What follows is for information and reflects experience gathered in practice. Everyone is different: the length, frequency and outcome of a course of chiropractic care can only be set after an individual assessment, and none of these answers replaces the advice of your doctor.
What is chiropractic?
Chiropractic is a primary healthcare profession that works with the nervous system through manual adjustments to the spine.
What is it trying to achieve?
To support the body's capacity to find and hold its own balance, by identifying and removing the causes of subluxation so that self-healing can take place. Without drugs and without invasive procedures.
What is a subluxation?
Chiropractic rests on a close relationship between the structure of the spine and the functioning of the nervous system. A biomechanical alteration of the spine can interfere with nerve transmission, and from there affect health. These dysfunctions are called subluxations.
What causes them?
Many things: poor posture, stress, a sedentary life, unbalanced diet, alcohol and smoking. All of them weaken the neuro-musculo-skeletal system and take away its original balance.
Is chiropractic treatment dangerous?
Chiropractic is considered safe. One useful indicator is professional indemnity insurance, whose premiums are markedly lower for chiropractors than for doctors, particularly surgeons. It should be added that a significant share of harm attributed to manipulation was caused by unqualified people without a proper chiropractic degree: checking registration is your first protection.
Is it contraindicated in pregnancy?
No. It can help manage, without medication, the back pain that often appears from the fifth or sixth month onwards. Treatment is adapted with positions designed around the bump.
Can it help with labour and birth?
Some patients at the practice report having coped better with labour after a course of care in pregnancy, and American literature reports similar observations. Honestly, the available studies are still limited and do not allow anyone to promise a result: every pregnancy and every birth is its own story. What we actually work on is pelvic mobility and low back pain, always alongside your obstetrician and midwife.
I have painful periods. Can chiropractic help?
Some patients report improvement in menstrual pain after work on the pelvis, lower back and upper cervical spine. It is not a result anyone can guarantee, and severe menstrual pain can have specific gynaecological causes that need investigating: seeing your gynaecologist comes first. Chiropractic can sit alongside that pathway, not replace it.
Can I bring a newborn or a child?
Yes. The touch used is feather-light, very different from that used on an adult. According to Danish research, colic lasts less time and resolves sooner in newborns treated regularly.
What can chiropractic do for older people?
It helps improve mobility and manage the symptoms of common age-related conditions such as osteoarthritis. Adjustments are gentler and checks more regular.
Do athletes benefit from it?
On two fronts: fewer injuries and less severe consequences, and improved performance. Many leading teams, Italian and international, have a chiropractor on staff.
Can a chiropractor prescribe drugs or imaging?
No. In Italy only a medical doctor or specialist can prescribe medication and diagnostic imaging. A chiropractor can, however, read and assess imaging you already have.
How many treatments will I need?
Every case has its own duration and frequency, set after the first visit. Once function has been restored, a periodic check is still advisable even without symptoms.
After the acute phase, do I have to keep coming?
Occasional checks without symptoms are what protects the results already achieved. The closest comparison is having your teeth cleaned: you go even when nothing hurts.
Is treatment reimbursed?
Health insurers are private bodies and decide independently whether and how much to reimburse a session, taking clinical indications into account. It is worth checking directly with your policy.
I have osteoporosis. Can I be treated?
It depends on the clinical picture. In general chiropractic techniques are not invasive and treatment is always adapted to the patient's state of health: a doctor of chiropractic is trained to care for patients with osteoporosis.
What is the difference between osteopathy and chiropractic?
Very broadly, osteopathy regards the heart and cardiovascular system as primary, chiropractic the brain and nervous system. One practical difference: osteopathy can be studied in Italy, chiropractic cannot yet.
Further reading
- Italian Chiropractors Association — the official register and information on the profession in Italy
- Law 244/2007 — the act that recognised chiropractic in Italy
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