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Frequently Asked Questions

What is chiropractic?
Chiropractic is a branch of the healing arts that is concerned with human frame in health and the prevention of disease. Doctors of Chiropractic are physicians who consider man as an integrated being and give special attention to the biomechanical, physiological, psychological, and biochemical aspects of the patient’s health and condition. This includes structural, spinal, musculoskeletal, neurological, vascular, nutritional, emotional and environmental relationships. Chiropractic is a natural and conservative source of healthcare. It is a drug-free, non-surgical science and, as such, does not include pharmaceuticals or surgery. The main focus of Chiropractic practice is the relationship between the function of the joints, muscles and nervous system and the effects of neuromusculoskeletal disorders on the health and functional capacity of the patient. Chiropractic is the third largest primary health care profession in the world after medicine and dentistry. There are approximately 60,000 Chiropractors in the United States. Doctors of Chiropractic are licensed to practice in all 50 states and in many nations around the world.
 
Conditions Treated by Chiropractors?
Studies in North America, Europe and Australia report that approximately 80% of Chiropractic treatment is for pain resulting from problems in the discs, joints, ligaments, and muscles and their related nerves, with low back pain as the predominant presenting complaint. Another 10% is for headache.
 
Training and Education of the Doctor of Chiropractic?
To be accepted at a Chiropractic college, a student must have completed a minimum of two years of 60 acceptable hours leading to a baccalaureate degree in the arts and sciences. The course work must include a minimum of: 1 academic year of Physics with related laboratory, General Chemistry with related laboratory, Organic Chemistry with related laboratory, Biological sciences with related laboratory, and English or Communicative Skills; and ½ academic year of Psychology and Social Sciences or Humanities. The course of study leading to a Doctor of Chiropractic degree is designed to give a student a thorough understanding of the structure and function of the human organism in health and disease. A well-balanced presentation gives the student an understanding of the essential features of the life processes: digestion, excretion, physical and mental growth, nutrition, metabolism, energy, nervous control, the significance of developmental defects, behavior, and other elements fundamental to the understanding of pathological conditions. An understanding of structure and function makes it possible for students to identify deviations from the normal and provides the essential facts required later for the diagnosis, prognosis, and treatment of disease. The Chiropractic educational course work includes all of the following: · Human anatomy – myology, osteology, arthrology, histology,angiology, genesiology, splanchnology · Neurology – central nervous system and peripheral nervous system · Embryology · Special Senses · Human dissection and topographical anatomy · Biochemistry · Physiology – cellular, general, endocrine, cardiovascular, neurological, digestion and nutrition, renal and pulmonary · Pathology – microbiology, general pathology, hematology, public health and sanitation, neuromusculoskeletal pathology, cardiovascular pathology, gastrointestinal and urogenital pathology · Laboratory Procedures · Roentgenology – X-Ray physics, positioning and diagnosis · Diagnosis – X-Ray, physical, regional, neurological and neuromusculoskeletal · Clinical Human Behavior · Obstetrics and Gynecology · Pediatrics and febrile disorders · Geriatrics and Cardiovascular Disorders · Toxicology · Dermatology · Otolaryngology · Psychology · Dietetics · Orthopedics · Physical Therapy · First Aid and Emergency procedures · Spinal Analysis · Principals and practice of Chiropractic – manipulation, mobilization, manual therapy, adjustive techniques and clinic A minimum of four academic years of study at a Chiropractic college, including practice in a teaching clinic, is required for the Doctor of Chiropractic degree. Government inquiries and independent investigations by medical practitioners have affirmed that today’s chiropractic undergraduate training is of equivalent standard to medical training in all pre-clinical subjects.
 
Scope of Practice of the Doctor of Chiropractic?
The practice and procedures, which may be employed by Doctors of Chiropractic for the treatment of their patients, are based on the academic and clinical training received in and through accredited chiropractic colleges and includes the use of current diagnostic and therapeutic procedures. Such procedures specifically include the adjustment and manipulation of the joints and adjacent tissues of the human body, particularly of the spinal column, adjunctive physiotherapy procedures, ergonomic advice, exercise programs, and nutritional counseling.
 
Side Effects of Spinal Manipulative Therapy?
A study published in the journal Spine, Volume 22, Number 4, February 15, 1997, compiled information regarding unpleasant reactions after spinal manipulation from 1058 new patients after 4712 treatments by 102 Norwegian Chiropractors. The results indicated that, “at least one reaction was reported by 55% of the patients some time during the course of a maximum of six treatments. Of the reported reactions, the most common were local discomfort (53%), headache (12%), tiredness (11%), or radiating discomfort (10%). Reactions were mild or moderate in 85% of patients. Sixty-four percent of reactions appeared within 4 hours of treatment, and 74% had disappeared within 24 hours. Uncommon reactions were dizziness, nausea, hot skin, or ‘other’ complaints, each accounting for 5% or less of reactions. It was unusual that symptoms commenced later than on the day of or the day after treatment, were of long duration (not gone at the latest on the day after onset), described as severe, or that they resulted in reduced activities of daily living. There were no reports of serious complications in this study. The Chiropractic profession has a well-established record of safety and efficacy, and Chiropractor’s malpractice insurance rates remain among the lowest in the health care professions.
 
