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230 California Street, Suite 600 • Downtown San Francisco • (415) 627-9077
• Satellite Offices in Union Square and San Ramon, CA
Dan W. Perez, DC - Clinic Director
 
 
 
 

Chiropractic

Chiropractic was developed in 1895 approximately the same time as osteopathy, a similar health care discipline involving manual treatment of the spine.  Today, chiropractic is recognized as a mainstream healthcare discipline and is covered by many health insurance plans, including Medicare and Workers Compensation.  In California, chiropractic is regulated by the State Board of Chiropractic Examiners. Chiropractors, whose professional degree is "D.C" -Doctor of Chiropractic- are required to complete four academic years of training at an accredited chiropractic school, pass a national board exam, and take 12 hours of continuing education each year to keep their licenses current.

Being a hands-on, skill dependent form of treatment, a person's chiropractic experience can differ from doctor to doctor.  Some techniques are firm in nature while others are low force.  Patients typically associate with a practitioner whose approach appeals to them the most.


The Concept

Simply put, chiropractic emphasizes care of the human frame. Chiropractors contend that the human frame, particularly the spinal column must be symmetrical, flexible, and properly aligned in order for the body to function at an optimum level. Keeping a properly aligned, flexible spine helps improve posture and mobility, which are important to health.
 
Breathing, strength, coordination, and energy expenditure are directly influenced by spinal alignment.  If you have a rotated spine, high hip, or high shoulder, for example, you will need to expend more energy doing everyday, simple tasks like walking and lifting.  As a result, you'll feel fatigued and will be prone to developing back pain.  It is therefore no surprise that elite athletes such as Emmit Smith and Tiger Woods, whose jobs require peak efficiency body mechanics, depend on chiropractic to help them get an edge over the competition.

A poorly aligned spine is more susceptible to degenerative changes and injury due to uneven body weight distribution, which can erode discs and joints over time.  In addition, abnormal spinal alignment and movement can degrade the function of tiny nerves called proprioceptors, which are responsible for back muscle coordination and reflexes.  Research shows this to be a cause of lower back pain and degenerative joint disease.


Diagnosis

A chiropractor will first take a history of the patient's chief complaint. He/she will then determine if other health factors are pertinent to the patient's condition, such as previous trauma, medical conditions like heart disease or diabetes, current medications, and lifestyle activities. Next, an orthopedic and neurological evaluation will be done. If these tests reveal evidence of spinal misalignment, a skeletal X-ray may be taken in order visualize the alignment and condition of the affected vertebrae, and to rule out bone pathology or congenital malformations. Next, the chiropractor will consult with the patient and make recommendations on treatment.


Treatment

Treatment usually consists of a series of spinal adjustments (a gentle hand or instrument-delivered force into the affected vertebra(e) done to restore alignment and flexibility to that area) and supportive treatment modalities such as traction, light therapy, myofascial release, ice/heat packs, and electrical muscle stimulation. Home care exercises and stretches are usually prescribed after the acute stage. The patient may be treated once, or over the course of several weeks depending on the severity of the condition. The patient is released when the pain has significantly diminished and when ranges of motion (flexibility) and strength are restored.

Most people can benefit from chiropractic treatment; however, there are conditions which may limit or even prevent one from being a candidate for chiropractic care. These include:

  • Patients with a history or risk factors for stroke
  • Patients with severe osteoporosis
  • Some cancer patients
  • Patients with surgical rods or surgically fused vertebrae

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