Normal Hair Growth and Common Hair Loss



Normal Hair Growth Cycles

Undisturbed, each terminal scalp hair usually grows continuously for about approximately three to five years. Then, the hair transitions into a resting state where the visible portion above the skin is shed. No hair grows from the follicle for 90 days. Once this time has passed, a new hair begins growing through the skin and continues for another three to five years at a rate of approximately 1/2 inch per month.

It is thought that as many as 100 genes are involved in regulating the creation, construction and cycling of scalp hair. To date, very few of these genes have been identified.

Common Pattern Hair Loss

Hamilton-Norwood Hair Loss Scale

For those concerned about hair loss, many myths and half-truths abound, but useful information can be difficult to obtain. Therefore, an objective overview of pattern hair loss is presented herein.

In healthy well-nourished individuals of both genders, the most common form of hair loss is androgenetic alopecia (AGA), also known as pattern hair loss. The disorder affects approximately 40 million American men. Perhaps surprisingly, the same disorder affects about 20 million American women. The difference between women and men is that a woman suffering hair loss usually retains her feminine hairline and experiences thinning behind this leading edge. In men, a distinct "pattern" of loss manifests where the frontal edge recedes at the same time that a thinning zone expands from the posterior crown. In more pronounced cases, these zones meet and the person is said to be clinically bald.

Three Triggers

Importantly, three things need to occur in order for one to be affected by AGA. First, one must inherit the genetic predisposition. This means that the problem comes from one or both sides of the family. Second, one needs to attain a certain age. Nine year old children do not experience pattern hair loss. And third, one needs to have the circulating hormones that precipitate onset and progression of the disorder.

Typically, the earliest onset of AGA occurs in late puberty or one's early 20's. As a general rule, the earlier hair loss begins, the more pronounced it is likely to become.

Hormones, Enzymes & Other Factors

Crystallography of DHT molecule
From a susceptibility standpoint, the principle hormonal trigger linked to pattern hair loss is 5-alpha dihydrotestosterone, commonly referred to as DHT. Intriguingly, it has been shown that in persons genetically insensitive to DHT, pattern hair loss does not occur. DHT is synthesized from the androgen hormone testosterone and is useful early in life and during puberty.

In adults, DHT is thought to cause significant harm, but very little good. Disorders as disparate as benign prostatic hyperplasia and pattern hair loss are both triggered by DHT. The synthesis of DHT occurs via two closely related forms of the enzyme 5-alpha reductase. Hair loss treatment options that efficiently interfere with the interaction between 5-alpha reductase and androgen hormones like testosterone have been shown to offer clinical benefit in treating pattern hair loss.

Because hair growth is regulated by multiple genes and attendant biochemical pathways, the underlying factors are extremely complex. Another challenge to understanding hair loss has been the fact that humans, alone among mammals, suffer from androgenetic alopecia. Thus, no efficient animal model exists that would otherwise tend to shed light upon the key factors at work.

Hair Loss Variations Other Than AGA

In either gender, the differential diagnosis is typically made based on the patient's history and clinical presentation. The common differentials for AGA include alopecia areata (AA), Trichotillomania, and telogen effluvium. Less often, the cause of hair loss may be associated with disorders such as lupus erythematosis, scabies or other skin manifesting disease processes. Scalp biopsy and lab assay may be useful in ascertaining a definitive diagnosis, but, in such cases, should generally only follow an initial clinical evaluation by a qualified treating physician.

Pattern Hair Loss Treatment Options

It has wryly been observed that the choices for dealing with hair loss are "drugs, rugs, or plugs". This quip articulates three treatment options that are more kindly referred to as non-surgical hair systems, surgical hair restoration, and pharmacotherapy. A fourth option has recently evolved, which will also be touched on herein. This is non-drug based therapy.

Non-surgical Restoration

Typical Hair Piece

Hair replacement systems have been in regular use at least since the time of ancient Egypt. These products also go by the term hair integration systems, wigs, weaves, hair pieces, toupees and many other names.

