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1. What is Chiropractic? Chiropractic is a healing discipline firmly grounded in science. Although its main focus is the relationship between the skeleton (particularly the spine) and the nervous system that runs through it, chiropractic is concerned with the care of the entire body. Chiropractors use various diagnostic methods, including x-rays, to discover the state of your health, paying particular attention to your spine and joint structure. Spinal manipulation and other manual adjustments are their primary methods of helping your body to heal itself. 2. What Education does a Chiropractor Have? Chiropractors are doctors in every sense of the word. They have at least 3 years of undergraduate university education, followed by 4 years of chiropractic school. The number of hours of study and classes is equal to that of medical and dental students, and indeed chiropractors are taught more than these other professions in the areas of clinical diagnosis, neuroscience and orthopaedics. After graduating from chiropractic school, doctors of chiropractic may then go on to specialize in one of several post-doctoral programs offered at universities throughout the country. 3. What do Chiropractors Treat? Chiropractors treat all manners of complaints dealing with muscles, joints, bones and nerves. Particularly, chiropractors are interested in the interrelationship between these structures. Your chiropractor will assess the way you move, and determine if the various parts required for proper motion, balance and stability are working properly. 4. How is a Chiropractor different from other Doctors? Chiropractors are more similar to medical doctors than many people realize. Both are primary health care practitioners, meaning that you do not need a referral to see a chiropractor (just as you don’t need a referral to see your general physician). Both chiropractors and medical doctors are highly trained to diagnose and treat various health care conditions. The biggest difference between chiropractors and medical doctors is their perspective on health care. Chiropractors strive to help patients live more © 2004 Dr. Dale Macdonald – 229 – 10601 Southport Rd. S.W. Calgary Tel: 403-689-9889 www.elitesportperformance.com healthfully without the use of drugs or surgery. Chiropractors place a premium on prevention, and attempt to not only help patients recover from their current injuries, but to prevent future injuries. Of course, some conditions are outside of a chiropractor’s scope of practice. When this occurs, the high level of training received by chiropractors allows them to recognize and promptly refer a patient to the appropriate place. 5. The Spine and Nervous System • Your spine is composed of 24 different bones called “vertebrae”. There are 7 vertebrae in your neck, 12 in your middle back and 5 in your lower back. A good way to remember these numbers is to think of meal times: 7am is breakfast, 12 pm is lunch, and 5pm is dinner (hopefully)! • You have 206 bones in your body in total, and over 800 muscles! • You have 27 bones in each of your hands and each of your feet! • When you are inside your mothers’ womb, you are curled up in the shape of a “C”. This initial curve is called a “primary curve”, since it’s the one you have first. After you are born and you begin to lift your head, you develop your first “secondary curve”, located in your neck. Later, as you start to stand and walk, you develop another secondary curve, this one in your lower back. So, by the time you are in school, you have 4 curves in your spine, 2 primary and 2 secondary. There are two different types of muscle: • Smooth Muscle – found in your arteries and some organs, including your digestive tract. These muscles are not under your conscious control. For example, you can swallow a drink of water even if you are upside down. You may get some water in your nose, but once inside your throat, smooth muscle acts without your control to push the water down into your stomach – regardless of what position you’re in! • Skeletal Muscle – this is the type of muscle that we are most familiar with. Examples of skeletal muscle include your biceps, quadriceps (“quads”) or calf muscles. The main purpose of these muscles is to move you by moving your joints. 6. Headaches • Science has identified the existence of over 300 different types of headaches. A large number of these are attributable to irritation of muscles and / or joints in the back of the head. © 2004 Dr. Dale Macdonald – 229 – 10601 Southport Rd. S.W. Calgary Tel: 403-689-9889 www.elitesportperformance.com • These muscles and joints can refer pain (by sending signals “the wrong way down a one way street”) to regions of the head and face, including the side and top of the head, and even behind the eyes. • These types of headaches are called “cervicogenic headaches”, and are far more common than most people realize. In fact, many headaches commonly termed “migraine” by the patient are actually “cervicogenic” in nature and may often be alleviated by chiropractic care. 7. What is an Adjustment? • Chiropractic adjustment is a manual procedure which utilizes the highlyrefined