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
“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.”
Impact comments book
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.
65 year old George self referred with low back pain. He had a 15 year history of “burning and aches in the back” and experienced numbness in his thighs. His range of motion was very restricted. X-rays showed some degeneration but were otherwise unremarkable. He had been prescribed painkillers and was attending a hospital outpatient clinic every 6 months for spinal injections.
George found that all his symptoms were temporarily removed following his first chiropractic treatment. This symptom free period extended as his treatment progressed; after 12 consultations his treatment is now completed. He no longer takes daily painkillers, and reports going to see his GP less often. He has much less pain and is now able to move around much more easily. He no longer needs physiotherapy with the back pain team and decided to cancel his latest spinal injection as it was no longer required.
Professional Organisations Links
The General Chiropractic Council: www.gcc-uk.org
The College of Chiropractors: www.colchiro.org.uk