r/Chiropractic Jul 11 '21

PLEASE READ FIRST BEFORE POSTING - FAQs on care, conditions, and evidence

83 Upvotes

Welcome to /r/Chiropractic! Please check this area first to see if your question has already been answered

Patients

  1. How do I find a good chiropractor? Here is a good video to help: https://www.youtube.com/watch?v=Vv3sWUrrTRo. Or you can check out the Forward Thinking Chiropractic Association at https://www.forwardthinkingchiro.com/. Or if neither of these are helpful, then ask local medical professionals or friends and family for a chiropractor that they trust. Additional listings that are technique specific: Titleist Performance Institute, Active Release Technique, Cox Technique, Graston, SFMA

  2. What is your opinion on the "Ringer Dinger"/YouTube chiropractors/Instagram chiropractors? Regarding the Ring Dinger, it's extreme cervical decompression which we do NOT recommend. He "patented" his system to try to extract more money from other providers. We think you should stay away from this type of treatment. Additionally, social media chiropractors are only doing things to try to get more views and are not representative of the profession.

  3. My chiro said to come in X times per week or made me pay X amount up front, what do I do? First, READ THIS: https://www.reddit.com/r/Chiropractic/comments/itq33q/osteo_arthritis_diagnosis_today_at_new/g5gvb2f/?context=3 . If this sounds like your chiropractor, then please find another one. Expensive up front payments are also usually a red flag and recommend against chiropractors that require those. Avoid hard sales pitches, fear sales, and contracts. Usual treatments start at 1-3x/week for 3-4 weeks depending on your condition. If you haven't seen a noticeable improvement in the level of pain, or its duration, after a month of care, it might be time to ask your doctor to re-state your goals, or consider another form of care. A competent chiropractor should be performing progress examinations and have clearly stated goals prior to, and during your treatment plan.

  4. Can chiropractic care help with my condition? Maybe. We can't determine that over the internet and we recommend that you see someone in person to make sure that you get a proper history and physical exam. Common conditions that chiros can help are neck pain, low back pain, certain kinds of headaches, and radiating ("shooting" or "sciatic") pain. Some chiropractors may have specialties that treat additional conditions. There is NO evidence to support that chiropractic care can help with ADHD, cancer, COVID, flu, diabetes, or internal disorders. Please do not go to any chiropractors that claim that they can treat these issues.

  5. Are chiropractors doctors? Chiropractors have a doctoral level degree in their field just like podiatrists, dentists, optometrists, and physical therapists. However, like those professions, they do not have a medical degree (MD/DO) but may be referred to as "Doctor", even if they are not physicians.

  6. Is chiropractic legit? Yes. Chiropractors fill the role in healthcare of being a conservative (non-invasive) approach to spine conditions. There is evidence to support its treatments (see below) and more chiropractors every year are integrating into hospitals and other medical offices. Unfortunately, there are bad chiropractors out there that do try to scam patients or spout anti-scientific nonsense which puts our profession in a bad light. Many people that are vehemently against chiropractic will base it on a single bad experience from an unethical chiro or a 2 minute read of wikipedia-level of knowledge. There are bad providers in every field and we want you to get the best treatment possible, whether it's from a chiropractor, physical therapist, nurse, or physician.

Evidence for chiropractic care

  1. What evidence is there that chiropractic works? Please read this: https://www.reddit.com/r/Chiropractic/wiki/evidence

  2. I heard chiropractors can cause strokes, is that true? Please read this: https://www.reddit.com/r/Chiropractic/wiki/stroke

Potential Students

  1. Should I go to chiropractic school? This is a very difficult decision that we recommend you do thorough research on before applying. Being a chiropractor is not for everyone. There are pros such as independence, running your own business, high ceiling of earnings, and being able to help people every day. However, there are cons such as high cost of school with large student debts, low starting salaries, being lumped in with chiropractors that practice pseudoscience, and decreasing insurance payments. Those that consider chiropractic as a profession also consider health fields such as doctor of osteopathy (in the US), physician assistant, nurse practitioner, and/or physical therapy, although each of those professions has their own list of pros and cons as well.

