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, Chronic Pain

A number of studies have been published that help us understand which patients may be at a greater risk of long-term problems from whiplash injuries. The following is a summary of these new findings.

Generalized Pain

Some patients experience a car crash and suffer minor and localized symptoms; a substantial minority of patients, however, experience symptoms that don't resolve, and may even spread to other parts of the body. This generalized pain pattern has been recognized as a risk factor by numerous studies, and a current study looked specifically at this issue.

In this study by Peolsson et al.1, the authors examined 275 whiplash patients with chronic pain. They gave each patient a battery of pain, psychological, and disability surveys and recorded the number of painful regions that each patient reported.

“According to the present cross-sectional study, widespread pain in chronic WAD is associated with negative consequences with respect to pain intensity, prevalence of other symptoms (including depressive symptoms), some aspects of coping, life satisfaction/quality and general health. Our results indicate that, in different ways, the subgroup with widespread pain had a more fragile life situation than those with more local or regional WAD. Based on our results, we argue that a preventive perspective might be urgent and that clinical rehabilitation requires a broad assessment of the spread of pain, cognitive, and neuropsychological symptoms, and depressivity and catastrophizing thoughts or strategies.”

Central Nervous System Hypersensitivity

CNS hypersensitivity is related to generalized pain, but this recent report by Jull et al.2 examined the patients much more thoroughly, and specifically studied those patients with elevated pressure pain threshold or cold hyperalgesia tests. These two tests are useful in detecting an underlying central nervous system “overstimulation” that can occur in some whiplash patients.

In this study, 71 patients with whiplash were given two different treatments; one group was treated with physiotherapy and the other was given a self-management program.

The authors found that the physiotherapy group had more improvement, but “that relief was marginal in the subgroup with both widespread mechanical and cold hyperalgesia.” This study reinforces the idea that those with wider CNS responses to injury are more resistant to effective treatment.
Occupation and Arm and Shoulder Symptoms

Another new study3 looked at what factors influenced recovery in patients who were involved in litigation after their injury. 134 patients were interviewed an average of 11 months after their injury. The authors found the following:

  • Patients who experienced “arm pain, upper limb numbness or paraesthesia and bilateral trapezius pain” were more likely to experience long-term problems than those who did not.
  • Patients who had jobs that were more physically demanding were more likely to recover early. This is consistent with the previous literature that speculates that those patients with smaller muscle mass (in particular, women) are more likely to be injured than those with larger muscle mass.
  • Not surprisingly, this study also found that patients with long-term symptoms were also more likely to seek out physiotherapy treatment of their injuries.

Body Mass Index Not Related to Recovery

This Canadian study4 looked at the medical records 4,395 whiplash patients between 1994 and 1995; 87.7% of these individuals had recovered by November 1997.

“In the current study, body mass index was not associated with delayed recovery from whiplash injury. Compared with individuals who were normal weight, participants who were underweight, overweight, or obese had similar rates of recovery. The results challenge the view that being overweight or obese is a risk factor for chronic pain and disability following whiplash injuries.”
Peolsson M, Borsbo B, Gerle B. Generalized pain is associated with more negative consequences than local or regional pain: a study of chronic whiplash-associated disorder. Journal of Rehabilitation Medicine 2007;39:260-268.

  1. Jull G, Sterling M, Kenardy J, Beller E. Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic pain? A preliminary RCT. Pain 2007;129:28-34.
  2. Karnezis IA, Drosos GI, Kazakos KI. Factors affecting the timing of recovery from whiplash neck injuries: study of a cohort of 134 patients pursuing litigation. Archives of Orthopeadic and Trauma Surgery 2007;May 9.
  3. Yang X, Cote P, Cassidy JD, Carroll L. Association between body mass index and recovery from whiplash injuries: a cohort study. American Journal of Epidemiology 2007;165(9):1063-1069.