Denver Chiropractic, LLC   
3890 Federal Blvd    
Denver, CO 80211    

Tel   303-455-BACK (2225)    
Fax     303-433-3177    
info@denvercoloradochiropractic.com
  
Welcome to the Neck and Back Pain Relief website
Multidisciplinary treatment plans for your patients.


The interest of Denver Chiropractic, LLC lies in
building successful relationships with a variety of
health providers to allow for the most well  
rounded advice, examinations, and treatment
options for our patients.



How can chiropractic treatments
at Denver Chiropractic, LLC benefit your patient?

In our experience, once an injury occurs near a joint, the joint around the lesion stops
working properly, and without proper remobilization, the stage is set for a slower healing
response and possible accelerated degeneration.

Through our clinic experience, we have found that if we can get the joint moving freely,
whether it is in the spine or an extremity, we can get a more rapid response in resolution
of symptoms.

Here is a list of some
conditions that respond favorably to chiropractic care.

If you would like more information about
chiropractic, or would like to meet with Dr.
Artichoker, please call or email the clinic.


Seven Things You Should Know About Chiropractors and Chiropractic
Treatment.      
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1. Which patients should I consider for chiropractic care?

The outcomes for Chiropractic treatment are optimal for patients with:


  •  Acute/chronic mechanical/myofascial cervical, thoracic, and lumbosacral spinal
pain.
  •  Diagnostic classifications include whiplash, radiculopathy, lumbar stenosis, facet
syndrome, costo-transverse capsulitis, sacro-iliac joint pain, spinal sprain/strain,
non-specific spinal pain, discogenic low back pain, myofascial pain syndromes,
cervical headaches.  
  •  Patients with cervical or lumbar intervertebral disc herniation commonly respond
positively to chiropractic management.
  •  Treatments are likely to include forms of traction, McKenzie (extension) therapy,
and positional release techniques.  
  •  Our patients with repetitive strain injuries (tendonitis), carpal tunnel syndrome,
thoracic outlet syndrome, and other musculoskeletal disorders also appreciate
excellent outcomes.
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2. How much care is necessary for a patient to improve with chiropractic
treatment?

Patients with spinal pain commonly appreciate functional improvement and pain relief
within a few treatment sessions, while others require more extensive care.


  •  The acute, uncomplicated spine pain patient should appreciate significant relief
with 2-4 weeks of care.
  •  Chronic or complicated patients may require 4-5 weeks of treatment before a
cumulative symptom response is appreciated.  
  •  Patients with chronic or permanent conditions may be treated under a “disease
management” model.
  •  Once the patient has reached a point of maximum therapeutic benefit in a
comprehensive treatment program, manipulation and adjunctive therapies may be
provided on a periodic basis to maintain functional and symptom gains.
  •  Our goal is to encourage independence from treatment.
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3. Is chiropractic manipulation safe?

When the correct manipulation technique is paired with the appropriately selected
patient, spinal manipulation is a very safe procedure. There are relative and absolute
contraindications to spinal manipulations that have been identified in the physical
medicine literature.  A history of spinal surgery, osteoporosis, healed fracture, disc
herniation without significant or progressive neurological deficit, scoliosis, chronic
arthropathies, degenerative changes, and joint instability are not absolute
contraindications to treatment.

Absolute Contraindications to Spinal Manipulation Include:


  •  Severe or progressive neurological deficits
  •  Infections
  •  Malignancies
  •  Acute bone demineralization
  •  Acute fracture/dislocation
  •  Acute arthropathies


A contraindication to manipulation in one region of the spine rarely precludes treatment
in another region. If techniques cannot be modified to accommodate the patient’s
condition, the manipulation is withheld.
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4. How does manipulation work?

Spinal manipulation has been shown to result in an immediate post treatment increase in
range of motion, decreased adjacent soft tissue tenderness, improved joint function and
decreased pain.  Though the mechanism is complicated, research has identified the
following benefits from spinal manipulation therapy (SMT):


  •  motion segment (joint and disc complex) unbuckling
  •  meniscoid inclusion release
  •  release of intra-articular adhesions
  •  stimulation of joint mechanoreceptors
  •  relaxation of hypertonic muscles
  •  Centrally mediated reflexes are also being investigated.
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5. Why is there such variation in treatment among chiropractors?

The chiropractic profession is philosophically divided into two primary groups;

(1) those who adhere to many of the traditional chiropractic theories that promote lifelong
care, and (2) those who work on an integrated, evidenced based care model.

Philosophically based chiropractors advocate that spinal manipulation improves health
through reducing sub-clinical neurologic impairment by correcting vertebral joint
dysfunction (referred to as “subluxation”). Theoretically, spinal adjustments are directed
at restoring neural homeostasis, rather than administered to treat a clinical disorder.
Most of these chiropractors do not seek a clinical diagnosis other than “subluxation”, and
do not exercise standard examination and treatment procedures.  Evidenced based
chiropractors commonly work on a physical medicine model to diagnose and treat their
patients. Spinal manipulation is one component of the management strategy, which also
draws from those therapies that are shared with physical therapists and physiatrists.
These chiropractic physicians administer therapeutic treatment modalities such as
ultrasound, electrical muscle stimulation, hot/cold therapies and instruct their patients in
rehabilitative exercises, stretches, lifestyle changes and proper diet. Many evidenced
based chiropractors work cooperatively within hospitals and integrated care centers.
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6. With all of the variation in chiropractic, how does one identify a qualified
chiropractor?

The Journal of Family Practice (1992) published the following guidelines to consider
when selecting a chiropractor:


  • Treats mainly musculoskeletal disorders
  • Does not radiograph every patient
  • Willing to be clinically observed
  • Positive feedback from patients
  • Communicates with the referring physician
  • Administers reasonable treatment programs
  • Does not charge a global, up front fee

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7. How well educated are chiropractors?

Candidates for entry into most chiropractic schools are required to complete a four-year
undergraduate program. Ten trimesters of chiropractic school (four years) must be
completed to graduate. The first eight trimesters are primarily didactic training. Courses
include human anatomy and dissection, physiology, pharmacology, diagnostic imaging,
nutrition, rehabilitation, spinal manipulation and medical patient management strategies.
The ninth and tenth trimesters are completed through an internship under the direction
of a licensed chiropractor. Upon graduation, most chiropractors enter private practice
after successfully passing national and state board examinations.
Residency programs after chiropractic training are optional and include specialties in
Orthopedics, Diagnostic imaging, Clinical studies, Rehabilitation and Research.
All licensed chiropractors are required to undergo a minimum of twenty four hours of
continuing education on a yearly basis to keep their license in good standing with their
state boards.
Copyright Denver Chiropractic, LLC

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Chiropractic Doctor Trent Artichoker
Building multidisciplinary relationships with other health care providers.