Frequently Asked Questions

Q: What is the cracking noise that often occurs with manipulation?

Often when a joint is manipulated, it makes a popping sound. There is fluid inside all joints, and within this fluid, there is dissolved gas. When manipulation is performed, the gas in the fluid forms a bubble and pops, producing an audible sound. Although this is not necessary for manipulation to be effective, it is simply the sound of the joint suddenly releasing from its restricted state.

What is chiropractic care and how does it work?

Chiropractic care is a natural, non-invasive approach to health that focuses on diagnosing and treating musculoskeletal conditions, particularly those involving the spine. Chiropractors use hands-on adjustments and other techniques to restore proper alignment, improve mobility, and support the body’s ability to heal itself without the use of medication or surgery.

What treatments can I expect?

Our patients should expect their initial visit with the chiropractor to be approximately one hour so that the chiropractor can perform a thorough history and exam. If x-rays or other diagnostic tests are medically necessary, they may order them. Depending upon the severity of your injury or complaint, follow-up visits will range anywhere from one day to six months later, or you may simply call us the next time you are in need of an appointment. Follow-up visits are usually 20 minutes. We believe in using multiple disciplines in order to best treat our patients. Also, we offer different services such as Physical Therapy, Massage Therapy, Clinical Nutrition, Aquatic Therapy, and more, to be useful in conjunction with Chiropractic Care.

How long does Chiropractic Care take to work?

This is a very common question, and unfortunately, there is no one simple answer to this because the amount of time needed for recovery is variable, not only for each different condition but also for each individual patient. Generally speaking, conditions that have been present for a longer period of time will logically require somewhat longer recovery time, although there are always exceptions. Our approach is such that the immediate goals are to help you get relief from pain and disability as quickly as possible, while at the same time, addressing the underlying dysfunctions that create the pain. Teaching you strategies to manage and reduce any future episodes that may occur is also important. In this way, we attempt to help you expeditiously reduce pain and return to normal function. Typically, within six visits we expect at minimum 30-50% improvement. If these goals are not being met treatment strategies will modify and further diagnostic testing or referral may be scheduled.

What is the cracking noise that often occurs with manipulation?

Often when a joint is manipulated, it makes a “popping” sound. There is fluid inside all joints, and within this fluid, there is dissolved gas. When manipulation is performed, the gas in the fluid forms a bubble and pops, producing an audible sound. Although this is not necessary for manipulation to be effective, it is simply the sound of the joint suddenly releasing from its restricted state.

Do I have to have my back cracked?

Not necessarily. Manipulation is a technique that is useful to correct joint dysfunction, which is a condition in which there is loss of normal movement of a joint – a common cause of spinal pain and dysfunction. So if you do not have joint dysfunction then there is no need for manipulation. Even if you do have joint dysfunction, if you’d prefer, there are “non-cracking” techniques that can be useful to correct it, which are often equally effective.

Will manipulation hurt?

Most of the time, manipulation is very comfortable. Slight to moderate discomfort has been reported in about 1/3 of patients, with 10% reporting more noticeable discomfort. In the majority of cases, any discomfort that does occur is gone within 24 hours.

Do I need regular chiropractic check-ups?

Although there are certain uncommon instances in which regular, periodic treatment may be suggested, this is the exception rather than the rule. There will likely be certain exercises that are given to you to do regularly, that have been shown to prevent re-occurrences of back pain. Chiropractors at The Hetrick Center place much emphasis on teaching patients self-care strategies so that they can manage conditions themselves, only needing to return to the doctor if these strategies are not successful.

Can children be treated by a chiropractor?

Chiropractic treatment for children and adolescents is not uncommon. Adjustments for children of all ages are gentle, safe, and effective. Restoring and maintaining function is crucial throughout the child’s developmental years.

Are chiropractic adjustments safe?

Yes, chiropractic adjustments are considered safe when performed by a licensed and experienced chiropractor. Treatments are tailored to each individual’s needs, and techniques are modified based on age, condition, and comfort level to ensure a safe and effective experience.