skills developed during four intensive years of chiropractic education. The chiropractor uses his / her hands to manipulate the joints of the body, particularly the spine, in order to restore or enhance spinal functioning. • An adjustment is a highly controlled procedure which rarely causes discomfort. The chiropractor adapts the procedure to meet the specific needs of each patient. Patients often note positive changes in their symptoms immediately following treatment. • Recent studies in Canadian universities demonstrate that chiropractic manipulation of the spinal joints causes a number of beneficial effects: • Spinal manipulative therapy (SMT) to the low back can improve cutaneous blood flow in the thigh and leg. • SMT to a spinal joint can reduce the resting muscle tension of those muscles that are supplied by the corresponding spinal nerve root. • Joint manipulation causes a quick, dynamic stretch to be applied to both the joint capsule and tendons that cross the joint. This quick, dynamic stretch acts on the various nerve endings present in the area, including pain receptors, balance and position sensors, to decrease the intensity of signal being sent from these nerve endings. Less pain, better position sense and improved range of motion result. • The “gapping” effect that occurs within a joint during an adjustment initiates a pumping effect on the synovial fluid contained within the joint, effectively improving the nutritional supply to the joint. © 2004 Dr. Dale Macdonald – 229 – 10601 Southport Rd. S.W. Calgary Tel: 403-689-9889 www.elitesportperformance.com 8. The Safety of Chiropractic • Chiropractic treatment is a drug-free, non-invasive approach to common musculoskeletal conditions such as neck and back pain. As such, it is a very low risk therapy. In extremely rare situations there is a possibility that adjustments of the upper neck may contribute to a stroke in patients with prior underlying health conditions. This risk is estimated at 1 in every 2 million adjustments. • Comparing the risk of adverse reactions to neck manipulations with other common treatments of neck pain reveals the safety of chiropractic. The use of NSAIDS (Advil, Aspirin, Tylenol) for chronic neck pain results in a 1in 50 chance of developing a gastric ulcer. 1 in 1500 individuals on long term NSAID therapy will develop more serious side effects, including death. Each year in Canada, between 200 and 400 people die from the use of conventional NSAIDS. • Recent studies at the University of Calgary demonstrate that a chiropractic neck adjustment involves neck rotation equal to 50% of the patient’s normal range of motion. Further data shows that a typical chiropractic neck adjustment exerts 1/9 the force that would be required to cause damage to any of the soft tissues or vasculature of the neck. 9. Proper Backpack Use • • Function takes precedent over fashion! By the end of the teen years, more than 50 % of youth experience at least one low back pain episode. Research indicates that this may be due in part to improper use of backpacks. • Carrying a backpack alters the mobility of spinal bones, leading to restricted movement – a risk factor for back pain. 10. Backpack Buying Tips • Choose a backpack that is proportionate to body size. • The top of the backpack should not extend higher than the top of the shoulder, and the bottom should not fall below the top of the hipbone. • Select a backpack made of lightweight material 9vinyl or canvas) instead of leather). • The shoulder straps should be at least two inches wide, adjustable and padded. Ensure that they do not cut into or fit too snugly around the arms © 2004 Dr. Dale Macdonald – 229 – 10601 Southport Rd. S.W. Calgary Tel: 403-689-9889 www.elitesportperformance.com and arm pits. Poorly designed shoulder straps can dig into the muscles and put strain on the nerves and blood supply. • A hip strap or waist belt helps to effectively redistribute as much as 50 – 7% of the weight off the shoulders and spine onto the pelvis, equalizing the strain on the bones, joints and muscles. • Choose a backpack that has several individual pockets instead of one large compartment, this will help to distribute the weight evenly and keep contents from shifting. 11. Interesting Facts • Many people believe that cracking ones knuckles is bad and will cause arthritis. While it may not be an endearing habit, it will not lead to eventual joint damage. It will however, make the joint look larger over time. When you crack your own knuckles, you put a stretch into the ligaments that stabilize the joint. Done repeatedly (many people crack their knuckles multiple times per day), your body will deposit more bone at the sites of ligament attachment to anchor them onto the bone. This causes enlargement of the bone surrounding the joint, but does not affect the integrity of the joint itself. • Just as people go to the dentist on occasion to ensure that their teeth stay healthy, many people choose to see a chiropractor from time to time to ensure that their muscles, joints and nerves are working properly. © 2004 Dr. Dale Macdonald – 229 – 10601 Southport Rd. S.W. Calgary Tel: 403-689-9889 www.elitesportperformance.com