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Chiropractic 2017-07-27T04:14:00+00:00

CHIROPRACTIC CARE

Our Pain and Dysfunction Practitioners

The standards we are setting at the Body Genius Institute!

 The practitioners and team members at the Body Genius Institute see themselves as passionate leaders, educators, and mentors for all of our clients and for those who chose to follow us online.

 We want to inspire individuals to do the things that inspire them! For some, this involves overcoming pain and dysfunction and returning to the activities they enjoy.

A NEW HEALTH CARE MODEL (HOLISTIC HEALING)

To overcome the current healthcare crisis that plagues the majority of first world countries, there is a need for a new health care model that is client focused and holistic in nature. First and foremost, each individual needs to take responsibility for their own health and wellness and make decisions that reflect their desire to be healthy and happy.

Foundation Principles of Health

  • Organic food
  • Active lifestyle
  • Emotional health
  • Filtered water
  • Mental health
  • Optimal breathing patterns
  • Quality sleep patterns
  • Spiritual health

This new Holistic model of health care will allow clients to surround themselves with a team of health professionals that is most suited to their needs. (Chiropractor, medical doctor, physiotherapist, traditional Chinese medicine, osteopath, integrative health practitioner)

Do you really know your level of Pain and Dysfunction? Take Pain & Dysfunction Questionnaire now!

TAKE QUESTIONNAIRE

HOLISTIC HEALING FOR PEOPLE ON THE MOVE

These concepts become especially powerful when put into context in relation to human performance. A client’s mental, physical, emotional and spiritual health must make up the foundation for any performance model.

Every client should be evaluated from a health perspective and mentored and empowered to successfully fulfill the requirements of the foundation principles of health.

  • A keen understanding of the Body Genius Method and its application
  • A holistic view of health and wellness: Mental, spiritual, social/emotional, and physical health
  • A keen understanding of the Body Genius Performance Pyramid and its clinical application to health and wellness and high performance.
  • A growth mindset
  • An optimistic explanatory style
  • The ability to recognize their specific role as part of a multi-disciplinary (integrated) team of health professionals.
  • The ability to integrate the best skills, knowledge, and methodology from a wide range of disciplines for the benefit of their clients. Osteopathy, physiotherapy, chiropractic, TCM, massage therapy, movement practitioners, naturopathy, holistic lifestyle coaches, functional medicine/nutrition, and more.
  • A keen understanding of the Body Genius Institute ‘Cause’ and ‘Mission Statement.’ An understanding of how their role at the Body Genius Institute and within the community will help to create a happier, healthier future for everyone.

The Body Genius Institute has taken the unique step of creating an internal grading system for its Pain and Dysfunction practitioners. There are several key reasons why this initiative was taken:

  • To provide a structured career path that is in the best interests of the practitioner, the clients, and the Body Genius Institute
  • To map out the practitioner journey with respects to ongoing education and its application to enhance client outcomes.
  • To allow clients to gain a precise understanding of the competency of each Body Genius practitioner. Clients can have the confidence that the higher the practitioners grading, the greater their skill set and experience, and the greater is their ability to handle complex issues.
  • As a form of internal ‘triage’ that allows BG practitioners to handle clients that are appropriate for their skill set and experience. More complex clients will be booked to see more experienced practitioners (higher grading). If a BG practitioner is not making consistent progress with a client they can refer that client to a practitioner with a higher grading for further evaluation.
  • BG practitioners with higher grading charge a higher value per consultation. More experienced practitioners will consult fewer hours per week allowing them more time and energy to focus on more complex cases. This is of benefit to the client, the practitioner, and the Body Genius Institute.

This simple concept has been demonstrated to significantly enhance clinical outcomes by consistently achieving the clients’ “Good Outcome.”

  • Clients with pain or dysfunction that are deemed to be ‘straight-forward’ can be moved from a more experienced practitioner to a practitioner with a lower grading. This will save the client a significant amount of money.
BG Level Requirements BG Hours Experience (Years)
9 Masters 12, 000 12+
8 A comprehensive syllabus can be provided 11, 500 10
7 A comprehensive syllabus can be provided 10, 000 8
6 A comprehensive syllabus can be provided 8, 500 6
5 A comprehensive syllabus can be provided 6, 250 5
4 A comprehensive syllabus can be provided 4, 160 4
3 A comprehensive syllabus can be provided 3, 120 3
2 A comprehensive syllabus can be provided 2, 100 2
1 Min. entry: Physio/Chiro/Osteopath 1

 

