Chiropractic Care

Chiropractors, health-care providers who in Ontario are licensed under the Regulated health profession Act (RHPA), with title doctor, and the licensed act of diagnosis and spinal manipulation and mobilization. As a result, the patient can directly access a chiropractor without a referral from their family doctor.

  • Chiropractors are able to diagnose neuromusculoskeletal (nerve, muscle and bone) conditions/disorders and if appropriate, treat these conditions, injuries or disorders.

  • Chiropractors are health care providers who provide non-surgical, clinical management of the spine, extremities and other musculoskeletal conditions.

  • Chiropractic treatment, as described is based on best evidence available.

Chiropractic management includes:

 Reports by the highest current standards of scientific evidence support spinal manipulation, mobilization is effective in:

  • acute, sub acute, chronic low back pain
  • migraines, headaches
  • dizziness, vertigo
  • acute, sub acute and chronic neck pain
  • several extremity/joint conditions (including hip, knee and feet, elbow, hands & wrists).
  • shoulder girdle pain dysfunction and adhesive capsulitis
  • hip osteoarthritis
  • knee osteoarthritis
  • patellofemoral pain syndrome
  • plantar fascitis

Not long ago there was little or no evidence to support the practice of manipulation, that is the main stay of chiropractic. There were widely advertised claims of serious complications. In the mean time there has been rapid growth in the number of clinical trials. Dr. S. Haldemant, MD and DC, authority of the medical and chiropractic community states, “there is now little dispute amongst knowledgeable scientists that manipulation is of value in the management of neck pain, back pain and headaches that make 90% or more of all patients who seek chiropractic care.” He further states that “the incidences of serious side effects such as stroke following chiropractic care is extremely rare and is probably not related to manipulation in most patients, but due to the fact that patients develop neck pain or headaches as a result of the dissection of the vertebral arteries that progresses through the natural history of the dissection to stroke irrespective of the clinician and patient themselves.

  • 90% of chiropractic practices supported by scientific evidence at the most rigorous RCT level.

It is doubtful that any other profession or medical specialty can rely on conclusive scientific support at this level.

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Chiropractic FAQ

Chiropractors, health-care providers who in Ontario are licensed under the Regulated health profession Act (RHPA), with title doctor, and the licensed act of diagnosis and spinal manipulation and mobilization. As a result, the patient can directly access a chiropractor without a referral from their family doctor.

  • What Conditions do Chiropractors Treat?
  • What is Chiropractic Treatment Like?
  • Are Other Treatment Options Available?
  • What to Expect During a Chiropractic Examination
  • Chiropractic Treatment is Effective and Safe 
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What Conditions do Chiropractors Treat?
Examples of the conditions that we treat:
  • spinal pain of the neck and back
  • headaches
  • joint and muscle pain of the jaw, shoulder; elbow , wrist, hands, hips, knee, ankle and foot
  • arthritis
  • sport injuries
  • motor vehicle accidents
  • work related accidents
  • repetitive strain injuries
What is Chiropractic Treatment Like?
  • Typical chiropractic treatment is by hand or with an instrument and is referred to as manual care or manipulation.
  • Chiropractic treatment is intended to correct abnormal movement of joints of the spine, relieve nerve spam, pain and muscle tension.
  • It is not invasive, violent or painful.
    
Are Other Treatment Options Available?
At the Koch & Associates Spine Centre we offer a range of services in addition to or instead of Chiropractic care.  An integrated program of treatment can be provided specific to your needs.
    
For example, our facility also offers:
  • Exercise rehabilitation
  • Physiotherapy including ultrasound and electrotherapy
  • Spinal Decompression, which is like traction, providing particular benefit for disc problems
  • Massage Therapy
  • Naturopathy for vitamin, nutritional and lifestyle advice
  • Acupuncture for pain relief
  • Orthotics for feet imbalance and feet pain
  • Laser therapy
  • Pain management
  • Craniosacral therapy gently works with the spine and the skull and its cranial sutures.
  • Craniosacral therapists use the therapy to treat   mental stress, neck and back pain, migraines,
  • TMJ Syndrome and for chronic pain conditions such as fibromyalgia.
  • Sports Injury Management
  • Assessment Services
  • Temporomandibular (jaw) treatment

What to Expect During a Chiropractic Examination
A typical chiropractic examination is similar to what you would experience in a physician’s office.
  • The assessment focuses on the area of your complaint and a review of relevant health history. 
  • When relevant it includes review of x-rays, MRI’s, etc.
  • The assessment and examination is followed by the formation of an opinion as to what can or can not be done to help you with your concern.  
  • You are always in control.  
  • The Chiropractor will review the examination results and your treatment options with you.
  • The Chiropractor will also answer any questions you may have.  
  • You can chose to participate in all, none or some of the recommendations.
 
Chiropractic Treatment is Effective and Safe
It is a common myth that chiropractic treatments hurt or they are dangerous.
  • Chiropractic treatment is considered extremely safe. 
  • As with any treatment, there are some inherent risks, but they are very minor such as muscles strain, sprains, rib trauma, disc injury.  
  • Serious and adverse effects, such as stroke, occur rarely (one in a million).  To put things in      perspective, the chance of having a serious complication from a chiropractic treatment is no greater than from natural head movement such as extending your neck into a hairdressers’ sink. Much more significant factors in the cause of strokes are long-term lifestyle choices including smoking, drinking, lack of exercise combined with hereditary factors such as high    blood pressure or history of heart disease or stroke.  Any and all risks are fully disclosed to our patients.
  • Chiropractors routinely help individuals restore physical functioning and help enable them to become engaged in healthier lifestyle choices.
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