The first is the hair itself which may be synthetic, natural, or a combination thereof. Typically, the hair is woven in to a fabric-like base which is then attached in some fashion to the scalp. Methods include sewing the base to the fringe hair, gluing the base to the fringe hair, or gluing the base to the bald scalp.

Potential advantages to hair systems include the immediacy of achieving a full hair "look" that can appear, to the casual observer, to approximate a full head of hair. The potential disadvantages of hair systems are many and varied.

In persons who are actively losing hair, vs. those who are essentially bald, the hair system itself may rapidly accelerate the process of going bald. Another disadvantage is the hard leading edge that can give away the fact that a person is wearing a hair system. In the past, this problem has been addressed by using delicate lace front artificial hairlines that look quite natural but tend to be extremely fragile.

Hair systems must be serviced and eventually replaced themselves because they are nonliving. The costs of servicing and maintaining a hair replacement system are not insubstantial-- and such costs can dramatically exceed the initial price of acquisition.

Surgical Hair Restoration

Surgical hair restoration, commonly known as hair transplantation, exploits a phenomenon first described in the 1950's. This phenomenon, donor dependence refers to the observation that hair bearing tissue, when relocated to a previously balding area of the same person's scalp, continues to produce viable, vigorously hair that persists in its new location as it otherwise would, had it not been "relocated". In appropriately selected patients, surgical hair restoration can constitute a positive solution to pattern hair loss

There are important caveats to hair transplantation. The first concerns supply and demand. At the present time, one may not transplant hair from one person to another without causing a destructive and florid foreign body response in the recipient. Thus, both operator and patient are relegated to whatever permanent hair bearing tissue is in place. Accordingly, it is highly important to conserve and strategically place this precious resource appropriately.

The second major caveat to hair transplantation concerns achieving clinically beneficial endpoint results. A hair line that is too abrupt or spotty may look worse than it did before it was restored. By the same token, hair behind the leading edge that is not restored in a fashion that yields meaningful density (e.g. 1 hair per mm/sq) often fails to approximate a full head of hair. Therefore, in selecting a transplant surgeon, artistic excellence is at least equal in importance to basic surgical skill.

The third caveat to hair transplantation refers to a problem known as chasing a receding hair line. Because hair loss is relentless and progressive, it is possible that donor hair restored integrated into an apparently intact area of scalp hair may end up as an island of hair because the hair behind it continues to erode. In this situation, patients are compelled to augment hair behind the restoration zone in order to retain a full appearance. This works reasonably well until either the hair stops thinning or one eventually runs out of donor hair.

Ideally, for persons undergoing transplant surgery, it would be helpful to incorporate a treatment option that safely and effectively arrested the progression of hair loss, allowing the treating surgeon to fill in the thin areas without the concern of chasing a receding hair line.

Drug-based Hair Loss Treatment Options

From a treatment perspective, the two most widely used therapeutic interventions against pattern hair loss have been topical minoxidil and oral finasteride.

Minoxidil

Minoxidil, first sold under the trade-name Rogaine( TM) was initially developed as the oral antihypertensive drug, Loniten( TM). In some patients who used minoxidil to treat blood pressure problems, it was observed that unusual hair growth occurred on the face and scalp. Rogaine( TM) (2% minoxidil) was the first hair loss treatment drug approved by the FDA for use in men.

The advantages of Rogaine( TM) include the ability to arrest, and possibly reverse, pattern hair loss. Based on Pfizer's own marketing materials, Rogaine( TM) has primarily been shown to be effective in treating hair loss in the vertex and posterior scalp, but not the anterior hairline. Minoxidil is a potent drug with potential side effects that include hypotension and skin irritation.

