Q: Is chiropractic safe?

ACA Chiropractic Safety0001

Canadian Chiropractic Association Safety0001


Q: Will the treatment hurt?

A: Chiropractic adjustments are very safe and rarely cause any discomfort.  Even small children and the aged enjoy the treatments, and the feeling of relaxation that follows.  However, each individual is different and pain thresholds do vary. Therefore, Dr. Cyriacks will evaluate each person on a case by case basis and apply treatment accordingly.  If there is a chance that the treatment will cause some minor pain he will tell you in advance and discuss your concerns.  The doctor is proficient in a number of different ways to adjust the spine, and will choose the technique that results in the least amount of discomfort for you if that is your concern.

Q: Do I have to take my clothes off?

A: The examination and subsequent re-examinations do require the skin on the back be exposed for instrumentation and initial observation; pants and undergarments will remain on and a medical gown open in the back will be worn.  After the instrumentation portion of the exam is complete the patient may get dressed. However, if you feel uncomfortable for any reason at all you may leave your shirt on, and the instrumentation portion of the exam will not be performed.  All chiropractic adjustments are given while you are fully clothed.  It is recommended, however, that you do wear comfortable clothing that is loose fitting during your appointments due to the physical nature of the treatments.

Q: What is that “cracking” noise heard during an adjustment?

A: That noise is called a cavitation.  It is simply the release of gasses that are dissolved in the synovial fluid that is in every joint.  That fluid nourishes the joint and provides lubrication for it.  When a joint is taken through its full range of normal motion, using a distractive force like a chiropractic adjustment, the joint surfaces separate from each other undergoing the process of cavitation.  A negative pressure is created in the intra-articular fluid forming a gas bubble. The gas escapes occasionally, making a slight popping sound.  A similar phenomenon occurs when a bottle of champagne is opened; the cork is removed and the gas escapes, making the infamous “pop.”  The joint sound is not harmful.  It is not even a sign that the adjustment has taken place, only that the joint has been taken through its full range of motion.  In fact, Dr. Cyriacks is proficient in a number of techniques that involve no “popping” or “cracking” at all.  If the sound makes you a little queasy or you are uneasy about having your neck “cracked” just let the doctor know because you are not alone.  Alternative methods for adjusting the spine can be discussed.

Q: Do I HAVE to get “cracked?”

A: No.  There are several effective ways to adjust your spine, and you do not have to be “cracked.”  Discuss this concern with Dr. Cyriacks during your consultation and he will go over the alternative treatments for removing the Vertebral Subluxation, such as S.O.T., toggle recoil, and activator with you.

Q: Is chiropractic safe for children?

A: Yes.  In fact due to the risks associated with current medical treatment it is becoming more and more common for children to be adjusted these days.  The treatments are very gentle and are more like stretching rather than the treatments adults receive.  The reason is children’s bones are not fully formed (ossified), but their joints function the same way adult joints do, and therefore can become subluxated (misaligned).  Just think about how many times a child will fall as they learn to walk…or think about how many times a toddler falls (and occasionally hits their head) as they learn to master their bodies.  Many mothers in our practice have noticed a connection between their children getting adjusted and a decrease in colds, or irritability.  While others have reported that after adjustments their children breathe easier, poop more frequently, are less colicky or sleep through the night.  Dr. Cyriacks has two children of his own that he has adjusted since the day they were born.

Q: What will happen during my first visit?

A: When you arrive at the Teaneck office you will be greeted, and given a set of forms to fill out.  These forms include a case history, Patient Confidentiality, Signature on File, Informed Consent, and an understanding of financial responsibility form.  Then you will be taken into the treatment room with Dr. Cyriacks where you will discuss your case, and history at length also discussing the risks that may be involved.  It is at this time that he will decide if your condition is a chiropractic case, or whether a referral to a specialist would be more appropriate.  If your case would benefit from chiropractic care he will conduct a thorough physical exam on you, focusing on the Vertebral Subluxation Complex and associated biomechanical dysfunction. If possible Dr. Cyriacks will discuss the results of your exam immediately after the testing is complete rather than sending you home and making you wait.  This is done primarily to put the patient at ease, realizing the anxiety many patients feel after suffering from pain or dysfunction for a period of time.  Depending on the results and the information collected from the history treatment may begin on this visit.  However, if there are positive findings that indicate the possibility of a deeper problem Dr. Cyriacks will require further studies such as x-ray, MRI, CT scans, or blood work.  Occasionally after examination the determination is made to refer to another specialist. Therefore no treatment will be given in this case.   A follow-up visit will be scheduled until the information needed is received, and you will be given instructions on how to make yourself more comfortable until you return.

Q: Does the doctor take x-rays in the office?

A: X-rays are not taken in the office.  However, if films or other studies are needed in order for treatment to proceed Dr. Cyriacks works closely with a few excellent local imaging centers and labs who are staffed with highly trained medical doctors, and technicians.  Accurate reports of their findings are usually provided to Dr. Cyriacks within 48 hours.  For emergencies a “wet read” can be obtained so that Dr. Cyriacks has the information necessary to begin treatment within minutes of the films being taken.  These imaging centers and labs also accept most insurance plans.

Q: Are chiropractors really doctors?

