications.
12. RISK-BENEFIT
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• A 2012 systematic review concluded that no accurate assessment of risk-benefit exists for
cervical manipulation. A 2010 systematic review stated that there is no good evidence to
assume that neck manipulation is an effective treatment for any medical condition and
suggested a precautionary principle in healthcare for chiropractic intervention even if a
causality with vertebral artery dissection after neck manipulation were merely a remote
possibility.
• A 2008 summary found that the best evidence suggests that chiropractic care is a useful
therapy for subjects with neck or low-back pain for which the risks of serious adverse
events should be considered negligible.
13. EFFECTIVENESS
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• Opinions differ as to the effectiveness of chiropractic treatments.
• Many controlled clinical studies of spinal manipulation have been conducted, but their
results often disagree and they are typically of low methodological quality.
• There is a wide range of ways to measure treatment outcomes. Chiropractic care, like all
medical treatment, benefits from the placebo response.