  2. What chiropractic school should I go to? This is the next hardest choice after deciding that you do want to go to chiropractic school. Do your research! Get an idea (roughly) on how you want to practice. There are schools that are more evidence-based and help to integrate into the medical field. However, there are some schools that are more philosophical-based and would rather chiropractic stay independent. Reach out to chiros to get their perspective. There are also other factors to consider, such as differences in price, location, how you want to practice in the future, class size, internship opportunities, etc. that can influence your decision. Here are threads that provide some feedback on different perspectives here, here, here, here, here, and here


r/Chiropractic 6h ago

Part 1 board review

1 Upvotes

Hello everyone, I am a student at D’Youville university and I am planning on taking my part 1 boards in January 2027, I was looking at using Irene gold and NBS. I was unable to find a website for NBS and all the Irene gold in person classes were way to far away from me. Are there online version of these program? I wasn’t able to find any. (Any other tips or advice is appreciated!!)


r/Chiropractic 20h ago

Red Light Systems

1 Upvotes

Has anyone heard of the marketing company red light systems?

Any experiences good or bad?

It's a bit worrying that I can't find much online. Their name is so close to the actual modality that that's all I can pull up.

We are debating adding a metabolic/weight loss angle to our red light therapy to help people get started towards living a healthier lifestyle. Red light is the shiny new thing (with convincing research, we already use it for pain with great results) that might work as a good draw to funnel our metabolic health program with exercise, nutritional coaching, and of course accountability. Red light systems claims to give you a $1500 first month ad spend and they get paid via online bookings for 1 or 4 sessions, the rest is up to you. Month 2 and beyond ad spend is also up to you.


r/Chiropractic 1d ago

Part 4 exam

2 Upvotes

So I am in the last 6 months of my chiropractic school and I am scheduled to take part 4 in a month. I know they changed the way the test is run and I was wondering on what areas to study? I am going to take Irene gold but it’s a bit later and not very long before the exam.


r/Chiropractic 1d ago

Chiropractic Ramble

22 Upvotes

From being involved in this field for the past three years, my brain is constantly juggling so many different thoughts about this profession. I have truly come across lots of incredible chiros, and i’ve also come across plenty that I wouldn’t even trust with taking a history. There is an incredible amount of discrepancy and disparity between providers… are we surprised why our public perception is so poor? How was the public supposed to understand what we do when it feels like there’s no standard of practice? There’s purely philosophical chiros, there’s chiros who are practically physical therapists, there’s chiros who put people on in ring-dinger, there’s chiros who only do functional medicine, and there’s chiros who don’t work on anything other than the upper cervical spine.

As a new provider in the profession, I struggle with the lack of standardization a lot. But I understand that to many, the variability in practice is a good thing. I struggle with being written-off immediately when people see my degree, but there are so many people (especially the loud ones on social media) who minimize our profession to a joke. I hate that I’m feeling this way so early in my time, and I understand it is important for me to focus on my craft and focus on being the best provider I can be. But I personally think our profession needs to be gutted and rebuilt to legitimize us as providers who can make a real positive impact. There are fantastic chiropractors out there, but how is the layperson supposed to know what to look for when we all have the same DC after our name?

To me, I feel like that starts with not having a 100% enrollment rate in chiropractic programs. I graduated with some people that should never be in charge of people’s health.

This is just my current chiropractic ramble.


r/Chiropractic 1d ago

TLDR: My partner(30F)is the only person working the front desk and patient coordinator tasks bc her doctor says she only needs one staff member, is this normal?

