San Francisco chiropractors are licensed by the state of California and practice in all the neighborhoods of this metropolitan city, such as Downtown, the Castro District, and Mission District. Most chiropractors are solo practitioners, overseeing their own private facility by themselves along with the help of several staff. Others have partnerships, where they practice as a group and share revenue. And then there are multidisciplinary clinics where several chiropractors include medical services and physical therapy services into the enterprise. These structures are actually clever business structures that permit the chiropractor to offer services beyond his scope of practice, such as cortisone shots, drug prescriptions, and minor surgery and be the main beneficiary of the money generated.

Despite chiropractic being around since 1895, there remains debate surrounding the usefulness of chiropractic. San Francisco chiropractors, like their
colleagues across the country continue to find themselves battling with public perception and spending a huge amount of resources advertising and marketing their services to the public. The main reason for this is that the chiropractic profession is not as homogeneous and structured as the medical profession. There are a variety of subgroups of chiropractors that disagree on multiple issues regarding chiropractic; for example, whether it should be promoted as primary treatment to address not only muscle and bone conditions but also things like asthma, high blood pressure, and digestion problems. Secondly, chiropractic does not have a cooperative relationship with the pharmaceutical industry like allopathic medicine does. The pharmaceutical-medical provider bond, while criticized for being too warm and having a conflict of interest, still garners the most respect among individuals, thanks in part by incessant media messages extolling the virtues of taking medicines for every single abnormal symptom. Advertisements for medicines such as Advil, Celebrex, and Lipitor can be found on the internet , on bus benches, and of course, television. These variables put chiropractic at a great weakness in the fight for the consumer's attention and trust. The end result is that many people still are uncertain on what San Francisco chiropractors do and therefore decline to utilize it. It is estimated that only 11% of the population goes to a chiropractor on a regular basis.

The medical physician, or MD is by public consensus the gatekeeper provider type to health 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 secondary and depend on approval from the primary to treat patients. This is the cause of conflict with chiropractors, as medical doctors insist that chiropractic training is not as comprehensive as educational criteria for the MD degree. There is still interdisciplinary competition between chiropractors and medical doctors, where plenty medical doctors advise against seeing a chiropractor. However, there are exceptions. In San Francisco as in many other cities you will find cooperation between chiropractors and medical doctors, where each provider refers to the other routinely, in the best needs of the patient.
For example, a medical doctor may refer to a chiropractor a patient who suffers from lower spine pain and is not responding to pain drug treatments and physical therapy. Similarly, 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 actually the way our medical system should work.

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 result of physical, non-emergency trauma such as a sports injury or fall; or maybe are experiencing chronic spinal pain of unknown origin. The chiropractor will evaluate you to determine if your condition is treatable through chiropractic methods or requires referral to an
MD specialist. If it is confirmed that you are a candidate for chiropractic care, the chiropractor will utilize a combination of chiropractic adjustments, modalities like
ice and heat, and complete with exercise rehab to improve your weak areas.

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

Secondly, if one decides to visit one of the many San Francisco chiropractors offering chiropractic care in the City, like most professional services it is sensible to get a referral from an associate, or even your medical doctor.

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