2. Copyright, 1996 © Dale Carnegie & Associates, Inc. Chiropractic Care

3. Introduction –“Chiropractic profession is one of the strongest alternative medicine groups going. With more than 45,000 practitioners in US, they are secondary only to physicians in providing primary care.” Prevention magazine, February 1998.

4. Review –As –As Doctors in all aspects of health care we are quite familiar with the Musculoskletal and the nervous systems –31 –31 pairs of spinal nerves –4 –4 layers of back muscles –Blump –Blump line and posture –Primary –Primary and secondary curves

5. How Chiropractors manage their cases? –Chiropractic addresses problem of health as subluxation. Which is defined as loss of the proper relationship between two vertebrae and the resultant entrapment of the spinal nerve in- between. The pressure induced can affect the nervous system by modifying the ascending or descending stimuli in the spinal cord. –Doctor Of Chiropractic still consider the mechanical cause of this problem. Diagnose using appropriate Palpatory, neurological, orthopedics exam and X-ray.

6. How Chiropractic helps –Is Chiropractic care really help? –Postural problems

7. Acute Low Back Pain According to the clinical Practice guideline 1994According to the clinical Practice guideline 1994 –In 2 of highest quality studies –Patients with 14-28 days of symptoms, both studies found the manipulation groups had statistically significant improvement in pain relief and functioning compared with control group

8. Acute Low Back Pain (cont’d): According to the clinical Practice guideline 1994According to the clinical Practice guideline 1994 –The analysis of that study indicated that in patients with acute low back problems without radiculopathy, manipulation reduces pain and has a positive short term impact on daily functioning

9. International recognition –The WHO recognize and support Chiropractic as well as other health care fields. It is unfair to our patients to keep them away from this fact. –Recognition of this profession by other health care fields will decrease the risk of unnecessary procedures and spare the time and effort of other specialty to take care of who really needs there care.

10. Worth it –Chiropractic Patient gets good results in a relatively Short Time –Open a different health care path create a fair competition that lead to a better health –All alternative health professions must get their position in health care system –Decrease treatment cost, shorten the duration of bed ridden and absence from work.