Finasteride

Finasteride, a selective type II 5-alpha reductase inhibitor was originally developed, in 5 mg oral dosage, under the trade name Proscar( TM) to treat benign prostatic hyperplasia (BPH). Because BPH is linked biochemically to the same metabolic pathways that trigger pattern hair loss, it was hypothesized that finasteride could be clinically useful in both pathologies. From this work, Propecia( TM) (1 mg finasteride) was developed. In placebo-controlled studies on men with mild to moderate hair loss, Propecia( TM) was shown to produce clinically relevant benefit in arresting, and in some cases, reversing the progression of the disorder. Propecia( TM) is not indicated for use in women. Noted side effects include reduced libido, as well as reduced ejaculate volume. Gynecomastia (male breast enlargement) is another potential side effect. Finasteride can also artificially lower the levels of a key protein (PSA) used to screen for prostate cancer. Finasteride is considered a teratogen (may cause feminizing birth defects) and should not be handled by pregnant women or even those persons who may come into contact with pregnant women.

Dutasteride

Like finasteride, dutasteride was originally developed to treat BPH. Unlike finasteride however, dutasteride inhibits both isoforms of 5-alpha reductase, while finasteride inhibits only type II 5-alpha reductase. Interestingly, a clinical study undertaken by GlaxoSmithKline, the EPICS trial, did not find dutasteride to be more effective than finasteride in treating BPH.

At the present time, dutasteride is approved to treat BPH. Clinical trials for dutasteride as a hair loss drug were undertaken, but halted in late 2002. Potential side effects noted with the use of dutasteride include gynecomastia, changes to PSA levels, teratogenic effects and others that closely parallel the negative side effect profile described by the makers of finasteride.

In December 2006, GlaxoSmithKline embarked on a new Phase III, six month study in Korea to test the safety, tolerability and effectiveness of a once-daily dose of dutasteride (0.5 mg) for the treatment of AGA in the vertex region of the scalp (types IIIv, IV and V on the Hamilton-Norwood scale). The future impact that this study will have on the FDA's approval or disapproval of Avodart for the treatment of male pattern baldness in the United States is yet to be determined.

Other Drugs

On occasion, but specifically in female patients drugs including spironalactone & flutamide have, on occasion been used off-label to treat various forms of hair loss. Each drug comes with a host of potential side effects, and none has been approved by the FDA for the treatment of pattern hair loss.

Non-drug based Hair Loss Treatment Options

Recently, botanically derived substances have come under serious investigation as potentially useful tools against AGA. This effort has been largely pioneered by the makers of HairGenesis(TM). After the creation of HairGenesis(TM) a number of other products came on the market. Some incorporated drugs like minoxidil. Others, used variations on the theme of non-drug based formulations. However, aside from HairGenesis(TM), none has been supported with a third party, IRB monitored, placebo-controlled, double blind study-- published in the peer-reviewed medical literature. This makes HairGenesis(TM) unique in the category. For those wishing to see how HairGenesis(TM) is thought to compare to other hair loss treatment options, a review of the HairGenesis(TM) Comparison Page is encouraged.

Inasmuch as the bulk of this website focuses on the benefits associated with HairGenesis(TM), the numerous points in favor of HairGenesis(TM) treatment will not be reiterated herein. Two points are relevant to the present discussion, however, and will be concisely articulated.

The complex of naturally derived active substances used in HairGenesis(TM) have been shown to operate through pathways and mechanisms that are unique from one another, as well as separate and apart from those within which drug-based treatments work. Suffice to say that this observation has presented a unique opportunity to develop HairGenesis into a "cocktail" treatment wherein formulation synergy would most likely occur.

In plain English, this means that HairGenesis(TM) has been designed to be greater than the sum of its parts.


In healthy well-nourished individuals of both genders, the most common form of hair loss is androgenetic alopecia check here (AGA), also known as pattern hair loss. These products also go by the term hair integration systems, wigs, weaves, hair pieces, toupees and many other names. Surgical hair restoration, commonly known as hair transplantation, exploits a phenomenon first described in the 1950's. By the same token, hair behind the leading edge that is not restored in a fashion that yields meaningful density (e.g. 1 hair per mm/sq) often fails to approximate a full head of hair. Because hair loss is progressive and relentless, it is possible that donor hair restored integrated into an apparently intact area of scalp hair may end up as an island of hair because the hair behind it continues to erode.

