Expert tips on pain relief, performance, and recovery — helping Baltimore move better since 2011.
Expert advice on neck pain, back pain, auto injuries, sports performance, cold laser therapy, PEMF, and more.
The Cardinal Chiropractic Health & Recovery Blog
Blog / FAQ
1. What exactly does a chiropractor do?
A chiropractor is a musculoskeletal expert. That means we have a very in-depth understanding of human anatomy and biomechanics. A chiropractor’s mandate is to diagnose, treat, and prevent conditions related to the musculoskeletal system in a conservative way. This means instead of drugs and surgery, we will recommend a course of care that usually involves spinal manipulation, manual therapy, exercise, and lifestyle recommendations. Every chiropractor’s approach and techniques are a little different, so don’t be afraid to ask questions to make sure the chiropractor is a right fit for your needs and goals.
2. Are chiropractors safe?
Chiropractic care is very low risk. During our 4 years of training, students spend 1000+ hours learning the art of spinal manipulation on each other. During that time, there is an emphasis on the correct line of drive (which is different for each area of the spine), how to generate the appropriate force and speed, and how to optimize the doctor’s biomechanics. It’s always a good idea to have a conversation with your chiropractor about what techniques they use and if they are suitable for you. Most chiropractors have multiple tools in their toolbox to be able to serve patients in a way that is comfortable for them while maintaining the efficacy of their care.
3. Do chiropractors really help?
Many people respond well to chiropractic care when addressing spinal complaints like neck pain, back pain, and headaches, but there is always a responsibility on the patient to make the supportive changes. This is why patient education is a key component to chiropractic care. Besides pain relief, patients can expect to feel more knowledgeable about their health and empowered to make better decisions. When patients are not responding as expected, we have a responsibility to refer to other providers for co-management or advanced imaging. If your chiropractor says that maybe it will just take 30-40 more visits before you feel better, it may be time to search for a different chiropractor near you.
4. Is a doctor of chiropractic a real doctor?
This question is a bit vague and could be interpreted different ways depending on what is meant by “real doctor”. If you mean medical doctor, no chiropractors are not medical doctors. If you mean to ask whether chiropractors use the title “doctor”, then the answer is yes. Chiropractors have the privilege of using the title “Doctor of Chiropractic” and the right to deliver a diagnosis is within our scope of practice.
5. Will a doctor recommend a chiropractor?
Many family doctors will recommend seeing a chiropractor for neck and low back pain, and some are even patients of a chiropractor themselves. A good evidence-based chiropractor will work with your primary provider to co-manage your condition.
6. Are chiropractors a waste of money?
The straight answer to that question: It depends. If your chiropractor recommends 42 visits over the course of 6 months at a cost of $4,000, then maybe. A chiropractor’s fee per visit varies based on several factors. These factors include insurance coverage, location, length of the visit, and any additional modalities the chiropractor incorporates. Most chiropractors will publish their fees on their website. The length of care depends on the patient’s needs, goals, and diagnosis. An honest, patient centered chiropractor will usually recommend a short trial of care, sometimes in the range of 6-12 visits. Depending on the results, you may be released from active care, have your treatment plan altered, or be referred to a different provider for co-management. Unnecessary x-rays, scans, detoxifying foot baths, supplements, or allergy testing from a chiropractor may be a waste of money.
7. Has anyone died from a chiropractor?
This is a controversial topic. There are news stories about people suffering from a stroke following a cervical (neck) spinal manipulation. Research has shown that’s its nearly impossible for spinal manipulation to damage a perfectly healthy artery. But if an artery is compromised, or the patient is already in the middle of an event, a manipulation may increase the damage. Usually in these rare cases, a patient presents to a provider’s office due to neck pain and severe headaches. If the provider does not perform a comprehensive history and exam, these signs of vertebral artery dissection could be missed.
8. How often should you get a chiropractic adjustment?
The answer to this question depends greatly on the severity and nature of your symptoms. With new, acute injuries, you may be seen more frequently. Sometimes 2-3 times per week for a couple of weeks. If you are suffering from more mild issues, 1-2 times per week would be normal to start. After you show progress, and your symptoms are improving and functional limitations are decreasing, you will be seen less, and eventually released from active care. After you are released from active care, it really is up to the patient how often they want to get treated. Some people feel good being treated once per month on a “maintenance” routine. Others are comfortable just coming in as needed, when their symptoms may flare up. But there is no truth to the “once you go to a chiropractor, you always have to go” statement.
9. Can a chiropractor hurt your back?
Refer back to #2, Are chiropractors safe. Although the majority of patients respond well to chiropractic care, there are rare cases where people actually feel worse after a chiropractic adjustment. Typically this happens on the first couple of treatments, when your body is not used to the treatments and you may feel sore for a day or two. But serious complications are extremely rare.