In order to move up a grading level at Body Genius, the practitioner must satisfy the selection criteria:

        1. The required number of years of clinical (industry) experience. This reflects the minimum number of years of full-time practice needed to qualify for that level. In most cases the BG practitioner has completed more years of experience than is required.
        2. Body Genius hours is the minimum number of hours worked at the Body Genius Institute. Body Genius practitioners are expected to accomplish a wide range of advanced ‘Learnings’ that are unique to the Body Genius Institute.
          • Specific books to read
          • Specific DVDs and documentaries to watch
          • Specific courses that must be completed
          • A specific number of hours spent upskilling themselves with other practitioners (inside BG and at other practices)
          • And more …

          As a multi-disciplinary Institute, our pain and dysfunction practitioners are required to obtain advanced skills and knowledge that may be considered outside their normal scope of practice. This includes:

          • Holistic Lifestyle Coaching
          • Advanced courses and a keen understanding of health and nutrition
          • Advanced courses in Functional Diagnostic Nutrition or Functional Medicine.
          • Advanced courses in counseling, listening and communication
          • Advanced courses in functional risk assessments and athletic screening.
          • And more …
        3. A comprehensive syllabus has been created for every Body Genius level in the grading system. This syllabus is unique to the Body Genius Institute and provides a precise ‘career journey’ for each BG practitioner. To the best of our knowledge, this is the most comprehensive and demanding protocol of any facility in the world.

Although our practitioners may have qualifications as a Physiotherapist, Chiropractor or Osteopath, they are expected to develop competencies in all of these disciplines.

Chiropractor
Physiotherapist
Osteopath

Our most experienced practitioners will have obtained competency in all of the following areas:

Proficiency in applying the Body Genius Method
Neurodynamic Testing (NDT)
Advanced skills in manual muscle testing
Application of clinical neuroscience
Advanced Assessment Skills
Treatment Direction Testing (TDT)
Spinal Mobilization
Spinal Manipulation
Peripheral joint mobilization and manipulation
Advanced skills in fascial manipulation
Advanced skills in dry needling and acupuncture
Advanced skills in counseling, listening and communication
Advanced skills in functional movement screening & risk profiles
Advanced skills in (neuro-based) corrective exercise
Advanced qualifications in anatomy and physiology
Additional degrees, diplomas and/or masters qualifications
Advanced qualifications in assessing the vestibular system
Advanced qualifications in assessing the cranial nerves
Advanced skills in CranioSacral therapy
Muscle energy techniques
Visceral assessment and manipulation
Active releasing techniques & advanced soft tissue techniques
A keen understanding of gym-based training techniques & programming
A keen understanding of sport, activity and functional movement patterns
Advanced courses and experience with sports injuries
And more …

holistic health for people on the move

KEY POINTS

Before we get started with defining exactly what Chiropractic Care is, its methodology, the scientific research backing its efficacy, and how it can help you, we should first look at several key concepts that are indicative of all BG ‘Pain and Dysfunction’ practitioners, regardless of their professional status – Chiropractor, Physiotherapist, Osteopath.

All of our BG ‘Pain and Dysfunction’ practitioners consult at the ‘Pain and Dysfunction’ level of the Performance Pyramid.Performance Pyramid

The figure above represents the organ/gland symptom referral patterns of the body. As you can see, when organs are unhealthy, inflamed, or not functioning properly on a physiological level, they can communicate this to us by creating specific symptoms.

We may perceive this organ message as nerve-like pain, headaches, migraines, muscular tightness/pain or even joint pain. When this occurs, it would be inappropriate for our ‘Pain and Dysfunction’ practitioners to treat you. As such you may be referred to our Integrative Health Practitioners (IHP) to assess you on a deeper level.

Once you have booked a consultation with a pain and dysfunction practitioner, you will receive a ‘Welcome Email’ that includes a section related to your current and previous health history. The main reason for obtaining this information from you is so that our practitioners can evaluate your overall health status and ensure that the cause of your problem is neuro-musculoskeletal in nature and that your body’s ability to heal is not being limited by poor health status.

 A healthy body heals faster!

Is your ‘pain generator’ from a source that our pain and dysfunction practitioners can influence? The last thing we want to do is chase symptoms around your body and avoid the true cause of the problem.

 

Possible Neuro-Musculoskeletal Pain Generators
Central nervous system Nerve roots Peripheral nerves
Spinal discs Joint cartilage Ligaments
Tendons Muscles Fascia
Joints Scar tissue Diaphragm

 

Through the nervous system and endocrine (hormonal) system, all of the systems of the body can communicate with each other. The old adage, ‘everything in the body is connected’ certainly holds true!

