Vertebrobasilar artery stroke (VAS) is statistically associated with chiropractic services in persons under 45 years of age,[147] but it is similarly associated with general practitioner services, suggesting that these associations are likely explained by preexisting conditions.[146][148] Weak to moderately strong evidence supports causation (as opposed to statistical association) between cervical manipulative therapy (CMT) and VAS.[149] There is insufficient evidence to support a strong association or no association between cervical manipulation and stroke.[15] While the biomechanical evidence is not sufficient to support the statement that CMT causes cervical artery dissection (CD), clinical reports suggest that mechanical forces have a part in a substantial number of CDs and the majority of population controlled studies found an association between CMT and VAS in young people.[150] It is strongly recommended that practitioners consider the plausibility of CD as a symptom, and people can be informed of the association between CD and CMT before administrating manipulation of the cervical spine.[150] There is controversy regarding the degree of risk of stroke from cervical manipulation.[15] Many chiropractors state that, the association between chiropractic therapy and vertebral arterial dissection is not proven.[17] However, it has been suggested that the causality between chiropractic cervical manipulation beyond the normal range of motion and vascular accidents is probable[17] or definite.[16] There is very low evidence supporting a small association between internal carotid artery dissection and chiropractic neck manipulation.[151] The incidence of internal carotid artery dissection following cervical spine manipulation is unknown.[152] The literature infrequently reports helpful data to better understand the association between cervical manipulative therapy, cervical artery dissection and stroke.[153] The limited evidence is inconclusive that chiropractic spinal manipulation therapy is not a cause of intracranial hypotension.[154] Cervical intradural disc herniation is very rare following spinal manipulation therapy.[155]


Chiropractic has seen considerable controversy and criticism.[25][26] Although D.D. and B.J. were "straight" and disdained the use of instruments, some early chiropractors, whom B.J. scornfully called "mixers", advocated the use of instruments.[23] In 1910, B.J. changed course and endorsed X-rays as necessary for diagnosis; this resulted in a significant exodus from the Palmer School of the more conservative faculty and students.[23] The mixer camp grew until by 1924 B.J. estimated that only 3,000 of the U.S.'s 25,000 chiropractors remained straight.[23] That year, B.J.'s invention and promotion of the neurocalometer, a temperature-sensing device, was highly controversial among B.J.'s fellow straights. By the 1930s, chiropractic was the largest alternative healing profession in the U.S.[23]

Rarely. Nearly all neck stiffness is minor, diffuse musculoskeletal pain: several mildly irritated structures adding up to uncomfortable, reluctant movement as opposed to physically limited movement. The most common scary neck stiffness is the “nuchal rigidity” of meningitis — which makes it very difficult and uncomfortable to tilt the head forward — but that will be accompanied by other serious warning signs, of course. Like feeling gross otherwise (flu-like malaise).
Most chiropractic medicine programs require that applicants have at least three years of undergraduate education, and an increasing number require a bachelor’s degree.  In either case, your undergraduate studies must include a prescribed number of prerequisite courses, as defined by the field’s accrediting body, the Council on Chiropractic Education.
Like their MD colleagues, doctors of chiropractic are subject to the boundaries established in state practice acts and are regulated by state licensing boards. Further, their education in four-year doctoral graduate school programs is nationally accredited through an agency that operates under the auspices of the U.S. Department of Education. After graduation, they must pass national board exams before obtaining a license to practice, and then must maintain their license annually by earning continuing education (CE) credits through state-approved CE programs.  
The percentage of the population that utilizes chiropractic care at any given time generally falls into a range from 6% to 12% in the U.S. and Canada,[207] with a global high of 20% in Alberta in 2006.[208] In 2008, chiropractors were reported to be the most common CAM providers for children and adolescents, consuming up to 14% of all visits to chiropractors.[209] In 2008, there were around 60,000 chiropractors practicing in North America.[4] In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints;[20] most do so specifically for low back pain.[20][207] The majority of U.S. chiropractors participate in some form of managed care.[21] Although the majority of U.S. chiropractors view themselves as specialists in neuroleptic malignant syndrome conditions, many also consider chiropractic as a type of primary care.[21] In the majority of cases, the care that chiropractors and physicians provide divides the market, however for some, their care is complementary.[21]