10. Do chiropractors release toxins?
This is a strange question. A chiropractic treatment may release some toxins, the same way a massage or intense exercise can release lactic acid stored in the muscles. This is why you may feel sore following a treatment. But to say a chiropractor can release toxins to help “detoxify the body” is mostly nonsense. Chiropractic care can be very beneficial for aches and pains of the back and neck, but to claim to detoxify the body, or boost the immune system is unproven and lacks evidence.
Q: Are Inversion Tables Good or Bad?
A: Inversion tables have become fairly popular for personal home use. These are the tables that flip you upside down, you hang by your ankles, and the intent is to take the compression off of the joints of the spine. It’s a similar idea as the decompression table that we use in our office. Decompression work is great for people with disc issues and it’s a regular part of our treatment protocol. Overall, I like the idea of inversion tables, but I do have some issues with them. The major concern with inversion tables is if someone is using one for back pain, but they do not know the underlying cause of the pain. In the past, I have seen patients become injured as result of using an inversion table. Simply put, there are some circumstances when you should NOT use them and it is important to know these prior to use.
Q: Should I Do Yoga?
This is easily one of my most common questions. My short answer is yes, yoga is great, as is almost anything that gets you more active. That being said, if you do have an injury, there are specific poses that may not work well for you. It is important for you to know what your injury is, the mechanics you can and cannot do, and skip over the poses that may trigger pain. If you don’t know the answers to those questions, I’ll be happy to guide you through it.
Q: Are Low Back Braces Helpful?
Back braces can be helpful at specific times, though I really try to discourage people from using them all the time. If you’re experiencing back pain, have a job that’s hard on your back, and can’t take a sick day, then that’s a great example of when they can be useful. The problem with back braces is that they can become a crutch and hinder progress. Believe it or not, you have a built-in back brace in the form of abdominal muscles! The real key is to strengthen them properly and stabilize your spine. Once you’ve developed that strength and improve your body mechanics, the brace shouldn’t be necessary.
Q: When Do I need an X-Ray?
To x-ray or not to x-ray? In the world of health care, this has become a hot topic of debate. The truth is, research is finding that problems found in x-rays (such as arthritis) are not linking very well to the pain experienced by the patient. In other words, that thing that looks terrible in your x-ray may not be the source of pain at all, but will likely be the thing that gets blamed! I stick to a specific criteria when deciding whether to order an x-ray. The first is to rule out “red flags” - the signs that the pain could mean something bad that’s underlying. The second time I will order an x-ray is if a patient is compliant with their plan of care, but is not seeing improvement. I will generally give it about four weeks before making this determination.
Q: Do Upper Back Harnesses Help Posture?
I generally don’t recommend posture harnesses because, like the back braces, they serve as a crutch. While your posture may look nice while the harness is on, you really aren’t doing anything to truly correct the issue. The best thing you can do is consistently work on exercises that improve your posture and correct the daily activities that can make it worse. It’s takes patience and work, but if you stick to it, you really can see improvements over time.
Does Cardinal Chiropractic speak Spanish?
Yes! Hablamos Español.
Cardinal Chiropractic proudly serves Baltimore’s diverse community and provides care for English and Spanish-speaking patients.
If you are searching for a Baltimore chiropractor, Highlandtown chiropractor, or Auto accident chiropractor Baltimore, Cardinal Chiropractic is here to help.
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Ask Dr. Joe: What Should I Do After an Auto Accident in Baltimore?
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1. What should I do first after an auto accident if I have neck pain or back pain?
After making sure you are safe and getting any necessary emergency care, it is important to have your spine and injuries evaluated. Many auto accident injuries, including whiplash, neck pain, back pain, headaches, and muscle injuries, may not fully appear until hours or days later.
At Cardinal Chiropractic, your trusted Baltimore chiropractor, we focus on finding the cause of your pain and helping your body recover after an accident.
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2. Do I need a chiropractor after a car accident even if my pain is mild?
Yes. Small accidents can still create problems with your neck, back, joints, muscles, and nervous system. Getting checked early may help prevent small problems from becoming bigger issues.
Cardinal Chiropractic is an Auto accident chiropractor Baltimore patients trust for personalized care after a crash.
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3. Can Cardinal Chiropractic help me find an attorney after an auto accident?
Yes. After an accident, many people are confused about insurance, paperwork, and what steps to take next.
At Cardinal Chiropractic, we focus on helping you recover from your injuries, and if you need legal guidance, we can help connect you with experienced auto accident attorneys who can answer your questions.
Your health comes first — let us help guide you through the process.
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4. Does Cardinal Chiropractic help with more than just adjustments after an accident?
Yes. As a Highlandtown chiropractor, Cardinal Chiropractic offers advanced care options including chiropractic adjustments, cold laser therapy, Pulse PEMF therapy, soft tissue therapy, and rehabilitation exercises.
Our goal is to help patients dealing with neck pain, back pain, headaches, and other injuries return to their normal activities.