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.

Undiagnosed PTSD

Generally, in a clinical setting, doctors focus on a patient's chief complaint, and often do not inquire about trauma history, or PTSD-related symptoms. The authors of this study wanted to assess how doctors recognized and diagnosed (or failed to diagnose) PTSD.

1,000 patients were involved in the study, and split into two groups. The first group consisted of outpatient psychiatric subjects who were administered a broad questionnaire (Psychiatric Diagnostic Screening Questionnaire) that included a handful of PTSD questions. The second group was given a semi-structured diagnostic interview during their intake evaluation. The authors then compared the results of these tests to their own diagnosis of the patient. The design of the study allowed the authors to compare differences in evaluating patients by three different methods: at intake, with a semi-structured interview, or with a questionnaire.

The authors organized their data into three categories:

  • Patients diagnosed with PTSD.
  • Patients who screened positive, but were not diagnosed.
  • Patients who were neither diagnosed nor screened positive.

The following table summarizes the authors' findings:

In the Group Given the Screening Questionnaire (n=500)


Diagnosed by Clinician

36 (15 as principal diagnosis and 21 as an additional diagnosis)

Screened positive, but had no diagnosis

93

In the group given the intake interview, 72 patients were diagnosed immediately with PTSD. For 23 patients it was the principal diagnosis, and for 49 an additional diagnosis. The patients in both groups with PTSD tended to be younger, have more suicidal thoughts, were less likely to have a college degree, and had a higher number of symptoms.

The findings suggest PTSD is under-diagnosed in a clinical setting. The evidence that twice as many patients were diagnosed with the structured interview (conducted at intake), as opposed to the general questionnaire (conducted after clinical care), further supports their finding. The authors present a number of reasons to explain the discrepancy between screenings and doctor diagnoses. These include poor documentation or poor diagnostic skills: "...other reports have documented that clinicians underdetect trauma histories and PTSD diagnoses."

The authors discuss how this under-diagnosis can affect patients and their treatments. Failing to recognize PTSD may result in the patient not getting treatment that can help his or her condition. Correcting a problem is difficult if you aren't aware of the problem in the first place.

On the other hand, if both physician and patient recognize PTSD, proper and effective treatment could be presented and considered. The authors conclude:

"To date, there are no controlled trials comparing the efficacy of medications to cognitive behavioral therapy in the treatment of PTSD. If one form of treatment proves superior to the other, or if the combination of both treatments produces the greatest improvement, then improved clinical detection of PTSD should improve outcome by virtue of more appropriate treatment planning."

Zimmerman M, Mattia J. Is posttraumatic stress disorder underdiagnosed in routine clinical settings? The Journal of Nervous and Mental Disease 1999;187(7):420-427.