Maruyama et al: “All but one patient [of seven] with migraine considered the pain to be unique and unusual compared with previously experienced headache or neck pain episodes. Nevertheless, pain was often interpreted initially as migraine or musculoskeletal in nature by the patient or the treating doctor.” Arnold et al: “Pain was different from earlier episodes in all but one case [of 20].” BACK TO TEXT
In addition to practicing chiropractic, Dr. Robins has taught on the college/university level since 1999 instructing and developing courses in health sciences as well as health care management. Being in Indianapolis has provided the opportunity for Dr. Robins to actively participate in legislative bodies addressing issues that impact governmental health policies and regulations toward healthcare. She has also worked with health care lobbies to affect change in legislation and has had the opportunity to participate in a professional exchange to Korea with a U.S. Delegation.
Jump up ^ Brantingham, James W.; Bonnefin, Debra; Perle, Stephen M.; Cassa, Tammy Kay; Globe, Gary; Pribicevic, Mario; Hicks, Marian; Korporaal, Charmaine (2012). "Manipulative Therapy for Lower Extremity Conditions: Update of a Literature Review". Journal of Manipulative and Physiological Therapeutics. 35 (2): 127–66. doi:10.1016/j.jmpt.2012.01.001. ISSN 0161-4754. PMID 22325966.
Chiropractors, especially in America, have a reputation for unnecessarily treating patients.[6] In many circumstances the focus seems to be put on economics instead of health care.[6] Sustained chiropractic care is promoted as a preventative tool, but unnecessary manipulation could possibly present a risk to patients.[4] Some chiropractors are concerned by the routine unjustified claims chiropractors have made.[4] A 2010 analysis of chiropractic websites found the majority of chiropractors and their associations made claims of effectiveness not supported by scientific evidence, while 28% of chiropractor websites advocate lower back pain care, which has some sound evidence.[197]
What is so good about an apple? Is it the color, ranging from ruby red to pale pink? Is it the crunch? The sweetness? Or is it, instead, a combination of all of these qualities, plus the natural goodness derived from the apple's secret ingredients — phytonutrients? If this were a multiple choice quiz, the answer would be "all of the above". Importantly, in addition to possessing numerous appealing physical qualities, apples contain an abundance of health-promoting biochemicals known as phytonutrients.1,2 These specific organic molecules are derived not only from apples but many other fresh fruits and vegetables, and help power the immune system, protect against cancer, maintain healthy eyes, and assist cells in clearing out metabolic waste products such as free radicals. ...
^ Jump up to: a b Biller, J.; Sacco, R. L.; Albuquerque, F. C.; Demaerschalk, B. M.; Fayad, P.; Long, P. H.; Noorollah, L. D.; Panagos, P. D.; Schievink, W. I.; Schwartz, N. E.; Shuaib, A.; Thaler, D. E.; Tirschwell, D. L. (2014). "Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke. 45 (10): 3155–74. doi:10.1161/STR.0000000000000016. ISSN 0039-2499. PMID 25104849.