All of our BG ‘Pain and Dysfunction’ practitioners consult in accordance with The Body Genius Method.

The Body Genius Method

The Body Genius Method

The first step in the process is for our practitioners to evaluate your ‘Intake Forms’ to gain a better understanding of why you would like to see us, what your ‘Good Outcome’ is, to evaluate your health status, and to have the opportunity to ask further questions if needed.

The next step is a comprehensive, full body assessment of your nerves, muscles, joints and other soft tissues. This information allows us to create a summary table highlighting your specific challenges and is used to establish the treatment plan.

Treatment by our practitioners will be aimed specifically at improving movement at specific joints within your body. We use the term ‘dysfunction’ to represent lack of movement at one or more joints within the body.

Hip Flexion Neck Rotation Lower back bending

 

By increasing movement within your body, our practitioners can be confident that they are applying the right treatments and having a positive affect in your brain and on your body. Once all of your movement patterns have been restored and you’re pain-free you will be deemed as ‘clinically clear.’

Clinically Clear = Pain and Dysfunction Free

Decades of clinical experience have allowed us to determine that clinically clear and functionally clear are not the same thing.

For example, a client may demonstrate normal ankle, knee, hip, back, neck and shoulder movement by the end of their treatment plan, and yet not be able to perform an overhead squat or lunge test. It’s for this reason that clinically clear is not enough. We must progress to the next stage of the BG Method – Functional Risk Assessment.

Clinically Clear ≠ Functionally Clear

The functional risk assessment is a detailed movement analysis that leads to a risk profile being created. In other words, how likely are you to sustain an injury if you return to sport or activity?  It’s through proper testing that our practitioners are able to pick up on movement faults that may be predispose you to injury or pain.

This type of functional testing is objective (measureable) and can be used to reflect ‘true’ progress in a return to sport or activity program. With this information, our practitioners can provide precise corrective exercises that will improve your movement patterns and lower your injury risk.

With the stresses and strains of the modern world, your body will require regular ‘tune-ups’ to keep it functioning at its best and symptom free.

Your practitioner will therefore recommend that you have regular check-ups at defined intervals throughout the year. Clients with more demanding jobs, lifestyles or activities/sport will likely need to be seen more frequently.

What level are you really performing at?
Take our Sports Questionnaire now!

TAKE SPORTS QUESTIONNAIRE

WHAT IS CHIROPRACTIC CARE?

Chiropractic care is a discipline based on the scientific premise that the body is a self-regulating and self-healing organism. The important functions are controlled by the brain, spinal cord, and all the nerves of the body.

The nervous system can be classified as having two parts, the central nervous system (CNS) and the peripheral nervous system (PNS) due to their location in the body.

The CNS includes the brain, brainstem, and the spinal cord and it’s safely contained within the skull and vertebral column of the spine. All of the other nerves in the body are part of the peripheral nervous system (PNS).

Chiropractic is a healthcare discipline that emphasizes the inherent recuperative power of the body to heal itself without the use of drugs or surgery. The practice of chiropractic focuses on the relationship between structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship affects the preservation and restoration of health. In addition, doctors of chiropractic recognize the value and responsibility of working in cooperation with other health care practitioners when in the best interest of the patient.

The ACC definition

Association of Chiropractic Colleges, 1996

A health profession concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, and the effects of these disorders on the function of the nervous system and general health. There is an emphasis on manual treatments including spinal adjustment and other joint and soft-tissue manipulation.

WFC Dictionary Definition

World Federation of Chiropractic, 2001

A health care profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health. There is an emphasis on manual techniques, including joint adjustment and/or manipulation with a particular focus on subluxations.

The WHO definition

World Health Organization, Guidelines on Chiropractic, 2005

“Chiropractic” comes from the Greek word ‘Chiropraktikos’ meaning “done by hand.” The first school of Chiropractic was opened in 1897 by Daniel David Palmer in Iowa, USA.

The practice of chiropractic focuses on the relationship between structure (primarily the spine and pelvis) and function (as coordinated by the nervous system) and how this relationship affects preservation and restoration of health. 

As mentioned, the moving bones of the spine and pelvis protect the intricate communication pathways of the spinal cord and nerve roots. If these nervous system pathways are impaired, then a malfunction of the tissue and organ/gland function throughout the body may result.

So what type of condition may impair these nervous system pathways?

This is a term applied to a vertebra which has lost its normal position and/or motion in relation to the vertebrae above or below.

