What conditions do Chiropractors treat?
Doctors of Chiropractic care for patients of all ages presenting different health conditions.
Usually, patients come to see a Chiropractor because of low back pain, neck pain and headaches.
Chiropractors also care for patients with a variety of injuries and disorders of the musculoskeletal system, involving the muscles, ligaments and joints. These painful conditions often involve or impact the nervous system, which can cause referred pain and dysfunction distant to the painful region. The benefits of chiropractic care extend to general health issues, since our body structure affects our overall function. Chiropractors also advices patients on posture diet, nutrition, exercise, healthy habits, and occupational and lifestyle modification.
Why do I hear a popping/clicking/cracking sound ?
Because of the release of a trapped bubble inside the fluid joint.
Synovial fluid is the lubricant-like substance found in between your joints, looking alike an egg yolk (synovial comes from Greek and Latin : syn = together with + ovial = egg)
When tension is applied to the joint, it releases a gas, that gas forms a bubble, to reduce the local pressure, that bubble collapses and pops, other name of this phenomenon : cavitation. If you want to hear it again, you’ll have to wait around 20 minutes so that gas can reforms back to the fluid.
How much cost a consultation ?

Do insurance plans cover Chiropractic?
Yes. For instance, in United States of America, Chiropractic care is included in most health insurance plans, including major medical plans, workers’ compensation, Medicare, some Medicaid plans, and Blue Cross Blue Shield plans for federal employees, among others. Chiropractic care is also available to active-duty members of the armed forces at more than 60 military bases and is available to veterans at more than 60 major veterans medical facilities.
In Portugal, you may ask to your health insurance first.
Differences Osteo – Chiro ?

Same goal : support the patient in his path to get better, optimize his Health.

But still some factual differences :


Chiropractic studies match with the international standards for education made by CCEI (Council on Chiropractic Education International), and in the European continent: ECCE (European Council on Chiropractic Education).
It made a standardized education for Chiropractors.


Only two places to study Chiropractic in France from the same school : IFEC Paris (Ivry-sur-Seine)+ IFEC Toulouse


To study Chiropractic there, we had to follow more than 5500 hours courses (6 years after High school diploma). During our studies, we met physiotherapists, they had to follow 5 years of studies.


On the contrary, Osteopathic studies were for a long time unregulated in France. Until 2014, Osteopathic studies were not codified, physicians and physiotherapists could have the qualification following several seminaries.


That explains why the law limitates their sphere of action.


Sphere of action


Chiropractors are interested in disorders of the musculoskeletal system with a focus on the spine and joints, compared to Osteopaths who work on functional disorders.


Because of our training, Chiropractors can handle cervicals/neck adjustments or manipulations without the physician’s prescription and use instruments.
For all cervical manipulations, Osteopaths need a certificate issued by the patient’s doctor. In addition, they can’t take care of infants under 6 months or use instruments regarding the law.

Technical differences
Each discipline has specific technics which will fit to the practioner.
In Sea Quiroprática Clinic, we use high-velocity low amplitude thrust techniques, pelvis blocking, soft tissues techniques, kinesiotaping, dry needling, Flexion Distraction technique with a special table.

Differences Physio – Chiro ?
Physiotherapists put their focus on functional re-education and muscular strengthening through exercises, massage therapy, etc
In addition, three years are required to study Physiotherapy discipline. To compare, Chiropractors need to follow 6 years of studies.
To see a Physiotherapist, you’ll have to see first their medical physician to have a prescription, no need for Chiropractors, Doctors of Chiropractic are educated as primary-contact health care providers.
Physiotherapists aren’t able to perform high-velocity low amplitude spinal manipulations.
Physiotherapy is a conventional therapy, Chiropractic is unconventional therapy.
Is Chiropractic treatment safe?

In a 2016 Gallup survey, for neck or back pain care, people were “most like to see” Chiropractors just preceded by medical doctors . Indeed people plebiscites Chiropractors 4 times more than massage therapists and physical therapists in the same study.


American Chiropractic Association wrote this text about the safety of Chiropractic treatment :


“Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness, stiffness or aching, just as they do after some forms of exercise. Current research shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.


Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation, often called a neck adjustment, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck manipulation, when performed by a skilled and well-educated professional such as a doctor of chiropractic, is a remarkably safe procedure.


Some reports have associated high-velocity upper neck manipulation with a certain rare kind of stroke, or vertebral artery dissection. However, evidence suggests that this type of arterial injury often takes place spontaneously in patients who have pre-existing arterial disease. These dissections have been associated with everyday activities such as turning the head while driving, swimming, or having a shampoo in a hair salon. Patients with this condition may experience neck pain and headache that leads them to seek professional care—often at the office of a doctor of chiropractic or family physician—but that care is not the cause of the injury. The best evidence indicates that the incidence of artery injuries associated with high-velocity upper neck manipulation is extremely rare—about one to three cases in 100,000 patients who get treated with a course of care. This is similar to the incidence of this type of stroke among the general population.


If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider.


When discussing the risks of any health care procedure, it is important to look at that risk in comparison to other treatments available for the same condition. In this regard, the risks of serious complications from spinal manipulation for conditions such as neck pain and headache compare very favorably with even the most conservative care options. For example, the risks associated with some of the most common treatments for musculoskeletal pain—over-the-counter or prescription nonsteroidal anti-inflammatory drugs (NSAIDS) and prescription painkillers—are significantly greater than those of chiropractic manipulation.


According to the American Journal of Gastroenterology, people taking NSAIDS are three times more likely than those who do not to develop serious adverse gastrointestinal problems such as hemorrhage (bleeding) and perforation. That risk rises to more than five times among people age 60 and older.


Moreover, the number of prescriptions for powerful drugs such as oxycodone and hydrocodone have tripled in the past 12 years. The Centers for Disease Control and Prevention (CDC) has reported that abuse of these commonly prescribed painkillers are among the leading causes of accidental death in the United States. Overdoses of opioid painkillers are responsible for some 15,000 deaths per year; that’s more than the number of deaths from cocaine and heroin combined.


Doctors of chiropractic are well trained professionals who provide patients with safe, effective care for a variety of common conditions. Their extensive education has prepared them to identify patients who have special risk factors and to get those patients the most appropriate care, even if that requires referral to a medical specialist.”