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.

Nerve Injury After Auto Accidents

Since 1996, the scientific literature on rear-end collisions has shown that:

  • The spine undergoes an abnormal, s-shaped curve that results in excessive movement in the lower spine,
  • This excessive motion can damage the ligaments of the neck, and that,
  • Ligament injury can cause chronic pain.

Nerve injury after auto injuryThe role of the facet joints in chronic pain after auto injury is bolstered by the fact that when the nerves that innervate the facet joint are "cooked" via radiofrequency neurotomy, the pain in the neck goes away.

What hasn't been determined, however, is the source of the pain. Is it from inflammation or scar tissue in the ligament? Is it pain from the joint? Now a new study from Wayne State University provides some answers.

The researchers in this study decided to look closer at the physiological changes that occur in the injured facet ligaments—specifically, they looked at microscopic changes in the nerves that innervate the joints of the spine.

Lateral forces on neurons can result in damage to the nerve cells—and chronic pain.

The authors performed the experiment on ten live goats. (The researchers used goats in their experiment, because they have a similar structure to human spines.) The goats were anesthetized, and the left facet joint in the C5-C6 spinal segment was stretched similarly to being in a rear-end collision. The right facet joint was left unstretched.

After the experiment, the facet capsules were examined for changes in the axons of the nerves. The facets were photographed, and observers who were blinded to which samples were stretched or unstretched evaluated the images. The authors found the following:

  • All of the samples "demonstrated extensive innervation" both superficially and deeply. This is important, as it shows that the ligaments of the spine contain many nerves that may play a role in chronic pain after an auto injury.
  • There were a significantly higher number of abnormal axons in the stretched ligaments, compared to the unstretched.
  • The damaged nerves showed numerous areas of swelling and evidence that they had been torn.

The authors found "axonal swelling and retraction balls" in many of the injured nerves. These "are hallmarks of diffuse axonal injury (DAI) in studies" of traumatic brain injury. Diffuse axonal injury occurs when nerve fibers are sheared laterally, causing stretch and tearing of the axons. This type of injury would make sense in the facet joints, as the axons would be sheared when the ligaments are stretched during impact.

The researchers suggest that chronic pain may originate in a number of ways from nerve injury in the neck:

First, immediate pain from such an injury is likely, due to the direct tearing of the nerves.

Second, injury to the axons can result in long-term biochemical changes in the nerves, resulting in "excitability and spontaneous activity." This would result in repeated pain signals to the brain, which could result in hypersensitivity in the central nervous system. This hypersensitivity has been linked to chronic pain after auto injury in a number of studies.

Third, injury to the ligaments could result in the release of inflammatory chemicals that could further irritate the nerve fibers in the facets, resulting in even more pain signals. The authors state that, "...such degenerative changes in cervical [facet joint] tissue may contribute to painful conditions in the neck following a whiplash injury."

The authors conclude:

"The findings of this study may have some clinical relevance. The presence of axonal changes in the present study provides credence to the onset of neuropathic changes in FJCs (facet joint capsules) stretched beyond physiologic limits. We propose that such affects may lead to alterations in sensory input and other pathological changes leading perhaps to peripheral neuropathy. This may have particular relevance in cases where the FJ have been damaged/or stretched beyond physiological limits and may be related to persistent pain after a whiplash event."

Kallakuri S, Singh A, Lu, Y, Chen C, Patwardhan A, Cavanaugh JM. Tensile strength of cervical facet joint capsule and related axonal changes. European Spine Journal 2007;Dec 14.