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.

Tinnitus and Cervical Spine Injury

Tinnitus is an auditory disorder in which the patient hears a noise that is not actually present. "Tinnitus is common; estimates of its prevalence range up to 80% of all adults. About 10% of people complain of chronic tinnitus, whereas 0.5% of adults describe it as interfering with their ability to lead a normal life."

Many patients who have a whiplash injury or temporomandibular pain report tinnitus as one of their symptoms. The problem with these patients is that seldom are there the objective signs of nerve dysfunction commonly associated with tinnitus.

The reason for this is that there are two different types of tinnitus: "otic" and "nonotic." "Otic" tinnitus can be directly associated to disorders of the inner ear or auditory nerve through testing. "However, there are many other patients who have either no detectable ear/nerve disorders or there is no close temporal relationship between such a disorder and tinnitus, so that the initiating event of the "nonotic" tinnitus is obscure."

The author of this study uses a review of the literature and case reports to describe the phenomenon of "somatic" tinnitus, or tinnitus that originates in the lower head or the cervical spine.

The article describes nine patients with tinnitus and describes the various details of their cases. Here are brief descriptions of three of these cases:

  • Case 1 was a 52-year-old woman who had surgery on her right shoulder. She developed a frozen shoulder from the surgery, and immediately upon injection of the local anasthetic being administered (for treatment of the frozen shoulder) she developed tinnitus in her right ear that has persisted since 1994. Clinical examination reported spasm of the right occipital muscles.
  • Case 2 was a 39-year-old woman who had tinnitus since her teens. "Head position has always modulated her tinnitus loudness. On a 0 to 10 loudness scale, she rates her tinnitus as 3/10. When turning the head to either side or tilting to the left, loudness increases to 5/10, whereas with tilting to the right, the loudness was barely perceptible (1/10). Clenching her teeth increased the loudness only slightly (4/10). On examination, 2 regions of increased muscle tension and tenderness were noted in the right neck as compared with the corresponding regions on the left, namely the upper sternocleidomastoid and the medial suprascapular regions."
  • Case 8 was a 50-year-old woman who developed tinnitus after neck manipulation. Her symptoms were intermittent, and, "When initially examined, she was not having tinnitus. Her left suboccipital muscles, however, were noted to be tender and under increased muscle tension compared with the corresponding muscles on her right side. Within an estimated 5 minutes of examining the cervical musculature, she reported that her left-sided tinnitus has started. On reexamination, her left suboccipital muscle tension had become much more pronounced. Within another 5 minutes, her tinnitus abated, and her suboccipital muscles were more relaxed."


The author cites a number of whiplash and TMJ studies that refer to tinnitus, and suggests that these conditions are not related to any pathology in the auditory nerve or inner ear, but are based in the cervical spine and jaw.

The key component in this neurological model is the Dorsal Cochlear Nucleus, or DCN. Disturbance of the DCN (which resides in the brain stem) has been found in other studies to be related to tinnitus. The author’s proposed model goes something like this:

  1. The nerves in the head and neck converge as they enter the brainstem and upper cervical spine (shown at right as the "CST," where they all meet in the medullary somatosensory nuclei (MSN).
  2. The MSN is directly connected via neural pathways to the DCN.
  3. Stimulation of the nerves in the head and neck (from injury or stress) could result in activation of the MSN and, in turn the DCN, resulting in tinnitus.


The details of this proposed model are really only useful to theorists. The importance of this study is that there is some strong evidence that neck and facial injury can result in tinnitus:

"Whether or not the proposed model for somatic (craniocervical) tinnitus is correct in all its details, it represents a focus for future systematic studies of somatic tinnitus and a framework for approaches to treatment. Moreover, we have presented a series of patients in whom the evidence argues for a craniocervical, nonotic basis for their tinnitus. As such, it seems likely that some cases of somatic tinnitus may result from interactions between the somatic and auditory pathways within the central nervous system with no involvement of the auditory periphery (cochlea or auditory nerve)."

Levine RA. Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis. American Journal of Otolaryngology 1999;20(6):351-362.