Kapil Deswal is in private practice in Etobicoke, Ontario.
He has successfully treated low back pain, neck pain, nerve pain,
headaches, whiplash injuries, and work and sports related injuries.
He believes in a holistic approach to patient care, and is committed
to his patients in healing and recovery.
details at the bottom)
CHIROPRACTIC Safe and
Effective Health Care
year after 9-11, a Chiropractor tells his story from ground Zero
you a candidate for orthotics???? Read
More of your Questions????
little insight to your questions Read
Safe and Effective Health Care
has been a lot of media attention about the safety and effectiveness of
The following information talks about Chiropractic vs. other
treatment options and their risks.
This article also deals with the reason and the motive behind
this media coverage.
care is widely recognized as one of the safest, drug-free, surgery-free
therapies available for the treatment of back and neck pain, headaches,
and other musculo-skeletal conditions.
Few other therapies can demonstrate a better safety record for
the treatment of spinal pain syndromes.
course, no health treatment is completely free of potential adverse
effects. Even common over-the–counter medicines carry a risk.
Fortunately, the vast majority of adverse effects associated with
spinal adjustment are typically minor and short-lived.
safe is neck adjustment?
is a rare risk of stroke or stroke-like symptoms associated with
adjustment of the neck. The
most recent research published in 2001 in the Canadian Medical
Association Journal puts the risk at one in 5.85 million adjustments1.
Reports on the subject over the past 40 years present a range of
estimates based on different research methodologies.
However, all of the published studies to date agree that the risk
is extremely low. Overall,
a ration of one to two cases per million neck adjustments represents a
conservative and generally recognized estimate.2 That is less than your
risk of getting struck by lightning or of dying while skiing or playing
soccer.3 Most chiropractors
do not have a single case of a patient experiencing serious
adverse effects during their entire professional lives.
How does that compare to other risk factors?
There are many risk
factors for stroke including blood clotting problems, hypertension,
smoking, high cholesterol, use of birth control pills, heart problems
and trauma such as sports injuries or blows to the head from accident. All carry a greater degree of risk than spinal adjustment.
or stroke-like symptoms are also associated with many normal everyday
activities such as cradling a phone between your ear and shoulder during
a prolonged conversation, having your hair washed at a beauty parlour,
dental procedures, painting a ceiling, and turning your head while
driving. Strokes occur
spontaneously in some people for no apparent reason.
are the risks for other therapies?
adjustment is significantly safer than other common therapies for back
and neck pain and headache. Long-term
use of non-steroidal anti-inflammatory drugs for pain cause 1,000
serious complications and 100-200 deaths per million cases. Surgeries for neck and back pain cause 15,600 cases of
paralysis or stroke per million cases, and 6,900 deaths per million.
neck adjustment a forceful action?
it is not. Neck adjustment
is done within the normal range of motion.
This normal range is less than what is required to turn your head
when backing up a car. Adjustment
of a joint is a highly skilled procedure, which requires relatively
little pressure. This has
been clearly demonstrated in studies to determine the degree of physical
stress applied during adjustment.
is skill, not strength, that is needed to conduct a safe, effective
education in Canada is an intensive four-year program following three
years of university undergraduate studies.
By the time they graduate, Canadian chiropractors are among the
most skilled in the world.
has there been media attention focused on neck adjustment?
has been recently directed to neck adjustment by a group of neurologists
called the Canadian Stroke Consortium.
The Consortium has, on a number of occasions, publicized alarmist
data from an incomplete survey based on a questionnaire.
The Consortium has never revealed what method it is using for
confirming whether the cases of stroke it reports are in fact associated
with neck adjustment, Until such time as the survey is published in a
peer-reviewed medical journal where the survey design and conclusions
can be evaluated by medical peers, it should be viewed with scepticism
the medical profession regard neck adjustment as safe and appropriated
Most chiropractors have excellent relationships with physicians and
cross-refer patients on a routine basis.
Depending on a patient’s problems, their care may be co-managed
by both a doctor of chiropractic and a medical doctor.