As noted, ratings sites or websites with a certified list of doctors, like PainDoctor.com, can help verify a chiropractor’s license and give you an idea of their philosophy and practice areas. Each site has slightly different information to give you a better picture of your chiropractor before your first visit. Find the best chiropractor for you by looking for ones who share lots of information and knowledge, whether on their website or on social media.
If you are in pain and want to avoid taking drugs or surgery we may be the place for you. There is never a charge for you to sit down and talk with me to find out if we can help. It’s also a bonus that most insurance plans are accepted by our office and we offer flexible payment plans. There’s no obligation. All you have to lose is the pain. Contact us today.
As noted, ratings sites or websites with a certified list of doctors, like PainDoctor.com, can help verify a chiropractor’s license and give you an idea of their philosophy and practice areas. Each site has slightly different information to give you a better picture of your chiropractor before your first visit. Find the best chiropractor for you by looking for ones who share lots of information and knowledge, whether on their website or on social media.
Occupational employment projections are developed for all states by Labor Market Information (LMI) or individual state Employment Projections offices. All state projections data are available at www.projectionscentral.com. Information on this site allows projected employment growth for an occupation to be compared among states or to be compared within one state. In addition, states may produce projections for areas; there are links to each state’s websites where these data may be retrieved.
There are several schools of chiropractic adjustive techniques, although most chiropractors mix techniques from several schools. The following adjustive procedures were received by more than 10% of patients of licensed U.S. chiropractors in a 2003 survey:[73] Diversified technique (full-spine manipulation, employing various techniques), extremity adjusting, Activator technique (which uses a spring-loaded tool to deliver precise adjustments to the spine), Thompson Technique (which relies on a drop table and detailed procedural protocols), Gonstead (which emphasizes evaluating the spine along with specific adjustment that avoids rotational vectors), Cox/flexion-distraction (a gentle, low-force adjusting procedure which mixes chiropractic with osteopathic principles and utilizes specialized adjusting tables with movable parts), adjustive instrument, Sacro-Occipital Technique (which models the spine as a torsion bar), Nimmo Receptor-Tonus Technique, applied kinesiology (which emphasises "muscle testing" as a diagnostic tool), and cranial.[76] Chiropractic biophysics technique uses inverse functions of rotations during spinal manipulation.[77] Koren Specific Technique (KST) may use their hands, or they may use an electric device known as an "ArthroStim" for assessment and spinal manipulations.[78] Insurers in the US and UK that cover other chiropractic techniques exclude KST from coverage because they consider it to be "experimental and investigational".[78][79][80][81] Medicine-assisted manipulation, such as manipulation under anesthesia, involves sedation or local anesthetic and is done by a team that includes an anesthesiologist; a 2008 systematic review did not find enough evidence to make recommendations about its use for chronic low back pain.[82]
Through manual manipulation of the spine delivered to the highest standards by licensed chiropractors, chiropractic care works to restore and maintain proper communication from your brain to your body by relieving what chiropractors refer to as a subluxation, or a misalignment, of the spine. Restoring proper alignment to the spine can assist with pain relief and prevention of:
Whats to know about radiculopathy? Radiculopathy describes a nerve being pinched by the spine. This can cause discomfort, weakness, and numbness, and can be treated with medication and physical therapy. This article explains the causes of this painful condition, how it is diagnosed, and how a person might go about preventing the onset of radiculopathy. Read now
Occupational employment projections are developed for all states by Labor Market Information (LMI) or individual state Employment Projections offices. All state projections data are available at www.projectionscentral.com. Information on this site allows projected employment growth for an occupation to be compared among states or to be compared within one state. In addition, states may produce projections for areas; there are links to each state’s websites where these data may be retrieved.
We provide advanced spinal correction utilizing “state of the art” chiropractic techniques. Never in the history of chiropractic have we been able to provide the level of help and expertise that now exists. These newer correction methods are even safer, more comfortable and more effective than ever before. Our Orlando Chiropractic team has years of training and experience in spinal adjustment.
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Some skin problems on the neck can cause neck pain, but are usually obvious — most people will identify them as “skin problems on the neck” and not “a neck problem affecting the skin.” Herpes zoster (shingles) [CDC] causes a painful rash, cellulitis [Mayo] is extremely painful but superficial, and a carbuncle[Wikipedia] … well, it’s just a super zit, basically. If you can’t diagnose that one on your own, I can’t help you!

