Manipulation

Techniques for Improving Circulation

January 17, 2017 oblanderchiropractic

A healthy circulatory system is crucial to good health. To be at its best, your body needs to be able to keep blood pumping from the heart and lungs through the arteries to your organs and extremities, and then keep pumping it back to the lungs for re-oxygenation. Anything that interferes with the proper circulation of blood puts your body’s health at risk for lots of reasons.

“Poor circulation” can mean many things. Common symptoms include having consistently cold fingers and toes, experiencing tingling in your feet and hands, feelings of numbness, tiredness and a general lack of energy, and chronically dry skin. More serious symptoms of poor circulation can include headaches, hair loss, dizzy spells, varicose veins, muscle cramps, feeling short of breath, memory lapses (due to impaired blood flow to the brain), bluish-tinted skin, and slow healing times for wounds.

What causes poor circulation?

One of the most common causes is inactivity and lack of exercise. To keep the blood moving, you need to keep your body in motion. And do it often. Poor diet and carrying excess weight can lead to poor circulation, as can diabetes and many other chronic diseases. Medically, if you have been diagnosed as hypertensive (having high blood pressure), this is almost always an indicator of poor circulation. The “high pressure” is caused by your heart having to pump harder to cause the blood to keep flowing, often because of blood vessels that have become constricted because of stress, disease, or the buildup of plaque.

How can poor circulation be treated?

Serious circulatory problems can be treated with medication. But for most people anxious to improve their circulation and thus their overall health, a few lifestyle changes can do wonders:

Get more exercise. Walk rather than ride. Take the stairs rather than the elevator. Go for walks after lunch and go to the gym after work. Your body functions best with a minimum of 30 minutes exercise per day.
Stretch more. Not just before exercising, but at your desk at work. Stretching helps to relieve stress, and stress is one of the things that can constrict your blood vessels.
Get massages. Massage improves circulation by stimulating the soft tissues of your body and encouraging blood flow.
Put your feet up. After you exercise, elevating your legs can really help you not only to relax, but increase your circulation. It also reduces your risk of developing varicose veins.
Eat healthier foods. Try to eat more fruits, vegetables, whole grains, healthy fats (from fish, olive oil, and nuts), and lean meats. Try to avoid processed foods.
Drink more water, and less caffeine. When you’re thirsty, drink water instead of coffee or black tea or soft drinks. Try to cut down on or avoid alcohol, because it definitely impedes circulation.
Don’t smoke, or quit smoking if you do. Nicotine and the pulmonary perils of smoking are among the most common causes of poor circulation.
De–stress, however you can. Stress has an extremely negative effect on your circulation. So try to find healthy outlets for the stresses you encounter at work and in other areas of your life, to release the stress rather than have it build up and become toxic.
Consider herbs and supplements that can help. Ginger, hawthorn berry, cayenne, motherwort, garlic, ginkgo biloba and vitamins C and E all can help to improve your circulation.

If any of the symptoms become chronic, see your doctor or chiropractor. Don’t try to “tough it out” and live with the discomfort of consistent symptoms of poor circulation. Some of the causes can be very serious indeed, so see an expert to make sure.

Which Chiropractic Technique is Most Effective? Why the Answer is “It Depends.”

January 5, 2015 oblanderchiropractic

When patients come to us for chiropractic care, it’s not unusual for them to ask us which chiropractic technique is most effective. This is especially true if they have prior experience with chiropractic care or if they have friends or family who do. The patients who ask this question are often surprised when we respond with “It depends.”

The simple truth is that the human body is a complex machine, and no single approach will produce the same results for every individual or in every set of circumstances. Rather, your chiropractor must take several factors into consideration to find the best treatment options for you.

What Factors do Chiropractors Consider When Choosing a Treatment?

When you first visit a chiropractor, you will go through a “new patient” or “patient intake” process that is not dissimilar to what you may experience in other medical settings. This process allows your chiropractor to gather information about your general health and the extent of your discomfort or injury, two factors that help inform his or her treatment recommendations. During this process, you should expect to fill out a questionnaire about your health history as well as undergo a routine physical exam. Depending on the situation, your chiropractor may also use a variety of diagnostic tools, including advanced imaging technologies that can help identify structural problems in your back.

