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    • Amanda Reid, RMT
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    • Amir Salkic, RMT
    • Lilian Qu, RMT
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    • Kristen Leone, RMT
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what is the 'crack' sound in a chiropractic adjustment?

6/18/2024
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Have you ever wondered what is actually 'Clicking' or sounding during your Chiropractic Adjustment? Well, that audible 'Pop' sound when you get adjusted by a Chiropractor is often referred to as a "cavitation." It's caused by the release of micro gas bubbles from the synovial fluid within the joints.

Here's a more detailed explanation of the process:
  1. Joint Cavitation: Joints, such as those in the spine, are surrounded by a capsule filled with synovial fluid. This fluid lubricates the joint, reducing friction and allowing smooth movement.
  2. Formation of Gas Bubbles: The synovial fluid contains dissolved gases like oxygen, nitrogen, and carbon dioxide. When a chiropractor applies a quick, controlled force to a joint, it creates a rapid change in joint pressure. This pressure change decreases the solubility of the gases in the synovial fluid, leading to the formation of gas bubbles.
  3. Bubble Collapse: The gas bubbles formed in the synovial fluid rapidly collapse or "pop," which produces the characteristic cracking sound.
  4. Joint Movement: The adjustment also moves the joint slightly, stretching the surrounding muscles and ligaments. This can help improve joint mobility, relieve tension, and reduce pain.

The cracking sound is generally harmless and is not indicative of bones cracking or being damaged. It's simply a byproduct of the physical changes occurring within the joint during the adjustment. 

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what's the difference between chiropractors, physiotherapists, and osteopaths?

6/5/2024
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Chiropractors, physiotherapists, and osteopaths are all healthcare professionals specializing in treating musculoskeletal issues so all have a lot similarities in their practices. Most of them are manual therapists but they can differ in their approaches, training, and philosophies. Here's a breakdown of their differences:

CHIROPRACTORS 
  • Focus: Primarily focus on diagnosing and treating musculoskeletal disorders, particularly related to the spine and neurological systems. 
  • Philosophy: Emphasize the relationship between the spine and the nervous system, believing that spinal adjustments can restore health and alleviate pain.
  • Treatment Methods: Use manual manipulation or adjustment of the spine and other joints to correct alignment, improve function, and alleviate pain. They may also use other therapies like massage, mobilizations, exercise, acupuncture, and nutritional advice.
  • Training: Requires a Doctor of Chiropractic (D.C.) degree, typically involving 4 years of specialized chiropractic education after undergraduate studies.

PHYSIOTHERAPISTS (Physical Therapists)
  • Focus: Treat a broad range of physical conditions affecting the musculoskeletal, cardiovascular, and sports-rehabilitation, 
  • Philosophy: Focus on restoring and maintaining functional movement and reducing pain through evidence-based practices.
  • Treatment Methods: Use exercise, manual therapy, education, and modalities such as heat, cold, and electrical stimulation to improve mobility, strength, and function. They develop personalized rehabilitation programs.
  • Training: Requires a degree in physical therapy (Doctor of Physical Therapy, DPT, in many countries), which typically takes 3 years after undergraduate studies.

OSTEOPATHS (Osteopathic Physicians)
  • Focus: Treat the whole person, not just specific symptoms, with a focus on the musculoskeletal system and its role in overall health.
  • Philosophy: Based on the principle that the body is a unit capable of self-regulation and self-healing, with an emphasis on the interrelationship between structure and function.
  • Treatment Methods: Use Osteopathic Manipulative Treatment (OMT), which involves hands-on techniques to diagnose, treat, and prevent illness or injury. They also employ conventional medical treatments, including medications and surgery.
  • Training: In the U.S., osteopaths (DOs) are fully licensed physicians with training similar to that of MDs, including medical school and residency, but with additional training in OMT. In other countries, osteopathy might be a separate field with different training requirements.

Key Differences
  • Chiropractors focus on spinal alignment and its impact on overall health, using spinal manipulation as their primary treatment.
  • Physiotherapists offer a broad approach to rehabilitation, employing various physical techniques to improve movement and function.
  • Osteopaths integrate a holistic view of the body with conventional medicine, using hands-on techniques and broader medical treatments.

While there is some overlap in the conditions they treat, the methods and philosophies behind their treatments can vary. At the end of the day, the goal of the therapist is to assist your healing process and make you feel stronger, better, and healthier. Every therapist regardless of discipline has a different treatment style so find the one who works best for your needs.

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