A: Yes.  The degree one receives upon graduation from chiropractic college is a D.C. which stands for Doctor of Chiropractic.  The degree one receives upon graduation from medical college is an M.D. which stands for Medical Doctor, and similarly a Doctor of Osteopathy has a D.O.  The core education of different doctors is quite similar actually.  Chiropractors are required to take more anatomy and radiology in their core curriculum than medical doctors, however, M.D.s take more pharmacology and gynecology than chiropractors do.  The word “doctor” traditionally means “learned one”  Dr. Cyriacks has a bachelor’s degree in Biology with a concentration in Chemistry, as well as a Doctor of Chiropractic degree which was awarded with honors in 1992.

Q: Are chiropractors educated?

A: The education of chiropractors is intense.  After college a candidate will apply to a chiropractic college.  There are only a few accredited chiropractic colleges worldwide so competition is incredible.  Once enrolled, the student is immersed in an intensive program heavily weighted in anatomy, neurology, and biomechanics, but include courses in everything from pediatrics, obstetrics and gynecology, histology, biochemistry, psychology, radiology, ethics and philosophy.  The formal education of a chiropractor is completed over a course of 3 1/3 years taken in trimesters.  There are 3 trimesters in one academic year, as compared to the traditional semester in which there are two per academic year.  What this means is that a student will have a course load of 30-35 hours (credits) per trimester, as compared to the average 15 credit hours per semester.  There are no summer vacations, or spring breaks for students on a trimester schedule.  A two week break between trimesters is the standard.  If done on a semester schedule, a chiropractor’s education would take approximately 5 years to complete.  Once the formal education is completed the chiropractic student will enter into the clinical phase of their education where they can apply all they have learned.  This phase lasts approximately one year.  Their clinical skills are monitored and refined by a team of licensed professionals, including chiropractors, medical doctors, nurses, physical therapists, and PhDs.  Throughout their education, in addition to their normal overwhelming course load, the students must pass a series of rigorous National Board Exams.  These exams are cumulative and there are 4 of them.  Without passing grades on these exams the students are unable to continue on.  Upon graduation from chiropractic college, and receiving their Doctor of Chiropractic degree, the new chiropractor must now pass licensing exams in each state that they wish to practice.  Once in practice in a particular state the chiropractor must take continuing education courses in order to maintain their license.  In New Jersey a chiropractor needs 30 hours of continuing education classes per license renewal.

Q: How much will it cost?

A: The fees are as follows:

Initial consultation and exam     $95

Spinal adjustments                        $65

Well Check                                       $25

Children 12 yrs & under               $25

Re-examinations                            $40

Q: How long will it take to start feeling better?

A: Obviously everyone is different, and conditions vary (often dramatically)  However, if chiropractic is going to work for an individual the majority of people will see improvement within 2 to 5 visits if the condition you are seeking relief from is related to the Vertebral Subluxation Complex.  Most improvement occurs within 10 to 15 visits at which time the patient is reevaluated and treatment options will be discussed.

Q: What are my treatment options once I’m feeling better?

A: The first option is to shake hands  and say “Thank you, I will call you when it starts acting up again.”

The second option is to refer the patient to one of the excellent Physical Therapists the office works with.  There are no physical therapists at our office and there is no quid pro quo associated with these referrals.  Dr. Cyriacks is an excellent chiropractor but a mediocre (at best) physical therapist.  Occasionally we find that the subluxation being treated keeps returning at a higher rate than expected (all subluxations eventually return due to toxins, traumas, and tension that we are exposed to… and our bodies all have stress reactions resulting in our unique subluxation patterns)  When a higher rate of subluxation return is encountered the physical therapist and Dr Cyriacks will work together to make sure the patient is stabilized with therapy and chiropractic adjustment being given alternately.

The third option is to enter into a preventative care program.  People often choose this path because of the benefits chiropractic has had on their life and overall well being.  Also, many choose this option rather than possibly having the initial problem return (for a number of reasons) and going through the pain that brought them into the office in the first place all over again.  A preventative care plan ranges from one visit  every 4 to 6 weeks, depending on fitness level and lifestyle.

Q: Can I get adjusted if I have no pain? 

A: Yes.  In fact, after 25 years in practice a majority of the patient’s seeking care at our office are here for Dr. Cyriacks to check them for subluxations, and to adjust the spine before they become more serious.

Q: Is payment due when I am first treated, or do you bill me?

A. Payment is due when services are rendered.  A receipt can be given to you in order for you to receive reimbursement from your insurance company providing you have out of network coverage.  If you are unable to pay the balance due at the time of your visit billing arrangements can be made.

Q: Does the office accept insurance on assignment?

A:  No.  Payment is due the day that care is given.  If financial hardship is a concern please speak with the doctor or staff so we can make arrangements with you that will not prohibit you from seeking care at our office

Q: Is Dr. Cyriacks a participating provider with any of the major insurance companies?

A: Dr. Cyriacks is contracted with Medicare on a Non-Par basis.  In other words the Medicare patient will pay the office at the time of visit, and insurance claims will then be sent in on their behalf.  Insurance reimbursement will be made directly to the patient if Medicare deems that treatment is medically necessary.  Medicare does not pay for regular chiropractic care or the management of subluxations, and will only consider acute conditions for payment.

Other than that Dr. Cyriacks does not participate  with any Major Insurance Providers.

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