FAQ
Treatment
How do I get an appointment and what will happen at the first visits?
How much do the treatments cost? Does my health insurance pay?
- New Patients (Anamnesis, Explanation of chiropractic, Examination, Results, Discussion of the results) 120,- €
- Adjustment 45,-€
- New Patient Child (until 18 years) 60,-€
- Adjustment Child 20,-€
- Report of results 20,-€
At Leb Chiropractic we try to keep the costs as low as possible, which is why you have to pay directly after the appointments to save costs by not engaging external clearing houses.
We are a private practice and bill on the fee regulation for non-medical practitioners (Heilpraktiker Gebührenverordnung). If your German health insurance company reimburses non-medical practitioner benefits, you usually can reclaim your money. Often American health insurances include chiropractic care in their policies.
How long do I have to wait for an appointment?
How many treatments are required?
Risks and side effects
Can joints get too lax by the adjustment?
What are the side effects?
Sometimes the symptoms worsen for a short time or old complaints might reappear. This is not alarming , but part of the process. Most of these symptoms disappear within a few days.
In rare cases, the body reacts with nausea, diarrhea or fever; in even rarer cases you might feel sad, listless or aggressive. In these cases, the body "detoxifies" physically or emotionally, which can also be part of the healing process.
What risks are there? And what are just prejudices? Can chiropractic cause a stroke?
There are some reports that manipulation caused a stroke. In these reports, the level of education of the treating persons is hardly differentiated. Thus chiropractors, “Chiropraktiker”, “Chirotherapeuten” (this distinction is unknown in English and all are falsely referred to as "chiropractors"), orthopedic surgeons, physiotherapists and "other therapists" (sometimes even martial artists) are lumped together. Pay attention to the names Edzard Ernst and Simon Singh. (1)
Overall, the risk of getting a stroke from a treatment by your chiropractor is extremely small (2) and chiropractic adjustment does not seem to worsen the existing problem (4).
Unfortunately, there are always those cases that show no risk factors and where the tests are unremarkable. These people have then pulled the hard line that the stroke will happen no matter what. Whether they consult a doctor or chiropractor (3).
This is why it is so important that your chiropractor has a sound education, which gives you a thorough initial consultation and an exam in depth.
When should you not be adjusted?
There are cases in which the diseased area should not be treated under any circumstances (for example metastases in a vertebra, as there is a risk of fracturing), anyhow it might help you if the surrounding areas are corrected.
In each case, we decide individually what is possible and what is not. At Leb Chiropractic! your safety is our paramount aim.
Chiropractors
What does the study of chiropractic involve?
(Tabelle einfügen)
Anatomy; Physiology; Biochemistry; Pathology; Microbiology; Pharmacology and Toxicology; Psychology; Dietetics, Nutrition; Public Health; Diagnostic Skills, General Physical Examination Methods; Laboratory Diagnostics; Differential Diagnosis; Radiology; Neurology; Rheumatology; Ophthalmology; ENT; Orthopedics, Pediatrics, Geriatrics; Gynecology and Obstetrics; Dermatology; Applied Neurology and Applied Orthopedics; Clinical Biomechanics, including special chiropractic / biomechanical examination methods (analysis of gait and posture, static and dynamic palpation of joints and bony structures, assessment of tissue tone and function); diagnostic imaging techniques and analysis; History, Principles and Treatment Philosophy of Chiropractic; Ethics and case law in the practice of chiropractic; Background studies on traditional medicine and complementary / alternative healing; patient treatment systems; documentation and clinical records and research.
(The name of the subjects may vary depending on the university.)
The World Health Organization WHO stipulates a minimum of 4200 hours. This number of hours is regularly exceeded at all accredited universities (e.g., Glamorgan 2008: 5360 hours).
What is the difference between a Chiropraktor, Chiropraktiker and Chirotherapeut?
Chiropraktiker are a kind of naturopaths who have attended chiropractic courses. Since there are no legal quality standards in Germany, the quality span can vary very much. The Paracelsus School only allocates 45 hours for chiropractic! (6)
Chirotherapeuten are medical doctors who have completed additional training (320 hours) in the field of chiropractic. They are allowed to use Chirotherapie or Manuelle Therapie as an adjunct. (8)
Since there is still no professional law for chiropractors in Germany, they are obliged to work under the Heilpraktiker-Law, although there are no regulations on training requirements, duration or content of Heilpraktiker-education in relation to the later practiced technique. The Heilpraktiker-Law merely defines that whoever wishes to practice any kind of healing methode without being summoned as a doctor, requires a permit.