Jump up ^ Blanchette, Marc-André; Stochkendahl, Mette Jensen; Borges Da Silva, Roxane; Boruff, Jill; Harrison, Pamela; Bussières, André (2016). "Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies". PLoS One. 11 (8): e0160037. Bibcode:2016PLoSO..1160037B. doi:10.1371/journal.pone.0160037. ISSN 1932-6203. PMC 4972425. PMID 27487116.
A personal worry example One day I became convinced that the terrible stubborn pain in my neck had to be a cancer. It was one of the lowest moments of my life. The pain had been escalating slowly for months, and eventually it got so severe and unrelenting that I lost my cool. But then, after an emergency massage appointment, I felt almost completely better…and that particular pain never bothered me again.
The World Health Organization found chiropractic care in general is safe when employed skillfully and appropriately.[46] There is not sufficient data to establish the safety of chiropractic manipulations.[13] Manipulation is regarded as relatively safe but complications can arise, and it has known adverse effects, risks and contraindications.[46] Absolute contraindications to spinal manipulative therapy are conditions that should not be manipulated; these contraindications include rheumatoid arthritis and conditions known to result in unstable joints.[46] Relative contraindications are conditions where increased risk is acceptable in some situations and where low-force and soft-tissue techniques are treatments of choice; these contraindications include osteoporosis.[46] Although most contraindications apply only to manipulation of the affected region, some neurological signs indicate referral to emergency medical services; these include sudden and severe headache or neck pain unlike that previously experienced.[138] Indirect risks of chiropractic involve delayed or missed diagnoses through consulting a chiropractor.[4]
No single profession "owns" spinal manipulation and there is little consensus as to which profession should administer SM, raising concerns by chiropractors that other medical physicians could "steal" SM procedures from chiropractors.[70] A focus on evidence-based SM research has also raised concerns that the resulting practice guidelines could limit the scope of chiropractic practice to treating backs and necks.[70] Two U.S. states (Washington and Arkansas) prohibit physical therapists from performing SM,[71] some states allow them to do it only if they have completed advanced training in SM, and some states allow only chiropractors to perform SM, or only chiropractors and physicians. Bills to further prohibit non-chiropractors from performing SM are regularly introduced into state legislatures and are opposed by physical therapist organizations.[72]

Self care: Neck pain often resolves with rest, ice or heat, massage, pain relievers, and gentle stretches. Reduce muscle inflammation and pain using an ice pack for 20 minutes several times a day during the first 48 to 72 hours. Thereafter, a warm shower or heating pad on low setting may be added to relax the muscles. A short period of bed rest is okay, but more than a couple of days does more harm than good. If self-care treatments aren't working within the first couple of days, see your doctor.
In the U.S., chiropractic schools are accredited through the Council on Chiropractic Education (CCE) while the General Chiropractic Council (GCC) is the statutory governmental body responsible for the regulation of chiropractic in the UK.[176][177] The U.S. CCE requires a mixing curriculum, which means a straight-educated chiropractor may not be eligible for licensing in states requiring CCE accreditation.[65] CCEs in the U.S., Canada, Australia and Europe have joined to form CCE-International (CCE-I) as a model of accreditation standards with the goal of having credentials portable internationally.[178] Today, there are 18 accredited Doctor of Chiropractic programs in the U.S.,[179] 2 in Canada,[180] 6 in Australasia,[181] and 5 in Europe.[182] All but one of the chiropractic colleges in the U.S. are privately funded, but in several other countries they are in government-sponsored universities and colleges.[25] Of the two chiropractic colleges in Canada, one is publicly funded (UQTR) and one is privately funded (CMCC). In 2005, CMCC was granted the privilege of offering a professional health care degree under the Post-secondary Education Choice and Excellence Act, which sets the program within the hierarchy of education in Canada as comparable to that of other primary contact health care professions such as medicine, dentistry and optometry.[169][170]
Jump up ^ Coulter ID, Adams AH, Sandefur R (1997). "Chiropractic training" (PDF). In Cherkin DC, Mootz RD. Chiropractic in the United States: Training, Practice, and Research (PDF). Rockville, MD: Agency for Health Care Policy and Research. pp. 17–28. OCLC 39856366. Archived from the original on 2008-06-25. Retrieved 2008-05-11. AHCPR Pub No. 98-N002.
As noted, ratings sites or websites with a certified list of doctors, like PainDoctor.com, can help verify a chiropractor’s license and give you an idea of their philosophy and practice areas. Each site has slightly different information to give you a better picture of your chiropractor before your first visit. Find the best chiropractor for you by looking for ones who share lots of information and knowledge, whether on their website or on social media.

