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Chiropractic Handout
- 1. CHIROPRACTIC MEDICINE • Introductions • History • Theory • Evidence • Applications • Certification • Interview Questions
- 2. INTRODUCTION • Chiropractic medicine is the third largest primary care in the US • Primary treatment is Spinal Manipulative Therapy (SMT) • Chiropractors are trained to differentially diagnose and refer patients for care • Chiropractic medicine is generally covered by insurance • Patients satisfaction is rated amongst the highest of all healthcare professionals for management of spinal
- 3. HISTORY • Spinal manipulation can be traced back over 200 years ago • Daniel David Palmer is credited with the creation of the profession • Chiropractic originated in Davenport, Iowa in 1895 • D.D Palmer’s son, Bartlett Joshua Palmer, is credited with developing the profession of chiropractic • In 1990 U.S. Court of Appeals found the American Medical Association (AMA) guilty of anti-trust Violations
- 4. THEORIES OF CHIROPRACTIC • D.D. Palmer introduced the theory of “innate intelligence” • Biopsychosocial model • Biological factors • Psychological factors • Social factors •Spinal Manipulative Therapy (SMT) • Gapping • Spinal stabilizing • Alteration of pain response
- 5. EVIDENCE OF CHIROPRACTIC • 300 research articles on SMT have been published every year since 2005 • UK Beam trial – 1334 participants • 2015 Cochrane systematic review for neck pain • 2016 systematic review for whiplash • SMT on tension headaches • SMT on asthma and infantile colic? • Adverse events
- 6. APPLICATIONS Percentage Why patients seek chiropractic care • Low back problems – 24% • Neck problems – 19% • Mid-back problems – 12% • Headaches – 12% • Lower extremity problems – 9% • Upper extremity problems – 8% • General wellness – 8% • Non-musculoskeletal conditions – 2.5%
- 7. APPLICATIONS CONT. Conditions Co-managed by chiropractors • Inflammatory arthritis – 79% • Osteoporosis – 72% • Pregnancy – 71% • Fibromyalgia – 71% • ALS, MS, Parkinsonism – 70% Initial chiropractic visit • History review • Physical exam • Diagnostic procedures • Receive Treatment • Receive information on their prog
- 8. CERTIFICATIONS • Chiropractic educational programs are accredited by the Council on Chiropractic Education (CCE) • Accredited programs require a minimum of 4,200 class hours • Admission requirements • Graduation requirements
- 9. INTERVIEW QUESTIONS • What are some of the benefits of chiropractic care? • How would you suggest I find the right chiropractor for my particular needs? • Is chiropractic treatment appropriate for children? • What inspired you to become a chiropractor? • What is your previous experience as a chiropractor? • What chiropractic philosophies do you align with the most?
- 10. INTERVIEW QUESTIONS CONT. • Are there any specific kinds of patients that you prefer to treat? And if so Why? • What do you love most about being a chiropractor? • How would you prefer to practice – open room or closed door etc.? • How many patients do you usually see per day/week/month? • Would you ever be interested in buying into the clinic or buying the practice to take over in the future?
- 11. REFERENCES Ernst, E. (2008, May). Chiropractic: a critical evaluation. - PubMed - NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18280103 Learning modules for healthcare professionals. (n.d.). Retrieved from https://www.csh.umn.edu/education/online-modules-an- resources/learning-modules-healthcare-professionals
Editor's Notes
- Hello everyone! This power point will provide a brief introduction into chiropractic medicine, which happens to be the third largest primary care in the US. During this PPT I will go over the history of chiropractic, chiropractic theories, some research which helps substantiate chiropractic, certain applications of chiropractic and certification requirements. Okay, let’s start with a basic introduction.
- Chiropractic healthcare focuses primarily the treatment of musculoskeletal disorders commonly involving the spine. As mentioned before, chiropractic medicine is the third largest primary care in the US. Spinal Manipulative therapy (SMT) is the primary treatment process, but chiropractors are trained to work with and combine care with other health care professionals. Chiropractic care as a very high rate of success and generally covered by most major insurance companies including Medicare and Medicaid.
- SMT can be traced back over 200 years ago. In 1895 chiropractic care was born in Davenport Iowa. Daniel Palmer and his son Bartlett Palmer are credited with creating and developing chiropractic as a profession. Chiropractic and osteopathic medicine share a similar history and are based upon similar principles, but chiropractic care veered away from “organized” medicine. In 1905 chiropractic care tried to establish licensure in all states, but that process was not completed until 1974 and prior to that many chiropractors were arrested for practicing medicine without a license. A milestone in history occurred in 1990 when then US Court of Appeals found the American Medical Association (AMA) guilty of anti-trust violations in an effort to eradicate the profession.
- There are several theories that attempt to explain how chiropractic treatment provides benefit to the patient. Mr. Palmer’s knowledge of the body’s ability to maintain what we know now as homeostasis was coined as “innate intelligence”. He believed that with SMT, the body would be able to self-regulate and maintain stability. Musculoskeletal pain is the main problem chiropractors continue to try and address in their patients and the underlying causes of that pain are usually influenced by three factors. Biological, social and psychological factors make up the biopsychosocial Model and SMT has been used to combat those factors.
- There is a growing body of research being conducted on chiropractic medicine and since about 2005 there have been approximately 300 articles published every year. The evidence from all of this research and published writings has formulated that there is some benefit to SMT for lower back pain, neck pain and headaches. Not all of the research is conclusive and some may suggest that there is no evidence of benefit, but from my own personal experience I can whole heartedly say that chiropractic medicine works! Chiropractic medicine is cost effective and there are very few side effects associated with SMT
- The following pie chart gives visual aid to percentages of patients who seek chiropractic care when they have an injury or pain. The numbers are according to the National board of Chiropractic Examiners (NBCE). You will notice that most patients seek chiropractic care for lower back pain and neck pain.
- Although most Doctors of Chiropractic (DC) practice individually and focus specifically on SMT, many other patient conditions such as inflammatory arthritis are comanaged by chiropractors. During an initial chiropractic visit, a patient can expect to see similar processes associated with traditional medical practices. A history review, physical exam and treatment are just a couple of things a patient can expect when he/she visits a chiropractor.
- Chiropractors are not considered “Medical Doctors”, but they do go through a very demanding education program. Any accredited educational program require a minimum of 4,200 class hours. Anyone seeking admission into an accredited program must have a minimum of 90 semester hours (three years) and 24 of those hours need to be in the life and physical sciences. In order to graduate from a chiropractic program, individuals show proficiency in many areas, mostly related to the neuromusculoskeletal conditions. Prior to becoming licensed in a certain state, chiropractors must pass a national exam which is administered by the National Board of Chiropractic Examiners. Annual continued education is also required in most states with a general guideline of 25 hours in order to be re-licensed.
- The next two slides are the questions I plan to ask my chiropractor when I interview him this week.
- Thank you very much for your attention and I hope that my presentation was both enjoyable and informative.