At Alive & Free Chiropractic in Cooper City, FL, Dr. Cody Capeloto, Doctor of Chiropractic, believes in providing clear educational information. A common question involves understanding different approaches within the chiropractic profession. One of the most fundamental distinctions is how neurological chiropractic is described compared to a pain-based or musculoskeletal model.
Neurological chiropractic is described as an approach focused on the relationship between the spine and the function of the nervous system, regardless of the presence or absence of symptoms. In contrast, pain-based chiropractic is more commonly associated with addressing specific musculoskeletal complaints, such as back or neck pain, where the presence of a symptom is often the primary reason for seeking care.
The Pain-Based Chiropractic Model
The pain-based or musculoskeletal model is what many people first think of when they hear the word “chiropractor.” This approach is often centered on addressing a specific ache, pain, or injury. For example, a person might seek care after experiencing an event that results in discomfort in their back, neck, or other joints.
In this framework, the evaluation and care are frequently directed at the area of complaint. The goal is often discussed in terms of the specific symptom that brought the person into the office. This is a straightforward approach that is widely understood and practiced within the profession.
The Neurological Chiropractic Model
Neurological chiropractic is described from a different perspective. This approach is based on the principle that the nervous system—comprised of the brain, spinal cord, and nerves—is the body’s master control system, coordinating all of its functions. The spine’s primary role, in this view, is to protect the delicate spinal cord.
This model is concerned with the concept of vertebral subluxation, which in chiropractic is a term for when a spinal bone has a dysfunctional relationship with the bone above or below it. The focus of a neurologically-based chiropractor is on how this may affect the nervous system’s ability to communicate effectively between the brain and the body. The goal is not centered on a specific symptom, but rather on the overall function of the nervous system.
Practitioners with this focus use specific assessments to analyze the spine and nervous system. The adjustments are applied with the intent of addressing vertebral subluxations, with the idea that a nervous system free of interference can better manage and adapt to the body’s internal and external environments.
Key Distinctions Summarized
- Primary Focus: A pain-based model typically focuses on a specific symptom or condition. A neurological model focuses on the spine’s alignment and movement as they relate to the function of the nervous system.
- Indicators for Care: In a pain-based model, the primary indicator is often the presence of pain or discomfort. In a neurological model, the indicators are related to assessments of nervous system function, which may or may not be associated with pain.
- Application of Care: Care within a pain-based framework may be recommended for a duration related to the presenting symptom. Care within a neurological framework is often presented as a way to maintain spinal and nervous system function over time, similar to other wellness activities.
A Note on Pediatric Care
The principles of neurological chiropractic are applied by some practitioners to individuals of all ages. The education surrounding chiropractic care for infants and children is evidence-limited. It is not a substitute for pediatric medical care. For any health concerns regarding your infant, newborn, or child, it is essential to consult with a licensed pediatric clinician, such as your pediatrician. For general health topics, you can also find information from sources like the NIH health information portal.
Understanding these different approaches can help you make a more informed decision about the type of chiropractic care you are seeking for yourself and your family. Dr. Cody Capeloto is available to discuss these concepts further.