Important Differentiation Point

Medical Terminology for Subluxation

A subluxation may have different meanings depending on the medical specialty involved. It implies the presence of an incomplete or partial dislocation of a joint or organ. Most people would be familiar with the term subluxation in relation to the acromioclavicular joint (AC Joint), glenohumeral joint (shoulder) or a rib. This is the medical use of the term subluxation.

Versus

Chiropractic Terminology for Subluxation

The World Health Organization (WHO) definition of the chiropractic vertebral subluxation is: “A lesion or dysfunction in a joint or motion segment in which alignment, movement integrity and/or physiological function are altered, although contact between joint surfaces remains intact.”

This is an important differentiation because an x-ray and other types of scans may not demonstrate the presence of a subluxation. However, the body perceives that this positional fault is present and sends ‘unhappy’ messages to the brain.

This may lead to pain, inflammation, movement dysfunction or undesirable changes both at a local level (the point at which the subluxation exists) AND in other structures within the body which may be located (anatomically) away from the location of the

These symptoms may include as muscle spasm, trigger points, tight fascia, joint instability or reduced movement.

So let’s be clear on what this means. A positional fault of one vertebra on another (subluxation) may have both local effects and more general effects as well. Treatment of that subluxed joint through manipulation (adjustment) can have both local effects and also a general effect (at remote anatomical sites).

The most up to date research demonstrates that adjustment to a subluxed spinal segment can not only improve pain, muscle spasm and movement at that particular location, it may also reduce pain, muscles spasm and improve movement in other regions of the spine AND quite possibly at peripheral joints such as ankles, knees, hips, shoulders and elbows.

HOW?

Neurophysiological responses related to both the Central Nervous System (brain, brain stem and spinal cord) and Peripheral Nervous System.

Neurophysiology is a branch of both physiology and neuroscience and is focused on the study of the functioning of the nervous system.  Neurophysiology is related to neurobiology, psychology, neurology, clinical neurophysiology, neuroanatomy, cognitive science and other sciences concerning the brain.

Absolutely incredible findings that have a significant impact on how a client should be assessed and treated in a clinical setting.

Clinical Examples

  • Manipulation of the cervical spine reduces pain and muscle spasm in the neck and reduces symptoms in the lower back.
  • An adjustment in the thoracic spine improves hip range of motion and improves hamstring length
  • Manipulation of the sacroiliac joint (SIJ) restores ankle movement
  • An adjustment in the thoracic spine restores shoulder movement while decreasing symptoms

Vertebrae, which do not function properly within the spinal framework, generate mechanical stress. This may accelerate the ‘wear and tear’ on the surrounding spinal muscles, ligaments, discs, joints and other spinal tissues. This may lead to pain, inflammation, reduced spinal mobility, muscle spasm and increased muscle tone.

In addition, because of the direct mechanical relationship between the spinal column and the spinal nerve roots, vertebral subluxations as well as other spinal abnormalities have the potential to impair proper nerve functioning. Once nerve functioning is compromised, communication with the rest of the body becomes less effective, and this jeopardizes the overall health and wellness of the individual.

What Causes Subluxations?

Vertebral subluxations can occur for many different reasons, most of which are experienced by people on a daily basis.

Physical causes such as acute trauma to the body, repetitive motions affecting the spine, poor postural habits, and weak or imbalanced spinal musculature.

  • Poor workstation set up
  • Rounded standing posture
  • Slouched sitting posture
  • Sips, falls or trauma
  • Muscle Imbalances
  • Repetitive tasks

Chemical causes include poor dietary habits, drug and alcohol use and abuse, and the ingestion of chemical toxins in the foods we eat, the air we breath, and the water we drink.

Chemicals which are harmful to the body decrease the body’s natural ability to function optimally and reduce the ability to successfully adapt to and withstand both internal and external stressors. This makes us more susceptible to spinal subluxations.

  • Consumption of tap water
  • Processed foods
  • Alcohol
  • Ingredients in supplements
  • Additives & preservatives
  • Personal care products
  • Over-the-counter drugs
  • Electronic devices
  • Cleaning products
  • Perfume & Cologne
  • Prescription drugs
  • Air pollution

Emotional causes refer to the various types of stress we are exposed to. Prolonged exposure to stress and/or inadequate stress management techniques can deplete the body of the ability to sustain normal functions. The impact of emotional stress on physical health is well documented in the scientific research and can have a significant (negative) impact on all the major systems of the body (immune system, musculoskeletal system, neural system, digestive system, etc) making the body more susceptible to injury, pain and disease.

