CHIROPRACTIC

Chiropractic is a complementary and alternative health care profession which aims to diagnose, treat, and prevent mechanical disorders of the musculoskeletal system and their effects on the nervous system and general health. Chiropractors believe misalignments, or subluxations of the spine interfere with the body's self-regulating mechanisms, primarily the nervous system. A chiropractor may specialize in treating low back problems or sports injuries, or may combine chiropractic with manipulation of the extremities, physiotherapy, nutrition, or exercises to increase spinal strength or improve overall health. He/she may also use other complementary and alternative methods as a part of a holistic treatment approach. They do not prescribe drugs or perform surgery. While there is evidence that spinal manipulation can be effective for low back pain and headaches, some of the other claims that chiropractors make concerning the benefits to health are based mainly on subjective reports from clinical experience, while objective evidence from controlled trials is lacking.

Chiropractic was founded in 1895 by Daniel David Palmer, and was based on the belief that all health problems could be prevented and treated using "adjustments" of the spine, and sometimes other joints, to correct what he termed "subluxations". He, and later his son, BJ Palmer, postulated that these subluxations were misaligned vertebrae which caused nerve compression that "interfered" with the transmission of what he termed "Innate Intelligence". This interference interrupted the proper flow of Innate Intelligence from "above, down, inside, and out" to the organ to which it travelled. As a result, the human body would experience "dis-ease" or disharmony which would result in a loss of health. He compared this process to stepping on a hose that slowed the flow of water to a garden. If you take your foot off the hose, the flow of water returns to normal and the garden will flourish.

While the "pinched hose theory" has mostly been abandoned, it is still used in a modified form by some chiropractors to explain the concept of vertebral subluxation. However, the concept of the subluxation, for which there is disputed scientific evidence, remains an integral part of the typical chiropractic practice. Nevertheless, in 2003, 90% of chiropractors believed the vertebral subluxation complex played a significant role in all or most diseases, and practiced accordingly. The remainder limited their practices to the care of musculoskeletal problems.

The initial chiropractic technique was manipulation of the spine and remains the primary technique. The chiropractic adjustment differs from other manipulative techniques in its precision and accuracy in correcting vertebral subluxations. Today's chiropractor may continue to adhere to the strict tenets of Palmer and use only spinal adjustments or he/she may also include a broad range of methods, short of drugs and surgery, that are directed at "correcting" subluxations and/or relieving musculoskeletal pain. Some doctors of chiropractic employ chiropractic assistants to work as office staff and perform therapeutic activities and may also employ massage and physiotherapists as adjuncts to chiropractic care.

There are two main groups of chiropractors, known within the field as "straights" and "mixers". Both groups treat patients using a subluxation based treatment system. Differences are based on the reasons for giving adjustments, claims made about the effects of those adjustments, and various additional treatments or sub-specialities provided.