John O Tancock Doctor of Chiropractic Victoria BC Canada Vancouver Island

John O Tancock B.A., D.C.
Doctor of Chiropractic

- 105 - 920 Hillside Ave., Victoria BC  V8T 1Z8    ) (250) 383 - 6013

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Welcome new, seasoned and prospective chiropractic patients!

Thank you in advance for taking the time
 to discover the powerful effects chiropractic
can have on human health.

Each year millions of Canadians choose a chiropractor to provide safe, natural and effective relief from back pain, neck pain, headaches, extremity pain, poor overall health, low energy levels and many other physical ailments.


What is Chiropractic?

According to The Association of Chiropractic Colleges, "Chiropractic is a health care discipline which emphasizes the inherent recuperative power of the body to heal itself without the use of drugs and surgery. The practice of chiropractic focuses on the relationship between structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship affects the preservation and restoration of health."

The Goal of Chiropractic

Because chiropractic treatments are primarily applied to the spinal region, many individuals incorrectly assume that chiropractors treat only back and neck ailments. While we do quickly and effectively eliminate back and neck pain, it's not the only goal. The objective is to restore and optimize human health. In fact, according to a statement from The Association of Chiropractic Colleges, "The purpose of chiropractic is to optimize health."

How Chiropractic Works

You may be wondering... how can the same chiropractic treatment which effectively treats my back pain also optimize my health? The answer can be found by looking into the relationship between the spine and the nervous system.

As you may already know, the nervous system is the master controller of all living cells, tissues and organs; orchestrating and coordinating all cellular functions. The spinal column encases the nervous system (spinal cord and nerve roots) and is responsible for its protection.

Because of this intimate relationship, biomechanical and structural problems in the spinal column can irritate parts of the enclosed nervous system. This irritation can result from noxious inflammatory biochemicals released during tissue injury or may result from direct mechanical pressure. In either case, the functioning of the nervous system is negatively influenced as is the functioning of the cells, tissues and organs which are supplied by the affected nerve(s).

The resulting ailment(s) depends on the cells, tissues and organs affected as well as the extent of nervous system compromise.

In short, because the body's innate recuperative powers are affected by and integrated through the nervous system, correcting spinal abnormalities which irritate the nervous system can lead to a number of favorable results in patients suffering from various, seemingly non-spinal health conditions.
 

What Chiropractors Do

Practically speaking, chiropractors are primarily concerned with locating and treating vertebral subluxations.

A vertebral subluxation is a complex of functional and/or structural and/or pathological articular (joint) changes that compromise neural integrity and may influence organ system function and general health.

Using a number of unique and highly refined skills, the chiropractor checks the patient's spine for any misalignments, fixations or other abnormalities (vertebral subluxations). If subluxations or other abnormalities are detected, the chiropractor will generally apply a gentle force in a corrective manner to the affected spinal area.

Chiropractors use many specialized techniques to identify and treat these spinal abnormalities and optimize overall health. In addition to spinal adjustive techniques, soft tissue techniques such as massage, dietary and nutritional counseling, physical therapies, and lifestyle modification programs are commonly employed.
 

How Chiropractic Differs

There is a significant and very important difference between the way chiropractors and medical doctors approach health ailments.

When evaluating and treating patients, chiropractors take a holistic approach which includes identifying and correcting the cause(s) of the patient's health ailment. In contrast, the medical approach tends to focus more on the treating the symptoms of a condition rather than focusing primarily on the actual cause(s).

Chiropractors believe that correcting the cause of the problem provides significant long-term benefits over only treating the symptoms.
 

The Benefits of Chiropractic

Short-term and regular chiropractic care have a number of benefits including:

  • spinal and extremity pain relief

  • headache relief

  • increased mobility and range of motion

  • decreased stiffness and muscular spasms

  • arthritic joint pain relief

  • increased joint health

  • increased performance and energy

  • increased sense of well being and relaxation

  • increased balance and coordination

  • reduced degeneration and risk of injury

  • enhanced tissue healing

  • decreased tissue inflammation



FREQUENTLY ASKED QUESTIONS

What's Wrong With Me?

Accurately identifying the cause of spinal pain or other discomfort almost always requires a thorough consultation and examination. Individuals should not assume their pain stems from the same problem, for example, their neighbor had, and thus what has helped their neighbor will help them. Just as every individual is unique and different from the next, so too are the health conditions they suffer and the treatments they require.