How are these Subluxations Corrected?

Depending on the special skill set of the treating practitioner, subluxations can be treated with a number of different techniques and procedures.

  • Activator Method
  • High velocity, low amplitude (HVLA) manipulation (Adjustments)
  • A wide range of mobilization techniques
  • Indirectly through releasing tight fascia or muscles
  • Advanced dry needling skills
  • CranioSacral Therapy
  • Traditional Chinese Medicine (TCM) – acupuncture
  • Precise corrective exercises
  • Application of the internal arts (Tai Chi Chuan, Qigong, Xingyiquan, Baguazhang, Yoga, Meditation)
  • Removing the offending causative factor: Physical, chemical, emotional.

Subluxations generally require multiple treatments or adjustments for complete normalization to occur.

What types of symptoms may I experience if I have a Vertebral Subluxation?

The only accurate way to determine if you suffer from subluxations is to be properly assessed by a skilled practitioner. However, there are a number of signs and symptoms that are often associated with vertebral subluxations. These include, but are not limited to:

 

Headaches Migraines Muscle spasm
Dizziness Poor balance Muscle weakness
Back pain or tightness Neck pain or tightness Muscle tightness
Reduced spinal mobility Pain, numbness, tingling Joint pain or stiffness
Lethargy or fatigue Poor overall health Slow to heal
Altered gait Brain fog Poor concentration

 

It should be noted that just because you are not currently experiencing pain or other discomforts, does not mean you don’t have vertebral subluxations. Pain is a very poor indicator of disease processes and often pathology can be present long before physical symptoms are experienced. You can think of subluxations in a similar way to cavities, in that many times a significant amount of damage is present before symptoms such as pain are felt. This is why it’s recommended, similar to your dentist, that individuals seek prophylactic physical evaluations (including spinal evaluation) at regular intervals throughout the year.

Pain is a very poor indicator of disease processes!

Questions about Chiropractic Care? Get in touch!

CONTACT US

WHAT TYPE OF EDUCATION DO CHIROPRACTORS RECEIVE?

To become a registered chiropractor in Australia you must have studied an accredited 5-year chiropractic program conducted at a University within Australia, or have completed an accredited program overseas that satisfies the requirements set by the Australian Chiropractic Regulating authority.

Chiropractors are required to adhere to strict and extensive ongoing educational requirements and are government regulated and accredited – Australian Health Professional Regulation Agency (AHPRA).

WHAT DO CHIROPRACTORS DO?

Chiropractors are often considered ‘the spinal health experts.’ They help to restore proper spinal biomechanics and improved nervous system function. In turn this has a positive affect on the clients overall health and feeling of wellbeing.

Like physiotherapists and osteopaths, chiropractors are highly skilled at assessing the nervous system, skeletal system, muscular system and vestibular system. This knowledge can then be applied to gain a better understanding of how the client moves and performs on a functional level.

All chiropractors are trained to order and evaluate radiological evidence such as x-rays, CT scans, MRI scans and ultrasounds.

downward facing dog

Combined with a keen understanding of healthy living and holistic healing, chiropractors help to restore your body’s own innate ability to heal.

The chiropractic approach to better health is to locate and help reduce interferences with your body (primarily within the skull, spine and pelvis) and allow a healthier state of being.

How can Chiropractic Care help you?

VIEW CASE STUDIES

There are specials skills Chiropractors bring to the Body Genius Institute and these have been incorporated into the Body Genius practitioner training system and the Body Genius Method.

  • A holistic mindset of health care including the understanding that lifestyle factors such as sleep, exercise, whole food eating, stress levels, and happiness play a significant role in the healing process.
  • Graston Technique – This is an instrument-assisted soft tissue mobilization that enable clinicians to detect and effectively break down scar tissue and fascial restrictions, in addition to maintaining an optimal range of motion.
  • Advanced skills in manipulation of the peripheral joints (feet, hands, ankles, wrists, knees, elbows, hips, shoulders)
  • Activator Method – This is a diagnostic and treatment system used by some chiropractors to treat back pain, neck pain and headaches. A small, hand-held instrument called the Activator Adjusting Instrument is used to deliver a gentle impulse force to the spine with the goal of restoring motion to the targeted spinal vertebra or joint. It’s often used as an alternative to the traditional manual form of spinal manipulation.
  • Advanced skills in manipulation of the cervical (neck), thoracic (middle back) and lumbar (lower back)
  • Advanced skills in manipulation of the cervical (neck), thoracic (middle back) and lumbar (lower back)
  • Advanced skills in manipulation and mobilization of the sacroiliac joint and realigning the pelvis.
  • CranioSacral Therapy
  • A keen understanding of clinical neuroscience
  • Doctors of Chiropractic (DCs) have the ability to order and interpret advanced imaging (x-rays, ultrasounds, MRI, CT)
  • A keen understanding of sports – Advanced Sports Chiropractic degree

Book a FREE phone call with a chiropractor

BOOK CALL

FREQUENTLY ASKED QUESTIONS

Like all of our pain and dysfunction practitioners, our chiropractor will follow the Body Genius Method outlined above. There are several key reasons that our practitioners are so successful.

