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UPDATE:

I got a second opinion on my spine. This guy was very professional and knowledgeable (very curious about my barefoot dress shoes as well).

He came to the same conclusion - my neck needs a bit of work. He was very excited that I found this problem at such an early stage and is confident I will heal quickly.

He took a lot of time to explain the relationship of the spinal nervous system to systemic health and that the neck is the most important piece of the puzzle (before examining me). He did my first adjustment and showed me all the neat magic tricks like how the strength in one side of my body is much weaker than the other side, then perform the adjustment, and boom they work the same.

I've been doing a lot of research since first posting about this and am sold on the concept - truly corrective chiropractic work.

If you're in Houston, check out Woodway Wellness - Dr. Terry Smedstad

Lastly, he accepts health insurance unlike the other guy, which was interesting..


I got my spine examined at a chiropractor and it turns out my cervical spine (neck) is slightly curved in the wrong direction. I was told that left unchecked this could shave 15 years off my life and cause a whole host of health issues down the road. The theory is that it is basically pinching off nerve signals to the rest of my body.

The chiro was pretty convincing and reviews online seemed to rate him highly. My x-rays looked similar to ones online which touted similar information on the subject. The problem is he wants 3x a week adjustments (I live 1 hour away) and $3500 for the first 3 months. Then after 3 months I get evaluated and possibly move down to 2x week or 1x week for the rest of my life.

I am pretty young and the "curvature" is so slight that I am not too worried about taking time to make sure my ducks are aligned before jumping into some kind of treatment like this.

My question(s) is(are): Has anyone had any experience with this situation? Also, there is surely a way to keep your spine in alignment aside from receiving adjustments for the rest of your life, right?

Sitting at a desk all day surely isn't helping.

ETA:

Part of the examination included a 45 minute class on how to read your own X-rays and make basic sense of your spinal/nervous situation. He convincingly spoke about how if you let your insurance company dictate the care you receive you are going to end up like everyone else - sick. He went on to say the source of a lot of issues are diet, lifestyle, and (of course) spinal/nervous system health which doctors don't address because their specialty is medicine, or surgery, etc.

He added that many people willingly pay a couple thousand to straighten their teeth, but shy away from a couple thousand to align their spine. And it's hard to believe it can fix so many things, things that aren't even noticeably wrong with you yet. (This sounds like trying to convince a "generally healthy" person to try Paleo, right everyone?)

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Try doing some research into "packing the neck." usually it's a term used in weight lifting and exercise but it may help you generally if you're sitting a lot. Basically it mean make a a double chin, elongating your cervical spine as I'd someone where pulling up on the top of your head. It may help you kind of elongate and thus decompress your spine a bit. I find it useful. – ben61820 Jul 17 at 19:05
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I had a chiro show me that move, it helps my cervical neck pain. – Heather Jul 17 at 19:19
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Giving this a try... is it bonus if I happen to have about 8 chins? :) – jatx www.jasonmoore.me Jul 17 at 20:42
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PS. I'm going to get a second opinion soon - will update how that goes. – jatx www.jasonmoore.me Jul 17 at 20:49
YOu might want to see a DO (doctor of osteopathy) or a physiatrist (a physical medicine MD for your second (third) opinions. – Crowlover Jul 18 at 0:42
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12 Answers

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A chiropractor kept my husband walking when Western doctors thought he should be in a wheelchair. However, the one you saw sounds a bit shady. $3500 for 3 months? I pay $100 a month for 4 people, unlimited visits. Definitely go somewhere else for another opinion.