When deciding which treatment would be most effective for you, your chiropractor will also take your goals and lifestyle into consideration. You may come to see your chiropractor with a very clear goal in mind: perhaps you are experiencing back pain due to an accident and you are hoping for relief. In this case, your chiropractor might recommend some form of soft tissue mobilization and low level laser therapy (LLLT) to relieve pain, reduce inflammation and speed healing. Alternatively, you may not have a single health problem you wish to address. Perhaps you’re more interested in improving your lifestyle and general well-being. Your chiropractor can work with you to build a strategy to help you meet your goals, perhaps focusing on nutrition, exercise and stress management techniques.

Finally, the most effective chiropractic treatment depends—at least in part—on your own experience and personal preferences. A technique that works well for one patient may not be tolerated well by another. Therefore, it is important to communicate openly with your chiropractor about how each technique feels to you. If you find a certain style of adjustment to be too intense, there may be gentler, low-force techniques that can achieve the same effect while keeping you more comfortable.

Taking Advantage of Many Techniques

Another reason we can’t provide a simple answer to the question “Which chiropractic technique is most effective?” is because it is very often necessary to make use of more than one technique to reach a patient’s goals. Your chiropractor will work with you to find both manual and non-manual therapies to help relieve your immediate pain and discomfort while also improving your function. You might find that dietary changes, exercise, or orthotic supports are all helpful in helping you reach your own goals, making them irreplaceable components of a well-rounded chiropractic treatment plan.

There simply is no one chiropractic technique that is most effective. Instead, the most efficient and reliable path to an effective treatment plan is good communication with your chiropractor. By being clear about your own goals and preferences, honest about your lifestyle choices, and open to your chiropractor’s recommendations, you can help us build a treatment plan that is most likely to deliver the results you want to achieve.

Can Chiropractic Care Really Reduce Your Sensitivity to Pain?

April 28, 2014 oblanderchiropractic

Chronic back pain is a worldwide problem. According to the 2010 Global Burden of Disease report, it is the single leading cause of disability worldwide. In America, an estimated $50 billion is spent each year to treat back pain. And that figure doesn’t even take into account broader economic or societal costs that come with lower productivity and wages lost to work absences. As a result, chronic pain (whether it’s located in the back, neck, head or elsewhere in the body) and its treatment is an issue—either directly or indirectly—affects all of our lives.

Over the years, there have been tens of thousands of anecdotal reports from patients who found relief from their chronic pain as the result of chiropractic spinal manipulation therapy (SMT). There have also been a number of research studies that documented pain relief after receiving spinal adjustments, especially with regard to decreased sensitivity to pain. But critics have always been able to suggest that the pain relief experienced in these studies might be due more to the placebo effect and “expecting” relief than to the therapy itself.

New research from the University of Florida, published in the February issue of the Journal of Pain, provides demonstrable proof that the pain relief from spinal manipulation therapy is the result of the therapy itself, and not simply the result of patient expectations. In this study, researchers worked with 110 participants suffering from chronic back pain. They assigned them randomly to four groups. A control group received no intervention at all, the SMT group received real spinal manipulation therapy, a third group received placebo SMT (non-chiropractic manipulations designed to simulate treatment) and the fourth group received “enhanced” placebo SMT accompanied by instructions that said “The manual therapy technique you will receive has been shown to significantly reduce low back pain in some people.” Patients then received their therapies or mock therapies six times over a period of 2 weeks. Pain sensitivity was assessed at the start and the end of the experiment.

The study design was thus intended to determine how much of any pain relief experienced by the test subjects was due to the placebo effect. Patients in the real SMT group experienced much more significant reductions in their sensitivity to pain than the control group (as expected), but also more pain reduction than either of the placebo SMT groups, including the group that had been “implanted” with the expectation that it would relieve their pain. The researchers suggest that real spinal manipulation therapy created changes to central nervous system response or the processing of neural pain input that the placebo treatments did not. They attributed the pain relief to “the modulation of dorsal horn excitability and lessening of central sensitization. This suggests potential for SMT to be a clinically beneficial intervention.”

These results should not surprise either chiropractors or their patients, who have had first-hand experience with spinal manipulation for years and understand its potential to reduce pain sensitivity in patients. But it is useful information to those who still doubt chiropractic’s ability to provide real relief without drugs or surgery. The pain alleviation produced by chiropractic adjustments has been determined to be a real and valuable alternative to other types of treatment than may involve far more risk and expense.

What’s the Difference Between an MD and a DC?