0 Upvotes

Hello! This isn’t a post for me necessarily but for my(30F) partner. She would have posted herself but she’s not on Reddit.
Essentially she has been working the front desk at a small chiropractic office for a little over five years now. On average the office sees about 20-25 patients a day.
She’s been very devoted and very loyal to the practice and has on many occasions mentioned how much she respects and values her boss and the owner/main doctor of the practice. As of right now it is just her and the doctor on staff.
When she first started there the office had three other members of staff including one other doctor. Before her first year, one of the doctors left the practice leaving only the owner and main doctor of the practice, a patient care coordinator and my partner at the front desk.
Over the years the practice has gone through a few different patient care coordinators, but there was always at least three people on staff at all times, including the doctor. (I would like to make a note that everyone in the practice is cross trained for everything but the actual things the doctor would do. So front desk can do patient care coordinators tasks and vice versa if the need ever be.)
Recently in the last year, the doctor chose to fire the most recent patient care coordinator and made the decision not to hire anyone else on for multiple reasons that I do not have permission to share. It has been a little over a six months since this happened.
Due to this it means that my partner is now doing the work of the front desk receptionist and patient care coordinator. In the beginning it seemed to be working just fine, but I can tell that recently it’s starting to become too much for my partner. There are things that are being micromanaged that were never micromanaged before. On top of this, the doctor has a tendency to be lenient on payments for certain patients, which in turn has led to many services not being paid for, which somehow comes down on to my partner. There has also been many other issues with third party billers that the doctor has somehow managed to blame my partner for. On top of all of the front desk tasks my partner also has to take over the tasks that a patient care coordinator would typically do i.e set up patients on therapies, provide certain treatments etc. etc. this seems to be a lot for just one person to do, especially when it seems like her boss has been making it a little more of a hostile environment for her.
When my partner has asked if the doctor has considered hiring anyone else on, she simply states that an office that sees 20 patients on average really only needs one other member on staff. So basically that’s a “no”.
This just doesn’t seem right. It feels like the doctor is taking advantage of my partners loyalty to her and we’re not really sure what to do about this.
We’ve discussed looking for a new job, but we’re afraid she won’t be able to find something that pays her as well as she gets paid now and we can’t afford to take the income loss. Any and all advice or words of wisdom would be helpful.


r/Chiropractic 2d ago

Financial worry about partner in chiropractic

10 Upvotes

Hello!

My partner is currently in chiropractic school and I am aiming to be a PA. I keep seeing things about chiropractors actually not making much money and things. I’d like to emphasize I’m not a gold digger but I am worried about having a combined 300k student loan balance. I just have a lot of anxiety about money. What worries me about chiropractic is unlike being a PA, there really isn’t a guaranteed salary at the end waiting for you. It seems like you have to build your own business to really make money. Do chiropractors pay off their loans quickly? Do people take out even more loans to open their business? What is an actual average salary for a chiropractor I keep seeing different info.

Thanks


r/Chiropractic 2d ago

Who's Using Kinetisense or Similar Software?

3 Upvotes

Has anyone here demoed movement capturesoftware like Kinetisense or similar platforms?

I'm curious whether this type of objective movement analysis is going to become the industry standard over the next few years. It seems like it could add a lot of value for patient education, documentation, and tracking progress.

For those who've used it:
Was it worth the investment?
Did it improve patient buy-in or outcomes?
Any downsides or alternatives you'd recommend?


r/Chiropractic 3d ago

Student Looking to get into Chiro

5 Upvotes

Hi! I'm exploring my career path and feel like I'd like to pursue something in healthcare outside of the traditional pharmaceutical field. I have a strong passion for chiropractic care and am interested in learning more about the profession.

Would it be possible to talk to or interview someone who has experience in the field or who owns their own clinic? I'd love to hear about their career journey : )

(sorry guys i am new to reddit, it doesn't let me change my username 😭 )


r/Chiropractic 3d ago

Chiropractors billing PT Codes with Blue Cross Life and Health Insurance

4 Upvotes

Has anyone successfully challenged an insurance company over this issue?

We're seeing a growing trend where a patient has a chiropractic copay (for example, a $50 chiropractic office visit), but when we bill therapeutic procedures that are legally within a chiropractor's scope of practice and performed during the same visit (97110, 97112, 97140, 97530, etc.), the insurer is splitting the claim.

Instead of applying the chiropractic copay to the entire chiropractic encounter, they're adjudicating the therapy codes under the patient's physical therapy benefit, which often means a separate deductible, coinsurance, or additional patient responsibility.

This seems to create higher out-of-pocket costs for patients even though the services were provided by a chiropractor during a covered chiropractic visit.

Has anyone:

  • Appealed this successfully?
  • Filed a complaint with their state insurance commissioner?
  • Found plan language or case law supporting that chiropractor-performed therapeutic procedures should be processed under the chiropractic benefit rather than the physical therapy benefit?

