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Frequently Asked Questions

Q: What is an adjustment?

A: Chiropractic adjustments are used to reposition the bones that are out of proper alignment, or subluxated.  There are various techniques of adjusting the spine.  Depending on the patient's age, condition, and the chiropractor's training/expertise, any technique can be used effectively.  The purpose of the adjustment is to remove any interference to the nervous system, which will improve spinal function and overall health.  Chiropractic adjustments are safe for all ages.

Q: How do you get subluxations (misalignments to the spine)?

A: There are 3 basic causes of subluxation.  (1) Physical stresses on the spine and nervous system may include slips and falls, motor vehicle accidents, repetitive motion, and improper sleeping.  (2) Chemical stresses include improper diet, not drinking enough water, cigarettes, alcohol, or overuse of drugs/medication.  Lastly, (3) emotional and mental stresses include work, family, relationships, kids, and money, just to name a few things.  These can impact the hormonal and muscular systems of the body.  At any given time in our lives, we experience a combination of these types of stress.  If we know they can create subluxation, we need a way of detecting and correcting areas of spinal imbalance.

Q: Can I tell if I have a subluxation?

A: Actually, you can have subluxations, and not even know it.  Like the early stages of tooth decay, subluxations can be present long before any symptoms show up.  Chiropractors are specially trained to find and correct subluxations.  Using a combination of analyses including spinal palpation, posture analysis, ROM checks, looking for leg length imbalances, and x-ray, chiropractors can determine whether or not subluxations are present.

Q: Why is there a popping or cracking sound during the adjustment?

A: Adjustment of a joint may result in the release of gas bubbles between the joints, which makes the popping sound.  The same thing occurs when you “crack” your knuckles.  The noise is caused by the change of pressure within the joint, which results in gas bubbles being released.  There is usually minimal, if any, discomfort involved. Some people make a lot of noise when they are adjusted, and others make little to no noise.  Sometimes some areas of the body are louder than others from visit to visit.

Q: Is chiropractic care appropriate for children?

A: Yes, children can benefit greatly from chiropractic care. Children are very physically active and experience many types of falls and blows from activities of daily living as well as from participating in sports. Injuries such as these may cause many symptoms including back and neck pain, stiffness, soreness, or discomfort. Chiropractic care is always adapted to the individual patient. In the case of children, it is very gentle.

Q: Is it okay to see a chiropractor if I am pregnant?

A: Pregnant women frequently get very good results with chiropractic care.  Because of the inability to take medication for pain, the natural approach of chiropractic care is a great option for pregnant women.  Obstetricians refer to chiropractors due to the effectiveness of spinal adjustments for pain relief.  Chiropractors are trained in safe and effective techniques not only for pregnant women, but also to help turn a Breech baby in the womb.  We have an adjusting table with moveable parts that allows pregnant women to lay face down, all the way up until their due date.

Q: Is chiropractic care addictive?

A: Chiropractic is no more addictive than exercise, proper diet, or brushing your teeth.  Chiropractors recommend getting your spine checked periodically throughout your lifetime, because as far as we know it is the only profession addressing the health of the spine, brain, and nervous system.  Because we live through our nervous system, it is always beneficial to keep it fine tuned and balanced.

Q: Does chiropractic care require a referral from an MD?

A: A referral is usually not needed to see a doctor of chiropractic (DC); however, certain health insurance plans may have specific referral requirements.  You may want to contact your employer’s human resources department, or the insurance plan directly, to find out if there are referral requirements.  The majority of plans allow you to just call and schedule an appointment with a chiropractor.


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Raleigh Office


7:30 am-3:00 pm


7:30 am-6:00 pm


7:30 am-6:00 pm


7:30 am-4:00 pm








Reviews By Our Satisfied Patients

  • "The Chiropractic Café is a very Warm and Friendly environment. As a physician myself, I think Drs. Rick and Elizabeth do a great job explaining their treatments and have extremely good bedside manners. They do a great job creating the doctor/patient relationship which is one of most important parts of any healing modality. I would highly recommend them to all my friends and family!"
    Jennifer - Raleigh, NC