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How does Chiropractic work?
Twenty-four vertebrae stack on top of each other to form your spine.
Cushions between the vertebrae, called discs, act as shock absorbers.
The spinal cord sends off branches called spinal nerves through small
holes where each vertebra and disc meet. This
is how the brain communicates with the body – organs, muscles, and
virtually all cells and tissues of the body receive and send messages
by way of this spinal nerve network. Because nerve tissue is extremely
sensitive, the spine is required to be firm and protective, yet it must
also be highly flexible. Our flexibility comes from small joints
(facets) where the stacked vertebrae link together. When
vertebral joints don’t align precisely, they become jammed (what we
call “fixated”). Fixation impairs normal gliding movement in the joint.
When this happens, the sensitive lining of the facet joints can
be affected, with a stretching, scraping, swelling or irritation of the
nerves and surrounding tissues. Small interspinal muscles may become
tender, spasmed or fatigued, leading to imbalances. Misalignment or
fixation also puts strain on the discs, contributing to degeneration,
tearing or deformation. Chiropractors restore normal movement to
the vertebrae, by aligning the joints. Individual patients have
different treatment needs, so a variety of techniques may be employed. Some
chiropractors (including Dr. Hearn) also use physiotherapy and deep
soft tissue therapy techniques to aid healing of the muscles and
fascial tissues in and around the joints. Specific traction therapies,
such as intermittent traction or Continuous Passive Motion (CPM), can
be used to induce gentle movement that decompresses the vertebral
column. Because other body parts, like shoulders, wrists,
knees, and ankles, share similar joint configuration, chiropractors are
also trained to treat problems in these places.
What makes the popping noise of an adjustment?
People sometimes hear the term “back cracking”, but there is NO
cracking of bone in Chiropractic! Instead, natural lubricating fluid
present in the joints holds tiny bubbles of nitrogen gas. When joints
compress briefly in a quick motion, these bubbles unite and release,
making a brisk “pop” noise…much like opening a bottle of champagne.
Interesting as the sound can be, it doesn't indicate anything in
particular about the value or quality of the joint movement.
How much treatment will I need?
Some conditions will respond immediately, while others require months
of treatment. Most cases fall somewhere in between. Problems that don’t
occur overnight rarely go away overnight! Our
job is to restore balance, normal motion and alignment to your body.
This allows for optimum health and function, with the goal of then
being maintained by your own efforts as much as possible. The
key is to be sure the body receives enough treatment to stabilize and
“re-educate” the structures that need correction, without allowing the
treatment to extend into an unhealthy dependence. Absolutely crucial to
this process is the patient’s participation in two ways: following home
instructions, and keeping all scheduled appointments. When several
treatments are needed, each session builds on the last; progress is
lost if the sequence is interrupted. In a respected medical
journal, The Journal of Family Practice, a 1992 article educating
M.D.'s on how to identify a competent chiropractor listed the following
guidelines for how much chiropractic treatment would be considered
medically necessary. Low back pain is the most common musculoskeletal
complaint seen by medical doctors, so the article focused on it. Their
recommendations were: For patients with Low Back Pain that began
less than 3 weeks ago: usually 3-5 chiropractic treatments to relieve;
then, after a maximum of 10 treatments, chiropractor must re-examine
patient (and additional treatment, or referral to other type of doctor,
determined by exam results). For Low Back Pain that began over 3
months ago: 3 chiropractic treatments per week for up to 8 weeks, then
chiropractor must re-examine patient (and additional treatment, or
referral to other type of doctor, determined by exam results). For Low Back Pain lasting 3-12 weeks: # of treatments somewhere in between the above figures. Of
course, many factors revealed by physical examination will influence
how much treatment a patient requires. Speed of recovery will also be
dependent upon the patient's initiative to keep to their appointment
schedule, get adequate sleep, follow the chiropractor's home-care
instructions (including appropriate exercises), and even the quality of
the patient's nutrition.
Why does my spine get "out of whack"?
(ahem) I think the question being asked is - Why do spinal misalignments occur?Our
modern day habits and lifestyle - lots of sitting, typing, phone use,
driving, and stress – throw muscles out of balance. Muscles connecting
to and supporting the vertebrae may respond by contraction (spasm).
This pulling stress can cause vertebral fixation. This cycle can be
corrected with rest, relaxation, movement (stretching &
strengthening) – and chiropractic care. Most structural problems
don’t develop overnight. A patient may believe that he “just slept
wrong” or “just bent over to tie my shoe”, and managed to cause enough
injury for a trip to the Chiropractor. But does that really
make sense? The “straw that broke the camel’s back” didn’t do it alone!
One little straw couldn’t do very much damage…unless there were a lot
of other straws weighing on the camel’s back already. Likewise, when
someone wakes up with a painful wry neck, it probably wasn’t from one
night of “sleeping wrong”. Usually, sleeping wrong was just the “last
straw”. Our bodies need proper care in the form of daily
stretching, exercise, good nutrition, relaxation, posture, water,
proper breathing, and emotional balance. If we neglect these things,
the body slips into disrepair. Good treatment teaches care of the body,
allowing the patient to have an active role in how healthy their body
can be.
Will I have to keep coming back forever?
You mean, the way you have to keep going back to your dentist forever?
Most patients benefit greatly from a monthly or quarterly maintenance
plan, once we achieve relief from the problems that brought them here. Whether
you come in again after your painful problem is under control is always
your choice; how often you come depends on your lifestyle, injuries,
and how well you take responsibility for care of your own body at home.
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