Must Know Etiquette for Graduation Announcements Invitations Cards



Helpful Graduation Announcements and Graduating Invitations Etiquette for All School Grads

With today's multiple and varied educational options, graduation is a year round season and happening, which means everyone needs to prepared for graduating ceremonies, graduate parties with fancy and not so elegant dinners, and most of all, that all important gift giving. While academics accomplishments and achievements are an important element of celebrating any and all educational milestone, it is helpful if people of all ages are knowledgeable about the protocol of these gigantic milestones in their educational life.

Custom Graduation Announcements are for Announcing You're Graduating

When personalizing and sending your stylish announcements for graduates, good etiquette suggests that they should be mailed after the ceremony has been held. School grads, at all graduating milestones, should send graduating announcement cards to friends and family members who they would like to know about this significant educational accomplishment, even those who you might not have had recent close contact. As you are preparing this important list, it is advisable to approach the task with the attitude that this more of an inclusive list than an exclusive list of names. And, in this day and time, it might be awfully tempting to simply blast off a mass email, but this should be totally avoided. For occasions like this, you should be respectful to your relatives and send only custom printed and embellished graduate announcements, this significant education milestone certainly deserves more than a mere email.

Personalized Graduating Invitations - What to Include and Who to Send the Invites To

Although lots of people see little differences, there are, in fact, significant differences between graduating announcements and graduation invitations, regardless of whether they are for kindergarten, high school, college, nursing, and any other level of graduating. For most graduate ceremonies, the graduates usually are offered a limited amount of tickets, so in many cases, not every friend or family member will be able to attend. It is better to offer tickets to the immediate family members, including the graduation cookout invitations proud grandparents. It is up to the grad to be very clear with those who actually receive a graduation invitation that the distribution is limited, and they should attend, if at all possible. And, for those who do not receive graduate invitations, a tactful explanation should be given explaining why is a brief explanation in their announcement.

Remembering Your Etiquette for Graduation Invitations and Graduating Announcements

It is truly interesting to see the difference in people who apparently have been taught about these etiquette situations as compared to those who have very little knowledge about graduation ceremonies and celebrations. For these and other reasons, everyone should prepare their children by ensuring they gain the confidence and understand why it's important. With all the fanfare and celebrations surrounding graduations, from pre-k, high school, advanced degrees, and all levels in between, comes school graduating etiquette guidelines that they will want to be aware of and follow, thus ensuring everything goes smoothly and avoid having hurt feelings. Proper etiquette includes a wide range including, but not limited to, who should get invitations for graduation and school graduate announcements cards, appropriate gifts, party etiquette, and the all important, thank you note cards tips for surviving all graduations with class.

The skills and lessons learned while in the classrooms will help everyone on the job, but those people skills that you have and use are the ones that will afford you a definite advantage in the work environment. Good etiquette, whether socially or professional, makes everyone's life more complete and happier, since it includes behavior and interaction with others, and it is people and relationships who contribute to and drive our lives.


School grads, at all graduating milestones, should send graduating announcement cards to friends and family members who they would like to know about this significant educational accomplishment, even those who you might not have had recent close contact. Lots of people see little differences, there are, in fact, significant differences between graduating announcements and graduation invitations, regardless of whether they are for kindergarten, high school, college, nursing, and any other level of graduating. For most graduate ceremonies, the graduates usually are offered a limited amount of tickets, so in many cases, not every friend or family member will be able to attend. Proper etiquette includes a wide range including, but not limited to, who should get invitations for graduation and school graduate announcements cards, appropriate gifts, party etiquette, and the all important, thank you note cards tips for surviving all graduations with class.

Why Have Air Conditioning Duct Repairs?



It's high time you consider getting one if you've never had air conditioning duct repairs at your home or commercial establishment. HVAC (Ventilation, air and heating Conditioning) systems are designed to control the good quality indoor air entering your household, and if not taken care of can result to severe health effects to the pets and individuals living within abode. Most duct problems worsen during the colder months or due to accumulation of cigarette smoke. By repairing them you eliminate the cigarette smell gradually. Explained here are some key reasons as to why you should regularly seek duct repairs.

