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Chiropractic in the United States:
Training, Practice, and Research

This project was supported by grant number HS07915 from the Agency for Health Care Policy and Research

AHCPR Publication No. 98-N002
December 1997

Download Chiropractic in the United States by chapter

Title Page, Table of Contents & Foreword

I. A Brief History of Chiropractic

II. Chiropractic Belief Systems

III. Chiropractic Training

IV. Supply, Distribution, and Utilization of Chiropractors in the United States

V. Licensure and Legal Scope of Practice

VI. Insurance Coverage of Chiropractic Services

VII. Chiropractic in the Health Care System

VIII. Content of Practice

IX. Chiropractic Research

X. Biological Rationale for Possible Benefits of
Spinal Manipulation

XI. Benefits and Risk of Spinal Manipulation

XII. Synopsis, Research Priorities, and Policy Issues

What is Chiropractic?

Chiropractic is a branch of the healing arts which is based upon the understanding that good health depends, in part, upon a normally functioning nervous system (especially the spine, and the nerves extending from the spine to all parts of the body). "Chiropractic" comes from the Greek word Chiropraktikos, meaning "effective treatment by hand." Chiropractic stresses the idea that the cause of many disease processes begins with the body's inability to adapt to its environment. It looks to address these diseases not by the use of drugs and chemicals, but by locating and adjusting a musculoskeletal area of the body which is functioning improperly.

The conditions which doctors of chiropractic address are as varied and as vast as the nervous system itself. All chiropractors use a standard procedure of examination to diagnose a patient's condition and arrive at a course of treatment. Doctors of chiropractic use the same time-honored methods of consultation, case history, physical examination, laboratory analysis and x-ray examination as any other doctor. In addition, they provide a careful chiropractic structural examination, paying particular attention to the spine.

The examination of the spine to evaluate structure and function is what makes chiropractic different from other health care procedures. Your spinal column is a series of movable bones which begin at the base of your skull and end in the center of your hips. Thirty-one pairs of spinal nerves extend down the spine from the brain and exit through a series of openings. The nerves leave the spine and form a complicated network which influences every living tissue in your body.

Accidents, falls, stress, tension, overexertion, and countless other factors can result in a displacements or derangements of the spinal column, causing irritation to spinal nerve roots. These irritations are often what cause malfunctions in the human body. Chiropractic teaches that reducing or eliminating this irritation to spinal nerves can cause your body to operate more efficiently and more comfortably.

Chiropractic also places an emphasis on nutritional and exercise programs, wellness and lifestyle modifications for promoting physical and mental health. While chiropractors make no use of drugs or surgery, Doctors of chiropractic do refer patients for medical care when those interventions are indicated. In fact, chiropractors, medical doctors, physical therapists and other health care professionals now work as partners in occupational health, sports medicine, and a wide variety of other rehabilitation practices.

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