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.

Psychological Response to Whiplash Develops after Physical Symptoms

This study1 evaluated both the physical symptoms and psychological status of 50 patients who had been hit from the rear while in a stationary vehicle. The subjects were reviewed one week following the accident, at three months, and at two years. The range of neck movement was noted at three months.

Three patients had no symptoms one week following the injury, yet all 50 patients reported discomfort at three months. At two years, one-third of the subjects still reported "intrusive or disabling symptoms;" these patients tended to be female and had restricted neck movement at the three-month evaluation.

The psychological scores returned at one week were normal for all patients. However, the psychological scores increased significantly at the three-month and two-year assessments in patients who had reported an increase in the severity of symptoms.

Therefore, the clinical outcome at two years could be predicted with 90% accuracy by both the range of neck movement and psychological scores at three months. This evidence strongly implies that both physical and psychological symptoms are involved with whiplash syndrome.

But, the researchers stress that the behavioral response emerges during the immediate three months following injury and the psychological response develops after the physical symptoms. To explain the occurrence, the authors discuss the link between whiplash symptoms and litigation:

"Other authors have addressed the effect of litigation on outcome. Gotten found a higher rate of recovery among those not involved in litigation, but Schutt and Dohan and Pennie and Agambar found no difference. De Palma and Subin and Hohl recorded better outcomes in litigants. MacNab found that symptoms had persisted in 45% of patients at two years after settlement of litigation. Squires et al found this in 70% after 15 years, with abnormal psychological scores on the GHQ in 37% of symptomatic patients. Litigation may influence the late behavioral response, but this appears to become established during the initial three months from injury, and if it had been consciously adopted for financial gain, it is curious that it should persist for so long after compensation has been paid." [For more information on the relationship between symptoms and litigation, see The Complete Guide to Whiplash, (800) 295-3346.]

One particular risk factor involved in litigation is the adversarial approach taken by insurance companies:

"In a chapter of a new book, Evans3 discusses the relation of litigation to symptoms, noting that many clinicians and certainly the insurance industry and the defense lawyers believe strongly in the concepts of secondary gain and compensation neurosis."2

Thus, a pattern of chronic whiplash seems to develop:

  1. A whiplash accident with soft-tissue injury.
  2. Patient is thrust into confrontation with the insurance company.
  3. Stress from interactions with the insurance company exacerbates the pain symptoms,
  4. Resulting in chronic physical and psychological symptoms.

The authors suggest that the first three months after the accident are pivotal in preventing this cycle of disability:

"Our findings suggest that the symptoms of whiplash injury have both physical and psychological components, and that the psychological response develops after the physical damage. Both physical and behavioral responses to these injuries are established in most cases within three months of injury. This suggests that the greatest potential for influencing the natural history of the syndrome is within this period."1

  1. Gargan M, Bannister G, Main C, Hollis S. The behavioural response to whiplash injury. Journal of Bone and Joint Surgery [British] 1997;79-B:523-526.
  2. Ratliff AHC. Whiplash injuries. [Editorial] Journal of Bone and Joint Surgery [British] 1997;79-B:517-519.
  3. Evans RW. Whiplash injuries. In: Macfarlane R, Hardy DG, eds. Outcome after head, neck and spinal trauma. Oxford, etc: Butterworth Heinemann, 1997:359-372.