August 13, 2013 oblanderchiropractic

It’s important to know the basic differences between an MD (Medical Doctor) and a DC (Doctor of Chiropractic) so that you understand the unique role that each type of medical professional plays in helping you to maintain or regain your health.

MDs and DCs are both licensed healthcare providers. They examine, diagnose and treat patients. However, most MDs have more hours of training in physiology, whereas DCs typically have more hours of anatomy training. Their methods of practice may help explain this difference in emphasis. DCs are experts in musculoskeletal health and general wellness. Like an MD, a DC will use diagnostic imaging, lab tests, clinical exams and questionnaires to determine a diagnosis, but the course of treatment will be different. MDs tend to prescribe pharmaceuticals and surgery to treat patients, whereas DCs use a more holistic approach involving a variety of hands-on treatments as well as advice on diet and exercise.

Office visits are also often quite different experiences. On a typical visit to an MD, you will likely be asked by a nurse or assistant to fill out paperwork and provide information about your condition. Then the MD will visit you, look at the information, perhaps perform a brief clinical examination, and quickly prescribe a treatment. In the course of doing this, most doctors will take only a small amount of time to understand your overall health picture. And treatment will usually involve drugs and/or medical procedures.

It is not uncommon for patients to have a more personal relationship with their DC than with their MD. Visits to a DC also tend to be more involved. The chiropractor will speak with you at length about not only your physical symptoms, but your lifestyle habits as well. He or she will examine you, perform any necessary tests, discuss possible treatment options, and provide appropriate manual therapies. Together, these treatment methods are sometimes referred to as “physical medicine”. These may include targeted spinal adjustments, therapeutic massage, disc decompression, laser therapy, electrical stimulation and hot and cold treatments as well as structured exercise and stretching programs. In addition, the chiropractor may also make specific suggestions about your nutrition, day-to-day environment and physical activity.

In general, musculoskeletal problems (particularly those related to back, neck and joint pain) are better treated by a DC. However, many chiropractors have also developed specialized expertise in other areas as well. DCs will refer you to an MD if they believe that diagnosing and treating your specific condition is beyond their scope of practice.

Introducing Brigadier General Becky Halstead

June 18, 2013 oblanderchiropractic

Retired Brigadier General Becky Halstead is no stranger to pain. She spent her entire adult life in the military, and was the first female graduate from West Point to become a general officer. She has seen battle all over the world, including in Iraq. But she has also fought her own personal battle-with fibromyalgia.

Fibromyalgia is a condition that is still not fully understood, but it involves symptoms that include headaches, fatigue, muscle pain, anxiety and depression. “It’s as if your whole body is a bruise … You hurt everywhere,” Halstead says. Even something as simple as showering was painful. “The water hitting your skin, it would feel like it was tearing.”

The conventional treatment for fibromyalgia involves pharmaceuticals, which Halstead took for a number of years. However, the drugs have only limited effectiveness, and she did not want them to affect her job. She said “I knew it wasn’t going to kill me-I was just in pain, so I took myself off all prescription drugs when I went into combat. I was in charge of 20,000 soldiers. That’s a huge command, a huge responsibility. I wasn’t going to have someone doubt or wonder whether the prescriptions influenced me or my decisions.”

However, it became impossible to continue in the military while dealing with debilitating pain, so she retired from the army in 2008. It was then that she began semi-monthly visits to a chiropractor, and that’s when her health began to turn around. Within a year of beginning chiropractic treatment, she was able to discontinue taking pharmaceuticals entirely by combining regular chiropractic spinal adjustments with nutritional supplements.

Halstead says of chiropractic care and how it has helped her, “It’s not like you’re cured, but you feel so much better. They set me on a path of getting well. I’m the healthiest I’ve been in 10 years. I was taking eight or 10 prescription drugs in 2008. The more I went to the chiropractor, the less prescriptions I needed.” She continued, “When I retired, my pain was easily a 9 or 10 (on a 10-point scale) every single day. My pain now is a 2 or 3, and maybe even sometimes a 1. I don’t think I’ve hit a 10 since I started regularly seeing a chiropractor.”

“If I had known how much chiropractic care would help me when I was a commander in Iraq and in the United States, I could have taken better care of my soldiers.” Although chiropractic care for military personnel was approved by congress, there are still many treatment facilities that do not have a chiropractor on staff, which Halstead would like to see changed.

