When is back pain serious?

I had a new patient in here last week asking just this question, “When is back pain serious?” Back pain will affect most adults at some point in their lives. Since it can interfere with the activities you love so much, it’s helpful to know when back pain is serious and when it is not.

First question, how long has your back pain been there? Any back pain that has bothered you for more than a couple weeks probably isn’t going to improve on it’s own.

Secondly, does your back pain travel anywhere? Does it radiate down your arms or legs? This gives us very helpful clues diagnosing where the pain is coming from. If the pain has a neuritic quality and is radiating down the front of your thigh, there is a good chance it is coming from the L3-L4 disc, back of the thigh, we look at the L5-S1 disc. There can be lots of other explanations, so please use caution when trying to diagnose things on the internet. Leave that part to a chiropractor.

Has chiropractic care helped your back pain resolve? If someone is starting to see improvement over time, we can guess that will most likely continue. Most insurance companies require a trial of conservative care before they will pay for MRI’s. In my office, we tend to use a six week standard of care. If we aren’t getting significant results and your back pain isn’t starting to resolve within six weeks of complying fully to my treatment plan, I tend to worry if there is something more serious going on. In those scenarios, we refer for MRI’s or CT scans depending on what we are suspecting we will see.

The bottom line is that if back pain is interfering with you doing what you love, you need to see a chiropractor to resolve it. Chiropractic care is the #1 choice for resolving back pain. Chiropractors get the best results with back pain of any health professional around. If you would like our help improving your health and getting you back to doing what you love, please call our office today at 763-553-0387

The post When is back pain serious? appeared first on Active Family Chiropractic Blog.


9 Tips to Stay Active during the Winter Months

9 Tips to Stay Active during the Winter Months

When it gets cold outside, we tend to spend more time indoors doing sedentary activities and it can be difficult to stay active. It’s helpful to plan ahead and set some time aside in your schedule a few days a week to make sure you’re getting the activity you need.

To have health benefits from exercise, adults need a total of 2.5 hours of activity spread across the week, in bouts of ten minutes or more. These activities need to be moderate-to-vigorous intensity aerobic activities. Moderate-intensity physical activities include brisk walking or bike riding. Generally, you know your activity is moderate-intensity if you sweat a little and breathe harder than when you’re moving about day-to-day. Vigorous-intensity activities include jogging or cross-country skiing, and you’re likely to find yourself sweating and feeling out of breath.1

Here are a few tips to help keep you motivated to stay active during the winter months2:

  • Plan activities ahead. When activities are in your calendar, you’re less likely to forget them. Preparedness also helps set good habits.
  • Find a fun local activity, like snow shoeing, skiing, skating, or cross-country skiing.
  • Dress in layers. Insulate your body. When you can keep your body warm, it’s easier to continue being active outside.
  • Use your daylight hours. It’s easier to stay outside while it’s still light out. It’s easy to miss out on activities when you start them too late in the day.
  • Find indoor activities at your local community centre. This could be aerobics classes, badminton, basketball, or yoga classes.
  • Climb stairs. Deliberately add more steps to your day. Consider going up and down a flight in your home, the mall, or an office building more than once over the course of your regular daily activities. As little as five minutes can make a huge difference for your health.
  • Visit a library to find more motivation. There are plenty of free exercise DVDs you can borrow, including dance, step, aerobics, or Pilates. You can use the return date as a deadline to pick up another one!
  • Sign up for a fun run. You can often find non-competitive “fun runs” in your community that are usually between 5 and 10 kilometers. You can invite friends and family to join in!
  • Find an activity buddy. Find someone willing to commit to being active as often as you are, and set a plan. That could be planning to meet for morning walks or afternoon workouts. Having a friend keeps you accountable.

For help on setting activity goals based on your specific musculoskeletal needs, you can always ask your chiropractor about what activities are right for you.

Whatever your activity level is, remember to stay hydrated. It is easy to forget to drink water when it’s cold out, but your body needs just as much hydration in a snowstorm as it does in a heatwave.2

Most importantly, stay motivated. Revisit your goals (or look for tips to set new ones) to make sure you’re still on track. Plan ahead and make sure you can envision your goal as you look ahead towards the finish line.

Here’s to staying active in the new year!



  1. Canadian Physical Activity Guidelines. 1st ed. CSEP; 2016. Available at: Accessed November 7, 2016.
  1. Heart and Stroke Foundation of Canada. 11 ways to stay active in winter. 2009. Available at: Accessed November 7, 2016.

