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Behrooz Akbarnia M.D.
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Gregory Mundis M.D.
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Scripps Clinic Torrey Pines
10666 North Torrey Pines Rd
La Jolla, CA 92037

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Phone (858) 554-7988


Non-Operative Treatment: Chiropractic Care

Chiropractic Overview
Chiropractic care is non-surgical, drug-free therapy that includes spinal manipulation and non-manipulative therapies such as electrical stimulation, massage and ultrasound. While the physicians at the San Diego Center for Spinal Disorders (SDCSD) do not fully agree with all of the practices and theories of chiropractic philosophy, we understand that some of our patients find chiropractic care to be helpful. Therefore, we occasionally recommend it as part of the overall treatment plan for spinal disorders.

If a patient's spine is stable without nerve root impingement, chiropractic care may be an option. Chiropractic care is not recommended to treat spondylolisthesis, abnormal spinal curvature or disc herniation.

Chiropractic Philosophy
Doctors of Chiropractic (DC) believe that good health is dependent on a normal, well-functioning central nervous system. The central nervous system includes the spinal column, spinal cord and nerve roots. Chiropractic philosophy includes:

Further, chiropractic philosophy emphasizes the importance of proper nutrition, daily exercise, and lifestyle modification to promote good physical and mental health.

Chiropractors follow diagnostic procedures that are similar to those practiced by medical doctors. The consultation includes a thorough review of the patient's history and current symptoms, physical examination, and x-ray or other imaging studies. In addition, mobility and positioning of spinal joints, muscle function, posture, and overall range of motion are evaluated.

Manipulative Therapies
Chiropractic - drug free, non-surgical spine treatments.Manipulation
In chiropractic terms, the word subluxation is used to mean joint dysfunction. Chiropractors believe that subluxations can cause pain, numbness, dizziness, a feeling of pins and needles, and other neurologic symptoms. Manipulation adjusts the spinal joints to correct subluxation(s).

Using his or her hands, the chiropractor applies specifically controlled pressure directly to a joint or muscle. Successful manipulation may release a joint back into correct position and/or alleviate muscle spasms causing spinal nerve irritation.

Flexion Distraction
Flexion distraction combines chiropractic manipulation with gentle adjustments made while the patient lies on a specialized treatment table. The features of the table allow it to slowly move up and down, side to side, and to rotate. The table movements mimic flexion/extension, lateral flexion, and circumduction. Distraction manipulation does not cause pain.

Non-Manipulative Therapies
Electrical Stimulation
Electrical stimulation is also known as Transcutaneous Electrical Nerve Stimulation (TENS). TENS delivers a painless electrical current through the patient's skin to specific nerves. The current produces mild heat that works to relieve stiffness and pain and helps to improve range of motion (mobility). This treatment is non-invasive with no known side effects. It may be used to control acute pain and chronic pain.

There are many types of massage including acupressure ("Shiatsu"), deep tissue ("Swedish Massage") and myofascial release. Massage may benefit patients with acute sprains or strains and other soft tissue conditions.

Ultrasound is a common non-invasive therapy used to treat back and neck pain, tendon and ligament injury, muscle spasms, joint problems and other spine related conditions. Besides chiropractors, ultrasound is also used by physical therapists in rehabilitation facilities.

The practitioner applies gel to the patient's skin to help transmit the ultrasound waves into the tissues. The ultrasound probe is gently swirled over this area. Ultrasound uses high-frequency sound waves to deliver heat deep into tissues (e.g. muscles). This therapy promotes circulation and healing, relaxes muscle spasm, decreases inflammation and helps to alleviate pain.

The medical staff at SDCSD may recommend chiropractic care for some conditions, especially those that involve acute soft tissue strains and sprains. However, we do not recommend chiropractic manipulation for disorders that involve significant nerve impingement or spinal instability.