Chiropractic

Originating in America at the end of the 19th century, chiropractic is concerned with the diagnosis, treatment and prevention of mechanical disorders of the spine and musculoskeletal system, and the effects of these disorders on the function of the nervous system and general health. Working on the spine and other joints, the chiropractor manipulates or adjusts bones or joints that have moved from their natural position. Problems can arise from accidents, stress and lack of exercise, poor posture, illness and everyday wear and tear. By returning the skeleton and muscles to their normal position, the chiropractor improves the efficiency of the nervous system, as well as relieving pain and discomfort. Chiropractic treatment is an effective intervention for back pain and musculoskeletal disorders, and the recently published Department of Health musculoskeletal services framework "A joint responsibility: doing it differently" recommends that chiropractic treatment should be available as part of a multidisciplinary approach. Chiropractic is now a statutorily regulated profession.

Spinal assessments are carried out in most cases before the initial consultation is booked, to ensure that the patient is suitable for treatment. During the first consultation, which lasts around an hour, the chiropractor takes a full case history; this will be followed by a thorough physical examination to find out the site and exact nature of the problem. The blood pressure, pulse, heart and lungs may also be checked before treatment begins.

The treatment involves the movement of affected areas, and is usually painless. Some reaction to treatment is normal, so a temporary increase in discomfort, stiffness or tiredness may occur. Sometimes, people immediately feel more energetic and flexible.

The number of visits required depends on the severity of the condition and the individual’s response to treatment. Consultations are usually held once a week, until improvement begins, and are then less often. In most cases, six to ten consultations are required for the successful completion of treatment. The chiropractor also advises on exercises and postures to practice at home, in order to speed recovery and aid the prevention of further difficulties.

“When I was first introduced to Impact, I was in a dreadful state with my back. I was literally being helped to dress, bathe, walk etc, but now with the skills, time and patience of Julie and Heather, my health has improved dramatically”

39 year old Debbie presented with bilateral low back pain of 6 years duration. Her symptoms were stiffness and aching made worse by standing for any duration and she reported that it caused her to reduce her activities. A lumbar spine x-ray was not remarkable with some slight deterioration. She had previously had physiotherapy which had not helped and had 6 monthly facet injections to manage the pain.

On examination, Debbie was found to have an extra lumbar vertebra (L6) and the vertebral complex of L5 – L6 was fixed with local muscle spasm and associated trigger points in piriformis and quadratus lumborum with range of motion restricted in left lateral flexion. Trigger point therapy and manipulation of the affected vertebrae was administered weekly for 6 sessions with the final session occurring after 2 weeks.

Her MYMOP score reduced from 3.25 to 1.50 and her SF36 increased from 60.55% to 83.33%. She stopped having facet joint injections to her lumbar spine and stated that ‘the chiropractor has helped significantly.'

Professional Organisations Links

The General Chiropractic Council: www.gcc-uk.org
The College of Chiropractors: www.colchiro.org.uk