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Phoenix Chiropractor – Free Consultation

For a limited time, Upper Cervical Chiropractic of Arizona is providing Free Phoenix Chiropractor Phone Consultations.  Please call our office at (602) 954-2447.

While visiting a Phoenix Chiropractor is similar to visiting other healthcare providers, it does have some unique elements. You will likely find the office setting and intake procedures quite familiar, but many notice the distinctive appearance of the chiropractic treatment table. These tables allow specific positioning and movement during spinal adjustments and thus assist the chiropractic treatment.

A typical visit to a chiropractor includes an initial intake, physical exam, treatment, and follow-up plan.

What happens during a typical intake?  Phoenix Chiropractor

An initial chiropractic consultation is very similar to that of a standard medical intake. You will likely complete a health questionnaire and answer questions about your health history. Typically the chiropractor asks you to indicate where you are experiencing discomfort by marking the areas on a drawing of the human body.


What happens during the physical exam?

The chiropractor will start with a routine physical exam, then follow it with an exam that focuses on the spine, with particular attention given to the areas of complaint.

examspineThe chiropractor may examine your whole spine. For example, if you had a low back complaint, the chiropractor would also likely perform a neck exam because the adaptations resulting from injury or subluxation in one area can result in secondary irritations somewhere else in the spine.

The physical exam typically includes a variety of assessments, such as range of motion tests, palpation, reflex testing, muscle strength comparisons, and neurological and orthopedic tests focused on the main complaint.


What goes into a treatment plan?

Following the assessments, the chiropractor will develop a treatment plan that takes into account:

  • The extent of your injury or irritation
  • Your general health
  • The condition of your spine as affected by age and previous injury
  • What your goals are – this is most important item

Your goals of treatment should result from the discussion you have with your chiropractor. Many people seek simple relief of pain or discomfort, while others want to begin a regimen of ongoing care meant to improve their general health.

In initial consultations, your chiropractor will tell you the status of your condition and recommend an approach to care. Ask questions. As in any professional-patient relationship, trust and mutual understanding are vitally important.

Phoenix Chiropractor for Acute and Chronic Pain

“Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence).”

Source:  Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians (2017)

Phoenix Chiropractor for chronic low back pain

“For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation (low-quality evidence).”

Source:  Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians (2017)

“Many treatments are available for low back pain. Often exercises and physical therapy can help. Some people benefit from chiropractic therapy or acupuncture.”

Source:  Goodman et al. (2013), Journal of the American Medical Association  

“[Chiropractic Manipulative Therapy] in conjunction with [standard medical care] offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute low back pain.”

Source:  Goertz et al. (2013), Spine

In a Randomized controlled trial, 183 patients with neck pain were randomly allocated to manual therapy (spinal mobilization), physiotherapy (mainly exercise) or general practitioner care (counseling, education and drugs) in a 52-week study. The clinical outcomes measures showed that manual therapy resulted in faster recovery than physiotherapy and general practitioner care. Moreover, total costs of the manual therapy-treated patients were about one-third of the costs of physiotherapy or general practitioner care.

Source:  Korthals-de Bos et al (2003), British Medical Journal

“Patients with chronic low-back pain treated by chiropractors showed greater improvement and satisfaction at one month than patients treated by family physicians. Satisfaction scores were higher for chiropractic patients. A higher proportion of chiropractic patients (56 percent vs. 13 percent) reported that their low-back pain was better or much better, whereas nearly one-third of medical patients reported their low-back pain was worse or much worse.”

 

 Source:  Nyiendo et al (2000), Journal of Manipulative and Physiological Therapeutics

In Comparison to Other Treatments in Phoenix

“Manual-thrust manipulation provides greater short-term reductions in self-reported disability and pain compared with usual medical care. 94% of the manual-thrust manipulation group achieved greater than 30% reduction in pain compared with 69% of usual medical care.”

Source:  Schneider et al (2015), Spine 

“Reduced odds of surgery were observed for…those whose first provider was a chiropractor. 42.7% of workers [with back injuries] who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.”

 SourceKeeney et al (2012), Spine 

“Acute and chronic chiropractic patients experienced better outcomes in pain, functional disability, and patient satisfaction; clinically important differences in pain and disability improvement were found for chronic patients.”

