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Hippocrates (60-375 BC), one of the fathers of medicine said "In Disease, Always Look to the Spine First." Spinal
manipulation has been used as a healing art for nearly 5000 years. The ancient Egyptians and the ancient Chinese both
practiced spinal manipulation. Two thousand years ago Hippocrates wrote “On the Articulations.” In it he advised
physicians that "...subluxations take place in different degrees...but when the bone has slipped, or been displaced to a
less extent, it is easier to reduce such cases than the other.” In the 19th century there were "bonesetters" who practiced
a healing art much like chiropractors today. Daniel David Palmer the founder of modern chiropractic said, “Chiropractic
embraces the science of life, the knowledge of how organisms act in health and disease, and also the art of adjusting the
neuroskeleton."
Although there are surgical options for neck and back pain, many people respond to less invasive and more conservative
treatment option. Bed rest is contraindicated in most causes of neck and back pain as activity can promote healing.
Chiropractic manipulations may correct the structural malformation that is producing pain, therefore restoring the body to
its natural form and improving function. Symptoms that can be experienced when the spine is out of alignment are pain,
tenderness, swelling, tingling, numbness, or muscle spasms of the spine, back, and neck. Many times these sensations
may extend into the upper and lower extremities.
Mechanism of Treatment
Before receiving therapy, your pain physician may recommend radiological studies (x-rays) to evaluate the cause of your
pain. Then your physician will examine you with a physical exam as well as evaluating your movement and posture.
The word “Chiropractic” comes from combining the Greek words Cheiros and Praktikos meaning “Hand Practice.” A spinal
bone which has lost its normal placement or alignment, is said to be "subluxated." The theory behind manipulations states
that an impulse traveling along a nerve in close proximity to a subluxated bone becomes distorted.
In simple terms Chiropractic Theory can be summarized by: Subluxation = Interference = Disease. Chiropractors focus on
restoring proper structure and function. They detect, diagnosis, and treat subluxations a misalignment of joint surfaces
that is less than full dislocation. Subluxations create tension and stress on all components of the spine. These
subluxations can affect the bones, ligaments, discs, muscles, and nerves.
Following consultation and the physical examination, an individual regimen will be devised to help you specifically. This
program is centered around chiropractic manipulation, improves spinal alignment and motion, therefore relieving nerve
irritation, pressure, and pain. Most people experience a progressive relief of symptoms following their adjustments.
Most Chiropractors recommend multiple adjustments to effectively treat your symptoms. Since the adjustments improve
motion to previously locked joints, the ligaments and tendons stretch back to their normal length and position. While this
occurs, you may experience some mild muscle soreness following your manipulation, however, within days the benefits of
the treatment often become apparent.
Research
A large randomized multi-center study was done in 2004 that looked at treating low back pain with exercise versus spinal
manipulation. There were 1,334 participants from 181 general practices across the United Kingdom. The patients were
followed up at three months and one year. There findings reveal that exercise produced statistically significant
improvements in mean Roland disability score at three months only. Manipulation produced statistically significant
improvements in Roland disability scores at three months and at one year. Manipulation followed by exercise produced
significant improvements in Roland disability scores at three months and at one year.
An older study compared the effectiveness of chiropractic versus hospital outpatient management of low back pain over
three years. 741 patients were randomized to chiropractic clinics or hospital outpatient management. According to total
Oswerty scores improvement in all patients’ pain at three years was about 29% improved in those treated by
chiropractors. The beneficial effect of chiropractic on pain was particularly clear. More patients rated chiropractic care
helpful at three years than hospital management.
At Arizona Pain Specialists we understand that not all conditions can be effectively treated by allopathic medicine. That is
why we have a Board Certified Naturopathic and Chiropractic Physician working closely with us to successfully treat you.
We happily offer this pain management service to patients in Scottsdale and the entire Phoenix metro area. Call us today.
Journal Articles
2004;329;1377 BMJ United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of
physical treatments for back pain in primary care.