Chiropractic Care in Canada

Chiropractic Care in Canada

Guest Post from Dr David Peeace


With over 8,000 practicing chiropractors in Canada who help thousands of Canadians live pain-free lives every day, now is an opportune moment to celebrate being a chiropractor. Chiropractors are experts in the musculoskeletal (MSK) system, with rigorous academic and practical education earning them a Doctor of Chiropractic (DC). As chair of the Canadian Chiropractic Association’s Board, and as a Doctor of Chiropractic, I want to share with you some of the great strides our profession has made – and where we are continuing to grow!

In 2018, I am proud to report that the evidence that informs our practice is flourishing. One of the most compelling pieces of research that came out earlier this year, was Jan Hartvigsen’s publication in The Lancet on prevention and treatment of low back pain. It’sa must read.

The Canadian Chiropractic Research Foundation (CCRF) is also entering an exciting new era. The CCRF will be funding National Research Priorities that were developed in collaboration with leaders across the country and CCRF researchers.

The National Research Priorities were designed to target chiropractic research where Canadians need it most. In areas where our care can have the greatest impact on Canadians’ health. Patient-centred care that is supported by research is integral to the Canadian chiropractic profession.

The CCA believes in strong regulation and supports the governing authority’s mandate to protect public interest through effective enforcement of those standards. In addition to regulation, the Canadian Chiropractic Guidelines Initiative (CCGI) has been an amazing force in transforming the culture of the chiropractic profession to one that is guided by evidence-informed practice.

As a national professional association, we take great effort to support members’ professional practice. Being part of the chiropractic community plays a role in public health, a role that we here at the CCA take very seriously. Our national position statements are written and revised with public health at the center of what we do.

For example, the CCA recognizes that vaccination and immunization are established public health practices in the prevention of infectious diseases. And that vaccination is not within the scope of chiropractic practice. You can read a full list of position statements here.

Continuously and consistently sharing these messages with our membership – and engaging in important discussions with leaders and stakeholders – will always be a large part of our national advocacy role.

While I’ve spoken a lot today about what we do, what I’m most passionate about is why we do it. Chiropractors are here to help Canadians live healthy, active, and pain-free lives. We are experts in the assessment, diagnosis, and treatment of a wide range of conditions and disorders related to the muscular, skeletal, and nervous systems.

Chiropractors are most often recognized for their expertise in resolving persistent back or neck pain and headaches or migraines that prevent patients from enjoying their everyday lives. That is why I’m proud of the work the CCA is doing, and that of my colleagues. Together, we can make Chiropractors an integral part of every Canadian’s healthcare team by 2023.


Dr. David Peeace


Get to know the Canadian Chiropractic Guideline Initiative (CCGI)!

Get to know the Canadian Chiropractic Guideline Initiative (CCGI)!

What is CCGI?

The Canadian Chiropractic Guideline Initiative (CCGI) works to enhance the health of Canadians by fostering excellence in chiropractic care. Here are a few ways the initiative – made up of chiropractors and chiropractic researchers – work to meet this goal:

  • Clinical Practice Guidelines: CCGI develops, adopts and disseminates guidelines for practitioners to diagnose, manage and treat patients with musculoskeletal disorders.
  • Evidence-informed practice: these guidelines encourage chiropractors to integrate the best available evidence with clinical expertise and patient values.

CCGI works closely with chiropractors across Canada, provincial associations, regulatory bodies, and educational institutions.

How does it help me?

CCGI helps to ensure Canadians receive effective and consistent care and has developed many tools designed specifically for patients. These include:

Ask your chiropractor to explain how these resources may apply to you and for advice on helpful resources!

What’s on the horizon for CCGI?

The organization is in the early stages of developing three guideline implementation toolkits for chiropractors and patients regarding the clinical and self-management of (1) lumbar spinal stenosis (a narrowing of the spine which can lead to numbness, tingling, or weakness in the legs), (2) persistent headache associated with neck pain, and (3) concussion and persistent symptoms. All of which will help Canadian’s manage their pain.