Source:  Haas et al (2005), Journal of Manipulative and Physiological Therapeutics

“In our randomized, controlled trial, we compared the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner in patients with nonspecific neck pain. The success rate at seven weeks was twice as high for the manual therapy group (68.3 percent) as for the continued care group (general practitioner). Manual therapy scored better than physical therapy on all outcome measures. Patients receiving manual therapy had fewer absences from work than patients receiving physical therapy or continued care, and manual therapy and physical therapy each resulted in statistically significant less analgesic use than continued care.”

Source:  Hoving et al (2002), Annals of Internal Medicine

Phoenix Chiropractor | For Headaches

“Cervical spine manipulation was associated with significant improvement in headache outcomes in trials involving patients with neck pain and/or neck dysfunction and headache.”

Source:  McCrory, Penzlen, Hasselblad, Gray (2001), Duke Evidence Report

“The results of this study show that spinal manipulative therapy is an effective treatment for tension headaches. . . Four weeks after cessation of treatment . . . the patients who received spinal manipulative therapy experienced a sustained therapeutic benefit in all major outcomes in contrast to the patients that received amitriptyline therapy, who reverted to baseline values.”

SourceBoline et al. (1995), Journal of Manipulative and Physiological Therapeutics

Phoenix Chiropractor For Neck Pain

In a study funded by NIH’s National Center for Complementary and Alternative Medicine to test the effectiveness of different approaches for treating mechanical neck pain, 272 participants were divided into three groups that received either spinal manipulative therapy (SMT) from a doctor of chiropractic (DC), pain medication (over-the-counter pain relievers, narcotics and muscle relaxants) or exercise recommendations. After 12 weeks, about 57 percent of those who met with DCs and 48 percent who exercised reported at least a 75 percent reduction in pain, compared to 33 percent of the people in the medication group. After one year, approximately 53 percent of the drug-free groups continued to report at least a 75 percent reduction in pain; compared to just 38 percent pain reduction among those who took medication.

 Source:  Bronfort et al. (2012), Annals of Internal Medicine

Cost Effectiveness

Findings from a study utilizing data from the North Carolina State Health Plan collected between 2000-2009 show that care by a doctor of chiropractic (DC) alone or DC care in conjunction with care by a medical doctor (MD)  incurred “appreciably fewer charges” for uncomplicated lower back pain than MD care with or without care by a physical therapist.

Source:  Hurwitz et al. (2016), Journal of Manipulative and Physiological Therapeutics 

Older Medicare patients with chronic low back pain and other medical problems who received spinal manipulation from a chiropractic physician had lower costs of care and shorter episodes of back pain than patients in other treatment groups. Patients who received a combination of chiropractic and medical care had the next lowest Medicare costs, and patients who received medical care only incurred the highest costs.

Source:  Weeks et al (2016), Journal of Manipulative and Physiological Therapeutics

Low back pain initiated with a doctor of chiropractic (DC) saves 20 to 40 percent on health care costs when compared with care initiated through a medical doctor (MD), according to a study that analyzed data from 85,000 Blue Cross Blue Shield (BCBS) beneficiaries in Tennessee over a two-year span. The study population had open access to MDs and DCs through self-referral, and there were no limits applied to the number of MD/DC visits allowed and no differences in co-pays. Researchers estimated that allowing DC-initiated episodes of care would have led to an annual cost savings of $2.3 million for BCBS of Tennessee. They also concluded that insurance companies that restrict access to chiropractic care for low back pain treatment may inadvertently pay more for care than they would if they removed such restrictions.

Source:  Liliedahl et al (2010), Journal of Manipulative and Physiological Therapeutics

“Chiropractic care appeared relatively cost-effective for the treatment of chronic low-back pain. Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulative efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapeusis.”

Source:  Haas et al (2005), Journal of Manipulative and Physiological Therapeutics

Phoenix Chiropractor Patient Satisfaction

“Chiropractic patients were found to be more satisfied with their back care providers after four weeks of treatment than were medical patients. Results from observational studies suggested that back pain patients are more satisfied with chiropractic care than with medical care. Additionally, studies conclude that patients are more satisfied with chiropractic care than they were with physical therapy after six weeks.”

Source:  Hertzman-Miller et al (2002), American Journal of Public Health

Use of Chiropractic Services in Phoenix

“Chiropractic is the largest, most regulated, and best recognized of the complementary and alternative medicine (CAM) professions. CAM patient surveys show that chiropractors are used more often than any other alternative provider group and patient satisfaction with chiropractic care is very high. There is steadily increasing patient use of chiropractic in the United States, which has tripled in the past two decades.”

Source:  Meeker, Haldeman (2002), Annals of Internal Medicine

 

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