The Position Of San Francisco Chiropractors In Delivering Health Care Service In The City, Contrasted To Medical Doctors
 
San Francisco chiropractors are licensed by the state of California and operate throughout all the neighborhoods of this metropolitan city, such as Financial District, Sunset District, and the Marina. Most chiropractors are independent practitioners, operating their own private clinic by themselves along with the help of several staff. Others have partnerships, where they function as a group and share revenue and profits. And then there are combination clinics where several chiropractors implement medical services and physical therapy services into the company. These set ups are actually clever business structures that allow the chiropractor to offer services beyond his scope of practice, such as cortisone shots, pharmaceutical prescriptions, and minor surgery and be the chief beneficiary of the earnings generated.

Despite chiropractic being over 100 years old, there persists controversy surrounding the efficacy of chiropractic. San Francisco chiropractors, like their
colleagues across the country continue to find themselves wrangling with public perception and paying out a huge amount of resources promoting their services to the public. The main reason for this is that the chiropractic profession is not as uniform and structured as the medical profession. There are multiple subgroups of chiropractors that disagree on many issues involving chiropractic; for example, whether it should be promoted as primary treatment to address not only muscle and bone ailments but also things like skin problems, neurological problems, and autoimmune diseases. Secondly, chiropractic does not have a partner in the pharmaceutical industry like allopathic medicine does. The pharmaceutical-medical provider relationship, while criticized for being too cozy and having a conflict of interest, still commands the most respect among the population, thanks in part by incessant media messages extolling the virtues of taking medicine for every single abnormal symptom. Advertisements for medicines such as Tylenol,
Fosamax, and Flexoril can be found in newspapers, on bus benches, and the radio. These factors put chiropractic at a great disadvantage in the battle for the consumer's attention and trust. The end result is that a great number of people still are confused on what San Francisco chiropractors do and therefore neglect to choose it. It is approximated that only 11% of the population visits a chiropractor on a regular basis.

The medical doctor, or MD is by public consensus the gatekeeper provider type to medical care in this country. In other words, they are the primary care doctor or portal of entry provider for anyone needing medical care, and all other provider types are subordinate and depend on authorization from the primary to treat patients. This is the root of conflict with chiropractors, as medical doctors insist that chiropractic training is not on par with educational requirements for the MD degree. There is still interdisciplinary rivalry between chiropractors and medical doctors, where many medical doctors advise against seeing a chiropractor. However, there are exceptions. In San Francisco as in many other cities you will find teamwork between chiropractors and medical doctors, where each provider refers to the other regularly, in the best needs of the patient.
For example, a medical doctor may refer to a chiropractor a patient who is suffering from lower back pain and is not responding to pain medications and physical therapy. Likewise, a chiropractor may refer a patient to a medical doctor if he suspects that a patient's pain complaints are organic in nature. This is essentially the way our medical system should operate.

So, when should you make a decision visiting a San Francisco chiropractor? Basically, if you are experiencing pain, loss of mobility, or both as a consequence of physical, non-emergency trauma such as a sports accident or minor car accident; or perhaps are experiencing chronic spinal pain of unknown origin. The chiropractor will assess you to determine if your condition is treatable through chiropractic methods or calls for referral to an
MD specialist. If it is concluded that you are a candidate for chiropractic care, the chiropractor will utilize a combination of chiropractic adjustments, modalities like muscle stim and traction, and finish with exercise rehab to strengthen your weak areas.

In summary, it is important for patients to differentiate between the treatment techniques of a chiropractor and a medical doctor so that they can select the appropriate type of care for their problem.

Secondly, if one chooses to visit one of the many San Francisco chiropractors providing chiropractic care in the City, like most professional services it is a good idea to get a referral from an acquaintance, or even your medical doctor.

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