Canada’s Low Back Pain Epidemic

Canada’s Low Back Pain Epidemic

Chiropractic treatment for low back pain

Involuntary spasms in your lower back? A dull throbbing ache? Shooting pain down your leg? You are most likely suffering from low back pain (LBP). If you’ve never had low back pain, chances are you will at some point in your life. Just check these statistics:

  • In six-month period, five in 10 Canadians suffered low back pain1
  • Up to 85% of working people can expect to experience low back pain during their lifetime2
  • In Canada, the low back pain-related estimate of the medical costs ranges between 6 and 12 billion dollars annually3

Low-Back-PainLow Back Pain Causes

Low back pain is a complex condition with multiple contributors to pain, including physical, social and psychological factors. Lifestyle factors, such as obesity and being sedentary are associated with the occurrence of low back pain as well.
Our backs play a supportive role for our bodies – at rest and in motion. Extra bodyweight puts greater demand on our spines and other joints. Research shows that a higher Body Mass Index (BMI) increases the risk of suffering low back pain. With growing rates of obesity , Canadians are increasing their chances of developing low back pain.

In addition, we are more sedentary than ever before. In industrialized countries, 75% of workers sit for long periods of time. Prolonged sitting may negatively affect your muscles and joints and lead to deconditioning (decline in physical functioning), fatigue and stress on the spinal discs causing pain in the lower back. In an effort to combat sitting, newer products such as standing desks, have been increasing in popularity. However, recent research produced at the University of Waterloo also found that standing desks may lead to lower back pain as well. The key take away message as discussed by Daniel Viggiani, lead author, is that regardless of whether you are sitting or standing at work, make sure to move around and shift your posture often.

Responses to the Low Back Pain Epidemic

Low back pain has also been one of the key drivers for opioid prescription. With increasing awareness of its risks, limited efficacy and potential for misuse, emerging evidence has suggested that medication should not be the mainstay in the treatment of low back pain. Instead, recent guidelines recommend self-management, manual therapy, physical activity and psychological therapies. There is a shift in placing less emphasis on pharmacological and surgical interventions in the care of low back pain.

Canadian chiropractors are trained to assess and diagnose back pain, as well as offer comprehensive treatment plans. Typically, plans are holistic. A chiropractor addresses all contributing factors of low back pain, such as joint dysfunction, injury, ergonomics, exercise and overall health and then develops a customized program to relieve pain, increase mobility and get you back on your feet. Chiropractic treatment is a drugless and non-invasive treatment option.

How Chiropractic Expertise Can Help Low Back Pain

Chiropractic treatment relieves low back pain using effective clinical tools like manipulation, mobilization, soft tissue therapy, exercise, patient education, modalities (i.e. ultrasound, laser) and rehabilitation. Extensively trained in spinal manipulative therapy (SMT), chiropractors are proficient in providing specialized care which has been proven effective in reducing pain, improving function, and decreasing the chances of low back pain becoming a chronic condition.

Click here to read more about how chiropractic expertise in treating low back pain can ease pain and lower your risk of recurrence.

Canadian chiropractors can provide education on your spine and posture, as well as create a personalized treatment plan including back exercises and ergonomic solutions for your workstation.

Find a chiropractor today and join the other 4.5 million Canadians visiting their chiropractor each year!

Find out about insurance coverage for chiropractic treatment here.

[1] GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016 Oct 8;388(10053):1545-1602.

[2] Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012 Jun;64(6):2028-37. doi: 10.1002/art.34347. Epub 2012 Jan 9. Review.

[3] Church J, Saunders D, Wanke M, Pong R, Spooner C, Dorgan M. Citizen participation in health decision-making: past experience and future prospects. J  Public Health Policy. 2002;23(1):12-32. Review.

[4] Seaman, David R., Body mass index and musculoskeletal pain: is there a connection? Chiropractic & Manual Therapies 2013, 21:15

[5] Laurie K. Twells, Deborah M. Gregory, Jacinta Reddigan, William K. Midodzi, Current and predicted prevalence of obesity in Canada: a trend analysis, CMAJ, Vol. 2, No. 1, 2014

[6] Angela Maria Lis, Katia M. Black, Hayley Korn, Margareta Nordin, Association between sitting and occupational LBP, Eur Spine J. Feb 2007; 16(2): 283–298.


[8] Borgundvaag B, McLeod S, Khuu W, Varner C, Tadrous M, Gomes T. Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. CMAJ Open.  2018 Mar 1;6(1):E110-E117.

[9] Traeger AC, Buchbinder R, Harris IA, Clavisi OM, Maher CG. Avoid routinely prescribing medicines for non-specific low back pain. Br J Sports Med. 2018 Mar 7.

