Category Archives: Chiropractic treatment

How to Choose a Chiropractor

Originally posted on DrMarks.com

The Ten Questions You Must Ask Before Choosing the Right Chiropractor

This Consumer Awareness information is brought to you by the offices of Dr. Barry L. Marks, Chiropractor. The purpose of this guide is to help you choose the right chiropractic services for you by arming you with 10 important questions you should ask any chiropractic office BEFORE agreeing to care. We are sharing insider secrets with you that some Doctors of Chiropractic may not want you to know. So let’s begin…

Chiropractic has never been more popular

A recent CNBC poll asked “Would you seek the care of a doctor of chiropractic for your low back pain?” and 20% said no, 8% were undecided, and a whopping 72% of the 2,584 respondents said “Yes!” People who see chiropractors are seeking relief from not only low back pain…but for carpal tunnel syndrome, neck pain, headaches, as well as for work and auto related injuries…without the use of dangerous drugs, sedatives, or surgery!

Across the country, the number of chiropractic visits per capita has doubled in the past 20 years. Today, doctors of chiropractic must complete a Bachelor of Science (B.S.) program or equivalent at an accredited college or university then complete 4 years of study at an accredited professional college of chiropractic. After receiving the D.C. (doctor of chiropractic) degree, they must pass national board examinations to obtain a license. To maintain their license, the doctors are required to complete a specified number of hours of continuing education each year.

So if you are experiencing back pain, neck pain, headaches, carpal tunnel syndrome, or have been involved in an auto or work related injury…then a doctor of chiropractic may be the right choice for you!

But Before You Are Convinced That Any Chiropractor Can Help You, You Must Be Aware That Not All Chiropractors Are The Same, And Choosing The Wrong Chiropractor Could Be A Big Mistake!

In a moment, you will discover 10 questions you must know before choosing any doctor of chiropractic. But first, let’s review what most Chiropractors do so you know why this form of care is so popular and effective!

Doctors of chiropractic relieve pain, and restore proper motion and function of the body by relieving pressure on muscles, joints and nerves. They can relieve so much pain, and solve so many health problems that will not likely get better using traditional methods from medical doctors. If you have any chronic back or neck pain, for example…you probably know that taking drugs only masks the symptoms temporarily and does nothing to actually correct the cause of the pain. And, you certainly know that surgery can be very dangerous, and often times ineffective method to relieve your pain as well.

There are literally countless examples of patients who could not get better with traditional methods…yet found quick and long lasting relief from chiropractic adjustments that required no drugs, and no surgery!

So what should you ask a doctor of chiropractic BEFORE agreeing to care? Let’s review these issues now:

Prior to care, a chiropractor should ask detailed questions about your past and present health, do a complete physical exam, and order x-rays or other tests when necessary.
He or she should analyze your posture and carefully examine your spinal column while you stand, sit and walk, and then check the range of motion of various joints. Then he or she will come up with a diagnosis and a Recommended Action Plan. So for starters…

Do NOT agree to care from any chiropractor that does not first provide you with a written explanation of:

1. What is causing or contributing to your problem,
2. An estimate of the costs involved, and
3. A Recommended Action Plan that details what specific care is needed…and why.

Unfortunately, there are a fairly large number of doctors, including Chiropractors who treat every patient pretty much the same, regardless of their condition.
As you would expect, there’s a lot the doctor must know before you can decide what care is best for you, in your specific situation. He or she will want to know if your problem is caused, or aggravated by anything more serious, such as a broken bone, disc disease, osteoporosis, osteoarthritis, a tumor or an infection. Or…is it a simple problem that can be resolved within a reasonable period of time?

Here’s what you should know, and the 10 questions you must ask before choosing a doctor of chiropractic:

1. "What techniques do you practice?"

