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.

Whiplash and the Central Nervous System

A tremendous amount of research has been done in the last few years on the etiology of whiplash pain. The bulk of the study has focused on the problem of abnormal spinal mechanics, with particular attention on the facet joints. This current study examines another aspect of the whiplash problem, by examining the role of the central nervous system in the development of chronic muscular pain from whiplash.

The researchers began with eleven whiplash patients with a mean duration of whiplash pain of 4 years and 5 months. These patients were matched with eleven pain-free control subjects.

All of the study participants were subjected to three tests:

  1. A pressure sensibility test that measured pain threshold levels in the infraspinatus, brachioradialis, and anterior tibial muscles.
  2. A pin-prick and touch sensibility test in the same areas of the body.
  3. Saline injections in the infraspinatus and anterior tibialis muscles. After the injections, the subjects were instructed to draw the areas of pain on an anatomical map.

The whiplash group exhibited more pain in the pressure sensibility tests, as is expected. There were no differences between patients and control subjects in the pin-prick and touch sensibility tests. The most dramatic results, however, were found in the saline injection tests:

  • The patient group experienced significantly more intense pain than the control subjects.
  • The whiplash patients reported pain that lasted much longer than the controls.
  • "Infusion of hypertonic saline into the infraspinatus muscle caused pain areas that were significantly larger in patients than in control subjects. Similar results were obtained after infusion into the anterior tibial muscle."
  • Most dramatically, "The distribution of pain was different between control subjects and patients. In control subjects, the spread of pain was typically distal to the infusion site, whereas whiplash patients experienced both distally and proximally referred pain. This was seen after infusion of hypertonic saline into the infraspinatus and anterior tibial muscle."

This is shown in the following illustration. In the control group, the pain is localized in a small area around the injection area; in the patient group, the referred pain spreads much further from the injection site, and both proximally and distally.
The authors conclude:

"In the present study, we have found muscular hyperalgesia to painful muscle stimulation not only in the should region, but also in distant areas in which the patient does not normally experience pain. This finding could be a manifestation of a generalized central hyperexcitability and support the hypothesis that central pathogenic mechanisms are involved in the whiplash syndrome. Widespread hyperalgesia to intramuscular electrical stimulation has been found in fibromyalgia and myofascial pain patients with significantly lower pain thresholds in painful and non-painful areas."

"It is not clear how central hyperexcitability is maintained and eventually causes chronicity, but most likely an ongoing nociceptive afferent barrage is needed. A possible explanation could be that the whiplash trauma causes tissue injury and possibly in some cases minor nerve injuries not easily detectable. These injuries could lead to an increased neural activity at the site of the injury resulting in the release of excitatory amino acids and neuropeptides, which can lead to hyperexcitability in dorsal horn cells."

Johansen MK, Graven-Nielsen T, Olesen AS, Arendt-Nielsen L. Generalized muscular hyperalgesia in chronic whiplash syndrome. Pain 1999;83:229-234.