[10] Bussières AE, Stewart G, Al-Zoubi F, Decina P, Descarreaux M, Haskett D, Hincapié C, Pagé I, Passmore S, Srbely J, Stupar M, Weisberg J, Ornelas J. Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative. J Manipulative Physiol Ther. 2018 Mar 29.

[11] Almeida M, Saragiotto B, Richards B, Maher CG. Primary care management of non-specific low back pain: key messages from recent clinical guidelines. Med J Aust. 2018 Apr 2;208(6):272-275.

[12]  Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, Ferreira PH, Fritz JM, Koes BW, Peul W, Turner JA, Maher CG; Lancet Low Back Pain Series Working Group. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018 Mar 20.

Warm up and cool down stretches for golfers

I have had two requests already this morning for warm up and cool down stretches for golfers. A good video sess on warm up and cool down stretches for golfers sounds like a good way to conquer my writers block. By the end of these videos, you will clearly see why being a chiropractor was my calling and not an actress or hairstylist. In fact, after the freeze frame in the first one with the constipated face, it will also be clear I don’t know how to edit videos at all. That’s ok. In the name of all of you feeling good, I will sacrifice my dignity once again!!

It isn’t hard to understand why 80% of golfers have back pain, especially this time of year. When you add up the swings you take during your round including your shots and all of your practice swings, it ends of being a lot of one directional repetition. The golfers that I see tend to be really limber in one direction and very stiff in the other. There are a few simple steps you can take to minimizing your chances of injury with warm up and cool down stretches for golfers. This will help you feel good while doing the sport you love.

Tip 1-Warm your body up BEFORE you golf. This does NOT mean stretch. A lot of us rush to the course after work, hop out of our car hoping not to be late and run up to the first tee to take our swings.
Next time you golf, try this. Start with spinal twists-spread your feet shoulder with apart, interlace your fingers, point your hips forward and rotate your shoulders INDEPENDENTLY of your hips. This will help loosen up your spine.

Second–Try some walking lunges. This will help loosen up your hips and start firing your muscles.

Third- Activate your hip flexors with some high knee marches.


Lastly, try some standing crunches to activate your abs. While your standing, grip your finger tips LOOSELY behind your head. Crunch your opposite elbow to your opposite hip. Do about 15 of these on each side. ( Sorry, my expert videographer Sue went into a massage before I could make this video. You can figure out how to do standing crunches though. If not standing, lie on your back. Now you are ready to golf!

Tip 2-While you are out on the course, take a practice swing in the opposite direction before each hole. This will counter the effects of always swinging the same way. More and more we are seeing the pros on the tour do this. It will help keep you limber in BOTH directions.

Tip 3-Stretch yourself out after you golf before your body has a chance to cool down. Try a gentle forward fold while dropping your head down to stretch your back and hamstrings.

Make sure you stretch your hip flexors out doing a lunge as well and holding it. (Also no camera woman for this one, sorry!)

Any spinal rotation stretch you can do would help too.

(I was pretty much sick of taking these pics of myself by this point…couldn’t help it.)

Most people don’t hold their stretches long enough. Stay in your stretch for a minimum of 30 seconds. Also, keep in mind, the first point of injury is wrestling the golf bag out of the trunk.

If you have any questions on how to customize a stretching plan for yourself and your sport, call me. I’m happy to help!

The post Warm up and cool down stretches for golfers appeared first on Active Family Chiropractic Blog.


2018 CCA National Convention & Tradeshow

2018 CCA National Convention & Tradeshow

Hello and welcome,

Wow! Another National Convention and Tradeshow has come and gone. It seems like just yesterday that we were wrapping up NCT’15.

Thank you to all that attended NCT’18. It is with your enthusiasm that we had an even bigger and better NCT, and we look forward to continuing to grow in Halifax in 2020. The CCA National Convention & Tradeshow continues to be Canada’s largest chiropractic show, bringing together chiropractic clinicians, researchers, chiropractic stakeholders, and exhibitors.

This year, we explored the important theme of A Better Approach to Pain Management – Chiropractic Care Changes Pain. I would like to thank Dr. Carlo Ammendolia for bringing his Boot Camp Program for Lumbar Spinal Stenosis to convention. He provided attendees with hands-on skills to treat LSS, a leading cause of pain, disability, and loss of independence in people over the age of 65.

