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Chiropractic's early philosophy was rooted in vitalism, spiritual inspiration and rationalism. A philosophy based on deduction from irrefutable doctrine helped distinguish chiropractic from medicine, provided it with legal and political defenses against claims of practicing medicine without a license, and allowed chiropractors to establish themselves as an autonomous profession.
The primary treatment of the Doctor of Chiropractic is manipulation (an "adjustment") to those areas of the spine or surrounding joints which are slightly displaced and fail to function normally.
Given by hand (the word chiropractic means "done by hand"), the adjustment will restore proper alignment and function to the spinal joints, thereby restoring the normal nerve transmission and healing potential to the vital structures of the body.
Therapeutic exercise, massage, and nutritional support are part of patient care when appropriate. Injuries like sprains (ankle), strains (like pulled muscles), tendinitis (eg. tennis elbow) and bursitis (shoulder pain) and joint problems in the shoulder, elbow, wrist, hand, hip, knee, ankle, and foot can all be treated effectively with chiropractic care.
These are all good reasons to seek chiropractic care. However, the beauty of Chiropractic is not only drug-free and surgery free care, but also preventative and performance enhancing care.
Maintaining proper alignment will allow athletes to be prepared for their sport. Many of the greatest athletes in the world are adjusted before competition as a "tune-up" in an effort to place their bodies in a state of peak efficiency. Following competition, they are adjusted to enhance the recuperative process after the stress of their particular event.
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care; in the U.S., chiropractors perform over 90% of all manipulative treatments.
Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint; its defining factor is a dynamic thrust, which is a sudden force that causes an audible release and attempts to increase a joint's range of motion.
More generally, spinal manipulative therapy (SMT) describes techniques where the hands are used to manipulate, massage, mobilize, adjust, stimulate, apply traction to, or otherwise influence the spine and related tissues; in chiropractic care SMT most commonly takes the form of spinal manipulation.
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