Question
I actually have 2 questions.  I no longer have insurance since the beginning of May and I will not have insurance until August 13th.  Could I still see a chiropractor without having insurance?  And my second question is about my back.  I have been having lower back pain since I was a sophomore in high school.  I was dropped in a stunt from cheerleading on some girls' knees.  As the years go on from that accident, I have received "surprise" back spasms that only happen when i stretch or go from a sitting position to a lying down position.  These spasms only last a minute or so but they are very painful and i usually need to apply heat on it to fully recover from the incident.  Also as the years go on, I have found standing for a number of hours makes my back ache and I have to heat my back for a long period of time before i go to bed.  Also, when I receive back massages... it is too painful for people to touch and (i've been told every time) that my muscles are way too tight.  I was wondering if you could help me find out what's wrong with my back from what I have described... thank you.

Answer
Dear Jenny,

Thank you for your question.  Yours is a question similar to those I have heard from others who are investigating chiropractic and the benefits and fees are often critical in whether someone will choose to visit one.  Unfortunately, though, your question is based on some misconceptions.  In order to answer it properly, I'll first need to give you some background on the chiropractic profession.

There are two branches or schools of thought in chiropractic.  Briefly, they are differentiated by whether they deal with the limited therapeutic approach for aches and pains (commonly termed "mixed" chiropractic because it represents a mixture of a chiropractor with a non-chiropractic matter) or a non-therapeutic approach to optimum body performance (termed "straight" chiropractic because there is no mixing of chiropractic with anything else).  My expertise is in non-therapeutic straight chiropractic.

Therapeutic "mixed" chiropractic is the older approach based on a split from the founding principles of chiropractic about a century ago.

Non-therapeutic "straight" chiropractic is the more modern of the two.  It deals with a particular, common situation called a vertebral subluxation.  This is not the same as the findings mentioned in your question, but they may exist together.  The spine is made of many bone segments which house and protect the spinal cord and the smaller spinal nerve branches that come off the spinal cord and exit between the bones.  These nerve pathways carry information or messages between the brain and the cells of the body.  These messages are essential for the life of the cells.  Without brain messages, the cells immediately begin the process of dying; i.e., they can no longer function the way they should to maintain life.

Because the bones are moveable, they can misalign in such a way as to interfere with the messages and, ultimately, the ability of the person to function at their best or express their optimum potential.  People with vertebral subluxations are not able to get all they can out of life.

Vertebral subluxations can be caused by a wide variety of factors, what we'll generally call stresses.  These stresses can be physical (such as accidental trauma, as you've described, but also such common things as sleeping posture and mattress condition, the birth process, sneezing, falling down, etc.), mental / emotional (in its many forms, probably the most familiar use of the word stress), or chemical (such as pollution, drugs, etc.), which are, unfortunately, regular parts of daily living for all age groups.  In short, a vertebral subluxation can occur for a multitude of reasons from living a typical day.

Tragically, vertebral subluxations are rarely obvious to the individual they affect.  They usually have no symptoms.  When it comes to determining if there is a vertebral subluxation present, pain is not a valid or reliable measuring stick.  The reason is that most of what goes on inside you happens without your awareness.  As an example, try to "feel" your liver.  What's it doing right now?  You can't know, so you can't know if it's functioning at its best or something less.  To complicate things, nerve pathways that carry messages of control (termed "motor" nerves) have no way of transmitting ache or pain messages, so your body function may be far from perfect and you'd not have any alerting signal whatsoever.  The branching of the nerve pathways is complex and extensive, making it exceedingly difficult to predict or determine exactly how the person will be affected.  In order to know if someone has a vertebral subluxation, it is necessary to have that person's spine checked by a non-therapeutic straight chiropractor using a method of "analysis."  When a vertebral subluxation is detected this way, it is obviously important to correct it as soon as possible using a procedure known as 揳djustment.?br>
Since vertebral subluxations are caused by so many different things, people choose to go to a non-therapeutic straight chiropractor on a regular basis to enjoy the most time free of the life-robbing effects of vertebral subluxation. There's a saying that straight chiropractic is not about your back, it's not about your pain, it's about your life.  Each person has a unique potential in life.  With vertebral subluxation, it's impossible to realize that potential.

Now, that you have more information about the body and vertebral subluxation, how do you make use of it?  Well, first understand that this is not an explanation of why you have the problems you list or whether any of them relate to vertebral subluxation.  Are there reasons for what you're experiencing?  Even though they may be beyond our ability to identify, yes, there are; but it is not relevant to the matter of whether you will benefit from being free of vertebral subluxations.  Vertebral subluxation is, in and of itself, detrimental to your life.  It is not valid or reliable to try to connect it to any organ or tissue conditions.  A key question to ask for your purposes, then, would be, Is someone with lower back pain and spasms better off with vertebral subluxation / nerve interference or free of subluxation / with the nerve channels open?  It is easy to see that having all the available nerve messages getting through is better than only some of them getting through, regardless of the person's situation otherwise.  It's not that you should see a non-therapeutic straight chiropractor FOR your lower back pain and other symptoms ?you should visit one in an effort to be free of vertebral subluxations, even WITH those complaints.  Non-therapeutic straight chiropractic is not about diagnosing and/or treating this or any other medical condition.  It is entirely separate in its goal.  

As I mentioned earlier, not all chiropractors adhere to this and it is important that you be able to distinguish which ones do if you're going to seek this type of service.  You need to understand very clearly that the practice objectives of therapeutic mixed chiropractic and non-therapeutic straight chiropractic are quite different, as described above.  What information I give you must not be interpreted from the mixed viewpoint.  

Certainly, it would be wise to have your spine checked for vertebral subluxations by a non-therapeutic straight chiropractor, even if you still elect to have therapeutic attention for your other concerns.  Remember, the two objectives are not the same.  

It is possible to visit a non-therapeutic straight chiropractor if you are without insurance.  In fact, since insurance is based upon the therapeutic model (treatment of your crisis, patching you up, etc.), it is inconsistent with non-therapeutic services.  Consider that, if insurance companies paid for the things necessary to keep you at your best in life, they'd buy you food!  Of course, insurance companies don't do that ?nor do they cover other non-therapeutic, optimum-life-related things you may do.  There is some better news for you, however!  Most non-therapeutic straight chiropractors typically have fee systems that make regular lifetime visits possible for all people of many different financial circumstances.  If such is not the case, then one might question the chiropractor's commitment to and belief in the value of all individuals living free of subluxation!  Therapeutic mixing chiropractic offices, since they are concerned only with the limited goal of addressing a therapeutic complaint, typically have no such accommodations because they will not be seeing you on an ongoing basis.  There is no need to make it affordable and insurance usually subsidizes their high fees.  Hopefully you now have enough information at hand to make a decision on choosing a non-therapeutic straight chiropractor with greater confidence.  

If you are interested in finding out how to locate a non-therapeutic straight chiropractor in your area, please contact me at this site again or at [email protected].  You may also visit www.gschiro.com, a site that represents non-therapeutic straight chiropractic organizations on a state level.

Jenny, I wish you the best in sorting out the sometimes confusing world of chiropractic.  It has been my pleasure to provide you with some information.

Sincerely,
James W. Healey, D.C.