How many treatments will I need?
The truth is, this varies with each patient, their state of health and their goals as to health and wellness. Chiropractic is never a miracle, one treatment, wonder treatment. Although one can often have a feel good effect early on, to make real changes, Chiropractic always involves a course of treatments just as you would expect when seeing a physiotherapist, personal trainer or simply going to the gym. Sustainable effects on the nervous system, joints and muscles take a while. You will always be given an idea of the frequency of treatment at the initial appointment, and this is continually reassessed when appropriate.
Will I need an x-ray?
X-rays will only be taken when it is clinically indicated and where further investigation of your condition is warranted. This will be discussed with you if appropriate.
Does it hurt?
Chiropractic adjustments themselves do not hurt. Obviously there may be discomfort with treating any area that is dysfunctional, or acute. There are many techniques that vary in their application and force (SOT for instance, is characterised by being very gentle).
How qualified is a Chiropractor?
Every chiropractor must have had graduated from a worldwide accredited college, usually requiring four to five years of study. The education covers many aspects (some similar to medical training), such as general diagnosis, neurology, extensive radiology, as well as the subjects more specific to Chiropractic.
Is Chiropractic regulated?
Yes. The General Chiropractic Council (GCC) regulates all chiropractors in the UK to ensure the safety of patients undergoing chiropractic treatment. The GCC is an independent statutory body established by Parliament to regulate the chiropractic profession. They protect the health and safety of the public by ensuring high standards of practice in the chiropractic profession.
Is Chiropractic backed by research?
Numerous studies throughout the world have shown that chiropractic treatment, including manipulative therapy and spinal adjustments, are both safe and effective.
- Bronfort; A report into the effectiveness of manual therapy, as practiced by chiropractors, manipulative physiotherapists and osteopaths for various common musculoskeletal disorders such as back pain and other health problems Effectiveness of Manual Therapies: the UK Evidence Report was published in February 2010. This found evidence that spinal manipulation/mobilisation is an effective treatment for acute, subacture and chronic low back pain; migraine and cerviocogenic headache; cervicogenic dizziness; manipulation/mobilisation is effective for several extremity joint conditions; and thoracic manipulation/mobilisation is effective for acute/subacute neck pain. The conclusions were based on the results of systematic reviews of randomised clinical trials, widely accepted and primarily UK and US evidenced-based clinical guidelines, plus the results of all RCTs not yet included in the first three categories.
- NICE Guidelines; In May 2009, The National Institute for Health and Clinical Excellence (NICE) published new guidelines to improve the early management of persistent non-specific low back pain. The guidelines recommend what care and advice the NHS should offer to people affected by low back pain. NICE assessed the effectiveness, safety and cost-effectiveness of available treatments and one recommendation is to offer a course of manual therapy, including spinal manipulation, spinal mobilisation and massage. This treatment may be provided by a range of health professionals, including chiropractors as spinal manipulation is part of the package of care that chiropractors can offer.
- UK Beam Trial; Back pain, exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care. British Medical Journal Nov 2004; 329; 1377 (doi: 10.1136 /bmj. 38282. 669225.AE)
- Medical Research Council; 'Low Back pain of mechanical origin: randomised comparison of Chiropractic from hospital outpatient treatment'; Meade et al.
- Medical Research Council (Follow-up-study) Trial 'Randomised comparison of Chiropractic and hospital outpatient management for low back pain; results from extended follow up'; Meade et al.
- RCGP - Clinical Guidelines for the Management of Acute Low Back Pain (1996, 1999, 2001)
- Clinical Standards Advisory Group; Backpain Report 1994.
- Acute Back Pain - Primary Care Project; The Wiltshire and Bath Health Commission.
- Carter JT, Birrell LN (Editors) 2000. Occupational health guidelines for the management of low back pain at work - principal recommendations. Faculty of Occupational Medicine. London. Occupational health guidelines for the management of low back pain at work - leaflet for practitioners. Faculty of Occupational Medicine. London. 2000. Waddell G, Burton AK 2000. Occupational health guidelines for the management of low back pain at work - evidence review. Faculty of Occupational Medicine. London.
- Chiropractic Treatment in Workers with Musculoskeletal Complaints; Mark P Blokland DC et al;Journal of the Neuromusculoskeletal System vol 8 No 1, Spring 2000
- Musculoskeletal Services Framework – Department of Health July 2006
- Non-rigid stabilisation procedures for the treatment of low back pain – National Institute for Health and Clinical Excellence. June 2006. States that chiropractic intervention can be used in the treatment of acute low back pain.
- European guidelines for the management of acute nonspecific low back pain in primary care. 2005 Recommends the consideration of spinal manipulation for patients failing to return to normal activities.