Chiropractic doctors are highly trained in the diagnosis and treatment of soft tissue injuries and abnormalities common to the spine, extremities and rest of body. Rest assured that if you are suffering from back or neck problems, extremity problems or other health related ailments chiropractic can provide you with the effective professional relief you demand. If your condition is out of the chiropractic scope or would be more appropriately managed by another health care specialist, we will gladly and promptly make the necessary referral.
 

Can Chiropractic Help Me?

Chiropractic has helped millions of people worldwide suffering from all types of problems and not just back and neck ailments. Chiropractic works with the spinal column and it's intimate relationship with the nervous system - the major controller of all bodily functions. By optimizing spinal column structure and biomechanics, irritation and stress are removed and health can once again be achieved.

You may be surprised to learn that research studies have provided scientific evidence showing chiropractic care is not only effective in the treatment of back and neck ailments, but can also provide effective relief with children suffering from ear infections, women suffering from dysmenorrhea (painful menses), and a number of other seemingly "non-spinal" conditions. While it's not prudent to guarantee relief from such conditions or claim to "treat" these conditions, chiropractic has successfully helped millions of individuals with all sorts of health conditions by positively affecting the nervous system.

Of course, doctors of chiropractic are best known for their success in treating back and neck problems. Through the use of chiropractic spinal adjustments and other highly specialized chiropractic techniques, chiropractors have established themselves as the back and neck injury specialists. Many medical experts are now coming to understand the true effectiveness of chiropractic care and are recommending major changes in the way our health care system manages many common spinal problems. According to a recent Ontario Ministry of Health commissioned study on low-back pain,

"A very good case can be made for making chiropractors the gatekeepers for management of low-back pain..."
 

How Long Will It Take?

While treatment lengths vary somewhat from person to person and from condition to condition, there are a few rules of thumb you can follow.

First, newer injuries, if treated appropriately and immediately, tend to respond to fewer visits assuming that major tissue injury has not occurred. Many of these first time injuries can be effectively managed in as little as 3 to 4 visits. Conditions that have been present for greater than 3 months and recurring conditions are generally more stubborn and difficult to manage. Resolution may require 12 visits or more.

The only sure way to determine how long your treatment will take is to schedule a consultation and/or examination.

For those of you who believe in just waiting for the problem to "go away" on it's own - understand that the longer your condition has been around, the more treatments it will eventually require to resolve.
 

How Much Will It Cost?

Costs vary and generally depend on the number of treatments required to effectively treat your condition. A number of studies have shown that chiropractic care is extremely cost effective when compared to other "medical" forms of care for similar conditions. According to the 1993 Manga Report,

"There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors. Users of chiropractic care have substantially lower health care costs, especially inpatient costs, than those who use medical care only."

Note: We also offer different treatment plans and payment options, placing chiropractic care within reach for all who wish to receive its benefits.
 

Do I Have To Keep Coming Back For Treatments?

You may have heard the notion that once you go to a chiropractor you have to keep going back. Before we answer that question, ask yourself how many times you have visited a dentist? Like most people, you've probably gone dozens of times. Why? Quite simply, to prevent your teeth from literally rotting out of your head.

Once we have eliminated your pain and rehabilitated the injured tissues we do recommend that you maintain a schedule of periodic spinal checkups. Like your dentist and like many of the medical experts are now recognizing, prevention is the key to reducing recurrences of existing health conditions and minimizing new injuries in the future.

So the answer is yes, we want you to keep coming back, but just periodically. Periodic chiropractic care minimizes spinal and nerve stresses, reduces recurrences of old injuries, prevents new injuries from developing, minimizes degenerative processes, which enhances overall health and wellness.
 

Are Chiropractic Treatments Safe and Do They Hurt?

Chiropractic treatments are extremely safe for individuals of all ages - from infants to 100 year olds. Our treatments are safe because we only use natural and noninvasive methods of care. Research consistently shows that care from chiropractors is among the safest care available and is literally light years ahead of traditional medical care in terms of "safeness".

The treatments themselves are generally not painful. In fact, most patients look forward to their treatments as many experience instantaneous relief immediately afterwards. Individuals who present with moderate to severe pain may experience some minor discomfort for obvious reasons, however, care is always gentle, safe and noninvasive.

For research studies evaluating chiropractic safety, select What You Should Know First from the menu.