The correct answer is: It depends on what is wrong with you. Some chiropractors are only proficient in only one technique. The problem with this is that not every condition that chiropractic care can help responds to just one technique. You need to know that there are many wonderful chiropractic techniques that can be used to successfully treat, and relieve your condition. For example, I have training in 8 different techniques, and use them all depending on the patient’s specific condition. I have many natural ways to relieve my patients’ pain…and restore their optimal range of motion, flexibility, and function!

2. “Do you take x-rays when necessary?”

Be sure to seek a chiropractor who takes x-rays to rule out fracture or a gross pathology (English translation – some other serious problem) as indicated by the consultation, health history and exam. Caring for a patient without x-rays is like flying in the dark without radar. Unfortunately, there are some life and death conditions that can first express themselves with back, neck, or bone pain. X-rays also help me determine the health of your joints and discs, an estimate of how long it will take to get you better, as well as what specific chiropractic techniques will likely do the most good for you. If the doctor you’re consulting doesn’t take x-rays before recommending treatment, you should consider talking to another doctor.

3. “Will you give me your recommendations in writing?”

This is very important. This allows you to go home and think about it before making a decision. Plus, it gives you an explanation up front of what the care will consist of, how long it will last, and how much it will cost.

4. “Can you furnish me with references?”

Ask for five references. Three of these references should be current patients, and the other two should be other health care professionals like an orthopedic doctor, and a medical doctor. There are three reasons for getting patient and professional references. First, any person in practice should have at least three satisfied patients they can provide you with. Secondly, if a chiropractic doctor cannot produce two other professionals that will attest to his or her ability as a chiropractor, he or she may not be respected by his or her peers. Last, outside professionals in the community see all kinds of things, will usually be aware of what kind of care is available, and what kind of quality is provided by different folks. Feel free to call the references you receive. Many people ask for references, but never use them! Call all five people. You can never learn too much about the person you are considering using for your chiropractic needs. Take the few minutes to talk to these people. It will be worth it!

5. “Do you have payment plans available?”

Successful practices usually allow patients to make payments. For example, I allow both my cash and insurance patients to spread out their entire care, deductibles and co-pays into low monthly installments. This allows them to get the care they want without financial stress. Any successful practice will be able to work with you on the payments, whether you’re covered by insurance or not.

6. “Will you guarantee my satisfaction?”

You should receive a 100% guarantee of unconditional satisfaction. By law no doctor can guarantee results. But, for example, an office that offers the following guarantee: “You’ll be totally satisfied with each office visit, or that visit is FREE!” shows you that they are putting their money where their mouth is. In my office, every patient knows that if they feel rushed or don’t get the attention they think they deserve, or aren’t satisfied with how they are treated that day…will get that visit FREE. And in the 9 years we’ve had this policy, I’m proud to say we haven’t had one patient express dissatisfaction. Make sure the doctor you choose is willing to stand behind their care.

7. “Do you have a no waiting policy?”

A recent patient survey revealed that what irritates patients the most is when the doctor and the staff do not respect their time and make them wait excessively in the waiting room. Now most doctors claim their patients don’t have to wait excessively. But, in our office, our policy is that no patient waits longer than five minutes in our reception area for an appointment…or that visit is FREE. If the doctor you’re talking to isn’t willing to put such a waiting time guarantee in writing, they may not be as respectful of your time as you deserve.

8. “Do you have criteria for determining how many visits I need?”

Some doctors do not have an objective method to determine how many visits are necessary to relieve your pain, and to maintain your newly found state of excellent health. They make subjective guesses about your initial treatment and progress. I do progress exams along the way to make sure we are on track that include computerized equipment that will tell both of us how you are doing. This procedure tells us exactly when we are done with the initial pain relief care, and how we are doing in maintaining the relief…so your pain doesn’t come back. That way you don’t get even one more visit than you actually need. Make sure to find out how the doctor you’re talking to measures progress, and whether it’s routine or not.

9. “Will you show me ways of preventing what you are treating?”

