Modern Chiropractic

Dr. Joseph Greenwood going through exercises for neck pain
Dr. Nicole Thornicroft adjusting a patient
Dr. Joseph Greenwood working as a modern based Chiropractor

Typically when people think of Chiropractors, they think of having their back and neck Adjusted (Spinal Manipulation) which may produce that “cracking” noise.  And traditionally that’s what Chiropractors did.  More recently though, Chiropractor’s are being taught to treat using an evidenced-based or research-based approached to care.   This approach combines condition specific therapies, and research backed approaches to conditions of every joint in the body, not just the spine.  Some Chiropractors still treat using a more traditional way, some treat a more evidenced based way, and a lot of Chiropractors treat somewhere in the middle.  This is why from one person to the next, there may be a big difference in the assessment and treatment two people may receive, and why there may be a big difference if you went and saw different Chiropractors.  We treat this way, because no two people are alike, and no two peoples’ injury or condition is the same.  And depending on other factors such as 1) stage of healing, 2) severity of injury 3) structures involved 4) beliefs of the injuries 5) co-morbidities or other conditions etc, treatments will differ due to all these reasons. 

     Here at Pro Function in London Ontario, our Chiropractors are evidenced based Chiropractors that combine many different therapies, (not just spinal adjustments) and therapies SPECIFIC to you!.  Educating, listening to you, and combining appropriate therapies takes time, that’s why at every appointment you have at Pro Function your Chiropractor will spend approximately 30 minutes with you, one-on-one, treating you, equipping you with tools for you to use (namely rehabilitation exercises and mobility work) that you can do at home to aid in your recovery and return to function.  At Pro Function our goal is not to make you dependent on our care with routine and repeat appointments; our goal is to help you live the independent, active lifestyle you want and to achieve your goals.

 Our Chiropractor’s here at Pro Function are certified in many different therapies, and use a specific combination of therapies depending on what your condition or injury is (and we treat any area of the body, not just your spine).  First thing we have to figure out, is what is the CAUSE of your injury or pain.  Low back pain for instance, tells us you have low back pain, but not much else.  This is why we would ask a lot of questions about how you injured your back? how long ago? what it feels like? where the pain is? and many other questions.  Low back pain can be caused by many different things, such as a ligament sprain, muscle strain, disc injury, joint irritation, muscle imbalance, muscle weakness, motor control issues, etc.  Well, if we treated all of these different conditions and structures with the same therapy, every-time, our results may not be as good as we would want, plus the human body is much more complicated than that!  Treating a ligament sprain as apposed to a joint irritation, may look like completely different treatments and also require very different therapies.  Also treating an acute “low back issue” and a chronic “low back issue” would look very different as well.  We know this from research.  We have spent many hours taking courses and learning from the giants in the fields of Physical Therapy, Chiropractic, Strength Coaches, Movement Specialists, Rehabilitation Professionals, PHD doctors and researchers etc, to gain as much knowledge as we can.  Again if we only have one treatment to apply to the very complicated human body, and all the different injuries we could sustain, our results may be limited.  We like the quote from one of these courses “if you only have a hammer, everything looks like a nail.”

Check out and click on the therapies below for more information.

In general No!.  Not unless we think there is a specific need to (ie, a fracture, tumour, radiculopathy) and we may also consult with your MD, and other medical professionals if need be, to get other testing done if we think there is a need.  We do not do initial or routine spinal X-rays or base our treatments on x-rays alone.  This is not part of our approach.

We know from research that Spinal Manipulation can help create more movement in restricted joints.  But this technique is just one way in which we can get joints to move better.  So typically no, we will not adjust your neck, unless you specifically have a neck issue, we specifically have a reason to adjust it, your comfortable with it and we have had a discussion about it.  WE DO NOT routinely adjusts necks for “maintenance” care.

A subluxation in Chiropractic terms usually regarded as a misalignment of the spine.  This term has been around for years and is generally part of a more traditional approach to chiropractic care.  Our Chiropractors here at Pro Function do not assess for these misalignments of the spine nor fix them.  This is a different kind of approach, different from our evidenced based approach and hence do not detect and treat subluxations.  We will assess and treat your spine and any condition of the spine, but assess and treat it using research and evidenced based approaches.

     We know from research that Spinal Adjustments (spinal manipulations) can help do a few things treatment wise.  We also know from research, that many other therapies we use are also good for certain conditions and injuries.  Depending on your injury or condition, we may choose to use other therapies which may be of more of a benefit to you in the short and/or long run, depending on your condition.  We know for chronic low back pain, exercise is very important, and passive therapies aren’t highly recommended.  This is why we may choose to set you up with specific exercises to help you get rid of the pain long term, not just treat you for short periods of relief over and over again.

Your first visit to Pro Function consists of a full health history of your complaint, background medical conditions and your overall goals with either Dr. Joseph Greenwood, Dr. Nicole Thornicroft, or Dr. Jordan Kersten.  Following will be a full physical assessment using orthopaedic, neurological, and functional movement assessments to determine the root cause of your condition or injury and then prescribe an evidence based treatment plan that is specifically tailored to you.  This takes time, and we spend usually approximately an hour to so this.  A combination of therapies may be used and almost always exercises will be given to help you recover from your injury..  Click on the icons below to see more about each therapy.

Have some questions? feel free to contact us, or call us to set up a free consultation for you to ask any questions you might have!

                           Some of the Techniques, Systems and Approaches our Chiropractors are Certified In