WHAT YOU SHOULD KNOW FIRST

Chiropractic treatments are extremely safe for people of all ages. Unfortunately, some critics of chiropractic care have attempted to manipulate the public into thinking chiropractic treatments are dangerous. Nothing could be further from the truth. Chiropractic treatments are among some of the safest treatments used in the health care field.

Read what Canadian researchers stated after performing the largest analysis of scientific literature on the most effective and cost effective treatments for low back pain:

The Manga Report

The Ontario Ministry of Health commissioned Manga Report represents the largest analysis of scientific literature on the most effective and cost effective treatments for low back pain. After reviewing all of the international evidence on the management of low back pain, lead investigator Pran Manga, Ph.D., found the treatments provided by Doctors of Chiropractic were exceptionally safe - much safer than for standard medical treatments of similar conditions.

  • "There is no clinical or case-control study that demonstrates or even implies that chiropractic spinal manipulation is unsafe in the treatment of low back pain. Some medical treatments are equally safe, but others are unsafe and generate iatrogenic (doctor-induced) complications for low back pain patients. Our reading of the literature suggests that chiropractic manipulation is safer than medical management of low back pain."
  • "Indeed, several existing medical therapies of low back pain are generally contraindicated on the basis of the existing clinical trials. There is also some evidence in the literature to suggest that spinal manipulations are less safe and less effective when performed by nonchiropractic professionals"
  • "Chiropractic manipulation is safer than medical management of low back pain. Chiropractic management is greatly superior to medical management in terms of scientific validity, safety, cost-effectiveness and patient satisfaction."

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) - University of Ottawa, Canada.

The Agency on Health Care Policy and Research Study

On December 8, 1994, the Agency for Health Care Policy and Research (AHCPR) of the US Department of Health and Human Services released Clinical Practice Guidelines for the management of acute low back pain. Their guidelines were developed after extensive study of diagnostic and treatment methods for acute low back pain.

The guidelines were created by the AHCPR panel to provide primary care clinicians with information and recommended strategies for the assessment and treatment of acute low back problems. The AHCPR panel was made up of 23 members consisting of medical doctors, chiropractic doctors, nurses, experts in spinal research, physical therapists, an occupational therapist, a psychologist, and a consumer representative.

Their findings included:

  • The risk of serious complications from lumbar spinal manipulation is rare;
  • Conservative treatment such as spinal manipulation should be pursued in most cases before considering surgical intervention;
  • Prescription drugs such as oral steroids, antidepressant medications and colchicine are not recommended for acute low back problems.

Acute Low Back Problems in Adults. Clinical Practice Guidelines. Bigos S, et al. Agency for Health Care Policy and Research Publication No. 950642 (1994) - U.S. Department of Health and Human Services.
 

The New Zealand Commission Report

The government of New Zealand published a 377 page report which assessed the efficacy and safety of chiropractic care. The report was a result of almost 2 years of conducted hearings from recognized health care experts.

    Their principal findings included:

  • "Chiropractors are the only health practitioners who are necessarily equipped by their education and training to carry out spinal manual therapy (spinal adjustments)."

  • "Chiropractors carry out spinal diagnosis and therapy at a sophisticated and refined level."

  • "Spinal manual therapy in the hands of a registered chiropractor is safe."

  • "The duration and training of a registered chiropractor are sufficient to enable him/her to determine whether there are contraindications to spinal manual therapy in a particular case, and whether that patient should have medical care instead of, or as well as, chiropractic care."

 



CHIROPRACTIC MYTHS


Over the years a number of myths pertaining to chiropractic have been created, mostly by economic competitors and those with differing philosophies. While the majority of myths have no basis, they do exist and cause some confusion to individuals unfamiliar with chiropractic care.

Spinal Adjustments Hurt

Quite the contrary. Many patients feel instant relief immediately after their treatments. In fact, most look forward to their chiropractic treatments. In patients suffering from severe bouts of back or neck pain, some discomfort may be experienced for obvious reasons, however, for most patients this is not the case.

For detailed information on chiropractic adjustments, see Adjustments.
 

Spinal Adjustments Are Dangerous

Chiropractic spinal adjustments are extremely safe when performed by chiropractors. In fact, chiropractic adjustments are among the safest treatments for most back and neck problems. According to a 1993 Ontario Ministry of Health commissioned study,

"There is no clinical or case-control study that demonstrates or even implies that chiropractic spinal manipulation is unsafe in the treatment of low-back pain. Some medical treatments are equally safe, but others are unsafe and generate iatrogenic (doctor-induced) complications for low-back pain patients. Our reading of the literature suggests that chiropractic manipulation is safer than medical management of low-back pain."