“Until we’ve done that we have not fulfilled our leadership responsibility,” Halstead said. “If you want to help them, see a congressman and ask ‘aren’t our men and women getting these benefits?’ I’m not a chiropractor I’m a satisfied patient, a beneficiary of their talented hands, minds, and hearts. Go find yourself a chiropractor and change your life!”

http://www.omaha.com/article/20130316/LIVEWELL01/703179900
http://www.youtube.com/watch?v=t22AVZ44z3A (first of a 4-part series)

Is It Normal for Knees to Pop and Crack?

April 11, 2013 oblanderchiropractic

Many people experience a popping or cracking noise in their knees as they squat down or bend their knees, and this seems to happen with increasing regularity as we age. The medical term for this condition is called crepitus. It is a very normal phenomenon and, so long as it is painless, there is nothing to be overly concerned about. Whether young or old, cracking and popping of the knees is a common occurrence.

Crepitus can be caused by many things, and scientists are still not completely certain why it happens. One of the reasons for the popping sound may be that the patella is slightly out of alignment and is rubbing against the front of the femur or the adjacent soft tissue. Another condition called cavitation can cause a popping sound when small bubbles of carbon dioxide, which are normally suspended in the synovial fluid that lubricates the knee joint, form a larger bubble and make a popping sound as the knee is bent or twisted (think bubble wrap). Lax ligaments have been associated with an increase in cavitation. Changes in altitude or barometric pressure can often exacerbate the popping sound, such as on plane flights or when there is a change in the weather.

However, if the cracking or popping noise is accompanied by pain on a regular basis, or the knee catches or locks up, then you may have some cause for concern. Pain, sometimes accompanied by a grinding sensation, may be an indication that there is tissue damage to the articulating surfaces of the joint, such as tear to the meniscus. The cartilage behind the kneecap can fray, leading to the pain and popping sound of patellofemoral pain syndrome, which is generally caused by an overuse and misalignment of the hips, knees and ankles.

Swelling and/or stiffness may be indications of early arthritis, bursitis, gout or tendinitis. To be sure you do not damage the joint further, which may require surgery to correct, it is wise to consult with your physician or chiropractor to stop any further damage before it starts.

Your chiropractor can help to realign any joints that are misaligned, which may be contributing to the problem, in addition to suggesting specific stretching and strengthening exercises that you can do at home to support the muscles, tendons and ligaments surrounding the knee. Weak quadriceps is one of the foremost causes of knee pain, so exercises to strengthen this area may be a good idea. If you need to be seen, you can call our office at 406-652-3553.

Chiropractic and Addiction

March 28, 2013 oblanderchiropractic

It is ironic that chiropractic-a health care methodology that is committed to being drug-free-is being utilized more and more as an effective treatment for the ravages of addiction. Addiction is a major public health problem these days, with the National Institutes for Health (NIH) estimating that 15% of Americans can be classified as “problem drinkers” or alcoholics, and that 1 in 10 Americans are either addicted to or in recovery from the use of illegal drugs. And the problem of drug addiction is far from being limited to illegal drugs; the National Institute on Drug Abuse estimates that millions of Americans meet abuse or dependence criteria for prescription opioids and painkillers used to treat their chronic pain. Add to alcohol and drugs other mainstream sources of addiction (smoking and gambling for example), and it becomes quite clear that addiction is a broad problem that negatively affects the lives of those addicted and their families as well as society at large.

Let’s talk for a minute just about substance abuse. Whether the source of the addiction is alcohol, illegal drugs or prescription drugs the reasons people have for taking them in the first place are remarkably consistent, and based on feelings of dis-ease. People are in such pain – physical pain as the result of injury or disease, or emotional pain as the result of psychological trauma or mental illness – that they turn to these addictive substances to dull their ever-present pain and just “get through the day.” And while there are conditions for which powerful opioid painkillers can be legitimately prescribed, the continued use of them can be as debilitating as the illegal drugs, and can wreak havoc on people’s overall physical and mental health.

Chiropractic care is increasingly being shown to be remarkably effective at eliminating the dependency that such individuals have on these addictive substances, and at helping them to live alcohol- and drug-free lives. Chiropractic does this by often eliminating some or all of the chronic pain that caused the person to resort to drugs or alcohol in the first place, easing the levels of physical aches and pains that cause a person to crave prescription medication or seek to self-medicate.

