But whether that's good or bad isn't yet clear
By Diana Price
If you are a cancer patient facing treatment and are considering an integrated
approach to your care, chances are you may have heard that complementary
modalities like acupuncture and mindbody medicine can improve your overall
wellness during treatment. You may also be seeking support from a dietitian
or may have considered naturopathic therapies. But have you considered including
chiropractic care? The fact is, chiropractic can play a valuable role in an
integrated care plan.
What Is Chiropractic?
Chiropractic is a health care specialty that has as its primary focus conditions
of the musculoskeletal and nervous systems. According to Jeffrey A. Sklar, DC,
medical director of chiropractor services at Cancer Treatment Centers of America®
(CTCA) in Philadelphia, Pennsylvania,the idea is that injuries or dysfunction related
to the musculoskeletal and nervous systems can affect overall health. “When the nervous
system is free of interference from misalignment in the spine, the body’s functions
can be carried out at optimal levels,” he says.
Patients seek chiropractic care for a variety of health concerns, often related to
pain in the back, neck, or joints. Doctors of chiropractic (DCs) approach their work
with patients in the same way that other primary care providers do: they take a complete
health history, perform a thorough examination, order any necessary testing, and then set
a treatment plan. Treatment often includes hands-on manipulation or chiropractic adjustments.
Rick McMichael, DC, immediate past president of the American Chiropractic Association, says
the specialized handson approach chiropractic offers can provide patients welcome relief
from pain and overall improvement in function and wellness. “By adjusting the bones of the
spine very gently and specifically or by working with the soft tissues—muscles and ligaments—
to bring balance back to the musculoskeletal system, we can help patients with their gait and
their postural balance and just help them function more efficiently.”
Though the perception may be that chiropractic is about single, powerful adjustments,
Dr. McMichael stresses that chiropractic is in fact often quite gentle, is based on a
whole-person approach, and is often most effective when administered over a period of
regular visits. “Chiropractic is not about getting one visit and you’re fixed,” he says.
“It’s more like therapy or dietary change. It’s a natural approach to bring balance back
to the body and improve function—and the body needs a little time to make those changes.
As that happens, pain levels begin to reduce and you start to have more energy and feel
better generally. Over time, your body resets neurologic pathways, motion becomes more
balanced, you function better, and pain levels remain reduced longer.”
Chiropractic and Cancer Treatment
Chiropractic can also be an effective tool to help cancer patients cope with side effects
of treatment and any underlying discomfort due to musculoskeletal issues. “There are many
benefits for cancer patients who receive chiropractic care,” Dr. Sklar says. “Very often
the stress of the diagnosis of cancer alone is powerful enough to cause muscle tightness
that creates pain and decreases spinal motion.” In addition, he says, side effects from
chemotherapy, such as neuropathy, headaches, nausea, joint stiffness, muscle aches, and
painful changes in muscle tissue from radiation therapy, can also be managed by chiropractic.
Like many complementary modalities, chiropractic ideally functions as part of an integrated
care plan designed to support a patient’s wellness so that he or she can receive optimal
treatment results. “Doctors of chiropractic don’t treat the cancer,” Dr. McMichael says.
“They help patients be as strong as they can be to respond to specific oncology treatments,
and they help patients reduce pain and improve function so that their body responds as
strongly as possible.”
To ensure that chiropractic care is integrated in an overall care plan in a safe and
effective manner, both Dr. Sklar and Dr. McMichael stress the importance of communication
between the DC and the other members of the patient’s health care team. At CTCA, for instance,
Dr. Sklar says, “the chiropractic department works with each oncologist’s team and meets with
team members regularly to ensure that the physician has seen the most recent reports on every
patient under chiropractic care.”
Communication among team members is vital, especially because there are some circumstances
during cancer treatment in which chiropractic may be contraindicated. Dr. McMichael says,
“A chiropractic treatment plan could exclude certain types of treatment depending on
a patient’s unique problems. For instance, if you had some bone deterioration in an
area of your spine, you would certainly not want any type of forceful manipulation in
that area. Or, if a patient has a thrombosis problem in an extremity as a result of
medicinal treatments or the condition itself, you wouldn’t want to be doing a lot of
soft tissue work in that area.” These and any other issues can be avoided, he says,
by ensuring that the DC maintains a good understanding of the patient’s health status,
is provided with all diagnostic testing (scans and X-rays, for example) throughout,
and is in communication with other members of the health care team.
Dr. McMichael says that chiropractic has a strong tradition of putting patients’
needs first. “Something chiropractic patients have historically said is that we
listen to them; we keep them in the center; we treat them as a person, not as a
number or condition.” For this reason chiropractic can be an ideal component
of an integrated, whole-person approach to cancer treatment.
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