Air conditioning duct repair should be considered when there are visible mold deposits inside the ducts. These come as a result of regular moisture collection by the air conditioning ducts. The other reason can be when rodents and insects make the ducts their habitat.

Lastly, it can be due to presence of dust cakes inside the ducts. This is often a result of snow that clogs up your air conditioner and can do a lot of harm. The dust cakes contain over 250 diverse allergens, which are definitely not worth inviting. It is important to hire experienced professionals for duct repair or even try doing it yourself. Because your health and your family's depend on this, this is. There are also many organizations that can offer the air conditioning services both installation and repair.

You can decide to do the maintenance all by yourself, but it is advisable to regularly contact professional duct cleaners particularly when the climate is humid. The duct clean up system is also essential for removing moisture especially during the cold seasons.

It is therefore a good idea to have frequent air conditioning duct repair. In cases where your air condition duct system has failed, the air's moisture has a tendency of condensing on the inner parts of the air condition ducts.


If you've never had air conditioning duct repairs at your home or commercial establishment, it's high time you consider getting one. Air conditioning duct repair should be considered when there are visible mold deposits inside the ducts. The Best AC Repair Company in Columbia SC These come as a result of regular moisture collection by the air conditioning ducts. It is therefore a good idea to have frequent air conditioning duct repair. In cases where your air condition duct system has failed, the air's moisture has a tendency of condensing on the inner parts of the air condition ducts.

Losing Weight After Pregnancy - 4 Safe Steps to Weight Loss After Birth



If you've recently had a baby, you're probably awash with the glow that a new life brings. You're also probably tired of hearing how celebrity moms seem to go about losing weight after pregnancy so rapidly, as if it is were the easiest thing in the world.

What they're not telling you is that they have doctors, nutritionists, personal trainers, private chefs, and - when all else fail - they have Photoshop tweakers to help them look their best after pregnancy.

What's a regular mom to do?

This can be done in an honest and safe way.

Here are some how to lose weight after having a baby tips to get you started in a healthy and sustainable way:

Losing Weight After Pregnancy Tip # 1: Call for Back-up

Time is absolute gold for a new mommy. In between your busy schedule caring for your baby, you'll need to find time for grocery shopping and exercise. This is where family and friends come in.

Turn over the grocery list to hubby, and ask Grandma to watch baby while you exercise. That will help give you time for yourself as you get fit.

Losing Weight After Pregnancy Tip # 2: Nourish Your Body

Pregnancy worked on your body, but you can speed up its recovery by eating small but frequent and balanced meals every day. For healthy weight loss after birth, all of your calorie intake should come from lean protein, green vegetables, high-fiber fruits, dairy products, and whole grains.

If you are breastfeeding, you will need extra calories than normal to keep you and the baby healthy. Also, drink lots of water; new moms would need 64 to 128 ounces daily, especially when nursing.

Losing Weight After Pregnancy Tip # 3: Get Moving

Not only does it make you healthier - weight loss after birth is of course also faster this way. You could also go for a long walk, pushing the baby in a stroller.

Get 30 minutes of cardio five times a week, whenever you have time. A little bit of yoga would also reduce your stress level; it helps a lot in weight loss after birth.

Losing Weight After Pregnancy Tip # 4: Stay Energized

Although it's hard when you have a newborn, it's always important to get enough rest each night. You can do this by enlisting the help of others, or by catching naps whenever possible to keep your energy up. Try to sync your sleeping habit with your baby's, to maximize your period of rest.

Sleep is important as it helps us function mentally and physically. If you lose just a bit of sleep (say, one to two hours each night), it can cause problems such as lack of focus, compromised immune system, and delayed healing ability. The sad fact is that most people just don't sleep enough - especially new moms.

Take care of yourself so that you can take care of your loved ones. With a combination of proper nourishment, the right exercises, www.mein-eu-blog.de and plenty of rest, weight loss after birth could literally be a walk in the park.