Further evidence of the respect which chiropractic has within the
medical community was the presence of Canadian chiropractors on the
health care team for Canada’s athletes at the 2002 Winter Olympic, as
well as previous Olympics and Pan AM games.
from the Canadian Chiropractic Associations handout on “safety and
effectiveness of Chiropractic Care”)
year after 9-11, a Chiropractor tells his story from ground Zero
am, Tuesday, September 11, 2001, my fiancée Hope and I were safe inside
our new apartment just two short blocks from the World Trade Center
anxiously awaiting delivery of a new platform bed.
My fiancée’s daughter readied herself for school and at 8:10
o’clock left for the subway that ran from Rector Street beneath the
World Trade Center to Greenwich Village Middle school.
Around 8:20 a.m., three deliverymen arrived with the bed and
began assembling it, chatting all the while about grabbing a cup of
coffee near the World Trade Center.
After they assembled the bed, they left.
I heard a loud explosion and shouted, “What was that? Was that
thunder?” Our air
conditioner clearly shifted its position within the window.
A few minutes later we heard screams and looked outside from the
third story window. People were running through the streets.
I hurried downstairs to see what was the matter.
Hundreds of people were racing toward me, and that’s when I
looked up. The top of the World Trade Center was on fire!
outside said a plane had crashed into the World Trade Center.
Returning to the apartment, I told Hope I felt something bad was
happening and that we should probably get going.
I ran back outside and waited with my chocolate Labrador as
Noreen went to shower and got dressed. I watched as Police officers and
Fire fighters rushed towards the tower.
Though unsettled, I sensed no immediate danger.
Then, as I stood amid the commotion, a huge fireball shot out of
the other tower and I saw what looked like the tail end on airplane
enter the other tower! I watched with horror as fires now enveloped both towers.
I stood there for a while, my eyes glued to the horrific sight.
I went back to my apartment calling out to Hope: “We should
really get out of here!” As
she came into view, we both heard a tremendous rumble.
It felt like an earthquake.
Darkness descended and our apartment began to fill with dust and
dirt. There was a deadening
silence I will never forget. Them
the screams began to puncture an otherwise dead silence.
our door, the hallway was thick with black smoke.
Downstairs the lobby began to fill with people struck dumb with
terror. A man in a business
suit covered in white soot and hyper-ventilating looked at me and said,
“The tower came down.” I
will never forget that look. I’ve
seen frightened people, and I’ve seen dazed expressions of disbelief;
this was the first time I saw both on one mans face.
we were encased in rubble and trapped in our apartment building, I
thought, “Should we run to the basement or to the roof top?” Smoke
poured in and people panicked. Immediately,
we returned to our apartment to save our two dogs.
Hope grabbed paper towels, wet them and we put them over our
noses so we could breathe. Someone
was yelling that our roof was on fire.
headed toward the basement. Our superintendent’s wife, who was eight
months pregnant, was screaming for her husband and son.
I tried to calm her and explained that everything would be fine,
but she continued wailing hysterically. I seems her husband and son had
set off for the World Trade Center earlier that morning.
She hadn’t seen them since.
Outside, we stepped into an apocalyptic wasteland.
People ambled about, dazed, and covered in soot and blood.
Debris showered down like confetti, obliterating the sun. Hope put Mickey, our toy Pomeranian, under her shirt to cover
her. We then joined the
crowd running down Greenwich Street toward Battery Tunnel.
A police officer waved everyone towards the South street. People
in the crowd conversed in disbelief; others screamed.
Names were muttered. “Where’s Mike” “Where’s Rajan?”
“Did he get out?”
we continued toward the Fulton Street Fish Market we felt the ground
quake, erupting into a booming rumble. I looked over my shoulder but
could see only dirt and smoke, not quite sure what was happening. Then
it dawned on me – I had heard that sound before. The second tower was coming down! A huge cloud billowed toward us- thick and black, folding in
on itself as it raced outward and consumed everyone in its path.
I felt as though it were the end of the world.
We coughed and choked. My
dog’s head and tongue were caked with heavy black soot.
wasn’t until we approached the fish market that I began to glimpse
blue sky off in the distance. Concerned
about Hope’s daughter, we went to her school, and it was a mass of
confusion. The schools’
near the World Trade Center had emptied their students there.
Ultimately we found Hope’s daughter unharmed.
