Chiropractic Fees:

Initial – $75
Subsequent – $40
Package of 12 – $450
Chiropractic + Acupuncture – $50
Seniors/Children – $35

ChiroPractic

Chiropractic today is one of the largest primary-contact health care professions in Canada with over 6,000 practicing chiropractors. Approximately four and a half million Canadians use the services of a chiropractor each year. Overall, 12 % of the population reported consulting a chiropractor at least once in the past 12 months. The benefits of chiropractic care are well recognized by other health care practitioners.



How is chiropractic regulated?

Chiropractic is a regulated health profession recognized by statute in all Canadian provinces and American states. 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. In Ontario, chiropractic has been governed by statute since 1925. Currently, it is regulated by the Chiropractic Act, which is administered by the College of Chiropractors of Ontario created in accordance with the Regulated Health Professions Act (RHPA).


How are doctors of chiropractic educated?

Like all primary health care providers, doctors of chiropractic undergo extensive education and training before becoming licensed professionals. Students begin by fulfilling undergraduate degree requirements, with a strong emphasis on the core sciences such as chemistry, anatomy, physiology, and physics.

The professional program leading to the Doctor of Chiropractic degree is very demanding. Chiropractic students continue their study of the sciences, including pathology and biochemistry, at a highly detailed level.Their education continues into the advanced clinical sciences including orthopedics, neurology, examination procedures, differential diagnosis, and X-ray interpretation. During this entire process, aspiring doctors of chiropractic gain knowledge of the philosophy and practice of health care and chiropractic.Doctors of chiropractic refine their technical adjusting skills in technique classes. During clinical internships student doctors perfect these skills.

Finally, all doctors of chiropractic must pass the rigorous national board exams and state exams before entering the field.


What do chiropractors treat?

Chiropractors practice a manual approach to health care that includes patient assessment, diagnosis and treatment. 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.

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. Research studies have demonstrated that chiropractic treatment is effective for these conditions.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.


What is an adjustment and what does it do?

The chiropractic adjustment, also known as manipulative therapy, is a non-invasive, manual procedure that utilizes 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.


Do adjustments hurt?

Adjustments rarely cause 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. The chiropractor adapts the procedure to meet the specific needs of each patient. Patients typically note positive changes in their symptoms immediately following treatment.


Is chiropractic treatment safe?

Yes. Complications from chiropractic treatments are rare. Your chiropractor will discuss all potential side effects and any risks along with the benefits of the care you receive. If your chiropractor diagnoses a problem that would be better treated by another health care professional, he or she will make an appropriate referral.


Do neck adjustments cause stroke?

Neck Adjustments: The Most Recent Research. Neck adjustment is a precise procedure, generally applied by hand, to the joints of the neck. Neck adjustment works to improve joint mobility in the neck restoring range of motion and reducing muscle spasm, thereby relieving pressure and tension. Patients typically notice a reduction of pain, soreness, stiffness and improved mobility.

Neck adjustment, particularly of the top two vertebrae of the spine, has on rare occasions been associated with stroke and stroke-like symptoms. While estimates vary, a range of one to two events per million neck adjustments is generally considered to be a conservative risk ratio by the research community. This is considerably lower than the risk of serious adverse events associated with many common health treatments such as long-term use of non-prescription pain relievers or birth control pills.

An extensive commentary on chiropractic care, published in the February 2002 issue of the Annals of Internal Medicine, which is the journal of the American College of Physicians, reviewed more than 160 reports and studies on chiropractic. It states the following with regard to the safety of neck adjustment: “The apparent rarity of these accidental events has made it difficult to assess the magnitude of the complication risk. No serious complication has been noted in more than 73 controlled clinical trials or in any prospectively evaluated case series to date.”

A Canadian study, published in 2001 in the medical journal Stroke, also concluded that stroke associated with neck adjustment is so rare that it is difficult to calculate an accurate risk ratio. The study was conducted by the Institute for Clinical Evaluative Sciences and the authors have stated: “The evidence to date indicates that the risk associated with chiropractic manipulation of the neck is both small and inaccurately estimated. The estimated level of risk is smaller than that associated with many commonly used diagnostic tests or prescription drugs.”

The most recent research into the association between neck adjustment and stroke are biomechanical studies to assess what strain, if any, neck adjustment may place on the vertebral arteries. The preliminary findings of this ongoing work indicate that neck adjustment is done well within the normal range of motion and that neck adjustment is “very unlikely to mechanically disrupt the vertebral artery.”

There are many risk factors for stroke including blood clotting problems, hypertension, smoking, high cholesterol, birth control pills, heart problems and trauma such as blows to the head from car accidents or sports injuries. A patient’s health history and activities have to be examined very carefully in order to determine the most probable cause of a stroke.

This information was adapted from a document created by the profession as an educational tool for media and other health care professionals.