San Francisco chiropractors are licensed by the state of California and practice their trade within all the 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 two or three staff. Others own partnerships, where they practice as a group and share profits and expenses . And then there are hybrid clinics where one or two 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 in addition to his scope of practice, such as cortisone shots, drug prescriptions, and minor surgery and be the principal beneficiary of the revenue received.

Despite chiropractic being over 100 years old, there persists contention surrounding the efficacy of chiropractic. San Francisco chiropractors, like their
associates across the country frequently find themselves battling with public perception and having to spend a huge amount of resources marketing their services to the public. The number one reason for this is that the chiropractic profession is not as uniform and structured as the medical profession. There are a variety of subgroups of chiropractors that disagree on many issues involving chiropractic; for example, whether it should be publicized as primary treatment to deal with not only muscle and bone conditions but also things like headaches, irregular heartbeats, and urinary incontinence . Secondly, chiropractic does not have an ally in the drug manufacturing industry like allopathic medicine does. The pharmaceutical-medical provider relationship, while criticized for being too warm and having a conflict of interest, still commands the most respect among the population, thanks in part by relentless media messages touting the virtues of taking medicines for every single abnormal symptom. Advertisements for medicines such as Motrin, Lunestra, and Claritin can be found in magazines, on buses , and the radio. These factors put chiropractic at a great disadvantage in the battle for the consumer's concentration and trust. The final result is that many people still are not clear on what San Francisco chiropractors do and therefore fail to make full use of 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. Stated another way, they are the primary care doctor or portal of entry provider for anyone in need of medical care, and all other provider types are secondary and depend on referral from the primary to treat patients. This is the source of conflict with chiropractors, as medical doctors claim 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 recommend against seeing a chiropractor. However, there are exceptions. In San Francisco as in some other cities you will find cooperation between chiropractors and medical doctors, where each provider refers to the other on a regular basis, in the best interests of the patient.
To illustrate, a medical doctor may refer to a chiropractor a patient who is suffering from lower back pain and is not responding to pain drugs and physical therapy. Likewise, a chiropractor may refer a patient to a medical doctor if he believes that a patient's pain complaints are internal organ in nature. This is actually the way our medical system should function.

So, when should you consider visiting a San Francisco chiropractor? Basically, if you are having to deal with 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 persistent spinal pain of unidentified origin. The chiropractor will evaluate you to determine if your condition is treatable through chiropractic methods or needs referral to an
MD specialist. If it is determined that you are a candidate for chiropractic care, the chiropractor will make full use of 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 individuals to know the difference between the treatment approaches of a chiropractor and a medical doctor so that they can decide on the appropriate type of care for their condition.

Additionally, 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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