First, they follow a precise system of analysis and treatment that has consistently provided outstanding results for our clients.

Second, they take a holistic approach to healthcare and recognize the body as a ‘whole’. Addressing the whole person may require lifestyle changes in order to have a positive affect on mental, spiritual, emotional and physical health.

Third, treatment is focused on improving functional movement patterns and not simply reducing pain. This point is very important because it ensures our practitioners do not chase symptoms around your body.

Symptoms can be very misleading as to the true cause of your problem. The specific treatment techniques the use will be dependent upon their clinical findings and what structures of the body are contributing to your neck pain. They may choose to use dry needling, mobilization, manipulation, active releasing techniques or CranioSacral therapy. It really depends on how you present.

Lastly, our practitioners will complete the process by performing a functional risk profile. This critical step ensures you can return to sport or activity with the confidence that your risk of re-injury is as low as possible.

Excellent question!

This is a question we get asked all the time, along with ‘is manipulation effective?’

Why don’t we start with the safety issue first. In the last few decades, numerous independent researchers and various government agencies have conducted studies into the efficacy, safety, appropriateness and cost-effectiveness of chiropractic treatment.

The Risks

Just so we are clear as to what we are discussing. The terms ‘manipulation’ and ‘adjustments’ can be used interchangeably. Both terms describe a high velocity low amplitude (HVLA) thrust technique, which aims to correct vertebral subluxations.

Vertebral Subluxations is a term applied to a vertebra which has lost its normal position and/or motion in relation to the vertebrae above or below.

Vertebrae, which do not function properly within the spinal framework, generate mechanical stress and can lead to ‘wear and tear’ within the spine, pain, inflammation, reduced spinal mobility and may compromise function elsewhere within the body.

So the phrase “putting my spine back in place” is probably not the most accurate terminology. A more appropriate statement would be “having my spine adjusted.”

You may have also heard people call chiropractors “bone crunchers” as well. In most cases this is a slanderous term used by the medical community to discredit the chiropractic profession. But that’s an entirely different Q & A!

When an adjustment is performed there will often be an audible ‘pop’. The actual pop is called a cavitation and it’s the release of gas that makes the popping sound. But certainly there is no bone crunching that occurs and no risk to the joints or bones.

 

So if there is no risk to the joints or bones, what are the risks?

Most of the literature you will read on this subject relates to manipulation/adjustment to the cervical spine (neck). And even more precisely a rotational manipulation of the neck.

Vigorous rotation of the neck can “kink” this artery along its course. This may cause dissection of the artery, or the trauma may lead to formation of a blood clot. Either of these episodes may cause ischemia to the brainstem (stroke).

The concern relates to the vertebral arteries of the neck as they course through the transverse foramen (holes) within the vertebrae, making their way into the skull. See the diagram above.

It should be noted that manipulation is not the only mechanism for this type of injury. Similar vascular accidents have been reported during activities such as yoga, swimming, prolonged overhead work and with contact sports such as football, ice hockey and rugby.

So what is the risk of suffering a stroke from cervical (neck) adjustment?

A complete review of the scientific literature was performed in this study.

https://www.ncbi.nlm.nih.gov/pubmed/8583176

Full Article

Every published study they found that estimated the incidence of stroke from cervical manipulation agreed that the risk is 1 to 3 incidents per million treatments.

 1 to 3 incidents per MILLION treatments!

To put this into perspective, cervical manipulation should be compared to other prominent treatment protocols for neck pain such as non-steroidal anti-inflammatory drugs (NSAIDS) and surgery. The literature is clear, the use of NSAIDS for neck pain carries a hundred-times-greater risk of serious injury or death.

NSAIDS

  • Ibuprofen – Nurofen, Advil and Bugesic
  • Diclofenac – Voltaren, Dinac and Fenac
  • Naproxen – Naprosyn, Naprogesic and Aleve
  • Celecoxib – Celebrex.