I saw a sign the other day in my dentist’s office that read, “Support your dentist, eat more candy”. Although I know he’s joking, I spend a considerable amount of time customizing simple and easy ways for you to stay healthy…no matter what caused your problem to begin with. You’ll be thrilled to find out how quick and easy it is to prevent your pain from coming back without drugs or surgery. This prolongs the benefits of the care you’ve received; and helps prevent you from re-injuring yourself.

10. “Do you offer free consultations?”

There’s no way a doctor should expect a patient to choose him or her without first visiting the office to see if the office, staff and doctor is for them. This will also give you a chance to talk to any of our patients while they are coming in and going out. Initially, I provide a FREE, NO OBLIGATION, consultation to determine if I can help you and answer any questions you may have about your condition or my treatment. No one in my office is going to pressure you into care or anything. This is simply a chance for you to meet us, and see if our services can benefit you. If after your free consultation, you decide you do not want to proceed with an exam, you simply leave and that is that. If however, you do find that you could use our help, we will discuss the details of how we proceed from there.

Well, I hope this information will give you the confidence in taking the first step to regaining your health by experiencing the benefits of chiropractic care. By the way, I do:

• Use multiple treatment techniques,
• Employ diagnostic tests such as x-rays and computer analysis,
• Furnish you my recommendations in writing,
• Furnish you patient and professional references,
• Offer payment plans,
• Guarantee the satisfaction of every office visit or that visit is FREE,
• Promise you will never wait more than 5 minutes for an appointment or that visit is FREE,
• Share with you my criteria I use for formulating my recommendations,
• Provide you custom designed prevention techniques, and lastly,
• Urge you to tour my office and take advantage of my free, absolutely no-obligation consultation to discuss your situation.

If you are ready to make an appointment for your free consultation call my office at (714) 938-0575 or click here now, while this is fresh on your mind…and you know EXACTLY what questions to ask BEFORE using my office for your pain relief!

I hope this information has been helpful, and whether you choose to come in to see us or not, that you’ve benefited from the knowledge you’ve been given. No matter what you decide to do, I wish you the best of health! ~ Dr Barry Marks, DC

Chiropractic Spinal Adjustments

Orange County, CA
Chiropractic spinal adjustments have been proven to relieve your pain at the site of the adjustment, but more importantly can relieve pain in other areas and also improve many functions of your body.

The basis of Chiropractic Health Care revolves around locating areas of the spine where the spinal bones are malfunctioning (stuck) and "correcting" or unlocking the malfunction by manually moving the joints. Chiropractors call this movement of bones an "adjustment." Scientific and medical literature use the term spinal manipulation therapy (SMT).

How did chiropractic begin?

The origins of chiropractic began with D.D. Palmer, an inquisitive man in Iowa who sought to unravel how our bodies work. He was interested in magnetism ad various other concepts. Once particular concept he was keen on was the relationship between the spine and the rest of the body. He determined that life energy flows from the brain downward to the rest of the body through the nerves. He also theorized that an alteration or blockage of nerve flow could lead to malfunction and illness. Eventually, he developed a system of locating blockages within the spine referred to as 'subluxations" and a method of manually moving the spine in a very specific manner to correct the subluxations and restore health. In time, he developed a working structure of "chiropractic" and opened the world's first Chiropractic College and passed his knowledge on to others.

Early chiropractic thinking: "Bone on nerve"

Early chiropractors (and still many today when oversimplifying chiropractic to the public) describe a subluxation as a "bone pushing on a nerve" and the adjustment as "taking the bone off of the nerve." As I said, this is overly simplistic and we now know, bones do not push on nerves except in very rare cases and in those cases the patient is usually debilitated.

A more accurate way of thinking about it is, when the spinal bones malfunction, they stimulate nerves in the area to send distress signals to the brain that then sends messages back that we interpret as pain or that cause spasm, inflammation and other distress in our body. The adjustment does not take the bone "from here and put it over there" and off of the nerve. This what I call the "light switch" understanding of chiropractic. Bone on, bone off. I prefer the example of a rusted nut and bolt. The nut needs to be moved to unlock it from the rusted bolt. The adjustment restores motion in the stuck joint. But adjustments also send messages to the nervous system that results in positive things happening which you will learn later.