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The cost is only a reflection of the larger environment's cost. Chiro in NYC is going to charge a lot more than in Montana. – ben61820 Jul 17 at 19:12
I'm in California...where everything is expensive. – MathGirl72 Jul 17 at 19:13
Holy cow that sounds so cheap. Thanks for the input! – jatx www.jasonmoore.me Jul 17 at 20:21
100$ is cheap....I'd say $200 for that kind of service is more "customary". Either way, seeing another chiropractor for a second opinion is a good thought. Save some cash by getting your records and radiology report from the first fella to take with you. I'm not saying the first fella is wrong or shady, but some guys put a lot more weight on optimal biomechanical curvatures than others, and are quite all or nothing in what they offer the patient. Others may offer that same corrective service, but also take into account your more immediate concerns and just leave that option open. – JayJay Jul 17 at 22:31
What I mean by "what they offer the patient" is spelled out very well by John Collins bellow. – JayJay Jul 17 at 22:38
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I am a chiro with a holistic approach. Part of my practice, perhaps 10%, is the practice of structural/postural correction (attempting to correct abnormal regional spinal curvatures such as reversed cervical lordoses) on selected patients.

A few random points/suggestions:

-ask the chiropractor if he/she can furnish you with some studies/literature/that support the 15 year loss of life claim. -IMHO, there is legit science behind the detrimental effect of abnormal/sub-optimal curves but the art of correcting these curves requires very special training (which 90+ % of chiros DO NOT receive) and a fair amount of experience, patience, etc. (also of note, is that I have never met, nor heard of any DO or PT who has any training re. structural correction other than for scolioses). -Ask the DC if they can refer you to someone who is closer to you for treatment and/or 2nd opinion. -There are three basic approaches/purposes/intentions within chiropractic care: 1- care that is focused on symptom relief (this is what is done in vast majority of chiro offices perhaps 70%+ of the time) 2- Structural and/or postural corrective care (this is care that is directed at actually changing structural alignment and uses particular x-ray studies as an outcome measure). This accounts for perhaps less than 10% of chiropractic care nationwide in USA. example, in my county of 21 chiros, only 3 of us do this type of structural correction care (the vast majority of the docs have little training in it) and it is only 10% of my practice. 3- Maintenance-type care...this probably comprises about 20% of the chiropractic care being rendered (wild guess).

That being said, all of the above forms are legit, if done properly...there is science behind all of these approaches but both doctor and patient should be clear as to what the intention/purpose and goals of care are. Where I have seen problems arise is usually when the patient just wanted pain relief and never really consented to structural correction and the chiro just offered it up as if it were the only valid approach. So all parties need to be clear on what the goal of care is.

Spinal/structural/postural correction has abundant science behind it but not nearly as much as it could or should and one reason for this is that it is very difficult for biomedical corporations to profit from structural correction because it is almost impossible to patent and sequester a physical-medicine technique that works well in the same way that they patent drugs. So, the larger biomedical corporations do not put any focu$ on conditions such as scoliosis and-or reversed c-spine lordoses.

-ask your chiro for list of potential benefits and risks of going though this program and also ask them for a list of potential benefits and risks of NOT going though this program. -ask them in detail about what they will be having you do at home to help correct your curve.

Good luck.

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That's a really nice answer John and its great of you to take the time out of your practice to help here! – Crowlover Jul 17 at 21:47
Quite good answer. – JayJay Jul 17 at 22:35
Excellent thank you John. Part of the reasons I was inclined to like this particular chiropractor is because his speech was very similar. He and some of his reviews claim to be in that corrective category. Thanks again! – jatx www.jasonmoore.me Jul 19 at 1:42
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Well, I guess I'm screwed. Had a spinal fusion at 14 for scoliosis and and am still not perfectly "aligned." Husband is finishing up his D.O. and does OMM, and I have never heard him say anything like this (I'll ask when he gets home, but I'm almost positive he'll laugh at the proposition)! Sounds like a bid to ensnare a regular customer.

Some fields attract more quacks than others. There are definitely excellent chiropractors out there.

Edited to add: giving a firm number like "fifteen years!" sets off alarm bells. How does he know?

