In many regards, a chiropractic examination is very similar to standard examination procedures administered by all health care providers. With that said, how chiropractors examine the structure and function of the spine and then determine specific chiropractic treatments separates chiropractic care from other disciplines.
Chiropractic Exam of Lower Back Pain
An initial chiropractic exam for back pain will typically have three parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may be performed.
- Consultation. The patient meets with the chiropractor and provides a brief synopsis of his or her lower back pain, such as:
- Duration and frequency of symptoms
- Description of the symptoms (e.g. burning, throbbing)
- Areas of pain
- What makes the pain feel better (e.g. sitting, stretching)
- What makes the pain feel worse (e.g. standing, lifting).
- Family history
- Dietary habits
- Past history of other treatments (chiropractic, osteopathic, medical and other)
- Occupational history
- Psychosocial history
- Other areas to probe, often based on responses to above questions.
- X-ray to locate subluxations (the altered position of the vertebra)
- A device that detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance that requires manipulation.
Many chiropractors utilize a holistic, biomechanical concept of treating the bipedal structure in its entirety, in an attempt to balance the structure from the feet upward.
In This Article:
Chiropractors are typically trained in multiple methods of assessing lower back pain, including:
- Evaluation and management services.7 Chiropractors are trained in examining the joints, bones, muscles and tendons of the spine, head, extremities and other areas of the body with the purpose of noting any misalignment, tenderness, asymmetry, defects or other problems.
- Neurologic and other common physical examination procedures.7 Chiropractors are trained to perform a variety of neurologic tests (nerve root compression/tension, motor strength, coordination, deep tendon and pathological reflexes, etc.) and are skilled in performing orthopedic, cardiovascular and many other common examinations.
- Specialized assessment.7 Chiropractors are trained to assess range of motion, stability, muscle strength, muscle tone and other assessments with the lower back.
- Common diagnostic studies.7 Chiropractors are trained in use of diagnostic studies and tools such as radiography (X-rays), laboratory diagnostics and neurodiagnostics.
The next page provides an overview of how the lower back examination generally results in a classification in one of three categories.
Research and locate chiropractors in your area that can help alleviate your back and neck pain.
- Globe G, Morris C, Whalen W et al., "Chiropractic Management of Low Back Disorders: Report from a Consensus Process," Journal of Manipulative and Physiological Therapeutics November/December 2008: 651-658.