Want to lose your pregnancy fats safely and permanently? Our free report "Lose 14 pounds in 14 weeks for moms" worth $27.00 will reveal more powerful secrets to losing weight after pregnancy! [http://www.weightlosspregnancy.org/losing-weight-after-pregnancy]

Weight loss after a baby can be just a matter of right choices; and this doesn't require depriving yourself of much-needed energy that should be properly spent on loving your child.


For healthy weight loss after birth, all of your calorie intake should come from lean protein, green vegetables, high-fiber fruits, dairy products, and whole grains.

Not only does it make you healthier - weight loss after birth is of course also faster this way. A little bit of yoga would also reduce your stress level; it helps a lot in weight loss after birth. Want to lose your pregnancy fats safely and permanently? Our free report "Lose 14 pounds in 14 weeks for moms" worth $27.00 will reveal more powerful secrets to losing weight after pregnancy!

5 Tips For Choosing the Right Chiropractor



We've all been there before: trying to choose between a list of potential businesses or professionals with very little of substance to go on. Most of the time we rely on online reviews, glances at web pages, and if we are lucky we may know someone who has been to that business already and can tell you what to expect.

Going to a chiropractor is an important decision, even more so because many people do not know much about chiropractic to start with. What little they do know may very well be wrong. Some consider chiropractors quite poorly and are skeptical of the profession. Some are open to seeing a chiropractor but have no friends or family to steer them to the right person, and have no experience with chiropractic that would make an Internet search easier. It helps when you know the "language" of something because your Google search will be much more fruitful when you use the right terminology. Using broad terms often will net you nothing more than a list of chiropractors who do a lot of advertising and who fill their websites with keywords just to attract visitors via Google.

Choosing a chiropractor is in many ways a very personal decision. With so many types of DC's out there that means that you can probably find one tailored to your needs. This article will outline how to conduct a good search that will show you all the local chiropractors and allow you to tell them apart so that you can make the best choice.

1. Are you going to a chiropractor simply for pain relief, or for general health?

You can loosely separate chiropractors into two groups: holistic chiropractors and mechanistic chiropractors. All chiropractors know of this distinction, and in fact the profession has been in a general state of low-level internal conflict along this fault line since it's inception.

2. Do you want long-term care or would you prefer to have your complaint treated and then have your case closed?

Many chiropractors, with varying degrees of scientific evidence to back this up, promote chiropractic as a viable alternative to traditional healthcare. They view chiropractic as a way to foster the health of your nervous system through chiropractic spinal adjustments, which then allows the body to function at a higher level. Chiropractors and patients all over the country will attest to improved health with less illness and injury after they incorporated chiropractic into their lives. Regular adjustments help adults and children cope with everything from allergies to headaches, and people who want to avoid prescription medication often choose chiropractic instead. Hard scientific proof to validate this is difficult to come by due to inherent problems in designing a study capable of testing the "chiropractic lifestyle" and it's effect on general health, but case series' exist and we've likely all met someone who will swear up and down that chiropractic is keeping them out of the doctor's office.

On the flip side of this coin are chiropractors that will work to promote proper joint function at the injured area and then rehabilitate the joint and supporting soft tissue, after which they will release you from care. Rather than promote continuing care, a mechanistic chiropractor will work to correct the immediate problem only. Many times back pain may stem from a weak ankle or knee, so your chiropractor may very well focus on a spot that isn't painful, so do not assume the location of your pain is the cause of your pain.

A fundamental difference between holistic and mechanistic chiropractors is that the holistic chiropractor will treat the patient beyond the scientific limitations a more mechanistic chiropractor would self-impose. This actually ties # 1 and # 2 together. For example, a mechanistic chiropractor may treat low back pain by working to rehabilitate a sacroiliac joint and then release the client when the sacroiliac joint returns to normal, pain-free function. A holistic chiropractor will treat the client until subluxations (spinal misalignments causing nerve irritation) are fully resolved and then broaden their attention to include general subluxation correction in the entire spine in order to promote general wellness. Both approaches have real value. While imposing limits on treatment based on the limits of what peer-reviewed research can substantiate is important, holistic chiropractors acknowledge that progress in science occurs by pushing the limits of understanding and treating patients in ways that current best evidence may not fully support. The periphery of science is where progress is usually made - though it is also where quackery finds refuge.