Thursday, my friend J. Vilkelis, D.C., associate Lisa Francey, D.C.,
’00, and I travelled to the Red Cross Station an elementary school in
China town. We climbed into a van along with some Red Cross workers who
were delivering packages and wound up at a relief station near ground
zero. In Stuyvestant
‘high school there was a huge medical triage on the mail floor.
We announced to the staff that we were Chiropractors and we
wanted top help. We were
directed upstairs, where several chiropractors had already set up
tables. We helped them adjust as many people as we could.
ultimately obtained access credentials for Ground Zero and helped rescue
workers and firefighters on site. We
adjusted their midbacks while they stood, and then worked on their necks
as they squatted and sat on the ground.
As each person received their adjustment, others became more
eager for theirs. We continued late into Friday evening.
W adjusted hundreds of people.
I visited my apartment building, which happened to be located
next to a gym where FEMA (Federal Emergency Management Agency) task
force was headquartered.
rescuers expressed great appreciation.
After one of the Chiropractors adjusted one of the commanders low
back, another claimed it was the first time he had seen him smile in 3
days. We continued to adjust thousands!!! I recall twelve firefighters who were taking a short break
and sitting on miniature chairs near the collapsed towers.
Bobby and I asked if anyone needed an adjustment.
They shook their heads entirely consumed in their efforts to find
fellow firefighters. Ultimately,
I convinced one of them to stand for a moment.
I took hold of his arms and gave him a standing adjustment.
I then asked him to sit as I performed a seated cervical
adjustment. The others
watched in amazement; many of them had never been adjusted before.
As we worked and as we joked, smiles replaced solemn faces.
As me and another chiropractic colleague walked away, we felt
good that we could make them smile and laugh, even for a few seconds.
came across DMAT, which is a federal disaster medical assistance team.
We asked them if they needed our help.
The place was set up like a huge medical triage but there were no
medical survivors. The
captain said, “ We can use your help.
Your services have been requested!!!!”
We were given DMAT badges and give free reign to help all we
has come a long way. We are
in the front lines of every aspect of health care. Chiropractic is now a
profession that stands at par to Medicine, and Dentistry in our Naval,
Army, and Air force services. I
guess by many an organizations, Chiropractic now is deemed: “The Right
is a new way of life. Why
are you scared about Chiropractic?
Call me if you have any questions.
I’m here more so to teach you about what I do, rather than harm
you based on your fears. I’m a simple person who will always give you
simple and straightforward answers to your questions.
Don’t trust me, ask me all the questions you want, and I’ll
help you understand what Chiropractic is and how I can bring this
wonderful health care to our community.
note, NYC experience was part of an experience talked about at the NYCC
“Transitions” magazine. All
facts are real, authentic, but the names have been protected to ensure
privacy of the participants. Any further concerns can be directed to Dr.
ALL FEET ARE CREATED EQUAL!
YOU A CANDIDATE FOR ORTHOTICS????
structure of your foot supports your entire weight.
Your feet are a complex system of 52 bones, 66 joints, 214 ligaments
and 38 tendons and muscles, containing 25% of all the bones in your
body. In your lifetime,
your feet will take over 100 million steps, with every step making an
impact on your body. The slightest misalignment of muscles and bones
can cause many different problems.
symptoms of faulty foot mechanics may begin with any of the following:
can you do?
Chiropractor can prescribe foot orthotics to help correct your body/foot
are prescription orthotics?
orthotics are medical appliances that are custom made to correct your
specific foot imbalance. Orthotics
work on feet in the same way braces work on teeth – by exerting a gentle
consistent pressure to bring foot muscles and bones into proper alignment.
They fit comfortably in shoes and are usually made of flexible
moulded thermoplastic. The
devices are always made from custom precise impressions taken of your
do they help?
feet are the foundation of your entire body.
They do an incredible amount of work each day.
The smallest imbalance can cause a great deal of discomfort,
but properly fitted prescription orthotics help restore the normal balance
and alignment of your body and bring relief from fatigue and pain.
Orthotics are so comfortable and help your feet work so naturally
that you will want to wear them as much as possible.
wearing of Orthotics?
your shoes your feet rest comfortably on the orthotics.
Your feet are gently and consistently forced into the correct
functioning position for walking, running and standing.
Pressure points, improper rotation of the foot, painful muscle
strain, and abnormal forces on the legs, hips and spine are eliminated
because orthotics enable your feet to function properly.