What is physical therapy and how can it help me?

Physical therapy is a personalized, hands-on approach to improving movement, reducing pain, and restoring function. It focuses on identifying the root cause of discomfort or limitation and using targeted exercises, manual therapy, and specialized techniques to help your body heal and perform at its best.

What conditions can physical therapy treat?

Physical therapy can address a wide range of conditions, including back and neck pain, joint injuries, sports injuries, post-surgical recovery, arthritis, and mobility issues. It is also effective for improving balance, flexibility, strength, and overall physical performance.

Do I need a referral to start physical therapy?

In many cases, you may not need a physician referral to begin physical therapy, depending on state regulations and your insurance provider. However, it’s always a good idea to check with your insurance company or the clinic to understand your specific requirements.

What happens during my first physical therapy appointment?

Your first visit will include a comprehensive evaluation where your physical therapist reviews your medical history, assesses your movement, strength, and flexibility, and discusses your goals. Based on this assessment, they will create a customized treatment plan and may begin therapy during the same session.

How long does it take to see results from physical therapy?

Results vary depending on your condition, severity, and consistency with your treatment plan. Many patients begin to notice improvements in pain and mobility within a few sessions, while more complex conditions may require a longer course of care to achieve optimal results.

What is aquatic therapy and how does it work?

Aquatic therapy is a form of physical therapy performed in a warm-water pool. The buoyancy of the water reduces stress on joints and muscles, allowing patients to move more freely while performing therapeutic exercises. The resistance of the water also helps build strength, improve flexibility, and promote healing in a low-impact environment.

Who can benefit from aquatic therapy?

Aquatic therapy is ideal for individuals recovering from injury or surgery, as well as those with chronic pain, arthritis, joint conditions, or limited mobility. It is especially beneficial for patients who find traditional land-based therapy difficult due to pain, stiffness, or weight-bearing limitations.

What conditions can aquatic therapy help treat?

Aquatic therapy can help with a wide range of conditions, including back and neck pain, orthopedic injuries, post-surgical rehabilitation, neurological conditions, and balance disorders. It is also effective for improving strength, coordination, and overall functional movement.

What should I expect during an aquatic therapy session?

During a session, you’ll work one-on-one with a trained therapist in a controlled pool environment. Your therapist will guide you through customized exercises designed to improve mobility, strength, and stability. The warm water helps relax muscles and reduce pain, making movements more comfortable and effective.

Is aquatic therapy safe?

Yes, aquatic therapy is safe when supervised by trained professionals. Sessions are conducted in a controlled setting with attention to water temperature, depth, and patient safety. Exercises are tailored to your specific condition and comfort level to ensure a safe and effective rehabilitation experience.

What is massage therapy and how can it benefit me?

Massage therapy is a hands-on treatment that involves manipulating muscles and soft tissues to reduce tension, improve circulation, and promote relaxation. It can help relieve pain, decrease stress, improve flexibility, and support overall wellness.

What conditions can massage therapy help with?

Massage therapy is commonly used to address muscle tension, chronic pain, sports injuries, headaches, and stress-related conditions. It can also support recovery from physical activity and complement other treatments like chiropractic care and physical therapy.

What types of massage therapy are available?

There are several types of massage therapy, including deep tissue massage, therapeutic massage, and relaxation massage. Each technique is designed to target specific needs, whether it’s relieving chronic muscle tightness, improving mobility, or simply reducing stress.

What should I expect during my first massage therapy session?

During your first session, your therapist will discuss your health history, areas of concern, and treatment goals. They will then tailor the massage to your specific needs, adjusting pressure and techniques to ensure comfort and effectiveness throughout the session.

How often should I get massage therapy?

The frequency of massage therapy depends on your goals and condition. Some individuals benefit from regular sessions to manage chronic pain or stress, while others may schedule appointments as needed for relaxation or recovery. Your therapist can recommend a plan that works best for you.

What is integrated care?

Integrated care means your providers work together as a team, chiropractors, physical therapists, massage therapists, and more, to create a treatment plan that’s customized specifically for you.