Your Experienced Chiropractor in Silver Spring Maryland

Providing quality chiropractic care and physical therapy to those seeking a chiropractor Silver Spring.

Altacare Chiropractic and Rehabilitation

FAQ for Altacare Chiropractic

1.Does Altacare Chiropractic accept my insurance?

Yes, Altacare Chiropractic accepts most major insurance plans and  PIP claims for auto accidents. We coordinate directly with your insurance provider to ensure your treatments are covered, allowing you to focus entirely on your recovery. Check your coverage via our New Patient Information.

2. Can a chiropractor in Silver Spring help manage scoliosis without surgery?

Yes. At Altacare, we provide non-invasive scoliosis management focusing on spinal alignment, posture correction, and specialized exercises. Our goal is to reduce pain, improve mobility, and prevent further curvature progression. Dr. Shane Cradic utilizes specific adjustments tailored to the unique biomechanics of scoliosis patients.

3. What should I expect during my first visit to Altacare Chiropractic?

Your first visit involves a comprehensive consultation where we review your medical history and perform a physical exam, including orthopedic and neurological testing. Dr. Cradic will discuss your diagnosis and create a personalized treatment plan. Most patients receive their first adjustment during this initial visit to begin the healing process immediately.

4. How many sessions are needed to see results for chronic back pain?

While every patient is different, most notice significant relief within 3 to 6 sessions. Chronic conditions may require a more structured "Loading Phase" of 2–3 visits per week initially, followed by a "Maintenance Phase" to prevent relapse and ensure long-term spinal health.

5. Is chiropractic care safe if I’ve had spinal surgery?

Yes, chiropractic care is safe post-surgery, provided the surgical site is fully healed. Dr. Cradic uses "low-force" techniques to treat the areas above and below the surgical site, which often overcompensate and cause secondary pain. We always review your surgical history and X-rays before beginning treatment.

6. What is the difference between a chiropractor and a physical therapist for sports injuries?

Chiropractors focus on the relationship between the spine and the nervous system, using manual adjustments to correct joint dysfunction. Physical therapy focuses more on muscle strengthening and movement patterns. At Altacare, we often combine both approaches—adjusting the joint and providing rehabilitative exercises—to ensure a faster return to sport.

7. Are chiropractic adjustments safe during pregnancy?

Absolutely. Chiropractic care is a safe, drug-free way to manage the back pain, sciatica, and pelvic pressure associated with pregnancy. We use specialized tables and gentle techniques that avoid pressure on the abdomen, helping to align the pelvis for a more comfortable pregnancy and delivery.

8. What causes the "cracking" sound during an adjustment?

The sound, known as a cavitation, is simply the release of gas bubbles (oxygen, nitrogen, and CO2) from the fluid surrounding the joint. It is not the sound of bones rubbing together. This pressure release often results in an immediate feeling of relief and improved joint mobility.

9. Can Altacare Chiropractic treat carpal tunnel or migraines?

Yes. Many migraines are "cervicogenic," meaning they originate from neck misalignment. Similarly, carpal tunnel symptoms can often be traced back to nerve compression in the neck or shoulder. By adjusting the spine and extremities, we can often alleviate the root cause of these symptoms without medication.

10. Do I need a referral from my primary doctor to see a chiropractor in Silver Spring?

In the state of Maryland, chiropractors are considered primary care providers for musculoskeletal issues. You can Schedule an Appointment Online directly without a referral from a MD, though we are happy to collaborate with your existing medical team.  Please note: some HMO plans may require referrals.

Chiropractors take a natural approach to the treatment of chronic pain and common injuries. Using traditional chiropractic adjustments and physical therapies, we strive to accomplish your health goals.

At Altacare Chiropractic, serving the Silver Spring and surrounding communities with quality chiropractic and rehabilitative healthcare is our goal. Our services integrate chiropractic care and physical therapy modalities to provide optimum results. It is our priority to customize an effective treatment plan to maximize results. We take a whole body approach to treating chronic neck and back pain, headaches, joint pain, sports and car accident injuries.

Chiropractic care focuses on the alignment, mobility, and function of the musculoskeletal system. Misalignments of the joints in the spine can also cause dysfunction of the nervous system by putting direct or indirect pressure on the actual nerves. Slight misalignments of the spine can be caused by previous accidents, injuries, or posture imbalances. Chiropractic adjustments aim to correct these misalignments and restore proper function of the body.