But because chiropractic care is above all holistic and designed to improve all aspects of a person’s life simultaneously, chiropractic treatment can also relieve psychological pain and mental distress, and enable people to re-achieve a sense of well-being. On a physical level, the spinal adjustment received during chiropractic care have been shown to release endorphins and other “feel good” chemicals in the brain, and thus to directly improve the sense of well-being. When the spine is in proper alignment, powerful chemicals known as neurotransmitters are released in their intended order and amount, resulting in positive mental states. One recent study published in the journal Medical Psychiatry found that when a 30-day addiction recovery program was supplemented with frequent chiropractic adjustments, the subjects achieved an unprecedented 100% success rate with the program.
Chiropractic care is safe, effective, and long-lasting, helping people’s bodies to heal in a holistic manner. Having this alternative means that they don’t need to resort to the use of prescription drugs, alcohol or illegal drugs to suppress their pain and feelings of dis-ease. So if you or someone you know and love is struggling with addiction issues of any kind, please look into the benefits that professional chiropractic care could bring to their recovery.

Chiropractic for Carpal Tunnel Syndrome

March 7, 2013 oblanderchiropractic

Carpal Tunnel Syndrome (CTS), named from the carpal bones in the wrist that form a tunnel around the nerve leading to the hand, is an injury usually caused by repetitive and forceful movements that result in swelling around the tendons and pinching of the median nerve, causing painful tingling, lack of muscle strength and control in the hand, and pain shooting from the hand up to the shoulder. CTS is a risk to most workers, such as those who work on the computer and also store and assembly line workers, who receive micro-traumas to their hands and wrists on a daily basis due to awkward positioning, forceful and repetitive movements, and stressful activity.

The usual treatment for Carpal Tunnel Syndrome can extend to heavy medication and surgery, however there are alternative methods of treatment that can alleviate the symptoms and effects arising from CTS. Chiropractic treatment for CTS has been studied against conventional non-surgical medical treatment and was found to be effective. This offers an alternative to sufferers who are intolerant to ibuprofen, or those who simply wish to avoid treating with medication.

The median nerve in the wrist, which when trapped causes Carpal Tunnel Syndrome, connects to the spinal cord through the openings in the bones in the areas around the lower neck. If these bones in the spinal cord lose their ordinary position or motion, this can cause problems in the wrists or fingers. Through chiropractic treatment, these bones can be reset to the correct position and can help to treat CTS.

If Carpal Tunnel Syndrome is detected early, then surgery can be avoided, and chiropractic treatment is the leading method of non-surgical treatment. Chiropractic treatment usually involves various methods, with a combination of rest, ice, ultrasound, and electrical stimulation, including:
* By chiropractic manipulation therapy of the elbow and upper spine, where the joint’s soft tissue undergoes manipulation;
* Nutritional supplements in the diet such as B6, a vitamin that has had long-term promotion in its treatment of CTS;
* Electro-acupuncture treatment; bracing, a technique that has had extensive success, by limiting extension and flexion in the hand, and with compression on the median nerve may encourage recovery and ease the swelling in the tendons;
* Exercises for the wrist and hand designed to encourage recovery;
* Reassessing the ergonomics of the work place to minimize stress the best way as possible.

Recent studies concluded that using manual therapy intervention such as soft tissue mobilization (STM) has been found to help improve the signs and symptoms of CTS, with improvements to nerve conduction latencies, wrist strength and motion.
Carpal Tunnel Syndrome can become a serious health problem, and if left too long may require surgery. If it’s caught early, then chiropractic treatment is an effective, drug-free method to ease the symptoms and pains caused by CTS, and provide long-term relief from CTS.

Every body is different. If you have questions about this article or whether chiropractic is an appropriate choice for your specific situation, please ask. We are here to help!

Migraine Headache Causes and Treatment Options

February 27, 2013 oblanderchiropractic

For those of you who wonder if you’ve ever suffered a migraine, it is likely you haven’t. Migraines are a debilitating form of headache that can involve not only intense throbbing head pain, but also nausea, vomiting and flashes of light. Despite how common migraines are, there is surprisingly little known about what exactly causes them. Researchers believe that they are due to a combination of different factors, including genetics and environment, which cause chemical changes in the brain.

When a migraine occurs, levels of serotonin have been found to drop. Serotonin is the neurotransmitter that regulates mood, appetite and sleep. Experts believe this drop causes the trigeminal nerve, which is a major pain pathway, to release neuropeptides into the meninges that covers the brain, causing intense headache pain.