The chance of you been hospitalized from the use of NSAIDS is 1 in 3190 and the chance of you dying from their use is 1 in 21, 267.

(Source: http://www.mercola.com/infographics/nsaids.htm)

 

Chances of death (Lifetime Odds)

Motor vehicle accident 1 in 113
Assault by firearm 1 in 358
Falling off a ladder or scaffolding 1 in 9552
Dying in a plane crash 1 in 9, 737
Bitten or struck by a dog 1 in 114, 622
Earthquake 1 in 117, 994
Being  struck by lightening 1 in 174, 426

Source: National Center for Health Statistics; National Safety Council.

As you can see from the literature, the risk associated with cervical manipulation is very small, especially when compared to other forms of treatment and other lifestyle factors.

So what’s next?

Are spinal manipulations effective?

Before we get started in evaluating the evidence it should be noted that all of our Body Genius ‘pain and dysfunction’ practitioners have the skill set to manipulate the spine.

Chiropractor Physiotherapist Osteopath

 

With that said, they also have a very long list of supporting skills and techniques that can be utilized to achieve the desired outcome. Secondly, BG practitioners follow the Body Genius Method described earlier in this article, and it’s this Method that has proven so highly successful with clients. As part of that process our practitioners may choose to use manipulation as a treatment tool.

The goal of manipulation, like all other treatments is to improve functional movement around a joint(s) or improvement in another objective measure such as improvements in muscle power. This demonstrates to the practitioner that the manipulation is sending the right signals to the brain and having the desired affect.

Repeated manipulations without positive changes in functional movement patterns is not apart of the Body Genius methodology.

So both you and the practitioner can see (measure) that the manipulations are effective. If manipulation is not effective then another treatment ‘tool’ can be used to affect the desired outcome in movement.

 

The Research

The Meade study found that chiropractic treatment was more effective than hospital outpatient management for patients with chronic or severe back pain.1

The Florida Worker’s Compensation study reported that chiropractic care is more cost-effective than standard medical care in the management of work-related back injuries and that “a claimant with a back-related injury, when initially treated by a chiropractor versus a medical doctor, is less likely to become temporarily disabled, or if disabled, remains disabled for a shorter period of time; and claimants treated by medical doctors were hospitalized at a much higher rate than claimants treated by chiropractors.”2

The RAND study concluded that spinal manipulations are beneficial to some patients with acute lower back pain and is an appropriate treatment for certain low-back conditions.3

The Utah study was published in the Journal of Occupational Medicine and found that patients of chiropractic care returned to work sooner after an injury, reporting an average of two lost work days compared with 20 under standard medical care. Furthermore, the study revealed that chiropractic care was 10 times less expensive than standard medical care in compensation payouts.4

The 1991 Koes’ clinical trial compared manipulative (chiropractic) and physiotherapy with standard medical care for the treatment of persistent back and neck complaints. After 12 months, the manipulative therapy groups showed greater improvement in the primary complaint as well as in physical function, with fewer visits.5

The Manga report, funded by the Ontario Ministry of Health researched ways to reduce the incidence of work-related injuries, and to address cost-effective ways to rehabilitate disabled and injured workers. The report overwhelmingly supported the efficacy, safety, scientific validity, and cost-effectiveness of chiropractic for low-back pain. Additionally, it found out that higher patient satisfaction levels were associated with chiropractic care than with medical treatment alternatives.6

 

1 – Meade, T.W., Dyer, S., Browne, W., Townsend, J., Faran, A.O. (1990 & 1995) Randomised Comparison of Chiropractic and Hospital Outpatient Management for Low Back pain, British Medical Journal

2 – Jarvis, K.B., Phillips, R.B., Morris, E.K. (1991) “Cost per Case Comparison of Back Injury Claims versus Medical Management with Identical Diagnostice Codes”. Journal of Occupational medicine, Vol 33 (8), pp. 847-852

3 – Shekelle, P.G., Adams, A.H., Chaissin, M.R., Hurwitz, E.I., Phillips, R.B., Brook, R.H. (1991) “The Appropriateness of Spinal Manipulation for Low Back Pain. Project Overview and Literature Review”, Rand, Santa Monica, California

4 – Cost per Case Comparison of Back Injury Claims of Chiropractic versus medical Management for Conditions with Identical Diagnostic Codes. Jarvis KB, et al. Journal of Occupational Medicine – 1991;33:847-52.