What can I expect on my first visit?
The first thing your Doctor of Chiropractic (D.C.) will do is ask about your current problem, your history, other care you may have had (chiropractic, osteopathic, medical, etc.), your job, and other questions designed to help determine the nature of your illness and the best way to go about treating the problem. An examination will be performed in accordance with your Doctor’s clinical judgment, which may include referral for x-rays, laboratory analysis and other diagnostic procedures. In addition, a spinal examination will be performed to detect any structural abnormalities which may be affecting or causing your condition. All of these elements are important components of your total health profile, and vital to the Doctor of Chiropractic in evaluating your problem. The practice and procedures, which may be employed by Doctors of Chiropractic for their patients, are based on the academic and clinical training received in and through accredited chiropractic colleges and includes the use of current diagnostic and therapeutic procedures. Doctors of Chiropractic use many sophisticated and varied techniques, and the specific treatment procedure to be used will be determined and explained completely to you following a careful evaluation of your examination findings. You will be encouraged to ask questions regarding your condition and the recommended treatment procedures. Such procedures specifically include the adjustment and manipulation of the joints and adjacent tissues of the human body, particularly of the spinal column. The adjustments or “manipulations” are usually given using the hands, and consist of applying pressure to the areas of the spine that are involved in the patient’s problem. An “adjustment,” as Doctors of Chiropractic use the term, means the specific manipulation of vertebrae, which have abnormal movement patterns or fail to function normally. Doctors of Chiropractic spend years learning motion palpation (the art of examining by movement or touch) and other forms of spinal examining procedures, so that they can administer specific and appropriate spinal adjustments. Under normal circumstances, the adjustments don’t hurt. The patient may experience a minor amount of discomfort during the adjustment, which lasts only seconds. Adjustments or manipulations are extremely safe. The risk factor for problems from the manipulation is estimated to be in excess of 1 million to 1. The Doctor of Chiropractic may also use appropriate adjunctive physiotherapy procedures, such as ultrasound, electrical stimulation of different types, traction, diathermy, and hot and cold compresses. It may be deemed appropriate to use supportive collars and braces, strapping and/or taping, heel and/or sole lifts, and foot orthotics. The patient will be given appropriate life style modifications, work recommendations, and ergonomic advice specific to their situation. The patient will be given exercise programs to assist in their recovery and for prevention of future problems. If appropriate, nutritional counseling will be provided. For more information about chiropractic, please contact the American Chiropractic Association at www.amerchiro.org.
 
What is a Chiropractic Orthopedist and what does D.A.B.C.O. and F.A.C.O. stand for?
The Chiropractic Orthopedist has extensive advanced clinical training in the specialty spanning several years beyond the four year course leading to the degree of Doctor of Chiropractic. The Orthopedist must pass comprehensive examinations and is then certified by our national certification board as a Diplomate of the American Board of Chiropractic Orthopedists. They are used by general practitioners for consultation, by the legal and insurance professions for evaluation and treatment, and by the courts for giving expert testimony. The letters D.A.B.C.O. stands for Diplomate of the American Borad of Chiropractic Orthopedists. These are the doctors that completed all of the course work and then took oral and written examinations to be tested on their knowledge of the specialized material. If the examinations are passed, the doctor becomes Board Certified. Dr. Madison is one of approximately 700 Chiropractic Orthopedists in the world that are Board Certified. The Board Certified Chiropractic Orthopedists may be elected by their colleagues as a Fellow of the Academy of Chiropractic Orthopedists. This is signified by the F.A.C.O. credential.
 
Chiropractic Treatment Methods?
The practice and procedures, which may be employed by Doctors of Chiropractic for the treatment of their patients, are based on the academic and clinical training received in and through accredited chiropractic colleges and includes the use of current diagnostic and therapeutic procedures. Such procedures specifically include the manipulation of the joints and adjacent soft tissues of the human body, particularly of the spinal column, adjunctive physiotherapy procedures, ergonomic advice, exercise programs, and nutritional counseling. Once the Doctor of Chiropractic has identified the problem, he will begin care by way of these manipulations. The adjustment is usually given using the hands, and consists of applying pressure to the areas of the spine that do not move properly within their normal range of motion. An “adjustment,” as Doctors of Chiropractic use the term, means the specific manipulation of vertebrae, which have abnormal movement patterns or fail to function normally. Doctors of Chiropractic spend years learning motion palpation (the art of examining by movement or touch) and other forms of spinal examining procedures, so that they can administer specific and appropriate spinal adjustments. Physiotherapeutic methods and procedures are frequently used as adjunctive therapy to enhance the effects of the Chiropractic adjustments. Such procedures may include the use of diathermy, electrical muscle stimulation of different types, microcurrent, transcutaneous nerve stimulation, infrared and ultraviolet light, ultrasound, traction, paraffin baths, hot or cold compresses, acutherapy, hydrotherapy, heel and/or sole lifts, foot stabilizers and other commonly utilized modalities when indicated. Taping, strapping, and other forms of first aid are often used in injuries of the extremities. Injuries of the neck, lower back, elbow, knee and ankle may call for the use of supportive collars and braces during recuperation. These guard against re-injury and assist healing and strengthening. Rehabilitative exercises are important in assisting recovery and preventing further strain.
 
Effectiveness of Chiropractic Care?
Chiropractic care is widely used for back pain and its related disorders. A 1991 study revealed that over 29% of Americans, age 18 or older, about 55 million people, have used chiropractic care. The patient’s sought Chiropractic care for problems such as back and neck pain, accidents with injuries, muscle spasms, sciatica, pinched nerves, headaches, and related problems. Of these patients, 90% considered their treatment to be effective and 80% were satisfied with the services. There are multiple scientific studies that demonstrate that chiropractic care is safer, more effective, and quicker to produce improvement than the standard medical treatment.

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Dr. David G. Madison  |  Chiropractic Orthopedist

3768 Jurupa Ave
Riverside, CA 92506 USA
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Phone: 951-784-7800  |  Fax: 951-784-5307