Lead investigator of the study, Pran Manga, Ph.D., however, did warn that spinal adjustments performed by health care professionals other than qualified doctors of chiropractic were potentially harmful and less effective:

"Indeed, several existing medical therapies of low-back pain are generally contraindicated on the basis of the existing clinical trials. There is also some evidence in the literature to suggest that spinal manipulations are less safe and less effective when performed by nonchiropractic professionals."

On December 8, 1994, the Agency for Health Care Policy and Research (AHCPR) of the US Department of Health and Human Services released clinical practice guidelines for the management of acute low back pain. Their guidelines were developed after extensive study of the diagnostic and treatment methods used for acute low back pain. Their findings included:

The risk of serious complications from lumbar spinal manipulation is rare;
Conservative treatment such as spinal manipulation should be pursued in most cases before considering surgical intervention;
Prescription drugs such as oral steroids, antidepressant medications and colchicine are not recommended for acute low back problems.
 

Chiropractic Doctors Lack Education Compared With Medical Doctors

The training and education endured by chiropractors is extremely thorough and demanding, similar to that of medical doctors with the exception of pharmacology and surgery.

Prior to entering chiropractic college, the aspiring chiropractor requires 2-4 years (depending on the college attended and the state one wishes to practice in) of premed undergraduate studies. Once completed, the student must next complete 4-5 academic years of studies at a chiropractic college. This includes extensive training in anatomy, physiology, pathology, neurology, radiology, differential diagnosis, chiropractic adjustive techniques, biomechanics , and other health-related studies.

In addition, prior to graduation each student must successfully complete several hundred clinical hours of "real" patient management in a clinical setting under professional supervision. Most chiropractic colleges also require students to partake in clinical externship programs which place them in actual chiropractic offices, further enhancing their clinical practice skills.

Near or soon after graduation, the new doctors of chiropractic must successfully complete rigorous National and State Board examinations prior to obtaining a license to practice chiropractic. Once licensed, most states require that chiropractors receive annual continuing education to ensure that a high level of competency is maintained.

 

Chiropractic Is Not Scientific

Chiropractors have always sought to provide the safest and most effective healing methods for their patients. In order to achieve this, the chiropractic profession has been dedicated to conducting scientific studies to improve their diagnostic methods and treatment techniques. In the last 20 years chiropractic health care has established an impressive array of scientific research that demonstrates the efficacy, safety and cost effectiveness of chiropractic care. There are many further studies currently underway, and several have been performed by medical doctors and government researchers in both the U.S. and a number of other countries.

In fact, the chiropractic profession has accumulated a greater number of scientific trials on chiropractic than the medical profession has accumulated for many of the treatments rendered by medical doctors. According to David M. Edy, M.D., Ph.D., professor of health policy and management with Duke University, North Carolina, only 15 percent of all medical interventions are supported by solid scientific evidence. Paul G. Shekelle, M.D., M.P.H., of the RAND Corporation made the following statement on ABC's 20/20:

"There are considerably more randomized controlled trials which show benefit of this (chiropractic care) than there are for many, many other things which physicians and neurosurgeons do all the time."

 

Chiropractic Care Is Expensive

Research clearly disproves this myth. Chiropractic care has been consistently shown to be cost effective in a number of government and workers' compensation board studies.

According to The Manga Report, a 1993 Canadian government commissioned study,

"There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors... Users of chiropractic care have substantially lower health care costs, especially inpatient costs, than those who use medical care only."

According to an economic analysis conducted in Richmond, Virginia,

"By every test of cost and effectiveness, the general weight of evidence shows chiropractic to provide important therapeutic benefits, at economical costs. Additionally, these benefits are achieved with apparently minimal, even negligible, impacts on the costs of health insurance."

When the State of Florida's Workers' Compensation Board conducted research in 1988 on treatment costs associated with injured workers who received care from either chiropractic doctors or medical doctors, they found chiropractic treatment costs were 58.8 percent of the treatments costs rendered by medical doctors
($558 vs. $1,100 per case)

 

You'll Have To Continue Chiropractic Care For The Rest Of Your Life

Most doctors of chiropractic promote a preventative type of lifestyle which has been construed by adversaries to mean that chiropractic care requires a lifetime of commitment. Actually, recommending that patients return for periodic spinal care is no different that what dentists recommend to their patients in order to prevent cavities and gum disease.

