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Understanding Chiropractic Care

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Chiropractic profession promotes holistic care with main focus on maintaining proper physical vertebral alignment in order to maintain a good health. It is a scientific fact that structural imbalances could lead to nervous system dysfunction and lead to a variety of symptoms such as pain, aches, discomforts and other conditions. The goal of care is to restore the body to its maximum potential without drugs or surgery. Doctors of Chiropractic check the physiological function of neuromusculoskeletal system by utilizing orthopedic and neurological exams. Besides specific chiropractic adjustment, therapies such as massage, moist heat, electric stimulation, ultrasound, and Erchonia PL 5000 Laser can be utilized in order to restore a balance to the system.   Diet and exercise advise can be given to a patient by a Doctor of Chiropractic.

CHIROPRACTIC ADJUSTMENT:

Chiropractic use controlled forces, called adjustments, when there are restrictions around joints that the body is unable to overcome itself. Such barriers include scar tissue and pain, swelling (edema), and muscle spasm.

Chiropractic examination helps to discover joints with limited range of motion weather they are painful or not. Specific chiropractic adjustment applied to a subluxated (restricted) joint can restore range of motion when the body’s own musculature cannot.

Adjustments help to relieve pain, as well as, restore and maintain normal movement, biomechanics and function.

The controlled force of chiropractic adjustments safely generates the energy required to overcome such limitations or restrictions and bring the joint back to its normal and full range of motion.

                                                                                                                                                                                                                                                                         CHIROPRACTIC PROMOTES HEALTH NATURALLY:

The goal of chiropractic care is to bring back and retain the health of the whole person and not just treat separate symptoms or diseases.

Chiropractic care is not focusing on illness, instead it personalizes the care and helps to achieve maximum potential for a patient’s well being and improves the quality of human life.

 Chiropractic care is focused at restoring and maintaining normal structure, nervous system function, joint and muscle.

                                                                                                                                                                                                                                                                                                                                                        RESTORING FUNCTION AND CHIROPRACTIC CARE:

Function means the ability to perform everyday activities of daily living as well as work activities. It includes range of motion, coordination, strength and flexibility.

Improving function is the key to long term pain relief. When function is not restored completely, any pain relief is temporary and accelerates the risk factor of chronic pain return. Good functioning joints do not have any pain, perform better and are not likely to get injured or degenerate. Bottom line – Chiropractic helps to minimize the pain and maximize the function.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                         BENEFITS AND GOALS OF CARE:

The benefits of Chiropractic care include good function, tissue healing and pain relief.

Each patient will require different frequency and different amount of time to achieve each of these goal

When pain is gone it does not mean that soft tissue  has healed completely nor that the function has been restored.

It takes much longer time for soft tissue restoration vs. pain relief. It takes much longer time to restore the function vs. for tissue to heal.

Chiropractors carefully monitor pain, tissue healing and function using specific outcome measures to know when a patient has achieved maximum benefit and it is time to end care or shift to a prevention/wellness program. 

CHIROPRACTIC, MOTION AND NUTRITION OF DISCS AND JOINTS: 

Maintaining good motion is critical to the survival of discs and joints. A vertebral joint that can not move is not able to nourish itself. A healthy exchange of nutrients and wastes only occurs by physically pumping fluids into and out of the disc via spinal motion because discs and cartilage have no blood supply – process called imbibition. Movement stirs fluid through joints, washing nutrients in and waste products  out. Lack of motion may lead to poor nutrition and disc degeneration.

The discs in the spine live because of the movement. Doctor of Chiropractic locates joints that have restricted range of motion, whether they are painful or not, and specific adjustments and exercises help restore and maintain normal motion and nutrition.

This post was based on Dr. Malik Slosbergs’s research.

Question:  Did this article help you to understand what is the goal of chiropractic care?

Chiropractic Rehabilitation and 4 Stages of Soft Tissue Healing

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The healing process is divided into four broad stages which are not mutually exclusive and overlap considerably.

1. Initial vascular reaction – Active Swelling

2. Inflammatory response – Passive Congestion

3. Proliferative phase – Repair

4. Remodeling 

Wound healing refers to the body’s replacement of destroyed tissue by living tissue (Walter & Israel 1987). It comprises of two essential components whose differentiation is based on resultant tissue: Regeneration and Repair.

TISSUE INJURY CAUSES RESTRICTION OF MOTION DUE TO:

  1. Inflammation & Swelling
  2. Pain
  3. Muscle Spasm 

THE MAJOR GOALS OF CHIROPRACTIC CARE:

  1. Relieve Pain
  2. Promote Full Healing
  3. Restore & Maintain Full Function
  4. Reduce the Likelihood of Re-Injury
  5. Prevent Accelerated Degeneration 

Chiropractic Care Should Continue Throughout the Repair Stage. It Take Longer For Tissues to Heal & Normal Function to be Restored Than it Takes for Pain Relief. Pain Relief is not the Only Goal.  Chiropractic Helps:

  1. Restore Normal Motion, Function & Biomechanics
  2. Improve Alignment of New Connective Tissue
  3. Prevent Shortening of Scar Tissue & Chronic Stiffness
  4. Restore & Maintain Flexibility of Ligaments & Muscles
  5.  Restore Normal Muscle Tone
  6. Promote Quicker, More Effective Healing
  7. Restore & Maintain Normal Sensation
  8. Reduce the Risk of Re-Injury and Degeneration 

STAGES OF SOFT TISSUE HEALING

 

STAGE I: ACTIVE SWELLING

  1. Swelling Occurs for 12 to 72 hours
  2. Motion is lost and pain increases 

Goals of Care: Minimize pain and swelling

Care:

  1. Rest & Support of Injured Area
  2. Ice to Block Swelling, Pain, and Spasm 

STAGE II: PASSIVE CONGESTION   

Fluid trapped in tissues restricts motion, causes pain, & delays healing. Begins by second to fourth day

Goals of Care for Passive Congestion:

  1. Remove fluid
  2. Pain Relief
  3. Begin to restore range of motion 

Care:

  1. Chiropractic Adjustments Help
  • restore motion
  • block pain
  • restore normal sensation
  • relax tight muscles
  • remove swelling
  • accelerate healing
  1. Heat and Cold to Remove Fluid
  2. Controlled Motion Exercises
  3. Physical Therapy helps in Some Cases
  4. Acupuncture Can Help With Pain Control 

STAGE III: REPAIR

Beginning 5 days after injury, scar tissue is made for up to 6 weeks. 

Lack of motion causes excess scar tissue in dense patterns disrupting normal function causing:

  1. Excess Scarring
  2. Chronic Stiffness
  3. Limited Range of Motion
  4. Poor Biomechanics
  5. Chronic Pain
  6. Weak Muscles & Ligaments
  7. Loss of Normal Sensation
  8. Poor Nutrition
  9. Increased risk of Re-Injury
  10. Accelerated Degeneration 

If Motion is Restored & Maintained, Tissues Heal in a Much More Functional Way.

Coals of Repair Stage:

  1. Restore Normal Range of Motion
  2. Restore Sensation
  3. Promote Full Healing
  4. Relieve Pain 

STAGE IV: REMODELING 

Connective tissue remodels for better strength & flexibility. This often takes 3 to 14 week but may take up to 1 year with severe injury. 

Chiropractic Helps Achieve these Goals:

  1. Improve & Maintain Motion & Flexibility
  2. Restore & Maintain Function
  3. Reduce Chronic Pain
  4. Reduce Risk of Re-Injury & Degeneration

This Post was based on Dr. Malik Slosberg’s Research.