What is the difference between chiropractic and osteopathy?
By and large, one can perhaps say that osteopathy deals primarily with the internal organs. Parietal osteopathy also deals with disorders of the musculo-skeletal system.
Chiropractic deals primarily with the nervous system. When the structures supplied by the nervous system (muscles, joints, and organs) do not respond, chiropractors also correct disorders in these by a direct approach.
As with chiropractic, osteopathy is not well regulated in Germany. Here, too, the differences in quality can be enormous. However, osteopathy with its own degree program in Germany and greater recognition is already a few steps further in the process of legal recognition.
We at Leb Chiropractic! do not see osteopaths as competitors; we are even collaborating with some local osteopaths.
How do I find a qualified chiropractor?
Self-help
How does prevention look like in chiropractic?
How can I stabilize my spine?
In addition, we work closely with a personal trainer (link). He offers a back school for our clients. (Link) If you wish, we will consult it in advance to give you the best results.
What happens on the chiropractic evening?
We want to give you an understanding of what causes subluxations, how to identify and avoid your personal triggers.
The more you know, the more you can do for yourself and the fewer adjustments you will need.
I'm so stressed that my body subluxates again and again. What can I do?
In acute periods of stress, it is advisable to be adjusted more frequently, until the stress is over. Chiropractic can help you to get through this phase as unscathed as possible.
In cases of ongoing stress, that you is outside your control and the end of which is unpredictable, we work with other professions (link) that can help you cope better with this stress.
We want to help you gain sustainable results and not just to treat the symptoms.
Complaints
Who can be treated? For whom is the treatment useful?
It is useful for everyone to have a fully functioning nervous system.
If you are one of the few exceptions that cannot be adjusted (Link s.o When may not be adjusted?), we will refer you to the appropriate specialist.
How old do you have to be to be treated?
What are typical symptoms?
- back pain, sciatica pain
- herniated discs
- scoliosis, leg length inequality, pelvic obliquity
- Migraine, tension headache
- Craniomandibular dysfunction (CMD)
- shoulder pain, frozen shoulder, impingement syndrome
- Tennis elbow, golfer's elbow
- Carpal tunnel syndrome
- knee or hip pain due to degeneration or injury
- ankle pain, heel spurs
Disturbances in the sensory system can trigger the following symptoms:
- shooting pain
- numbness, tingling, formication
- dizziness
Some of our customers complained about organic issues like:
- Heartburn, stomach ache
- Diarrhea, constipation, flatulence
- Inexplicable high liver values
- tachycardia, heart stuttering, arrhythmias
- difficulty breathing
- abdominal pain, painful period, childlessness
Up to present date we co-managed the following diseases:
- asthma
- cancer
- Multiple sclerosis
- Tourette syndrome
- Complex regional pain syndrome (Morbus Sudeck)
- rheumatism
- diabetes
- phenylketonuria
Children are often brought to our practice because of:
- birth by cesarean section, forceps, suction cup or severe labor in general
- Overly screaming
- too high or low body tone
- lack of concentration
- ADHD
- posture
- Growing pains
- before treatment with braces (teeth)
Many people also visit our clinic for prevention or to improve their athletic performance (for example, Ironman, marathon, golf, horseback riding).
Whatever your personal matter of concern, we always approach you and your goals individually.
How fast do I notice an improvement?
(1) Edzard Ernst, J R Soc Med. 2007 Jul; 100(7): 330–338 // https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1905885/ (abgerufen 15.02.2018)
(2) https://www.nhs.uk/conditions/chiropractic/ (abgerufen 15.02.2018)
(3) Scott Haldeman, Linda Carroll, J. David Cassidy, et al.
TheBoneandJointDecade2000–2010TaskForceonNeck PainandItsAssociatedDisorders , SPINE Volume 33, Number 4S, pp S5–S7 ©2008, Lippincott Williams & Wilkins
(4) Thomas M Kosloff, David Elton, Jiang Tao, and Wade M Bannister Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations, Chiropr Man Therap. 2015; 23: 19.
(5) https://www.wfc.org/website/images/wfc/who_guidelines/who_guidelines_german.pdf (abgerufen 19.02.2018)
(6) https://www.paracelsus.de/a_sosemi.asp?
(7) http://www.who.int/medicines/areas/traditional/Chiro-Guidelines.pdf / https://www.wfc.org/website/images/wfc/who_guidelines/who_guidelines_german.pdf
(8) http://www.dgmm.de/aerzte.html