Recognizing Threatening Conditions that Mimic Common Complaints, from Dr. Brandon Steele, helped refresh participants’ knowledge in diagnosing the causes of chest pain, back pain, hip pain, arthritis and many other issues. In regards to the role chiropractors play in pain management, Dr. Jason Busse highlighted chiropractic’s unique opportunity in battling North America’s opioid crisis.

There are so many more to be highlighted, and I am very proud of the role the chiropractic community plays in helping Canadians manage their pain.

In addition to many panels, workshops, and seminars, I was thrilled with our amazing keynote speakers! Scott Stratten, president of Unmarketing, kicked off Friday night by challenging us to rethink our ideas of the digital and real world.

Esteemed chiropractor, Dr. Greg Kawchuck got us all determined to explore strategies that will extend the shelf-life of chiropractic in today’s evidence-based, integrated healthcare environment. And of course, it was an honour for me to interview Canadian Olympic Track Silver and Bronze Medal winner Andre De Grasse and his chiropractor, Dr. Alban Merepeza, about their amazing partnership.

Not only did we experience so much informative and inspiring content, but we had a lot of fun too!

Kicking off with Rock Star Karaoke at the Friday night reception has become a fun tradition of NCT. Our Denim & Diamonds gala at Calgary’s legendary Ranchman’s was a rootin’ tootin’ good time. I have to admit it was thrilling to watch colleagues ride the mechanical bull in our Born to Rodeo fundraiser to benefit the Canadian Chiropractic Research Foundation (CCRF).

Since 1976, the CCRF has been funding chiropractic research to discover the best, evidence-informed care for patients living with pain and disability caused by spinal dysfunction and disease, and our amazing community raised $26,000 at the gala!

These incredible few days would not be possible without the support of our sponsors. Thank you to our host province of Alberta who, not only showed us their Calgary hospitality but also sponsored our Denim & Diamonds gala.

Our industry truly shows its community spirit with our sponsorships from the Canadian Chiropractic Guidelines Initiative (CCGI), Canadian Memorial Chiropractic College (MMCC), and the Canadian Chiropractic Protective Association (CCPA). Vitality Depot, Rocktape, Performance Health, and Foot Levelers showed spectacular support for our industry with their respective sponsorships, and our unique partnerships with CCA Plus members, Telus Health and The Personal Group Insurance, brought in more support for the CCRF!

Last week, we brought together our extraordinary Canadian chiropractic community, as well as members of the ACA, NCA, and DCA who met to discuss the future of chiropractic care and experience our Canadian hospitality.

This weekend was a reminder of the important work we do and made me confident in our vision that chiropractors will be an integral part of every Canadian’s healthcare team by 2023.

There is so much more to say, but for now, I’ll leave you with an open invitation to join us for NCT 2020 in beautiful Halifax, Nova Scotia!

Yours in health,

Alison Dantas


Simple Home Upgrades That Can Help Seniors Age in Place


For seniors, being able to age in place plays a critical role in staying comfortable, safe, and secure. Aging in place simply means being able to stay in your own home as you get older. It’s a simple idea that can keep you happy later in life. If you are looking for ways to comfortably age in place in your home, you should carefully consider making these important upgrades.


Be Careful in Bathrooms 


When it comes to preventing injuries at home, the one area seniors need to focus on most is the bathroom. Thousands of injuries happen in the bathroom every year. Slippery floors and elevated edges on tubs can make everyday bathing extremely risky for aging adults. If you have mobility issues, the risk can be even worse. Luckily, there are some simple fall prevention ideas that can help you improve the safety of your bathroom. These fall prevention projects could even save your life. Small adjustments, such as adding grab bars in the tub or a shower seat, can give you more stability when surfaces are slippery. Have a big tub that’s difficult to get into? Consider replacing it with a walk-in/zero-entry shower. Preventing bathroom slips is the simplest way for seniors to stay safe in their homes.


Reduce Fall Hazards Throughout Your Home


Preventing falls in bathrooms is a good first step for senior safety at home, but you need to be sure the rest of your house is safe as well. Falls account for the majority of serious injuries to seniors, and most seniors are injured when falling in their own homes. Falls can even be deadly. Take a look around your house to make sure your floors are safe for you to walk on. Carpet may be your best bet at preventing serious injuries if you do happen to fall. Be careful of any rugs you have and make sure they are tacked down securely. Also, be aware of any uneven surfaces, cords, or furniture that could trip you up when walking around. Shorter items, like stools and baskets, should be tucked away safely so you won’t trip over them.


