This question was most recently posed to me while lecturing at Wake Forest School of Medicine. M.D.'s are asking; patients are as well. The following are guidelines that I feel are most important to consider.
Interview all physicians, especially your potential chiropractor. There are a wide variety of techniques and attitudes of D.C.'s (Doctors of Chiropractic) as how they approach patient care. Look for one who is:
- Cooperative and competent
- advises treatment based on a diagnosis
- releases patients after improvement
- engages you as a physician, not a technician. This means someone who looks at your experience as a human, not just a machine to work on.
- treats with more than just manipulations or adjustments. Look for a chiropractor who also offers nutritional, soft-tissue, and exercise expertise.
Problem signs:
- focused on "subluxations" or alignment only
- talks about bones out of place
- requires x-rays in order to treat you
- encourages patients to sign a contract or suggests frequent maintenance care
I encourage my patients to have a goal when they visit (e.g. less neck pain, more shoulder motion, less tingling in their fingers). Patients are seeking progress and chiropractors should also. Some chiropractors are willing to treat a patient weekly to maintain health--this has limited and sinking support of scientific evidence. Find a chiropractor who is helping you reach your goals, not someone who is helping pay for their new boat.
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