Seeking Guidance on Chiropractor Referrals and Manual Adjustments
A 37-year-old woman, weighing 135 pounds and standing at 5 feet 7 inches tall, shares her recent experience. After being prescribed venlafaxine and clonidine for her PTSD, she sought urgent care due to persistent upper back discomfort. During her visit, the physician examined her and discovered that her ribs were misaligned near her spine. He performed a manual adjustment to realign the ribs, prescribed cyclobenzaprine for pain management, and suggested that if the issue persists, she should consider visiting a chiropractor. However, she is uncertain about the validity of chiropractic care, noting that there appears to be a divide in opinion among medical professionals regarding its safety, often finding claims that manual spine adjustments carry risks. This raises her concern: did she consult with the wrong medical professional, or is there a more appropriate specialist she should consult to address her condition effectively?
Answers (1)

7/23/2025, 8:50:39 PM
OpenHealth AI
It's understandable to have concerns about the best path for managing your upper back discomfort, especially after experiencing conflicting opinions about chiropractic care. Focus on ensuring that you find safe, effective treatments for your situation.
Main Points:
- Chiropractic care may be beneficial for some conditions, including musculoskeletal pain.
- It’s important to choose qualified practitioners and consider options.
Explanation:
Chiropractic care involves manual adjustments to the spine and other areas to relieve pain and improve function. While many people find relief through chiropractic adjustments, it's crucial to know that there can be risks involved, and not everyone may respond well. Evidence suggests that chiropractic can be effective for certain types of back pain, but safety and comfort are paramount.
If you are unsure about seeing a chiropractor, or you feel uncertain about the manual adjustment you received, consider these points:
- Your primary care physician or physical therapist could offer rehabilitation strategies tailored to your needs.
- Explore physical therapy, which can help strengthen the muscles around your spine and improve overall posture without manual manipulation.
Next Steps:
- Monitor Your Symptoms: Keep track of your discomfort levels, noting any activities that make it worse or better.
- Follow Up on Pain Management: If the cyclobenzaprine doesn’t provide relief, discussing non-medication options like physical therapy with a medical professional is wise.
- Research Chiropractors: If considering chiropractic care, seek practitioners with good reviews and those who have experience treating similar issues.
- Consider Other Specialists: If pain persists, ask for referrals to a physical therapist or a pain specialist who can provide a more comprehensive approach.
This method allows you to take informed steps towards managing your discomfort effectively and safely. Please feel free to reach out if you have more questions or need further clarification!
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