North Shore Chiropractic Treatment & Services

Chiropractors are trained in the evaluation and management (IE: treatment) of issues affecting the neuromusculoskeletal system (muscles, joints, connective tissue, nerves).  Many people associate chiropractic care with the spine only, but this is an inaccurate reflection of many chiropractors in the 21st century who are experts in treating spinal issues AND extremity issues (arms and legs).  As a general rule of thumb, if you have a painful condition that does not get better given a few days of activity modification you may want to consult a professional like a chiropractor.  Your chiropractor should be able to evaluate your painful condition, offer you some perspective and guidance relative to the painful condition, and help you care for the painful condition if treatment is warranted.  Like any profession though, each chiropractor has different clinical experience and different post-graduate education that may lend their practice toward a focus on sports injuries or pregnancy/neonatal care or neurologic issues or nutritional issues to name just a few.  If you are considering seeing a chiropractor, make sure that their experience and skill set seems like a proper match for your complaint and your ultimate goals.

Choosing a good chiropractor does not have to be a complicated process.  To begin with, ask your friends or family if they know someone they trust and can vet for you.  Next, check online as most chiropractors should have fairly informative websites relative to their clinical interests and experience that may help indicate whether they are a good fit for your issue.  If you are still not sure who to see after taking those steps, call your prospective chiropractor’s office as either the staff or the chiropractor will be more than happy to answer any questions and tell you if your issue is something commonly treated in that office.  Many people also like to read online reviews and while some online reviews can be misleading, if the significant majority of a chiropractor’s reviews are super positive then chances are you can trust the expertise of that provider.  Lastly, and arguably the most important step in choosing a good chiropractor, remember that you are in total control of your healthcare decision making.  If you go to an initial or follow-up appointment and you are not absolutely confident in the assessment and plan your chiropractor has rendered, then seek a second opinion.

The most effective chiropractic technique is less about a particular style of hands-on therapy and less about philosophy regarding rehab and exercise, and more about your entire experience as a patient/consumer.  Consider asking yourself a few questions in evaluating “chiropractic technique” such as: Is my chiropractor listening to me and are their actions reflecting that they care about my short and long-term improvement?  Was a clear care plan described to me prior to initiating care and does that care plan make sense?  Do I understand my pain/injury in a way that helps offset any fear, doubt, or confusion about what I’m feeling and what I need to do to get better?  Do I trust my chiropractor?  Does my chiropractor’s approach to care feel “cookie cutter” or is their nuance to their actions that is specific to my needs?  Now with all that said some chiropractors may argue that certain treatment techniques and exercise principles are more appropriate for certain issues, and while there is research driven validity to many of those claims, a lot of other research these days argues that our psychology (IE: how we feel) about our pain/injury has a greater impact on our prognosis than any singular treatment or exercise technique.  The takeaway point is that technique is context-dependent, which is to say that a chiropractor with the best “hands” in the world who also has bad bedside manner and who does not make you feel heard, may not actually be the most helpful provider you could be seeing.

A chiropractor can help you fix a wide variety of painful conditions related to the neuromusculoskeletal system such as headaches, back/neck pain, shoulder/elbow/wrist/hand pains, hip/knee/ankle/foot pains to name just a few.  Injuries of actual orthopedic compromise like fractures are best handled by orthopedists, but chances are if your pain/injury is non-surgical in nature then a chiropractor may be a great option to help you.  The best chiropractors will explain what they can about your pain/injury, offer guidance and likely treatment as efficiently as possible (days to weeks, maybe months in extreme situations), and then remove themselves and let your brain/body do the rest.  A great deal of research these days indicates that in many healthcare interactions providers should try and limit their patient’s dependency on them, opting instead for interventions and language that fosters resiliency and self-efficacy (independence).

Your first chiropractic appointment should include a detailed discussion of your health history and presenting complaint(s), an examination of your complaint(s), a discussion regarding what is indicated by the examination relative to prognosis and treatment plan, and finally some form of treatment/intervention assuming time permits.  Many painful conditions can be evaluated thoroughly and completely in a matter of minutes and certain treatment interventions could yield immediate relief, while other conditions may require more complex evaluations and more lengthy treatment plans.  Above all, you should leave your first chiropractic appointment feeling confident that your chiropractor is the best option to help you with your problem and you should leave feeling confident that you are on the road to recovery.