Does everyone need them?
answer is NO!!! You must
be properly assessed by a professional, like a chiropractor with special
training in orthotic assessment to see if you require the device.
As with any medical device, proper assessment for need and the
correct prescription for the right correction is required. After all, would you wear glasses if you didn’t need them??
and at the same time, even if you needed glasses, you would want the
right prescription for them.
Email us at
if you have any questions or to book your free consultation
to see if you are a candidate for orthotics.
More of your Questions????
won’t really do an exam before treating me? Is this safe?
All good chiropractors should perform an in-depth exam including a
past medical history, a detailed look at your chief complaint,
and an Orthopaedic/Neurological exam before offering you a diagnosis.
By looking at you past medical history and performing these and
other tests is the only way a Chiropractor can advise you if you are a
candidate for Chiropractic care. Otherwise it’s like treating
something blindly. If your chiropractor does not do an
exam on you and explain to you if you are/are not a candidate for
chiropractic care, walk out of that office and find another chiropractor.
What is this
Informed Consent form that I have to sign?
consent form is something a good Chiropractor uses as a consent to
treat form. This form is used after the appropriateness
of chiropractic care for the individual patient is ascertained and
stated to the patient, and the alternative modes of care are also
offered to the patients. This allows the patient to be informed
of the problem being addressed, and how it is being addressed.
All good chiropractors are informing their patients about the course
of treatment and what to expect from chiropractic care. Is yours?
If not, ask for an informed consent form from your doctor of chiropractic.
It is your right!
a new type of Health Care?
at all. Chiropractic care has been around for thousands of years.
Over the past 100 years or so, defining terms like “Chiropractic”,
“Medicine”, “Dentistry” have brought together certain types of care
under respective umbrella names. As a matter of fact, manipulation
as used by chiropractors has been documented as being performed in
ancient Greek and Egyptian times.
Some of my
friends have expressed some concerns about chiropractic safety and
health care procedure has the potential for things to go wrong.
This can range from very minor, such as soft tissue irritation, to
something more serious. You should remember, however, that when
compared to other therapies/procedures, chiropractic is safer and
more effective. In fact, people usually undergo chiropractic
care before moving onto something that might carry a greater risk.
I’d feel better
if I knew that many people visited a chiropractor, are there any numbers?
stats have shown that over 3 million Canadians see a chiropractor
every year. That is approximately 12% of the population.
The good news is that, the number are on the rise as more and more
Canadians discover chiropractic and find out how good they feel when
they include chiropractic in their health care needs.
A LITTLE INSIGHT
TO YOUR QUESTIONS
TAKE CARE OF YOUR
BODY AND YOUR BODY WILL TAKE CARE OF YOU
What is Chiropractic?
Chiropractic is the
science, art and philosophy that concerns itself with the restoration
of good health by restoring and maintaining a properly functioning
nervous system without the use of drugs and surgery. “Chiro”(hands)-“practic”(practice)
is the use of hands to manipulate the spine and the soft tissues to
restore proper function and balance between the neuromusculoskelatal
system (“neuro”- nerves, “musculo” – muscles, “skeletal” – bones).
Chiropractic has shown
very good success rates for many different types of conditions from
back pain, foot pain, neck pain and even headaches. It is important
for you to realize that not all conditions have the same cause.
Back pain may be due to many different reasons ranging from strain/sprain,
arthritis, to kidney problems like stones that are out of the scope
of chiropractic. It is important for a Chiropractor to examine
you to find out if Chiropractic is for you and if not, then refer
you to the appropriate specialist.
Chiropractic is one
of the safest among the healing arts professions. There have
been thousands of reports and research done proving Chiropractic safety
and effectiveness. Due to the conservative approach to Chiropractic
medicine, Chiropractic adjustments are safer than surgery, medications,
and even aspirin.
prevent back surgery?
In many cases, YES.
The spinal cord is a very intricate part of your body that is very
complex in its functions and its position. A lot of orthopaedic
surgeons are very hesitant performing surgeries as the risks outweigh
the benefits of “poking” around in an area and performing a procedure
in a highly neurologically complex region that may end up doing more
harm than good. There are many surgeons opting for conservative
care such as Chiropractic and leaving surgery as a last resort.
