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.  

Get in Touch

We are committed to your privacy. Do not include confidential or private information in this form. This form is for general questions or messages.

This site is protected by reCAPTCHA.

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.

PTSD and Cognitive Factors

Previous studies of posttraumatic stress disorder (PTSD) and cognitive factors have not distinguished between the factors that lead to the development of PTSD versus those that are involved in its persistence. The authors of this current study believe this information is crucial to actual and effective treatment of PTSD. The authors hoped to define which factors affected a patient during or following trauma.

They studied patients' behavior and emotional responses and appraisal of thoughts during the traumatic event; and then in the posttraumatic phase the authors assessed posttraumatic symptoms, other peoples' responses, and the perception of permanent impact of the trauma.

92 participants who were either physically or sexually assaulted at least three months prior to the time of the study were included. The patients were given a PTSD symptom scale to evaluate current symptoms and a retrospective rating to evaluate symptoms just after assault. The patients were divided into groups. To assess onset factors patients who suffered PTSD in the first month following trauma were compared to those who did not. To assess maintenance factors patients who continued to experience PTSD were compared to those who had recovered.

Of the 92 subjects, 28 had no PTSD, and 64 met the criteria. The 64 with PTSD were further broken down into those with persistent PTSD (44) and those who had recovered. The tests used to make distinctions in the sample were an array of questionnaires—Beck Depression Inventory, a semi-structured interview, a PTSD symptom scale and 8 questionnaires that focused on cognitive problems during or one month after incident, blame issues of assault, and beliefs impacted by assault. In the PTSD vs. no PTSD group, PTSD patients had: 

  • Higher levels of mental defeat, confusion, and detachment during the assault
  • More mental planning
  • More negative appraisals of symptoms one month after
  • Perceived other people's reactions negatively
  • Belief that assault had permanent negative impact
  • Engaged in avoidance behavior or attempted to undo memories
  • Negative beliefs both before and after occurrence

In the persistent PTSD vs. recovered PTSD groups, persistent PTSD patients had:

  • Higher levels of mental defeat
  • More negative appraisals of emotions, symptoms, and action
  • Engaged in avoidance behavior or attempted to undo memories
  • More negative thoughts after the assault

To explain how these cognitive factors contribute to the onset and persistence of PTSD the authors point out that:

"The central theme running through the negative beliefs and appraisals is one of ongoing threat. Victims holding these types of negative beliefs experience the traumatic event as continuing to have damaging implications, despite the event being in the past. This continued threat then precipitates the anxious symptomology at the heart of PTSD. Themes of threat run through the global negative beliefs found to be associated with the onset and persistence of PTSD in the current study."

Contrary to the hypothesis that lack of mental planning contributed to the persistence of PTSD the researchers found no significant difference in the mental planning or detachment during the assault between those with persistent PTSD and those that had recovered. Surprisingly, the authors found that victims of trauma who did not develop PTSD reported significantly lower levels of mental planning at the time of assault than those that did develop PTSD.

This study was an important advance in that it investigated the role of cognitive factors in both the persistence and onset of PTSD. Since the study was retrospective some problems of interpretation are raised, the authors suggest that further study is needed before it can be confirmed that cognitive factors can confidently be used to predict the onset and persistence of PTSD. They also suggest that future studies in the persistence of PTSD should use groups of patients currently suffering and recovered patients that are matched for initial symptom severity.

Dunmore E, Clark, D, Ehlers A. Cognitive Factors involved in the onset and maintenance of posttraumatic stress disorder after physical or sexual assault. Behaviour Research and Study 1999;37:809-829.