Meet the Doctor
Dr. D. Shane Cradic

Services

The power that made the body, heals the body

Chiropractic Care

This pain is getting worser by the hour

Back Pain Treatment

Painful neck ache after fender bender car crash

Neck Pain Treatment

Concerned driver with defocused traffic accident

Auto Injury Treatment

Sportsman feeling backache at a park

Sports Injury Treatment

Dangerous accident during work

Work Injury Treatment

medical illustration of inflamed sciatic nerve

Sciatica Treatment

back of upper half male body left hand grabbing right shoulder pain glowing red

Shoulder Treatment

Location Details

Address

8701 Georgia Ave #507
Silver Spring, MD 20910

Phone

(301) 608-1545

Social

office
Day Hours
Sunday Closed
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 7:00 PM
Wednesday 9:00 AM - 7:00 PM
Thursday 9:00 AM - 7:00 PM
Friday Closed
Saturday Closed

Chiropractic and Physical Therapy

Two Montgomery County downtown Silver Spring public parking garages are located next to the office on Cameron Street on either side of Georgia Avenue.  

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Hablamos EspañolSi está buscando un quiropráctico cerca de mí en Silver Spring, MD, Altacare Chiropractic and Rehabilitation le puede ayudar. Ofrecemos tratamiento especializado para el dolor de espalda, cuello y lesiones por accidentes de carro. ¡Contáctenos hoy mismo!

We proudly serve Silver Spring, Takoma Park, Chevy Chase, Wheaton, NW Washington DC, NE DC, Hyattsville, College Park, Rockville, Bethesda and surrounding areas with quality chiropractic care. As a chiropractor in Silver Spring MD, we are conveniently located approximately two blocks from the downtown Silver Spring metro.

Accident Reconstruction, Whiplash, Minor Vehicle Damage

(Part one)

First, the mass of each vehicle is relatively easy to measure. However, the cars are rarely, if ever, weighed, and usually the mass is determined by published data for each particular car model. This can be inaccurate, especially if one of the vehicles was carrying a heavy load or a number of passengers, or if the cars were modified in any way. So, immediately we have some uncertainty thrown into the analysis.

The second issue is v10, or the closing velocity of the crash. Without sophisticated equipment placed on both vehicles that would measure the speeds of each at the moment of impact, there is no way to accurately determine this number. Some accident reconstructionists simply use an estimate of what the witnesses state after the accident. A skilled engineer could examine the damage to the cars, and provide a rough estimate of the closing speed, but it would be an estimate of a range of possible speeds, and not a definitive speed. Furthermore, such analysis is seldom done on vehicles in low speed crashes. Frequently, the AR will simply begin with a low estimate of the crash speed, based upon what the at-fault driver states as the impact velocity.

Third, the coefficient of restitution also causes problems for the AR, because the only way to determine this number is to take identical cars, crash them together under conditions identical to the collision, and measure the amount of elasticity. This would be very expensive and impractical and is almost never done. The AR simply uses an estimate for this number that cannot be known for certain.

The last two portions of the equation—external forces and duration of collision—are not that important, as these variables are multiplied by a very small number:

External forces

But again, these numbers are virtually impossible to determine. What are the external forces on the vehicles? To calculate this you would have to know whether the cars were on an incline, the condition of the road surface, whether either occupant hit the brakes, et cetera. There is simply no way to accurately measure these factors. As for the duration of the collision, or the Dt, a typical collision ranges from .1 to .2 seconds, but again, this is a range of values, and provides no certainty.

The bottom line is that we cannot calculate an accurate estimate of the Dv of the target vehicle without these important pieces of information. We might be able to estimate a range of possible Delta Vs after a careful analysis by an engineer, but this would still just be a range of values. (Δv—or the “change in” velocity—is important, because it is used to calculate acceleration; it is the rapid acceleration of the occupant that can cause injury in a crash.)

Despite the fact that you cannot accurately calculate Dv after a crash, many accident reconstructionists go even further, and provide a “calculation” of peak occupant acceleration. This is impossible. First, we don’t even know what the Delta v of the collision was, and because of that, we cannot calculate the acceleration of the target vehicle. Even if we did know the peak acceleration of the vehicle, however, we would still have no idea of the occupant acceleration, simply because of the huge number of variables that come into play (i.e., seat type, seat surface material, seat angle, occupant mass, occupant position, occupant gender, head position, et cetera).

The impossibility of accurately calculating occupant acceleration was clearly demonstrated by Siegmund et al. In this very well done study, the authors performed 39 test collisions with live occupants at 8 km/h (about 5 mph). In these carefully controlled tests—using the exact same vehicle, seat and test conditions for each crash—they found that the occupant G forces ranged from 6.7 to 12.0! That’s nearly a factor of two, in a carefully controlled environment. In the real world, these differences would be magnified to such a degree, that we couldn’t even begin to predict what the occupant forces might be.

In summary, understanding the basic math behind low speed crashes is important. The old maxim, “Garbage in, garbage out,” best sums up the problem of calculating accelerations after the fact. If there is no certainty of the inputs to the equation, the result of the equation is questionable at best.

  1. Emori RI, Horiguchi J. Whiplash in low speed vehicle collisions. SAE 900542. 1990,103-108.
  2. Seigmund GP, King DJ, Lawrence JM, et al. Head/neck kinematic response of human subjects in low-speed rear-end collisions. 41st Stapp Car Crash Conference, 1997. SAE 973341;357-385.