Consulting a Chiropractor

Consulting a chiropractor explains what to expect at your first appointment.

By Bernard Preston

It's really little different to a visit to any other doctor. You can expect him or her to

  • take a history of your complaint,
  • examine you and perhaps order xrays or a scan,
  • make a diagnosis
  • and treat you; only that will be quite different.

In almost all countries a DC is what is called a primary portal of entry practitioner. That means that you can consult him or her without first having to get a referral from your medical doctor.

Why would you want to consult a chiropractor anyway? There are many reasons. Perhaps you have had unremitting low back pain that hasn’t responded well to conventional treatment. Someone told you that even medicine's own research shows that lower back pain responds better to manipulation and exercises than to drugs and bed rest.

Consulting a Chiropractor

Consulting a chiropractor is little different to any other doctor; only the treatment is different.

Or, perhaps you've had regular migraines for the last two years and you are tired of taking analgesics. You’ve heard that the pills actually cause headaches, and in any case you know that your doctor is treating the symptoms and not the cause.

Or maybe you sprained your ankle nine months ago, and you still can’t go for walks without pain in the lower leg and it’s making you limp.

Chiropractors are trained to treat all the joints in the body so it could be your shoulder, your tennis elbow or even your jaw joint, a major cause of migraine.

Infantile Colic

There are other reasons too, perhaps more obscure and controversial. Your baby has been crying day and night and you have heard that chiropractors can treat a huil baby very successfully to use the Dutch term. That’s where the first conclusive research was done confirming that one of the main causes of infantile colic in small babies is a subluxation in the spine.

Most chiropractors will treat your child but there are advanced post graduate courses now for this specialization, generally called colic chiropractic.

Or, perhaps you have heard that chiropractic can sometimes help women fall pregnant when there is no medical cause for their infertility. Before considering the very expensive, and not terribly effective implantation techniques, perhaps consider your local DC. There's no research that I know of, alas, but every one of my colleagues, I'm certain, can entertain you with stories of how they made a patient pregnant; or your kidney condition and so on.

Consulting a chiropractor is a routine, ordinary thing to do. There's nothing outlandish about it. Now DCs themselves, that's another matter; they're a different breed.

Perhaps you are an athlete and you have heard from a fellow competitor how much he was helped with a recurring hamstring injury, or a rotator cuff syndrome, or shin splints after consulting a chiropractor. Since the advancement of post graduate courses that training chiropractors in sport injuries, there are now many chiropractors being invited to every level of sport, including the olympics.

For example, nearly three quarters of the athletes attending the world games in Duisberg, Germany requested access to chiropractic during the games, with the result that 23 chiropractors were invited by the organizers to attend the games to treat the athletes. Because chiropractors endeavor to treat the cause of conditions which are often caused by subluxations of the spinal joints, or other joints such as in the ankle, rather than the symptoms such as pain in a muscle they have become the doctors of choice for many athletes.

The older patient

The older patient certainly has a place in the chiropractic clinic too. Bernard Preston, being elderly himself finds himself treating many folk in the eighties and nineties.

Or perhaps you are elderly, and all your joints ache, and your good friend has told you how her pain has been relieved by regular chiropractic treatment.

On the other hand, many medical sites grudgingly admit that the research about chiropractic is sound, but that it has no place for the elderly because of osteoporosis. Just how safe is chiropractic for the older person?

Don't be anxious about Osteoporosis, or brittle bones. We use different techniques for the elderly, and a broken rib is a very rare occurrence - I confess to eight in thirty-seven years in practice! Chiropractic iatrogenic illness ...

Just stand outside any chiropractor's office and you will see plenty of elderly people making their way to see their favourite practitioner. Consulting a chiropractor is no different. Only, because you have probably had the condition longer and things don't heal so quickly, it's probably going to take some hard work on the part of your chiropractor to fix your two year pain. Or twenty ...?

Upper Leg pain

Upper leg pain can be a diagnostic nightmare; consulting a chiropractor is no exception and a thorough examination is called for.

MIRACLES WE DO AT ONCE, the impossible takes a little longer ...

Mrs S, a 75 year old woman consulted me a month ago with right low back pain radiating to the side of her leg. She's had it for over a year. Two things were very clear:

  1. A very short right leg
  2. A severe sacroiliac joint fixation.

Today, after only three treatments, she reports that her upper leg pain is 75 percent better. No, I'm not Dr Golden Hands; it's just basic chiropractic. You can experience the healing power of manipulation too from your local DC.

Consulting a chiropractor is no big deal. Do it if you have pain, and you are not getting better with your usual treatment; and perhaps if you have any so called medical condition that's not improving. We have not done a great job of advertising other complaints we can help.

Just this last month a new patient who has had unremitting facial pain and severe migraine headaches had been told it was related to certain foods in her diet by her doctor; she was taken bucketfuls of very strong medication. But no, the problem was from her jaw joint after it was forcibly opened to remove problem wisdom teeth under a general anaesthetic.

So how do you go about finding a chiropractor? You could try the yellow pages, or looking on the internet for a local list of practitioners. Better still would be to do some homework and start talking to your friends and acquaintances, and even your medical doctor. Many GPs are now referring patients to us on a regular basis.

The next step is simply to pick up the phone and make an appointment. It would be a good idea to get hold of any old xrays that you think might be relevant before consulting a chiropractor. New ones may be required, especially if yours are ancient, or you have recently had an injury, but often the old radiographs suffice. In the main they are digitally saved now and come on a CD.