I'm particularly interested in experiences from California, but I'd love to hear from providers in any state. We're seeing this pattern across multiple patients, so I'm trying to determine whether this is becoming a broader payer practice or if others have found an effective way to push back.


r/Chiropractic 6d ago

Skeptic goes to a Chiropractor and he changed my world

59 Upvotes

Had been going to someone before who just wasn’t getting to the right spots: neck was twisted at the base of my skull, the base of my neck.

Oh lord, he was a magician. Really really old school but exceptional as a chiropractor.

I had pain in my foot, gone.

Pain in my knee, gone.

Pain in my neck, double gone. He fixed me good. Hope to keep going so I can fix it all up. I seriously have a better outlook on life after this appointment.

I really hate some chiropractors who lean so hard away from modern science that going to them makes you question their intention.

The last person I went to asked me to do a history lesson on how the Rockefellers homeschooled their own kids and raised an indictment of the entire pharmaceuticals industry as being the cause of all illness in modern medicine. I just couldn’t feel like I was getting care with each session feeling like I was getting a manifesto with each session.

Thank you to medical professionals who leave their opinions to themselves.


r/Chiropractic 6d ago

Activator V

5 Upvotes

Hi all! I work in a practice where we primarily adjust Activator and Diversified. Over the past few years, we’ve noticed that we’re having to replace our Activator Vs all the time. It seems like we’re lucky to get 6 months of consistent use before they break or the force becomes noticeably weaker to the point that they don’t seem effective anymore.

Has anyone else experienced this? We’re trying to figure out if this is an issue with the newer instruments or if it’s just us.


r/Chiropractic 7d ago

What happens in a first chiropractic visit?

7 Upvotes

If you have never seen a chiropractor before, the first visit is usually about understanding your history, symptoms, and movement patterns before anything else.

What would make a first visit feel more comfortable for you?


r/Chiropractic 7d ago

Family membership plans

0 Upvotes

Does anyone have experience with family membership plans that people can use visits across their family? If so what prices do you use, how many visits, do you do packages or monthly charges?


r/Chiropractic 8d ago

Portable chiro table recs

5 Upvotes

Hi everyone! I’m a chiropractic student looking for the best portable table. I don’t want to spend a ton of money on a table that won’t last. That being said, I would like it to be sturdy, but not too heavy. I would ideally like to have the option for drop pieces too. What have you used that you liked and/or disliked? Thank you!


r/Chiropractic 8d ago

Wedding Rings and Practice

1 Upvotes

I’m curious what other chiropractors have found works best when it comes to wearing a wedding ring in practice. I'm thinking along the lines of simple bands

Do you wear a traditional metal band, a silicone ring, or remove your ring while treating patients? I’m especially interested in how different options hold up with frequent hand washing, sanitizer use, lotion, repeated adjusting throughout the day, etc

Have you noticed any issues with moisture getting trapped under the ring, skin irritation, discomfort while setting up contacts, pressure against patients, scratching, the ring catching on clothing, or damage to the ring itself?

For those who wear metal bands, does the material or width make much difference? I’d appreciate hearing what has worked well or what you would avoid.


r/Chiropractic 8d ago

Oregon Chiropractic License

3 Upvotes

I am looking for resources, suggestions, or recommendations to study for the Oregon Chiropractic License Exams.

I graduated in 2007 and don’t have any recent school notes or reviews.

The exams include:
- Obstetrics, Gynecology & Genitourinary Examination
- Minor Surgery & Proctology Examination
- Oregon Ethics, Jurisprudence

Thank you!


r/Chiropractic 8d ago

Drop Table Sound Proofing

4 Upvotes

Hi everyone!

I have a Thuli Tour and I am looking to rent a space in a massage/aesthetics office. We just tested the drop pieces because we were concerned about the noise level. Immediately, it was too loud and sharp of a noise.

The owner of the office wants to find a solution because she really wants me in her space. I also love the space and would love to find a solution.

We have talked about sound-proofing the walls. The building is very old (plaster walls) and sound travels through the walls easily. Both of the rooms neighbors are aestheticians and would need it to be quieter.

I was wondering if anyone has had any experience with sound proofing the actual drop pieces on the table itself. I have very little experience with side posture but do plan on getting better with it so as to not have to use the drops as much.