5 – Eric L. Hurwitz, DC, PhD, Hal Morgenstern, PhD, Philip Harber, MD, MPH, Gerald F. Kominski, PhD, Fei Yu, PhD, and Alan H. Adams, DC, MS (2002). A Randomized Trial of Chiropractic Manipulation and Mobilization for Patients With Neck Pain: Clinical Outcomes From the UCLA Neck-Pain Study. Am J Public Health. 2002 October; 92(10): 1634–1641.

6 – The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada.

If you have taken the time to read the preceding information then you will know that there are many reasons why spending time with our chiropractor will be a much different experience.

First, Body Genius has chosen to call all of our chiropractors, physiotherapists, and osteopaths, “Pain and Dysfunction Practitioners”. Each practitioner follows the Body Genius Method when consulting with clients and uses their skills, knowledge and experience to help the client achieve their ‘good outcome.’

Second, all of our “pain and dysfunction’ practitioners have a wide range of skills in addition to manipulation: Acupuncture, dry needling, neuro-corrective exercise, massage therapy, active releasing techniques, CranioSacral therapy and more.

Lastly, all of our practitioners perform 30-minute initial assessments and 15 to 30-minute follow-up sessions. Each client is unique and the time needed to complete the Body Genius Method is different for everyone. However, you will spend at least 15 minutes during each consultation and more often 20 to 30-minutes.

It’s amazing that this perception of chiropractors still persists since it began in the 1930s.

The now famous “Wilk versus American Medical Association” case, was a federal antitrust lawsuit brought against the American Medical Association (AMA) by Chester A. Wilk. It resulted in a ruling against the AMA. During the proceedings it was shown that the AMA had attempted to:

  • Undermine Chiropractic schools
  • Undercut insurance programs for chiropractic patients
  • Conceal evidence of the effectiveness of chiropractic care
  • Subvert government inquiries into the effectiveness of chiropractic
  • Promote other activities that would control the monopoly the AMA had on health care

This decision was upheld by the 7th United States Circuit Court of Appeals in 1990.

So as you can see, a great deal of this misinformation and slandering has been disseminated by the medical association in an attempt to secure more business. And yet very few people in the general public are aware that this practice is occurring.

It’s also worth reiterating that to become a registered chiropractor in Australia you must have studied an accredited 5-year chiropractic program conducted at a University within Australia, or have completed an accredited program overseas that satisfies the requirements set by the Australian Chiropractic Regulating authority.

And that chiropractors are required to adhere to strict and extensive ongoing educational requirements and are government regulated and accredited – Australian Health Professional Regulation Agency (AHPRA).

If your interested in the scientific research backing the chiropractic profession then it’s worth reading question two of ‘Frequently Asked Questions’. This Q & A addresses some of the scientific evidence supporting the efficacy of chiropractic care and speaks to the successful outcomes that chiropractic care can achieve.

The term ‘bone crunchers’ is a derogatory term that was once again used to try and discredit the chiropractic profession. The term refers to the sound made during manipulation of a joint.  An audible ‘pop’ called a cavitation can be heard. But certainly there is no risk to the bones or soft tissues of the joint.

Sports chiropractic is a branch of chiropractic for those practitioners who have a special interest and expertise in treating athletes. All sports chiropractors have undertaken advanced studies to gain this qualification.

The focus of sports chiropractic is to provide care to athletes in a wide range of areas:

  • The conservative management of injuries through a wide range of skills
  • Corrective exercise and rehabilitation
  • Performance Optimization
  • Lifestyle management and advice on holistic health (Mental, spiritual, emotional, and physical health)
  • Advice on holistic healing and sports performance
  • Advice on nutrition and supplementation for health, healing and sporting performance
  • Advice on training protocols and advanced programming

Sports chiropractors have assimilated a large body of clinical information specific to the special needs of those people who participate in sport.

This is a huge advantage for any athlete seeking treatment for pain/injury or looking to enhance their sporting performance. Likewise, recreational athletes and ‘weekend warriors’ will benefit immensely from this added knowledge and experience.

Sports chiropractors have assimilated a large body of clinical information specific to the special needs of those people who participate in sport.

Sports chiropractic is growing rapidly both nationally and internationally and is well established at many world level sports events, such as the Olympic Games and the World Games.

The International Federation of Sports Chiropractic (FICS) is the prominent sports chiropractic body and plays a dominant role in promoting sports chiropractic throughout the world. FICS is made up of many national sports chiropractic councils.

 

Australia USA The United Kingdom
New Zealand South Africa Switzerland
Japan Russia Italy
Germany

https://fics-sport.org/

LOCATION

We are located in Perth, just minutes away from the CBD. All of our services, including movement trainers are based in one convenient location.