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Chiropractic & Physical Therapy
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| Chiropractic |
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What is Chiropractic?
Chiropractic is a branch of the healing arts which is concerned with human health and disease processes. Doctors of Chiropractic are physicians who consider man as an integrated being and give special attention to the physiological and biochemical aspects including structural, spinal, musculoskeletal, neurological, vascular, nutritional, emotional and environmental relationships.
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The practice and procedures which may be employed by Doctors of Chiropractic are based on the academic and clinical training received in and through accredited chiropractic colleges and include, but are not limited to, the use of current diagnostic and therapeutic procedures. Such procedures specifically include the adjustment and manipulation of the articulations and adjacent tissues of the human body, particularly of the spinal column. Included is the treatment of intersegmental aberrations for alleviation of related functional disorders.
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History of Chiropractic Care
The roots of chiropractic care can be traced all the way back to the beginning of recorded time. Writings from China and Greece written in 2700 B.C. and 1500 B.C. mention spinal manipulation and the maneuvering of the lower extremities to ease low back pain. Hippocrates, the Greek physician, who lived from 460 to 357 B.C., also published texts detailing the importance of chiropractic care. In one of his writings he declares, "Get knowledge of the spine, for this is the requisite for many diseases."
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In the United States, the practice of spinal manipulation began gaining momentum in the late nineteenth century. In 1895, Daniel David Palmer founded the Chiropractic profession in Davenport, Iowa. Palmer was well read in medical journals of his time and had great knowledge of the developments that were occurring throughout the world regarding anatomy and physiology. In 1897, Daniel David Palmer went on to begin the Palmer School of Chiropractic, which has continued to be one of the most prominent chiropractic colleges in the nation. |
Throughout the twentieth century, doctors of chiropractic gained legal recognition in all fifty states. A continuing recognition and respect for the chiropractic profession in the United States has led to growing support for chiropractic care all over the world. The research that has emerged from " around the world" has yielded incredibly influential results, which have changed, shaped and molded perceptions of chiropractic care. The report, Chiropractic in New Zealand published in 1979 strongly supported the efficacy of chiropractic care and elicited medical cooperation in conjunction with chiropractic care. The 1993 Manga study published in Canada investigated the cost effectiveness of chiropractic care. The results of this study concluded that chiropractic care would save hundreds of millions of dollars annually with regard to work disability payments and direct health care costs.
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Doctors of chiropractic have become pioneers in the field of non-invasive care promoting science-based approaches to a variety of ailments. A continuing dedication to chiropractic research could lead to even more discoveries in preventing and combating maladies in future years.
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| Education of Doctors of Chiropractic
Doctors of Chiropractic must complete four to five years at an accredited chiropractic college. The complete curriculum includes a minimum of 4,200 hours of classroom, laboratory and clinical experience. Approximately 555 hours are devoted to learning about adjustive techniques and spinal analysis in colleges of chiropractic. In medical schools, training to become proficient in manipulation is generally not required of, or offered to, students. The Council on Chiropractic Education requires that students have 90 hours of undergraduate courses with science as the focus.
Those intending to become doctors of chiropractic must also pass the national board exam and all exams required by the state in which the individual wishes to practice. The individual must also meet all individual state licensing requirements in order to become a doctor of chiropractic.
An individual studying to become a doctor of chiropractic receives an education in both the basic and clinical sciences and in related health subjects. The intention of the basic chiropractic curriculum is to provide an in-depth understanding of the structure and function of the human body in health and disease. The educational program includes training in the basic medical sciences, including anatomy with human dissection, physiology, and biochemistry. Thorough training is also obtained in differential diagnosis, radiology and therapeutic techniques. This means, a doctor of chiropractic can both diagnose and treat patients, which separates them from non-physician status providers, like physical therapists. According to the Council on Chiropractic Education DCs are trained as Primary care Providers.
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What is a Doctor of Chiropractic?
The proper title for a doctor of chiropractic is "doctor" as they are considered physicians under Medicare and in the overwhelming majority of states. The professional credentials abbreviation " D.C." means doctor of chiropractic. ACA also advocates in its Policies on Public Health that DCs may be referred to as (chiropractic) physicians as well.
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Graston Technique Summary
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We are pleased to provide our patients with an innovative and proven approach to the diagnosis and treatment of common connective soft tissue injuries - Graston Technique®. Graston Technique® is a soft tissue diagnostic and therapeutic method that has been used in outpatient clinics since 1993. Graston instruments – made of stainless steel, specifically designed and developed as an alternative to transverse friction massage – are used as an aid in the diagnosis and treatment of soft tissue dysfunction or pathology. The instruments provide tactile diagnostic feedback to both the doctor and the patient, as the instruments act a as a focused extension of the doctor’s own hands while reducing wear and tear on the hands. Clinical experience has shown that Graston Technique® is helpful in the management of a large variety of musculoskeletal disorders. These include: carpal tunnel syndrome, cervical pain, de Quervain’s syndrome, epicondylitis, fibromyalgia, IT band syndrome, joint sprain, lower back pain, muscle strain, painful scar, plantar fasciitis, post fracture pain, and tendonitis. A large case series found that Graston Technique® reduces numbness, increases patient functional capabilities both in ADL’s, and work related function. Clinical trials of the effectiveness of Graston Technique® in the treatment of carpal tunnel syndrome, lateral epicondylitis and post-surgical low back pain are underway or have been funded.
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| Physical Therapy |
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Oxford Rehabilitation Center’s outpatient Physical Therapy treatment addresses musculoskeletal conditions such as post surgical, low pain back, neck pain, joint pain resulting from work, car, overuse or trauma injuries. Along with therapeutic exercise, manual therapy, and aquatic therapy available, various forms of modalities are incorporated, including electrical stimulation, ultrasound, phonophoresis, diathermy, ice, and heat.
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Therapeutic Ball Exercises
 