3. Are you injured or are you dysfunctional? In other words, did your pain come on suddenly from an injury or did it set in more slowly due to something you repeatedly do?

In cases of these types of injuries you want a chiropractor who can confidently treat sprains and strains, who can differentiate different types of injuries, and who will recognize when an injury is too severe for them and is also diligent enough to see certain warning signs and refer you to other providers when necessary. Many holistic chiropractors, though not all, are prone to viewing the spine in terms of subluxations only and may therefore miss the subtle signs of a more severe injury that requires the expertise of a specially-trained chiropractor, an orthopedist or neurologist. Not a firm rule, a more mechanistic chiropractor may be a safer bet when a painful injury is involved.

4. What professional associations serve the chiropractic profession, and how can this help you find the right DC?

There are two large national organizations that represent chiropractors: the ACA and the ICA. The ACA is the American Chiropractic Association and the ICA is the International Chiropractic Association. The ACA is more mechanistic and the ICA is more holistic. State associations are more varied, so it is difficult to discern much about a chiropractor from looking at his or her state association membership unless you look into the political or philosophical leanings of that organization - a lot of work for finding a chiropractor. To make things simple, know that many ICA chiropractors actually oppose the ACA, and vice versa, so you can glean more from their membership (or non-membership) in national organizations than you can from other things you might find on the website or online listings for a chiropractor. It's important to not read too much into this bit of information, though, and of course to consider that all people are multi-dimensional and may not fit into the dichotomy I am describing. Still, as part of a larger set of information to make a judgement, this can be helpful to consider.

5. Should you consider their websites, reviews, and testimonials? And how important are personal referrals?

You may find out soon enough that many chiropractors use one of a handful of companies to make their websites. If you go to ten different chiropractor's websites you may see the same website over and over again with just a different DC's name on it, this means that.

Chiropractors would be better off by ditching the spinning 3D spines and instead putting actual content on their sites. These sites are loaded with content but very little, if any, of the information on the site is unique to that chiropractor. Even articles with bylines that include that more info chiropractor's name are probably not articles written by that actual chiropractor.

Often, though, businesses game the system by making fake reviews. Quite often a bad review (that is legitimate) will be followed with numerous illegitimate good reviews in order to drown out the bad one. Getting past the illegitimate reviews you may actually be able to get a lot of good information from reading reviews, so don't hesitate to use a search engine to search for "jones family chiropractic reviews" and see what comes up.

The chiropractor is choosing what message you want to hear. If they choose 5 patients who talk about the chiropractor curing their back pain, then this chiropractor wants you to view them as a specialist in back pain.

The best chiropractors (and the best attorneys, realtors, and even bakers) all get most of their new clients because they treated the clients they already have so well. People are quick to complain about poor service, so when someone has a good thing to say about how they were treated then you should recognize this as worthy of your attention. Think of it like this: that person experimented with a chiropractor so you don't have to.

That's it! I hope these five tips help you narrow down your search for the perfect chiropractor. This is by no means an exhaustive list of all considerations, but it is a great way to structure your search and find the DC who fits your needs and will provide what you are looking for. Take care and be well.


You can loosely separate chiropractors into two groups: mechanistic chiropractors and holistic chiropractors. A fundamental difference between holistic and mechanistic chiropractors is that the holistic chiropractor will treat the patient beyond the scientific limitations a more mechanistic chiropractor would self-impose. Many holistic chiropractors, though not all, are prone to viewing the spine in terms of subluxations only and may therefore miss the subtle signs of a more severe injury that requires the expertise of a specially-trained chiropractor, an orthopedist or neurologist. To make things simple, know that many ICA chiropractors actually oppose the ACA, and vice versa, so you can glean more from their membership (or non-membership) in national organizations than you can from other things you might find on the website or online listings for a chiropractor. If they choose 5 patients who talk about the chiropractor curing their back pain, then this chiropractor wants you to view them as a specialist in back pain.

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