What is it That Chiropractors Do?
Chiropractors are practitioners of chiropractic, a complementary and alternative medical treatment as differentiated from conventional healthcare. They use their hands to assist patients with pain relief from problems related to bones, muscles and joints.
Using a range of techniques and therapeutic exercises, particularly spinal manipulation, Chiropractors aim to reduce the pain their patients suffer from and improve their mobility, thereby enhancing the overall quality of their lives. Application of heat or ice, ultrasound and acupuncture are other therapies they may use in their clinics. With their vast and varied knowledge, Chiropractors may offer self-help tips on posture, nutrition and other lifestyle changes.
Origins of Chiropractic Care
The origin of chiropractic practice, a form of alternative medicine, is traced to 1895 when an American magnetic healer, Daniel David Palmer, claimed to have restored a deaf janitor’s hearing through spinal adjustment. Palmer founded the Palmer School of Chiropractic in Iowa, US, teaching the first chiropractors his manipulation methods. While spinal manipulation existed before 1895, Palmer’s claim was that he began using specific contacts as short-leverage points to make specific spinal "adjustments." Early chiropractic practice clashed with allopathic medicine, and medical statutes were established much later. Even until the 1960s, some practitioners were penalised for not possessing a licence.
Palmer’s techniques were based on the 19th-century practices of bonesetting by putting bones together for healing and fixing subluxations, or dislocated joints, by pushing bone junctions into their correct position. Palmer blended magnetic healing with the issue of subluxations to formulate the vertebral subluxation theory. Magnetic healers believed that a fluid they called “animal gravity” moved in waves within the human body, and since blockages to its flow caused illness, they had to be removed to heal a patient. Palmer renamed the supposed fluid “innate intelligence”, likening it to a physical and spiritual force controlling the body and originating from the spinal cord. He attributed health issues to misaligned vertebrae that he believed disrupted energy flows from underlying neural tissue. Detecting and rectifying spinal subluxations, according to Palmer, was the key to regaining health. Palmer’s son, B.J. Palmer, continued to develop the chiropractic profession.
Manipulation is typically used for back and cervical pain, sciatica, joint-related issues, sprains and strains, osteoarthritis, herniated discs and diverse other musculoskeletal (MSK) conditions. Although spinal manipulation forms the core of chiropractic care, chiropractors today have incorporated various therapies and styles to provide holistic healthcare that avoids medication and surgical intervention. For instance, they may use manual therapies, such as soft-tissue mobilization and massage, instrument-assisted soft tissue mobilisation therapy, stabilisation and strength training, nutrition and postural correction programs, and even cognitive-behavioural approaches to patient care.
With improved collaboration between chiropractic and conventional practice, patient care today frequently depends on an interdisciplinary approach and collaboration among medical doctors, physical therapists, chiropractors, occupational health workers, sports medicine teams and rehabilitation centres. With the profession receiving greater integration into mainstream healthcare, chiropractors and Chiropractic Assistants now work in hospitals, multidisciplinary practices and even with the armed forces.
Chiropractic Adjustment
Facilitating spinal manipulation by applying a sudden but controlled force to a spinal joint using hands or an instrument is known as chiropractic adjustment or spinal manipulation. It is a procedure that chiropractors are trained to carry out to improve spinal mobility and the body’s physical functioning.
Some Chiropractic Vocabulary
- Acute back pain: This type of back pain lasts a relatively short time, a few days to several weeks, but typically not longer than three months.
- Lumbosacral strain: This type of strain or injury is one of the most common causes of low-back pain and pertains to the joints or ligaments at the base of the spine where the last lumbar vertebra (L5) connects with the sacrum. Disk degeneration in this area is another typical cause of lower backache.
- Dynamic thrust: It is a sudden and forceful chiropractic adjustment manoeuvre designed to move vertebrae, frequently leading to a popping sound.
- Full-spine technique: This technique of adjusting tackles vertebrae from the neck down.
- Kale method: It is a form of upper cervical adjustment which uses a sudden but shallow thrust delivered to the side of the neck, or a "toggle adjustment". It aims to rectify atlas subluxations, frequently in the knee-chest position on the chiropractor’s table.
- Low-force technique: It uses both an adjusting machine and the reflex technique or either one to substitute for forceful manipulation or "dynamic thrust". However, it is only sometimes an effective substitute for well-executed spinal manipulation.
- Maintenance care or preventive maintenance: Chiropractors help patients maintain their health through subluxation-based programs of periodic spinal examinations and "adjustments".
On-the-Job Training for Newly Hired Chiropractic Assistants (CAs)
As a new member of a chiropractic clinic, you can receive inspiration from learning about the vision and mission of the chiropractor for whom you work. Newly hired CAs must also understand the clinic’s policies, procedures and protocols. If your clinic has written policies and standard operating procedures (SOPs), you will find them helpful to read and refer to when needed.
Your employers may encourage cross-training among the clinic’s staff to optimise efficiency and productivity. Learning about each other’s responsibilities and workplace challenges helps employees foster team spirit and appreciation for each other.
Once you have learnt the ropes, you must constantly seek opportunities to improve your current skills or learn new ones on the job or through continuing education (CE) and certification programs. Such engagement will keep you up-to-date with the most recent office technology and clinical techniques and motivate and make you more efficient, versatile and capable of taking on greater responsibilities at work. Your employer may encourage you to acquire competency across sales & marketing, customer service, administration, operations and office software, in addition to chiropractic and clinical skills.
Current Scenario
The employment outlook of a particular profession may be impacted by diverse factors, such as the time of year (for seasonal jobs), location, employment turnover (when people leave current jobs), occupational growth (when new roles are created), size of the occupation, and industry-specific trends and events that affect overall employment.
The demand for Chiropractic Assistants is expected to be strong in the next few years, given the increase in the population of ageing Baby Boomers and their need for the preventive and holistic healthcare in which chiropractors specialise. By providing office administration and patient care, Chiropractic Assistants will help chiropractors deliver better services to more patients.
Potential Pros & Cons of Freelancing vs Full-Time Employment
Freelancing Chiropractic Assistants have more flexible work schedules and locations. They fully own the business and can select their projects and clients. However, they experience inconsistent work and cash flow, which means more responsibility, effort and risk.
On the other hand, full-time Chiropractic Assistants have company-sponsored health benefits, insurance, and retirement plans. They have job security with a fixed, reliable source of income and guidance from their bosses. Yet, they may experience boredom due to a lack of flexibility, ownership, and variety.
When deciding between freelancing or being a full-time employee, consider the pros and cons to see what works best for you.