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Cardiovascular Exercise
 
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Physical Therapy Program
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Physical therapy at Oxford Rehabilitation Center is coordinated by a staff of physical therapists and physical therapy assistant who provide a team approach to patient care.
Your care begins with a thorough examination; we assess your needs as well as the unique aspects of your condition to determine the cause of your problems or pain. We will then develop a customized program that is tailored for you, combining manual therapy, acupuncture and passive modalities if need be, and exercise program either land-based approach or aquatic program conducted in the most effective means. And we don't just treat your pain, we value patient’s education, we show you how to keep it from coming back. We will always keep you informed your progression during the course of your treatment....while giving you encouragement every step of the way.
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Each patient in the program is then cared for by a team consisting of a physical therapist and physical therapy assistant. This team cares for the patient through the entire treatment program, providing the most effective and consistent hand on and personalized treatment. Our goals are to help patients regain their physical mobility, flexibility, strength, balance, and endurance as quick as possible.
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Post-Surgical Therapy
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Step-Down Program
Scope of Program: This program is designed to transition patients to a self-reliant, active exercise program at a diminished cost to the insurance carrier. This program will allow patients to continue to maintain strength, endurance, and proprioception in lieu of ongoing costs of treatment under the auspices of a chiropractor or a physical therapist.
Goal: The goal of the program is to enable patients who are no longer in need of skilled chiropractic or physical therapy services to achieve maximum therapeutic benefit with continued exercise. This will occur at a diminished cost to the insurance carrier for the following reasons: increased self-reliance, fixed cost saving, increased compliance, increased strength, and prevention of deterioration of patient's current condition.
The Transition: During the initial visits to an Oxford Rehabilitation facility, the patient will be coached as to the importance of active exercise and unsupervised care. Over a period of 1-4 weeks an active program will be established, and the patient's tolerance to exercise will be monitored. If symptoms subside and are not aggravated by the active exercise program, the patient will be contacted regarding the patient's readiness for the step-down program.
The Package: Once the transition has occurred, he/she will be discharged from supervised care, delivered by the physical therapist or chiropractor. He/she will then be placed in a personal training program, delivered by the credentialed and certified Personal training staff at an OxfordFitnessCenter facility.
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Physical Therapy Treatment Rooms
  
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Insurance Company Benefits To The Step Down Program
- no paperwork
- no case management
- no bill processing
- no fee for service rates
- patients are empowered with their own care, avoiding dependence on the medical community
- fixed cost savings
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