The "We know it works, just ask a patient, but we can't prove it" stage of chiropractic

Many studies over the past 100 years have looked at the premise of chiropractic adjustments and their relationship to pain relief and broader health. Most of the studies have shown a relationship, yet lacked a more precise understanding of exactly how it happens. The result was known anecdotally by millions of chiropractic patients and their doctors for over 100 years, but the mechanism has been questioned.

What was known was that a specific type of chiropractic adjustment causes changes within the body. Changes that result in relief of pain, but also in things like digestion, breathing, heart rate, sleep, moods and more. The type of adjustment, which was the general type discovered by Palmer, is what is described as a "high velocity-low amplitude" thrust by hand. High velocity means it is a quick movement. Low amplitude meaning it is a force that does not push deeply into the spine. Because it requires a quick movement yet shallow impulse, it is a decidedly difficult skill to develop. It is the type of adjustment that the vast majority of chiropractors still practice today.

There are many differing "techniques" of delivering a chiropractic adjustment

No matter what approach your chiropractor uses, the goal is the same: remove the blockage of movement and nerve flow in the spine. If you're a patient you will recognize the high velocity low amplitude adjustment as your chiropractor taking your spine in hand, turn or tilting to take out slack and tension and then a very quick movement that results in a pop or crack. The sound you hear is a by product of carbon dioxide gas being released when the joint is moved through its maximum physiologic movement. The sound is less important than the feeling of the bones moving. Some spines because they are damaged and can no longer hold the carbon dioxide gas inside the joint, will not make an audible pop or crack, but you can still feel the movement.

What we now know about chiropractic adjustments and how they affect the body

Scientific research studies by Coronado, Reed, Mohammadian, Gay and others have shown chiropractic spinal adjustments (manual, high velocity, low amplitude variety) move the joints of the spine. When the joints are moved, nerve sensors within the joints send messages to the spinal cord and brain. This nerve activity to the spinal cord and brain results in not only pain releif at the joints adjusted, but also at wide ranging areas throughout the body including the brain itself.

Based on this scientific evidence we can say that chiropractic adjustments cause changes within both the peripheral nervous system (nerves outside the spinal cord) and central nervous system (brain and spinal cord). Specifically in the central nervous system, the areas affected are the thalamus and the central pain tracts that travel from the brain and cord down to the body.

Chiropractic adjustments excite the brain!

Within the brain, chiropractic adjustments affect several regions throughout the brain that have been measured. These tests are reproducible giving them merit.

The brain regions affected result in changes in functions of: the cardiovascular system, cognitive function, consciousness, decision making, emotions, homeostasis, internal organs, learning, memory, motivation, motor control, pain of the skin, perception, self-awareness, sensations of touch and temperature, skeletal muscles, and voluntary movements.

Measurable and reproducible brain changes as a direct result of chiropractic adjustments are crucial to understanding why chiropractic patients notice not only pain relief after treatment, but an overall feeling of wellness and many illnesses seem to disappear after undergoing care.

Not all spinal movements are the same

Interestingly, the studies definitively show general mobilization of joints (like physical therapists and "non-adjusting chiropractors" perform) do not affect the nervous system as do chiropractic high velocity, low amplitude adjustments. Therefore, when your physical therapist stretches you, even in a rhythmic fashion and you feel a few pops here and there it does not do the same as a chiropractic adjustment. Similarly, if your chiropractor does not do adjustments manually, and instead places a device on you and clicks it over and over again, it may cause some sort of response, but it is not going to do all that a high velocity, low amplitude adjustment will.

To see first hand how chiropractic adjustments can relieve your pain and improve your health call Dr Marks at (714) 938-0575.

For a more detailed explanation and scientific references go to:

How Does the Chiropractic Adjustment Work? A Literature Review of Pain Mechanisms and Brain Function Alteration: The Brain Connection