1995;311:349-351 BMJ Randomised comparison of chiropractic and hospital outpatient management for low back pain:
results from extended follow up.
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Chiropractic Manipulation
by Nicole Berardoni M.D, Paul Lynch M.D, and Tory McJunkin M.D
Chronic back and neck pain are the most common reasons
musculoskeletal complaint among people and may arise from
damage or irritation to spinal structures. These include the facet
joints, vertebrae (bones), discs (shock absorbers), ligaments,
tendons, muscles, spinal cord, and nerves. Usually Chronic back
and neck pain are the most common reasons the symptoms of
back and neck pain resolve within four people seek chiropractic
care. Pain is a frequent weeks. However, pain often returns
leading to a high percentage of the American population with a
chronic neck and low back pain. It is this population of people
that usually seek the care of a chiropractor.
by Nicole Berardoni M.D, Paul Lynch M.D, and Tory McJunkin M.D
Chronic back and neck pain are the most common reasons
musculoskeletal complaint among people and may arise from
damage or irritation to spinal structures. These include the facet
joints, vertebrae (bones), discs (shock absorbers), ligaments,
tendons, muscles, spinal cord, and nerves. Usually Chronic back
and neck pain are the most common reasons the symptoms of
back and neck pain resolve within four people seek chiropractic
care. Pain is a frequent weeks. However, pain often returns
leading to a high percentage of the American population with a
chronic neck and low back pain. It is this population of people
that usually seek the care of a chiropractor.
Our Licensed Naturopathic Physician and
Chiropractor has served the Phoenix area
for over 30 years.
Chiropractor has served the Phoenix area
for over 30 years.
Book I - Pain Syndromes
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions
Chapter 1 Low Back Pain
Chapter 2 Neck Pain
Chapter 3 Cancer Pain
Chapter 4 Headaches
Chapter 5 Spinal Stenosis
Chapter 6 Sciatica
Chapter 7 Arthritis
Chapter 8 Fibromyalgia
Chapter 9 Motor Vehicle Injuries
Chapter 10 Complex Regional Pain
Syndrome
Chapter 11 Vertebral Body
Fractures
Chapter 12 Hip and Leg Pain
Chapter 13 Diabetic Peripheral
Neuropathy
Book II - Interventional Procedures
Chapter 14 Epidural Steroid
Injection
Chapter 15 Facet Injections/Medial
Branch Blocks
Chapter 16 Radiofrequency Ablation
Chapter 17 Spinal Cord Stimulator
Implants
Chapter 18 IntraDiscal
Electrothermal Therapy (IDET)
Chapter 19
Vertebroplasty/Kyphoplasty
Chapter 20 Discography
Chapter 21 Percutaneous
Discectomy
Chapter 22 Occipital Nerve Block
Chapter 23 Sympathetic Block
Chapter 24 Stellate Ganglion Block
Chapter 25 Intrathecal Pump
Implants
Chapter 26 Caudal Steroid Injection
Chapter 27 Adhesiolysis
Chapter 28 Cervical Steroid
Injection
Chapter 29 Sacroiliac Joint
Injections
Chapter 30 Celiac Plexus Block
Chapter 31 Head and Neck
Procedures
Chapter 32 Joint Injections
Chapter 33 Continuous Catheter
Nerve Blocks
Chapter 34 Peripheral Nerve
Stimulation/Field Stimulation
Chapter 35 Disc Denervation
Book III Other Treatments
Chapter 36 Medication Management
Chapter 37 Acupuncture
Chapter 38 Prolotherapy
Chapter 39 Botox
Chapter 40 Massage
Chapter 41 Alternative and
Complementary Medicines
Chapter 42 Exercise and Nutrition
Counseling
Chapter 43 Prayer
Chapter 44 Cognitive Behavioral
Therapy
Chapter 45 Group Therapy
Chapter 46 Biofeedback
Chapter 47 Chiropractic
Manipulations
Chapter 48 Vitamin Supplements
Chapter 49 Customized
Pharmaceutical Formulations
Chapter 50 Hormone Therapy
Frequently Asked Questions