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?
Our compensation is as follows:
- Neukunden (Anamnese, Erklärung der Chiropraktik, Untersuchung, Befundung, Ergebnisbesprechung) 120 €
- Neukunde Kind (bis 18 Jahren) 60 €
- Intensivphase Privat 75 €
- Intensivphase Selbstzahler 70 €
- Intensivphase Privat Kind 40 €
- Intensivphase Selbstzahler Kind 35 €
- Reguläre Adjustierung 65 €
- Reguläre Adjustierung Kind 30 €
- Hour of Power (nur für Stammkunden) 50 €
- Hour of Power Kind 25 €
- Befundbericht 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 having a stroke is extremely small (2) and the chiropractic adjustments do not seem to exacerbate the 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?
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) Paracelsus
Chirotherapeuten sind Ärzte, die eine Zusatzausbildung (320 Stunden) im Bereich Chiropraktik absolviert haben. Sie dürfen Chirotherapie oder Manuelle Therapie als Zusatz führen. (8) Da es in Deutschland noch kein Berufs-Gesetz für Chiropraktoren gibt, sind diese dazu verpflichtet, unter dem Heilpraktiker-Gesetz zu arbeiten, obwohl keine Regelungen über Ausbildungsvoraussetzungen, Dauer oder Inhalt der (Heilpraktiker-) Ausbildung im Bezug auf die später ausgeübte Technik existieren. Das Heilpraktiker-Gesetz definiert lediglich, dass, wer die Heilkunde ausüben will ohne als Arzt bestallt zu sein, einer Erlaubnis bedarf.
What is the difference between chiropractic and osteopathy?
Im großen Groben und Ganzen kann man vielleicht sagen, dass die Osteopathie sich vornehmlich mit den inneren Organen befasst. Die Parietale Osteopathie befasst sich außerdem mit Störungen des Muskuloskelettal-Systems.
Die Chiropraktik befasst sich erst mit dem Nervensystem. Wenn die von den Nerven versorgten Strukturen (Muskeln, Gelenke und Organe) nicht reagieren, korrigieren Chiropraktoren auch Störungen in diesen.
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?
We also do work closely with a Personal Trainer . He offers back training for our customers. If you wish, we will make arrangements in advance to achieve optimal results for you.
What happens on the chiropractic evening?
We would like to give you an understanding of how subluxations come, how you can recognize and avoid your personal triggers. The more you know, the more you can do for yourself and the less adjustments you will need.
I am so stressed that my body keeps subluxating. What can I do? In acute stress phases it makes sense to be treated more often until the stress is over. Chiropractic can help you to get through this phase as unscathed as possible.
In the case of persistent stress, the end of which is not foreseeable and which you cannot control, we work together with other professions that can help you to better deal with this stress. It is important to us to help you in the long term and not just to give you symptom treatment
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