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

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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.

Risk Factors of Whiplash

Auto injuries are a common problem seen in clinical practice. Most of the time, a patient will have some temporary discomfort that will resolve within a few weeks. A significant percentage of patients – around 20 to 30% – will develop some kind of chronic pain or disability from their injury. Four recent studies have looked at the issue of chronic pain to see if there are any predictive factors that can help us determine who is at risk of developing long-term problems.

The following is a list of documented risk factors found in these studies:

Gender. One of the four studies4 found that women were more likely than men to be injured in general, which confirms previous studies. Researchers speculate that the lower muscle mass in female necks may increase the risk of injury.

Turned head. Two recent studies have been done on this issue, and they both have found that when the occupant’s head is turned at the moment of impact, the spine is exposed to motion that exceeds the normal physiological range. This can result in ligament tears or damage to the spinal nerve roots.2

Direction of impact. It has been known for years that a rear-end collision is more likely to result in injury than is a frontal collision. Pape et al.1 found in their study that rear-end collisions were a greater risk factor than frontal impacts.

Previous injuries. It’s not surprising that a pre-existing injury to the neck or shoulder could be worsened after an auto collision, and that’s what Pape et al.1 found. In fact, patients with a history of neck and/or shoulder pain were more than twice as likely to have chronic problems three years after the collision.

Muscular tension immediately after the crash. Pape et al.1 found that patients with increased muscular tension soon after the crash were 3.43 times as likely to develop long-term symptoms.

Reduced range of motion. Sterling et al.3 found, as have other studies, that reduced ROM predicts symptoms two to three years after the injury.

Immediate pain and/or numbness. Both Sterling3 and Berglund4 found that patients who reported symptoms immediately after the crash were more likely to develop chronic pain. Immediate numbness indicates that the patient suffered some kind of nerve injury in the collision, and unless these types of injuries are diagnosed and treated quickly, they could easily develop into chronic pain. Berglund4 found that these patients were 6.5 times as likely to develop long-term problems.

The issues of reduced ROM and increased muscular tension are related, and understanding this issue is critical in treating auto injury patients. Upon injury to the disk or ligaments of the spine, an immediate reflex reaction is instigated – causing surrounding muscles to contract. This muscular guarding can be palpated as tension or inflammation. The increased muscular activity has the result of restricting ROM. How do these symptoms predict chronic pain? If the underlying tissue damage – ligament or disk – does not heal properly, long-term pain and restricted motion can result.

These studies help us treat auto injury cases in two ways: first, they demonstrate the need to take a careful and thorough history of the collision. For instance, asking the patient if his or her head was turned at the moment of impact can help us diagnose the injury. Second, by being aware of risk factors, we can focus our attention on those patients more likely to suffer long-term consequences of their injury.

  1. Pape E, Brox JI, Hagen KB, et al. Prognostic factors for chronic neck pain in persons with minor or moderate injuries in traffic accidents. Accident Analysis and Prevention 2007 Jan;39(1):135-46.
  2. Panjabi MM, Ivancic PC, Maak TG, et al. Multiplanar cervical spine injury due to head-turned rear impact. Spine 2006;31(4):420-429.
  3. Sterling M, Jull G, Kenardy J. Physical and psychological factors maintain long-term predictive capacity post-whiplash injury. Pain 2006;122:102-108.
  4. Berglund A, Bodin L, Jensen I, et al. The influence of prognostic factors on neck pain intensity, disability, anxiety and depression over a 2-year period in subjects with acute whiplash injury. Pain 2006;125(3):244-56.