One of the largest primary-contact health care professions in Ontario, chiropractic is a non-invasive, hands-on health care discipline that focuses on the neuro-musculo-skeletal system. Chiropractors practice a manual approach, providing diagnosis; treatment and preventative care for disorders related to the spine, pelvis, nervous system and joints.
As primary care practitioners, chiropractors can develop and carry out a comprehensive treatment / management plan, recommend therapeutic exercise and other non-invasive therapies, and provide nutritional, dietary and lifestyle counselling.
Chiropractors are one of only five classes of health care professionals in Ontario that are able to use the title Doctor, with its accompanying rights and obligations.
Chiropractic is regulated by provincial statute. Each province has a regulatory college, established by legislation in the same manner and with the same structure and similar regulations as the regulatory bodies for other health care professions.
Regulatory colleges are responsible for protecting the public, setting standards of practice, assuring quality of care is maintained, evaluating and promoting competency and handling disciplinary issues. Ontario's chiropractors are regulated and licensed by the College of Chiropractors of Ontario.
Chiropractors use a combination of treatments, all of which are predicated on the specific needs of the individual patient. After taking a complete history and diagnosing a patient, a chiropractor can develop and carry out a comprehensive treatment/management plan, recommend therapeutic exercise and other non-invasive therapies, and provide nutritional, dietary and lifestyle counseling.
For many conditions, such as neck, upper and lower back pain, chiropractic care is frequently the primary method of treatment. Where other conditions exist, chiropractic care may complement or support medical treatment by relieving the neuro-musculo-skeletal aspects associated with the condition.
Chiropractic care may also be used to provide symptomatic relief for patients with chronic conditions. According to patient surveys, by treating the neuro-musculo-skeletal elements of such disorders, chiropractic treatment has been shown to improve the general well-being of the patient.
There are many reasons to seek chiropractic care:
- Neck, back, joint and limb pain and/or limited range of motion;
- Whiplash and slip/fall injuries;
- Strains, sprains and other soft-tissue injuries;
- Repetitive strain injury (RSI);
- Work and sports injuries;
- Headaches and dizziness (vertigo, BPPV);
- General health and well-being for children and adults,
Chiropractic is a regulated health profession, recognized by statute in all Canadian provinces and American states. More than 1.2 million patients in Ontario rely on chiropractic care every year to help them live healthy, active lives.
Chiropractic today is one of the largest primary-contact regulated health care professions in Canada, recognized by statute in all Canadian provinces and American states. With over 6,000 practicing chiropractors, approximately four and a half million Canadians use the services of a chiropractor each year. In Ontario, more than 1.2 million patients rely on chiropractic care every year to help them live healthy, active lives. The benefits of chiropractic care are well recognized by other health care practitioners. In a 1995 survey, 44 per cent of Ontario and Alberta physicians indicated that they refer patients for chiropractic treatment.
Natural, non-invasive approach to health care:
Chiropractors practice a drug-free, manual approach to health care that includes patient assessment, diagnosis and treatment. In particular, chiropractors assess patients for disorders related to the spine, pelvis, extremity joints, and their effect on the nervous system. As a result of taking a physical assessment and patient history, chiropractors are able to provide a differential diagnosis for the patient's presenting condition(s) and develop a comprehensive treatment/management plan. Chiropractors are also trained to recommend therapeutic exercise, to utilize other non-invasive therapies, as well as to provide nutritional, dietary and lifestyle counseling.
A 'chiropractic adjustment' is the most common form of treatment utilized by chiropractors in clinical practice. Also known as spinal manipulative therapy, adjustment is a non-invasive, manual procedure that utilizes the highly refined skills developed through four years of intensive chiropractic education. An adjustment is a carefully controlled procedure delivered by a skilled practitioner to dysfunctional spinal or extremity joints. The primary goal is to decrease pain, improve areas of reduced movement in the joints and supporting tissues, particularly of the spine, and decrease muscle tightness or spasm through the restoration of normal mechanics and improved functioning of the spine, extremities and supporting soft tissue structures.
Adjustment rarely causes discomfort. However, as it is a manually applied therapy, patients may sometimes experience mild soreness or aching following treatment, which usually resolves within 12 to 48 hours. This is often referred to as "pain retracing" or the healing reaction response.
The chiropractor adapts the procedure to meet the specific needs of each patient. For example, the technique is modified when treating children, pregnant women and older patients. Patients typically note positive changes in their symptoms immediately following treatment. The vast majority of patients who seek chiropractic health care do so for complaints of the musculoskeletal system, most often for conditions affecting the spine such as low back pain, neck pain and headaches, and research studies have demonstrated that chiropractic treatment is effective for these conditions.
Legislative bodies across Canada, as well as researchers and governments around the world have conducted extensive reviews of the chiropractic profession and have consistently endorsed chiropractic services.
Primary and complementary care:
In many cases, such as lower back pain, chiropractic care may be the primary method of treatment. Where other medical conditions exist, chiropractic care may complement or support medical treatment by relieving the musculoskeletal aspects associated with the condition. Chiropractic care may also be palliative, providing symptomatic relief to patients with chronic conditions. By treating the musculoskeletal elements of such disorders, chiropractic treatment may improve the general well-being of the patient. In this regard, Canada's chiropractors are able to provide complementary care as one element of a patient's overall treatment program.
Regulation & Standards:
Chiropractic is regulated by provincial statute in all provinces. Chiropractors along with medical doctors, dentists, psychologists, and optometrists have the legislated right and obligation to communicate a diagnosis and to use the title doctor. Each province has a regulatory college established by legislation in the same manner, and with the same structure and similar regulations, as the regulatory bodies for other health care professions. The regulatory colleges are responsible for protecting the public, standards of practice, disciplinary issues, quality assurance and maintenance of competency.