Other likely causes of migraines include the following:

* Hormonal changes in women – Particularly when estrogen fluctuates before menstruation, during pregnancy or during menopause.
* Sensory stimulation – Bright lights, glare from the sun, loud noise or even certain scents (whether pleasant or unpleasant) can trigger a migraine.
* Particular foods – Some of the most common food triggers of migraines are red wine, caffeine, aged cheeses, chocolate and monosodium glutamate (MSG), which is a flavor enhancer commonly used by Asian restaurants. Pickled or fermented foods and the nitrates in deli meats and can also be triggers.
* Not eating – Skipping meals or fasting.
* Changes in sleep – Both getting too much and too little sleep can trigger a migraine.
* Stress – Not surprisingly, stress can contribute to the likelihood of getting a migraine.
* Medications – Particularly vasodilators and contraceptives.
* Physical activity – Intense physical exertion (including sexual activity) can be a trigger.

Your family history plays a major part in whether or not you are likely to get migraines. Of those who suffer from them, 90 percent have a family history of migraine attacks. Although they can begin at any age, most people who are going to get migraines have had their first attack during their teenage years, and nearly all have had at least one by age 40.

Treatment for migraines can include pain relievers such as ibuprofen or acetaminophen and anti-emetics to control nausea and vomiting. For those with chronic migraines who do not respond to over-the-counter pain medication, a doctor may prescribe a drug such as Sumatriptan, which is similar to serotonin and reduces the vascular inflammation that is associated with migraines, in addition to reducing the action of the trigeminal nerve.

In addition to avoiding the known triggers mentioned above, some migraine sufferers use various vitamins and herbal remedies to help prevent them. These include vitamin B12, riboflavin, coenzyme Q10, magnesium citrate, feverfew, butterbur and melatonin.

Chiropractic care can also help to prevent and relieve migraines. Studies have found that chiropractic relieves migraines as well as medication, and with no side effects. Also, those who received regular chiropractic care reported a significant reduction in both the frequency and intensity of their migraines. Dr. Oblander has had great success in working with his patients who suffer from migraines. Quite often, he has discovered that there are multiple factors involved for his patients who frequently suffer from migraines. If you are one of the unlucky ones for whom migraines are a fact of life, just remember that there are safe and effective ways to treat them.

Patient’s Satisfaction with Chiropractic Care

January 23, 2013 oblanderchiropractic

When it comes to making important choices about treatment options for back pain, it’s worth looking at the experiences of others who have found something that works. In recent years, the Consumer Reports Health Ratings Center has surveyed the magazine’s subscribers to do just that. In April and May 2009, Consumer Reports released some of its findings publicly. A summary appears below.

About the Survey Participants:

* More than 14,000 participants who had suffered from lower-back pain in the prior year but had never had back surgery.
* More than half reported that pain severely limited their daily routine for a week or longer.
* Many reported that pain interfered with sleep, sex and efforts to maintain a healthy weight.
* 88% reported that the pain recurred through the year.
* Most had tried five or six different treatments.

How Respondents Ranked the Healthcare Providers Who Had Treated Them:

Healthcare Provider	Percent Who Were Highly Satisfied With Treatment and Advice*
Chiropractor	59%
Physical Therapist⁺	55%
Acupuncturist	53%
Physician, Specialist	44%
Physician, Primary Care	34%

How Respondents Ranked Selected Back Pain Therapies:

Therapy	Percentage Who Reported that the Therapy Helped a Lot
Chiropractic Manipulation	58%
Prescription Drugs	45%
Over-the-Counter Drugs	22%

In July 2011, Consumer Reports published an updated report describing how Americans use alternative approaches to healthcare as well as their experience with various therapies and their providers. Chiropractic care once again was reported to be the most popular approach to back pain relief and was ranked most highly in terms of patient satisfaction.

Your Doctor of Chiropractic can help relieve back pain and restore mobility by using a drug-free, hands-on technique called “spinal manipulation” or “chiropractic adjustment”. He or she may also use other manual therapies, such as massage, to complement this primary treatment. In addition, many chiropractors are skilled in designing exercise and nutrition programs for their patients that will help their bodies resist injury and function properly. By focusing on both immediate pain relief and the underlying causes of back pain, your chiropractor can help you achieve a healthier overall lifestyle.