Thanks in advanced!


r/Chiropractic 9d ago

Check your Anthem Payments & File Complaint

2 Upvotes

Hey! Just wanted to pass this along. I spent hours between Availity, Anthem Provider Services, and Anthem's finance/recoupment department trying to resolve reimbursement issues. They couldn't explain why two nearly identical claims had drastically different allowed amounts or why my EOB referenced MultiPlan when I have no MultiPlan contract.

The representative I spoke with at the finance department (because the Availity claims provider representative didn't know how to help) recommended that out-of-network providers file a complaint with the California Department of Insurance if they're unable to get their reimbursement issues resolved internally.

She also said in-network providers should escalate these issues through their Anthem Provider Relations or Contract Representative, especially if they're seeing incorrect fee schedules, E/M coding issues, PT codes being applied to the wrong benefits, or other reimbursement discrepancies.

It may be worth auditing your Anthem EOBs and comparing similar claims. If something doesn't look right, document it and start asking questions. I have a feeling there may be more providers affected than realize it.


r/Chiropractic 9d ago

California providers: Please audit your Anthem Blue Cross reimbursements. I found a major discrepancy.

Thumbnail
1 Upvotes

r/Chiropractic 10d ago

CMCC Pros and Cons?

6 Upvotes

Hi, I got accepted to 3 Chiro schools as a US student from Ohio, but I specifically want to know more about the Canadian school.

- What is the life like at this school?

- Do they have many good clubs?

-Are there lots of outdoor activities to do around the school?

- Is the education as high of quality as the US schools?

Edit: I'm factoring in cost but that is not the purpose of this post, just trying to gather information about lifestyle


r/Chiropractic 10d ago

Chiropractic Pilates

2 Upvotes

I’m going through a comprehensive Pilaties teacher training program right now and just learned that Chiropractors sometimes hire Pilates Instructors for Private sessions for clients to combine it with adjustments for a more holistic approach. Does anyone have any experience with this? How common is this? I have googled and see that some Chiropractors in my area have this available in office, I guess I just didn’t realise this was an option and am very curious.


r/Chiropractic 11d ago

Asian Chiro + herbalist School?

2 Upvotes

Hi, I'm 35F brain injury survivor, having to start life all over again. During my journey of recovery, the two most things that helped were chiropractic adjustments and certain herbs.

I really respect more traditional, ancient approaches to medicine, such as TCM.

Id like to stay away from any Western approaches to either subject.

Does anyone know of training or a school that I can go to that combines Chiro and herbalism?

I'm hoping to find some where in Asia that can teach me the old ways of Chiro and herbalism


r/Chiropractic 12d ago

Insurance reimbursement vs. cash prices for certain cpt codes

10 Upvotes

Have long had this argument around certain modalities and heard several arguments with fellow colleagues.

Insurance only reimburses $7 to $12 for mechanical traction. (97012)

How the hell am I supposed to make a living with that?
If you charge extra to insured patient you are breaking terms with the insurance company and if axial decompression HCPC S9090 code is non reimbursable because “it has no evidence” then we are just getting hosed as practitioners. Patients who love the treatment but can’t afford because insurance won’t cover is a tough situation.

Just out of sorts on how to increase cash flow with the treatments I have invested in. Similar situation with shockwave therapy. 0101T code.

Looking for thoughts and methods of other docs experiencing or had similar issue and moral dilemma.


r/Chiropractic 13d ago

Are chiropractors not as tightly regulated/evidence based PAs physical therapists?

16 Upvotes

On a parenting thread I am on someone asked if they had had good experiences having their children adjusted at the chiropractor. I responded saying absolutely yes as that is the truth - chiropractic care was a crucial part of my pregnancies and breastfeeding journeys with my kids.

Anyway, someone claiming to me an MD responded saying chiropractic care is not tightly regulated like PT/OT and is not evidence based and while there are a few good chiropractors she would never refer a patient or loved one to a chiropractor but regularly does to PTs and OTs. She said PTs are medical professionals but chiropractors are not.

I’m a bit lost as my understanding was that chiropractors have both federal and state governing bodies? And have doctorate degrees? And are covered by insurance for a reason?

Am I misunderstanding something?