Then try and prepare the way by thinking through when your condition started, and what injuries you have had that may have contributed to the pain; you may have to go back to your childhood. And lastly what really helps your chiropractor is if you already know what aggravates and relieves the ache, or tingling, for example.

The Examination

Your chiropractor is usually a friendly person, genuinely interested in your condition. He or she will listen carefully to your story, and ask certain pertinent questions. Then he will give you a thorough examination, not only of your spine, but most likely he will check other joints in your body such as your hips and shoulders, your feet, and will take your blood pressure. You will be surprised by the depth of the orthopedic and neurological examination. New x-rays may be required.

You will be surprised by the attention to detail when first consulting a chiropractor. Just read any one of the Bernard Preston books, and you'll know what I mean.

Report of findings

You may be treated at the first visit (especially if you are in acute pain) but more likely you will be asked to return with your spouse, at which time you will be given a full report of findings and the treatment protocol. Be ready to ask questions.

Why your spouse? Several reasons come to mind, but he or she may be concerned that you are consulting a chiropractor. He needs to be reassured. Or your better half is worried about the condition that is troubling you, same as you are, and it's better that he hears everything from the horse's own mouth.

Lastly, let's be honest. Consulting any doctor costs money, and your partner needs to be convinced that you are not simply throwing away more good money after bad by consulting a chiropractor.

Three phases of care

The treatment protocol may vary considerably, but most usually after consulting a chiropractor the treatment will fall into the three phases of care:

  1. The pain phase. In this phase which usually last about 4-6 weeks, your chiropractor will be treating the cause of your condition in an attempt to reduce your pain. This phase varies enormously depending on the nature of your condition, how long you have had it and how severe it is. If could be several months, or it could be a few days.
  2. The rehabilitation phase. During this phase you will have less treatment from your chiropractor, and the responsibility will gradually shift to your shoulders. You will be given certain exercises to do regularly at home, and you will most likely be asked to start walking, cycling or swimming. The intention is to strengthen your body, keep it supple, so the next episode doesn’t start again the next time you go and do some gardening.
  3. The maintenance phase. If you have had your condition for a long time your chiropractor may well suggest you come in for an occasional but regular treatment. How often depends on many factors, but as a rough guide you can work on every two months. By then most people have started to creak and groan a bit, and it is time for a tune up. Usually before serious injuries, most people admit to a period when their bodies start to warn them that something is up. Chiropractors put a lot of emphasis on reducing these silent subluxations before they are the cause of something more serious. Maintenance care has its controversial side.

Be truthful ...

One last thought: don’t try hiding anything from your chiropractor. If you have had a setback gardening when you weren’t yet allowed to garden, or haven’t been doing your exercises, it only hurts you and confuses him if you try to conceal things. Tell him or her the whole truth, even if your face is a bit red. Otherwise he may change the treatment, or think of referring you out for surgery or drugs when it is not necessary at all.

Good luck. Remember Rome wasn’t built in a day and, while chiropractors do try to do miracles, the impossible may take a little longer.

Consulting a Chiropractor you will find is no big deal.

Chiropractic first

The times, they are a-changing. Many people are now considering chiropractic first for their pains instead of swallowing bucket loads of pills.

One of the consequences is that your Chiropractor will sometimes be RUNNING LATE ...

Groin pain

Groin pain demands a thorough examination when consulting a chiropractor; expect it and, if you don't get it, vote with your feet.

It may surprise you but, when consulting a chiropractor, you will probably find that s/he will examine your whole body. For example, it is now known that certain pre Hip Arthritis conditions, if diagnosed early, can profoundly change the course of the arthritis. A hip operation is no longer a foregone conclusion in cases of Developmental Hip Dysplasia (a greatly increased range of the hip) and Femero Acetabular Impingement Syndrome (a very stiff hip, even in the young person).

But there's a proviso. If it's diagnosed early, and managed correctly, with chiropractic, of course!

Maigne's Syndrome

Likewise, two upper lumbar spine conditions, Maigne's syndrome and Meralgia paresthetica also cause severe groin and upper leg pain and numbness. The good news is that, correctly managed, they too respond extremely well to chiropractic care.

For the Chiropractor...

Could a too-high first consultation fee be what's limiting the number of new patients coming to your practice? Read more... INITIAL CLINICAL CONSULTATION FEE ...

Promising results for conditions not validated by alternative medicine research is unethical; nevertheless there are many conditions that we know respond to our treatment even though it's not validated; it's a fine line that every chiropractor walks.

Arthritis in lower back

Arthritis in lower back can make your life utterly miserable, but there's hope. Often it's been there for years, but the pain only started three months ago. Is the arthritis really the cause of your pain? Or is it an incidental finding.

Daily at the Chiropractic Coalface we are treating patients with arthritis. The pain goes away, or is much less. Was the arthritis really the cause?

Bernard Preston books

If you find this site helpful and interesting then  my Bernard Preston books are worth a consideration. The paperback versions are available only in North America but you can instantly download the ebooks onto your eReader, smartphone or tablet for a fraction of the price.

LINKS to Consulting a Chiropractor

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A family affair by Bernard Preston comes after the trilogy that starts with Frog in my Throat.

Consulting a chiropractor

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