Lot of people are not
sure as to what type of education is required to be a Chiropractor.
Chiropractic is a regulated health care profession in Canada and Chiropractors
have the same level of education as your medical doctor or your dentist.
Chiropractors go through an intensive science program involving extensive
training in anatomy, physiology, diagnostic imaging, and general diagnosis.
Where the education differs is in the area of specialties. In
the 3rd and 4th years of a traditional medical
program, students go into rotations for pharmacology and surgery and
other rotations. Chiropractors in that time frame go into specialized
rotations in Diagnostics (Imaging and Diagnosis) and techniques specializing
in neuromusculoskeletal care.
Do I have to go
to a Chiropractor forever?
Some people go to their
Chiropractor or their Medical doctor when they are sick or when they
are in pain. What lot of people don’t realize is that pain and
feeling sick are just the symptoms of an underlying process and not
the problem itself. Unfortunately, a lot of people have a mindset
that they will do whatever it takes to get rid of the pain and once
its gone, they forget about it. Having the cause addressed and
treated is still a little strange to some but the mindsets are changing.
People are starting to realize that, if they have to go to their dentist
every six months for a cleaning or to maintain their teeth so their
teeth wont bother them as they get older, shouldn’t they have their
spine and their joints maintained as well. Same concept.
TAKE CARE OF
YOUR BODY AND YOUR BODY WILL TAKE CARE OF YOU.
are constantly bombarded from the time they are born with false images
of what it means to be healthy. To many, the state of optimum
health is merely an absence of the signs of symptoms that constitutes
a disease. Advertising giants and pharmaceutical companies have
strived and to a great degree succeeded in convincing the large array
of the population that “popping a pill” or “drinking some formula”
will “cure” the disease. That is why most of us don’t think
twice about taking medication, or popping a pill, or even consider
the side effects of any medications.
Do pills work? Absolutely. Medicine has come a long way
in managing situations that require attention after we have misused
and abused our bodies. Many times environmental and genetic
factors place a large role in our state of physical and mental health,
but the key to anything in life is balance. We all require a
“ balance of care” to be optimally healthy in life. If you think
you may know what to do during those times when you get “sick”, don’t
you think you should consider having a plan to make sure that you
Pain pills and “formulas” may mask the symptoms of a problem; in no
way do they cure anything. Pain is a body’s response to indicate
a lack of balance and highlight a problem. If you numb the pain receptors
in the body, then does the underlying problem go away? To illustrate
this point, lets ask ourselves a question: Are headaches caused by
an Aspirin deficiency? Of course not! But this is what
the pharmaceutical companies would like us to believe. Not only
are headaches not caused by a lack of aspirin, but also continuous
aspirin use can have serious side effects, including ulceration and
bleeding of the lining of the stomach not to mention increased rebound
headaches. One needs to understand that headaches are a symptom
of a disease process and not the disease itself. We, as Canadians,
are hiding our poor health with drugs.
am a Chiropractor who is very passionate about what I do. I
am not going to tell anyone not to do something that doesn’t feel
right to them. My message through my articles and my practice
will always be to help people attain a balance in life. If you
can take a minute in your everyday life to think about the type of
gas you put in your car, don’t you think that you can take the time
to ask your doctor and yourself about what exactly is this pill for?
Do I really need it? Side effects? Am I really sick?
My focus through my science, art and the philosophy of my profession
is to try to make you think. Chiropractic is not about your
back. Chiropractic is not about your pain. Chiropractic is about
“The doctor of the future will give no medicine, but will instead
interest his patients in the care of the human frame, in diet, and
in the cause and prevention of disease.”
Kapil Deswal earned his Honours Bachelor of Science degree from the
University of Toronto, and a Doctor of Chiropractic degree from New
York Chiropractic College. He is certified by the Canadian Board of
Chiropractic Examiners, College of Chiropractors of Ontario, and the
National Board of Chiropractic Examiners (United States).
He is in private practice
in Ontario. He has successfully treated low back
pain, neck pain, nerve pain, headaches, whiplash injuries, and work
and sports related injuries. He believes in a holistic approach
to patient care, and is committed to his patients in healing and recovery.
email address is: firstname.lastname@example.org.