Install a Ramp or Lift


If you have stairs around your home, they could limit your ability to get around safely. Those with mobility issues or wheelchairs should consider alternatives to steps and stairs to make life safer at home. For steps outside and ledges around your home, ramps can make getting around much faster and safer. If you’re in a wheelchair you may even be eligible for Medicare coverage for ramps. If you have larger staircases inside, a lift or elevator may be a good option to consider. Installing a chair lift or elevator in your home generally ranges from $2,545 to $6,220. But installing one of these helpful options can add value to your home and quality to your life.


Use Technology to Stay at Home 


Technology can help seniors age in place as well. For seniors living alone, or those who are at home alone for extended periods of time, an in-home monitoring system can be an easy, economical way to stay safe. Getting help quickly in the case of a fall, injury, or illness could mean the difference between life and death, and you may not be able to reach a phone in your time of need. These days, there are quite a few in-home monitoring systems to choose from. Some options may require WiFi, while others work off your cellular phone network. There are also contracts and other elements to consider. Research your options and find a system that works for you and will help you feel safer at home.


By being able to age in place, seniors can maintain their independence and control over their own life. Ensuring a safe, comfortable environment in your home can add years to your life and add joy to those years. So, make sure your home is set up so you can enjoy the best years of your life in safety, comfort, and happiness.


Photo Credit: Pixabay


The Top 6 Common Myths about Chiropractic Treatment



Many Canadians continue to have questions about the role that chiropractors play in the healthcare team, and what benefit chiropractic care may have to their health. While you can always find a chiropractor in your community to discuss your specific needs, today we’re busting some commonly shared myths:

1. Once you see a chiropractor you have to keep going back

This is false. When seeking care from a chiropractor, we will perform an assessment including a history and physical examination to determine the cause of the pain or dysfunction. From these observations, a diagnosis will be made and the treatment plan developed in collaboration with the patient – according to their needs and goals. The treatment plan will recommend a number of initial visits to see if the patient responds to care and scheduled re-evaluations. Depending on the patient and the condition, the recommended course of care may vary. Ultimately, the decision to continue care is yours. As a patient, if you have questions or concerns about care, you should feel comfortable to ask the chiropractor for more information on the recommendations made and address any concerns. The care plan should be part of a shared decision-making between the patient and practitioner.

CHIROPRACTIC-1 2. Chiropractors are not ‘real’ doctors

Chiropractors are regulated in all 10 Canadian provinces, and are designated to use the title “doctor” similar to physicians, optometrists and dentists after completing the extensive Doctor of Chiropractic degree program. Those professions who are recognized to use the “doctor” title have extensive training in their area of expertise that allows them to be diagnosticians – to provide a diagnosis.

 3. A medical doctor must refer you to a chiropractor

In all provinces in Canada, chiropractors are primary contact providers, which means you can access them directly. Due to the extensive training of chiropractors as diagnosticians, chiropractors will perform a comprehensive assessment to help determine a diagnosis or clinical impressions. Depending on the outcome, the chiropractor can discuss a course of care or refer to another healthcare professional, as needed. However, in some cases, you may need a referral to access coverage depending on your benefits provider.

4. There is no evidence to support the effectiveness of chiropractic care

Chiropractic treatment is at times questioned on its effectiveness. Yet, the chiropractic profession and others have invested significant resources to build a robust body of evidence studying the impact of manual therapies on MSK conditions. For example, spinal and joint manipulation has been shown to be effective treatment for acute and chronic MSK conditions, like back pain. In fact, spinal manipulative therapy (SMT) is recommended as first line intervention for back pain in numerous clinical practice guidelines including the Bone and Joint Decade Task Force1, the American College of Physicians and American Pain Society2 as well as Britain’s National Institute of Health and Care Excellence3.

 5. Chiropractors can only treat back pain

Chiropractors are musculoskeletal (MSK) experts and are trained in assessing, diagnosing, treating and preventing biomechanical disorders that originate from the muscular, skeletal and nervous system. In addition to the evidence that supports chiropractic care in managing musculoskeletal complaints of the spine, there is also evidence that it supports chiropractic management of the extremities, headaches and even TMJ pain,5,6. Chiropractors are also able to provide lifestyle counselling about nutrition, fitness and ergonomics among others that may be useful in managing or preventing a variety of health conditions. The health of your MSK system doesn’t just start with a healthy spine, you need to be fully aware of your health to maintain a well-rounded healthy lifestyle!