Just as it would be ludicrous to believe that visiting a dentist once per lifetime would ensure permanently healthy teeth and gums it's equally as silly to think that visiting a chiropractor a few times will ensure a lifelong healthy spine. Our spinal tissues undergo daily bombardment of stresses originating from bad postural habits, suboptimal work environments, psychological stress, and hectic lifestyles just to
 name a few.

For theses reasons, after the resolution of acute problems patients are given the option to receive periodic spinal checkups which acts to minimize the likelihood of future recurrences or development of new problems. The preventative approach in health care has been gaining much recognition as of late and there has been a large push in the medical community and health insurance industry to incorporate preventative programs into mainstream medicine.

It's really that simple. Periodic care to prevent future problems - safe, natural, convenient care now to avoid nasty and complex problems later.
 

Chiropractors Only Treat Back Pain

Chiropractors provide effective treatment for all types of soft tissue disorders and not just back and neck ailments. This includes conditions of the joints of the extremities like the ankle, knee and shoulder.

What you may not be aware of is chiropractic's success in treating a number of non-soft tissue conditions like dysmenorrhea (painful menses), ulcers, migraine headaches, and ear infections in children. While we cannot claim to cure these conditions, we believe that many of these problems can be mimicked, aggravated and some times caused by disruptions in the nervous system as a result of spinal abnormalities.
 By correcting these spinal abnormalities like the vertebral subluxation, chiropractic has helped thousands of individuals overcome these conditions and regain
control of their lives.

A number of studies have also supported these findings. In one such study, spinal manipulative therapy was compared with standard medical treatments in the treatment of duodenal ulcers. The researchers Pikalov, MD, and Kharin, MD, found those subjects receiving spinal manipulations took an average of 16 days to heal vs. 26 days to heal in the standard medical treatment group.



CONDITIONS TREATED

Common Musculoskeletal Conditions Treated

    Chiropractic has provided effective relief to millions of individuals suffering from back and neck ailments. Chiropractic has also provided relief from many other musculoskeletal complaints ranging from knee and ankle problems to carpal tunnel syndrome and tennis elbow. In fact, musculoskeletal pain or discomfort in any area of the spine or extremity is a candidate for safe, natural, noninvasive chiropractic care. If a condition exists which is better suited for treatment by a medical specialist, chiropractors are fully trained to identify such conditions and make the appropriate referral. However, most patients suffering from musculoskeletal complaints can and are successfully treated with chiropractic every single day.

  • low back pain and stiffness

  • neck and upper back pain and stiffness

  • mid back pain and stiffness

  • headaches and migraines

  • leg pain, weakness, numbness and tingling

  • arm pain, weakness, numbness and tingling

  • extremity joint pain and dysfunction

  • carpal tunnel syndrome

Common Injuries Treated

    Chiropractors commonly treat all types of injuries and recognize the unique findings associated with each. For example, it's important to understand that auto injuries often involve a delayed onset of symptoms which commonly surface weeks and even months post-accident. In work injuries, chiropractors routinely look beyond the actual injury and address such things as work station setup, ergonomically correct equipment, and proper work techniques. For sports injuries, chiropractors often check for biomechanical and muscle imbalances as a routine part of the treatment plan. Treating the whole person and optimizing health is what chiropractic is all
    about.

  • automobile accident and whiplash injuries

  • on-the-job and lifting injuries

  • sports/athletic injuries

  • slip and fall injuries

  • chronic injuries

Non-Musculoskeletal Conditions Treated

In addition to musculoskeletal problems, chiropractic treatments have also been shown to benefit many individuals suffering from "medical" ailments such as chronic ear infections in children, menstrual pain and irregularities in women, and arthritis in the elderly. Although chiropractic care is not a specific form of treatment for such conditions, research has shown that many "medical" conditions can be caused or aggravated by irritation to spinal nerve roots which share an intimate relationship with the spinal structures. By restoring proper nerve functioning by normalizing spinal structure and function, we believe some individuals suffering from these "medical" ailments can obtain partial and in some cases, full relief.

  • asthma

  • attention deficit hyperactivity disorder

  • dizziness and dysequilibrium

  • dysmenorrhea

  • infantile colic

  • low energy levels

  • otitis media (ear infection)

  • ulcers

 

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