Start with your primary-care physician; back pain is so common that most family docs have seen lots of it. Your PCP is also a good person to return to if, later, you get conflicting treatment advice from specialists. He or she can help you evaluate what would be your best next step.
Many chiropractors have extra training in physical rehabilitation and specific exercise therapy. Some also use nutritional analysis, herbal therapy, and acupuncture.
What does chiropractic treatment involve?
Chiropractic treatments usually involve spinal manipulation. Spinal manipulation is a treatment that uses pressure on a joint of the spine. It is also called spinal adjustment. It is used to improve pain and function. Manipulation can be done with the hands or a special device. The careful, controlled force used on the joint can range from gentle to strong, and from slow to rapid. Sometimes other joints of the body are also worked on to help treat the spine.
The goal of chiropractic treatment is to increase movement in the joint and relax the muscles. Some chiropractors use heat, electrical stimulation, or ultrasound to help relax your muscles before doing spinal manipulation.
Some chiropractors use X-rays to help diagnose conditions.
What to expect from your visit
If you've never been to a chiropractor before, you may be a little worried about what will happen. Visiting a chiropractor for low back pain is actually simple, safe, and usually painless. And a visit to the chiropractor results in relief for many people.
Your first visit will be a lot like a first-time visit to any new doctor. It's likely to include:
A health history. You will probably fill out a long form of questions about your health. The chiropractor may also ask additional questions, such as whether you have headaches or migraines or sleeping problems. He or she may also ask you about your diet and your activity level.
A physical exam. The chiropractor may check your posture, looking for things that aren't normal, such as one shoulder or hip that is higher than the other. The exam may also include a muscle test. This involves pressing an arm or leg against the chiropractor's hand to test strength. You may also walk a short distance so that the chiropractor can check how you walk or other arm or leg movements.
You may also have an X-ray of your spine.
When the chiropractor has all the information, it's time to sit down with you and talk about treatment. If the treatment plan includes spinal manipulation, you could have it the same day or at a later appointment.