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Yeah, the firm number and VERY high price seem a bit sketchy... – JeJ Jul 17 at 19:24
He said 15 years "on average" and that's if it follows the typical progression. There are 3 phases of severity that cause worse and worse issues.. so it wasn't a truly firm number. He was definitely a natural salesman, and I agree he doesn't seem to mind charging people for the rest of their life. I still feel optimistic about his legitimacy though. – jatx www.jasonmoore.me Jul 17 at 20:30
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To put it in context there is ample evidence to reduced segmental motion and/or alignment accelerating the degenerative process. I think D.O.'s recognize this (the one in my town does anyhow). – JayJay Jul 17 at 22:41
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Sorry about this. I had a slight curvature too (pretty sure it was 15%) and my parents were told to get me a chin up bar in the doorway and that I should hang on it twice a day for 5 mins. I did that and it helped me! Its hard for doctors and PTs to "find" my curvature now.

Years later I read an article about this by a PT. Sorry I don't have a link but you might want to look into it.

Good luck

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Already have the pullup bar so I'm down to try. Thanks! – jatx www.jasonmoore.me Jul 17 at 22:03
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I want to believe in the magic power of chiropractors, but at this point in time I just feel like I've wasted over $1000 or so on adjustments in the last few years when in just the last few months my posture has improved dramatically just hanging from the pull-up bar. +1 – Invisible Caveman Jul 18 at 1:31
Wow. Good to know Invisible Caveman. I was a preteen and it sounds like you did this as an adult and it still helped! Thanks – Crowlover Jul 18 at 2:16
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My chiro saw a small curvature in my spine, but he determined it was being caused by my hips being uneven, and he suggested I see a podiatrist. I got orthotics and a small lift for my left foot (which is slightly shorter than my right) and a year later I am almost all straightened out.

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Did your chiropractor provide you with suggestion for improving your posture in daily life? Did he provide you with stretches and strengthening exercises to restore alignment?

Unless you address the muscles imbalances that are pulling your bones out of alignment - and the daily postural/movement habits that cause them - then you'll be visiting the chiropractor for the rest of your life.

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That's part of the treatment plan. They perform a lot of rehab at their facility beyond the "adjustment" and supply you with tools and exercises to do at home that are "required" for the success of the correction. – jatx www.jasonmoore.me Jul 19 at 1:47
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Spine alignment can affect many things, such as blood pressure, and internal organs.

For instance I know someone who got hit in the head at work, which put his neck out of kink such that he could barely lift his arms. He got work mans comp for it, and gradually got better over a span of two years so he could lift his arms and work. However, this healthy extremely active man suddenly had extremely high blood pressure since the accident. It took two years of dealing with workman's comp before they would send him to a chiropractor. The chiropractor realigned his neck, and the blood pressure went down to a reasonable level in one appointment.

This is just an extreme example.

The extra alignments are necessary. If someone puts any joint out of joint, such as a hip or shoulder, the longer it is out of joint, the more likely it will slip out of joint in the future. This is why they are in a hurry to get it back in place as soon as possible! The muscles around the joint can stretch and learn the new placement of the joint and gravitate towards this position.

My mother-in-law had a misalignment due to whip lash, gradually it gave her horrible migraines. It also affects the bones in her skull, such that one side of her nostril was harder to breathe out of. With adjustments, her headaches stay at bay, and her sinus remains clear.

As for spinal alignment, you'll probably need adjustments. However, they might be able to give you exercises to help compensate for your poor posture.

It might be helpful to know what systems are affected by your alignment before jumping into this commitment. I'd probably get a second opinion too. This sounds expensive.

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Thanks for the great input Ashley - I agree. I'm getting a second opinion soon so we'll see how that turns out. – jatx www.jasonmoore.me Jul 17 at 20:56
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I like my chiropractor, but the adjustments as far as I can tell offer temporary relief, and that is a LOT of money.

I've become a pretty big fan of myofascial therapists after slipping a disc and not being able to walk or sit upright for nearly 2 weeks. The chiropractor was only able to offer slight relief, but after the first session with myofascial therapist I was able to sit and stand without pain. You can move the bones, but if it is overly tight muscles, or twisted muscle fibers causing the problem, addressing that directly will provide a much longer lasting and potentially permanent resolution of the issue.