Absolutely yes, chiropractors are safe, and absolutely yes, adjustments are safe (in the overwhelming majority of circumstances).  Like any healthcare intervention rendered by any discipline of healthcare provider, there are some risks inherent to chiropractic care.  However, if your chiropractor performs a proper examination and can adequately rule out “red flags” relative to your condition, then the likelihood of any significant adverse reaction to care becomes extremely small.  Some people report localized soreness, mild bruising, or even fatigue after adjustments, but most people will just feel good, looser, less pain.  There are incidents of rib fractures in elderly folks with bone density issues and there are times someone may experience worsened pain for a couple days, but these situations are exceedingly rare and can be prevented with proper examination and mindfulness by the chiropractor.  The media has reported on a relationship of strokes with neck adjustments, but the research indicates there is less than a 1:1million likelihood of this circumstance, and it is believed that the majority of post-adjustment strokes occurred to someone who was experiencing a “stroke in evolution” prior to seeking chiropractic care (IE: headache and neck pain that precedes a stroke).  Furthermore, it is likely that the chiropractors (or other healthcare providers) that rendered that neck adjustment did not adequately evaluate their patient for signs of potential neurologic compromise.

You should see a chiropractor as often as you want or need.  Perhaps the most common criticism of chiropractors is that chiropractors “need to see you for the rest of your life”, and while there are unfortunately examples of chiropractors who advocate for this kind of dependency, the significant majority of chiropractors today want to help you as quickly as possible with no long-term commitments of any kind.  The best chiropractor will see you the minimally necessary number of times to help you overcome your issue and suggest you follow-up if there are any residual issues or new complaints sometime in the future.  Many patients however recognize how good they feel after chiropractic care and therefore wish to see their chiropractor with some kind of recurring frequency (IE: once/month, twice/year, or more).  These examples though should be dictated by the patient based on their assessment of their body’s needs and absolutely not dictated by the chiropractor based on some kind of pseudoscientific reasoning.

These days the best chiropractor and best physical therapist are virtually indistinguishable due in part to the fact that chiropractors and physical therapists treat almost all of the same conditions, rely on the same bodies of evidence relative to their intervention, and draw from many of the same post-graduate educational programs in refining their approach to care.  It is fair to argue that physical therapists see many more people immediately post-surgery than chiropractors due in part to their inclusion with hospital in-patient programs.  Ultimately as a patient and consumer you should see the chiropractor or physical therapist whose experience, clinical acumen, and skill set most closely aligns with your needs.

The answer to whether it is better to get a massage or see a chiropractor is dependent on multiple factors.  To begin with, what is your level of comfort, familiarity, and confidence in the provider you are seeing?  Does this provider have experience managing a condition/injury like you are suffering?  Did your massage therapist or chiropractor take the time to listen to your complaints and craft an individualized care plan based strictly on your needs?  All that said, it should be noted that chiropractors are doctors with extensive education in the evaluation and management of neuromusculoskeletal pain and injury, whereas most massage therapists do not possess the same education, experience, and clinical acumen.  It has been argued that seeing massage therapists is a great means of mitigating pain and injury, whereas chiropractors may be best reserved for circumstances of more concerning or persistent pain and injury.

Absolutely yes, assuming you are suffering from some kind of pain or injury that is concerning you enough to warrant a professional opinion and possible therapeutic intervention.

The cost of seeing a chiropractor is dependent on many factors including the region where you live, the time spent with you, the services rendered, the participation or non-participation with health insurance, and the number of treatment sessions that may be warranted for your complaint.

In many cases, yes, insurance will help pay for chiropractic care assuming the chiropractor is participating with your health insurer.  If your chiropractor is not participating with health insurance, then it is still possible you have an out-of-network benefit with your insurer and can seek reimbursement that way.