 6. Adjustments are painful

In general, adjustments or joint manipulations do not hurt. In fact, many patients report immediate pain relief. Patients may be nervous about the ‘cracking’ or popping sound that may occur during an adjustment. The sound is believed to result from the release of gas bubbles from the joint – similar to cracking your knuckles!

Asking questions about your health and treatment options are very important. You are a partner in your care and your participation is critical to helping us provide the best care to meet your goal. To do so, as a profession, we strive to better understand what information you need to make those important decisions. We want to hear from you! If you have any questions beyond this blog about chiropractic treatment, visit a chiropractor in your area. To learn more about what to expect at your first chiropractic treatment, you can take a look at our online videos.

1Haldeman, S., Carroll, L., Cassidy, J., Schubert, J., & Nygren, A. (2008). The bone and joint decade 2000–2010 task force on neck pain and its associated disorders: Executive summary. Spine, 33(4S), S5-S7. 

2Chou, E., Qaseem, A., Snow, V., Casey, D., Cross, T., Shekelle, P., & Owens, D. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478-491. 

3National Institute for Health and Clinical Excellence. (2009). Low back pain early management of persistent non-specific low back pain. Londres, Angleterre. 

4Hoskins, W., McHardy, A., Pollard, H., Windsham, R., & Onley, R. (2006). Chiropractic treatment of lower extremity conditions: a literature review. Journal of manipulative and physiological therapeutics, 29(8), 658-671. 

5McHardy, A., Hoskins, W., Pollard, H., Onley, R., & Windsham, R. (2008). Chiropractic treatment of upper extremity conditions: a systematic review. Journal of manipulative and physiological therapeutics, 31(2), 146-159. 

6Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Reugg, R., White, E., & , (2011). Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of Manipulative and Physiological Therapeutics, 34(5), 274-289.




Your Health is Your Responsibility!?!?

That is typically a gut check epiphany for my patients to understand. Not your doctor, your personal trainer, your spouse, or any anyone else. You are in charge, and it just so happens that every aspect of your life goes into the matrix of creating health and wellness.


  • Genetics- Family history of inflammatory conditions like hypothyroidism and diabetes increase the chances of developing these conditions, but they are not the deciding factor.
  • Stress Level- Stress causes a entire cascade of events from sympathetic overdrive, high blood pressure, elevated blood sugar levels, and decreased melatonin production (the sleep hormone)
  • Activity Level- Physical activity reduces systemic cortisol levels (the stress hormone). Lack of exercise will drive every inflammatory condition because of cortisol.
  • Diet- Every single food you put into your mouth will either improve or hurt your health levels. We seek flavor instead of nutrients.
  • Toxins- Smoking, alcohol, food coloring, chemicals, GMOs, processed foods, and perfumes can all be shutting your health down.
  • Cleaning Supplies- Long term exposure to chemical based cleaning supplies can hinder your thyroid function, and overall metabolism.
  • Sleep- The human body needs sleep. The human body needs exercise to lower cortisol levels to increase melatonin levels to let you sleep. Get active, get some sleep.
  • Water- There is literally NO SUBSTITUTE FOR WATER. Not Gatorade, tea, coffee, fruit juice, or crystal light water additive, NOTHING REPLACES WATER.


We have an inflammatory epidemic on our hands. Obesity rates are soaring. Thyroids are shutting down. Stress is taking over our minds. We have stopped taking responsibility for our actions and we are sick. The biggest issue is, the medical model is pushing poison to treat conditions that are due to eating and exposure to poison…. This will not work. The evidence is clear. We are consuming more medications than ever before and are spending more money on healthcare than ever before.

It is time for a wake up call.
It is time for change.
It is time to take control of your health.

The New-Start Solution Can Help!

The first step at New-Start to accepting the responsibility of taking control of your health is to see where you health is. We offer a complementary health screening that analyzes every symptom imaginable and give you a detailed report of where your health stands.

Click on the image below to take the quiz for yourself. You will be emailed a report, and we can further discuss the results later.

The results from this quiz has blown a lot of minds recently. So many people are accepting what is, and getting on the right track to be what will become. I can assure you that The New-Start Solution is the last health solution you will ever need. There is no more sophisticated program to get your health back.

Just 100-Days from now, you can feel like you haven’t felt for years.

Happy Healthing,

Dr. Mozingo