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Yes I love tissue release. I practice this with increasing frequency. I get most of the ideas for it from Kelly Starrett's mobilitywod. – jatx www.jasonmoore.me Jul 17 at 20:50
If you've released the tissues around the area enough, chiropractic work would be the next step. Like John J. said up there, make sure you are going to someone specifically trained in the kind of restructuring you need. – Happy Now Jul 17 at 22:00
I agree that it does seem to offer temporary relief. When I was 265 pounds and sitting all day at a desk job, my Chiro made me feel like I could stand up straight again. Now that I've fixed my diet and lost weight it's completely different, of course. – Invisible Caveman Jul 18 at 1:36
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I've great results with chiropractors over the years, so I'm prone to say go for it if you can afford it. In the end I'm afraid you won't know until the end of the treatment and even then it may have been successful but you might end up going monthly for the rest of your life.

You might consider taking up tai chi as a cheaper alternative. Over time tai chi will readhust your spine and provide many other benefits besides. If you are not in acute pain and have some time to let yourself readjust gently, then this would be a great option.

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Interesting, I've considering addressing it with soft tissue strengthening and better movement/resting patterns. But I am fighting against many years of bad posture so I may need some bone correction along with the muscle/tissue correction to make good headway on it. I'll look into that! – jatx www.jasonmoore.me Jul 17 at 20:54
I second the tai chi recommendation. The difficulty is finding good teaching. The Frantzis book titled 'Tai Chi Health for Life' is a good intro to tai chi and explains how to find a teacher. Other possibilities include the books titled 'The Egoscue Method of Health Through Motion' and Gokhale's '8 Steps to a Pain-Free Back'. – Kirk Aug 23 at 22:25
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My mom has pretty severe scoliosis -- pronounced hump over one shoulder -- and she is 89.

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I never trust chiropractors. I don't think it's a real science or medicine. I'm not saying that this specific guy is out to get your or take your money, it's more that they're well-meaning but don't actually do anything for real. It all sounds like pseudoscience to me.

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Though a Chiro helped me recover from herniated disc by decompression therapy my general opinion regarding the art of chiropractic stuff is approach with caution. Definitely more art than science – ben61820 Jul 17 at 19:06
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Yeah I've heard a lot of bad, but I've also heard some good. The theory this chiro told me sounded very logical (if your spine isn't properly aligned then you are losing some nervous system function which causes other issues). But of course that doesn't mean he's the proper avenue to fix it. If I end up doing it with a chiro I will post back how it went. – jatx www.jasonmoore.me Jul 17 at 20:46
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miked, Seriously?! There are crappy chiropractors just like there are crappy MDs (most of them by my standards of healthcare), crappy PhDs and crappy NDs. And of course they are scientifically and medically trained. Pseudoscience? You really might want to look into the education of chiropractors. – Crowlover Jul 17 at 22:40
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Yeah, but you can be "educated" in a field that I don't think is real science. – miked Jul 17 at 23:02
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As Crowlover said, You really might want to look into the education of chiropractors. – sully Jul 18 at 0:25
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@miked: How can spinal function be psuedoscience? The literal foundation of the body..Do you know what your nervous system is? Different nerves are related to different organs/functions and ALL of them go through the spine.The spinal cord is the main pathway for information connecting the brain and peripheral nervous system. If the spinal bones are off, you might be able to infer the health implications that might arise..

@op: The price does seem steep, but then again your spine is curved in the wrong direction! I'd see if I could find a different chiro with more reasonable prices that accepts your insurance if you have any. And in the beginning, it does take frequent adjustments. But after a few months (or longer for more serious issues) you may only need to see the chiro once a month. It really is like a healthy person going to the dentist for a checkup. Conventional medicine just doesn't preach it because big pharma doesn't profit from healthy spines.

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