Many patients seek orthopaedic care for neck pain because orthopaedists are specifically trained to diagnose, treat, and help prevent problems involving the muscles, bones, joints, ligaments, and tendons. Although some orthopaedists confine their practices to specific areas of the musculoskeletal system, most treat a wide variety of diseases, injuries, and other conditions, including neck pain.


Jump up ^ Weeks, William B; Goertz, Christine M; Meeker, William C; Marchiori, Dennis M (2015-01-01). "Public Perceptions of Doctors of Chiropractic: Results of a National Survey and Examination of Variation According to Respondents' Likelihood to Use Chiropractic, Experience With Chiropractic, and Chiropractic Supply in Local Health Care Markets". Journal of Manipulative and Physiological Therapeutics. 38 (8): 533–44. doi:10.1016/j.jmpt.2015.08.001. PMID 26362263.
This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may result in long-term disability. This guideline covers both the pre-hospital and immediate hospital care of major trauma patients but does not include any management after definitive lifesaving intervention. It has been developed for health practitioners and professionals, patients and carers and commissioners of health services.
OUR MISSION Our mission is to create a chiropractic practice where members of our community can come to realize better health and life-changing results through chiropractic care.OUR PURPOSE Our purpose is to check as many families as possible for subluxations and educate them on how subluxations cause disease inside their bodies.OUR PRACTICE Our practice will be driven by purpose, strong in patient procedures and guided by policy. We will only utilize the most advanced methods and most recent research in chiropractic and natural healthcare to help our patients achieve the highest level of health possible. ... View Profile

Chiropractic care can be an essential part of a pain management plan. By working closely with your pain specialist or primary care doctor, a chiropractor can help you realign your spine to support a strong, healthy body. One of the most difficult parts of receiving chiropractic care, however, is locating a really great and well-qualified chiropractor near you. This can be daunting. Simply going online to find a list of names doesn’t help you to know if the chiropractor you choose is going to work for you, right? There are some easy steps to take, however, when asking “how to find a chiropractor near me?” And by taking these steps, we promise you can find a chiropractor who can help you relieve your pain and get back to your life.
Two sleeping positions are easiest on the neck: on your side or on your back. If you sleep on your back, choose a rounded pillow to support the natural curve of your neck, with a flatter pillow cushioning your head. This can be achieved by tucking a small neck roll into the pillowcase of a flatter, softer pillow, or by using a special pillow that has a built-in neck support with an indentation for the head to rest in. Here are some additional tips for side- and back-sleepers:
^ Jump up to: a b c McDonald WP, Durkin KF, Pfefer M, et al. (2003). How Chiropractors Think and Practice: The Survey of North American Chiropractors. Ada, OH: Institute for Social Research, Ohio Northern University. ISBN 0-9728055-5-9.[page needed] Summarized in: McDonald WP, Durkin KF, Pfefer M (2004). "How chiropractors think and practice: the survey of North American chiropractors". Semin Integr Med. 2 (3): 92–8. doi:10.1016/j.sigm.2004.07.002. Lay summary – Dyn Chiropr (2003-06-02).
Analysis of a clinical and cost utilization data from the years 2003 to 2005 by an integrative medicine independent physician association (IPA) which looked the chiropractic services utilization found that the clinical and cost utilization of chiropractic services based on 70,274 member-months over a 7-year period decreased patient costs associate with the following use of services by 60% for in-hospital admissions, 59% for hospital days, 62% for outpatient surgeries and procedures, and 85% for pharmaceutical costs when compared with conventional medicine (visit to a medical doctor primary care provider) IPA performance for the same health maintenance organization product in the same geography and time frame.[163]
If your chiropractor does recommend an X-ray, one piece of advice: wear proper clothing! I made the mistake of wearing jeans to the appointment. And that meant had to change into some not-so-attractive disposable medical shorts… NOT a good look. I would recommend wearing loose-fitting clothing you can move in (that helps for the movement assessment too!) and nix the jewelry. I was smarter for my second appointment and wore my workout gear, so the medical shorts didn’t have to make a second appearance.
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