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Issue 1, December, 2013 Five Surprising Things About Presented by:

Introduction the United States.1 In 2002 a study published in the Annals of Internal Medi- Exercise of the Week The Chiropractic profession is known for cine stated that chiropractic is the most Seated Glute Stretch its personalized approach to health care and regulated and best recognized CAM Difficulty: Easy 2 its mission to find and address the underly- profession. A 2005 report in the journal (Consult your chiropractor before ing causes of musculoskeletal problems, Alternative Therapies in Health and starting this or any other exercise.) especially those concerning the spine. Like Medicine notes that approximately 7.4 Start: Seated, with legs out in front of you, knees straight. other professions, chiropractic comes with percent of the population in the United its own set of attributes that some patients States receives chiropractic care - a higher Exercise: Take one leg, and percentage than , massage, cross ankle over opposite knee. and members of the general public may Then, pull knee toward opposite yoga, and diet-centered therapies.3 find surprising. Though chiropractic is shoulder. Hold for 30-60 seconds, then return to start position. now well-established as a healthcare Switch sides, and repeat 2X per practice in many countries around the Chiropractors Treat side. world, there are still a few things about the Non-Spinal Conditions chiropractic profession that are not well known. This edition of the Wellness Many chiropractic patients know that Express takes a closer look at five such chiropractors treat “extra-spinal” conditions things to shed a little more light on this or conditions that affect the joints, muscles unique healing art. and tissues outside of the spine, but this may come as a surprise to new patients. Chiropractic is the Though spine care is what chiropractic is Largest CAM Profession best known for, many chiropractors successfully treat problems in other parts of Chiropractic is now the largest comple- the body, including the wrists, shoulders, mentary (CAM) profession (and the third largest doctoral- level profession, after medicine and dentistry) in the United States. Other CAM professions include , acupun- cture, massage therapy, ayurvedic medicine, traditional Chinese medicine and clinical hypnotherapy. According to the American Chiropractic (ACA), there are over 60,000 active chiropractic licenses in

Presented by: hips, knees and feet. According to the Journal of Manipulative and Physiological ACA, chiropractors historically have Therapeutics, chiropractic care can be QuoteQuote toto InspireInspire treated conditions such as osteoarthritis, successfully integrated into hospital carpal tunnel syndrome, and sprains, strains systems for the benefit of patients.6 St. 4 Michael’s in Toronto, Ontario is one and tendinitis throughout the body. The “The most ACA also notes that chiropractors are example of a hospital that has begun wonderful study trained to treat certain non-musculoskeletal offering chiropractic services, including of mankind conditions, too, including allergies, asthma, spinal and other joint manipulation, soft is man” digestive problems and ear infections (otitis tissue treatments, physical therapy modali- media). In some states, chiropractors with ties, functional exercises and other active Dr. Daniel D. Palmer advanced training can even perform minor rehabilitation techniques.7 Back , neck surgery and obstetrical procedures. pain, headaches and extremity pain are common conditions treated by chiroprac- Chiropractic Education tors in a hospital setting. References and Sources: is Similar to Medical 1. American Chiropractic Association. Chiropractic Has Been General Information About Chiroprac- School tic Care. Around For Over 100 http://www.acatoday.org/pdf/Gen_Chi ro_Info.pdf. Chiropractors undergo a rigorous, Years 2.Meeker WC, Haldeman S. four-year course-of-study that covers much Chiropractic: a profession at the of the same material that medical students Some people are surprised to learn that crossroads of mainstream and chiropractic care has been around for over alternative medicine. Annals of study in medical school, including the basic Internal Medicine. 2002; 136(3): 216-227. sciences and some areas of the clinical 100 years! D.D. Palmer discovered chiropractic in 1895, and though much 3. Tindle HA, et. al. Trends in use of sciences. According to a study published complementary and alternative in the journal Alternative Therapies in about the profession has changed in the medicine by US adults: 1997-2002. years since then, the fundamental treatment Alternative Therapies in Health and Health and Medicine, the two programs are Medicine. 2005. Jan; 11(1): 42-29. approach used by chiropractors to treat similar both for the subjects studied and the 4. American Chiropractic Association. 5 musculoskeletal problems (i.e., spinal joint History of Chiropractic Care. time allotted to each subject. The http://www.acatoday.org/level3_css.cf principle difference between a medical manipulation) has remained the same. m?T1ID=13&T2ID=61&T3ID=149. school education and the education Chiropractic is an established healthcare 5. Coulter I, et. al. A comparative approach that continues to grow and evolve study of chiropractic and medical chiropractic students receive in chiropractic education. Alternative Therapies in as new and unique treatment methods are Health and Medicine. 1998. college concerns clinical practice. The Sep; 4(5): 64-75. treatment approaches medical and chiro- combined with more traditional 6. Branson RA. Hospital-based practic students learn are quite distinct, as chiropractic therapies. chiropractic integration within a large private hospital system in Minnesota: are the settings in which students receive a 10-year example. Journal of Manipulative and Physiological their training. Despite these differences in Therapeutics. 2009. Nov; 32(9): treatment styles (and philosophical 740-748. approach), medical doctors and chiroprac- 7. St. Michael’s Hospital. Chiropractic Services. tors are now collaborating more than ever http://www.stmichaelshospital.com/pr on patient care. ograms/chiropractic/. Some Chiropractors Work in Hospitals Writer: Marty Hughes, DC Design: Elena Zhukova Though most chiropractic care is Graphics: Maria Camille performed in private chiropractic clinics, Almirañez some chiropractors in the United States Production: Mike Talarico and Canada work in hospital settings. According to a 2009 study published in the

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