Dr. Kim Gambino

Dr. Kim Gambino
2010-07-29 14:57:46 (UTC)

Dr. Kim Gambino

About Gambino Family Chiropractic
Chiropractic is established in the U.S., Canada, and
Australia, and is present to a lesser extent in many other
countries. In the U.S., chiropractic schools are accredited
through the Council on Chiropractic Education (CCE) while
the General Chiropractic Council (GCC) is the statutory
governmental body responsible for the regulation of
chiropractic in the UK. The U.S. CCE requires a mixing
curriculum, which means a straight-educated chiropractor may
not be eligible for licensing in states requiring CCE
accreditation. CCEs in the U.S., Canada, Australia and
Europe have joined to form CCE-International (CCE-I) as a
model of accreditation standards with the goal of having
credentials portable internationally. Today, there are 18
accredited Doctor of Chiropractic programs in the U.S., 2 in
Canada, 6 in Australasia, and 5 in Europe. All but one of
the chiropractic colleges in the U.S. are privately funded,
but in several other countries they are in
government-sponsored universities and colleges. Chiropractic
curricula in the U.S. have been criticized for failing to
meet generally accepted standards of evidence-based medicine.

"Physiologists divide nerve-fibers, which form the nerves,
into two classes, afferent and efferent. Impressions are
made on the peripheral afferent fiber-endings; these create
sensations that are transmitted to the center of the nervous
system. Efferent nerve-fibers carry impulses out from the
center to their endings. Most of these go to muscles and are
therefore called motor impulses; some are secretory and
enter glands; a portion are inhibitory their function being
to restrain secretion. Thus, nerves carry impulses outward
and sensations inward. The activity of these nerves, or
rather their fibers, may become excited or allayed by
impingement, the result being a modification of
functionality—too much or not enough action—which is disease."

Dr. Dan Gambino About :States also differ over whether
chiropractors may conduct laboratory tests or diagnostic
procedures, dispense dietary supplements, or use other
therapies such as homeopathy and acupuncture; in Oregon they
can become certified to perform minor surgery and to deliver
children via natural childbirth. A 2003 survey of North
American chiropractors found that a slight majority favored
allowing them to write prescriptions for over-the-counter
drugs. A related field, veterinary chiropractic, applies
manual therapies to animals and is recognized in a few U.S.
states, but is not recognized by the American Chiropractic
Association as being chiropractic.

Dr. Kim Gambino About
Throughout its history it has been controversial. For most
of its existence, chiropractic has battled with mainstream
medicine, sustained by ideas such as subluxation that are
not based on solid science. Among chiropractors there are
significant disagreements about vaccination. The American
Medical Association called chiropractic an "unscientific
cult" and boycotted it until losing an antitrust case in
1987. Chiropractic has had a strong political base and
sustained demand for services; in recent decades, it has
gained more legitimacy and greater acceptance among medical
physicians and health plans in the U.S., and evidence-based
medicine has been used to review research studies and
generate practice guidelines. Many studies of treatments
used by chiropractors have been conducted, with conflicting
results. Collectively, systematic reviews of this research
have not demonstrated that spinal manipulation is effective,
with the possible exception of treatment of back pain. The
efficacy and cost-effectiveness of maintenance chiropractic
care are unknown. Although spinal manipulation can have
serious complications in rare cases, chiropractic care is
generally safe when employed skillfully and appropriately.
Death has occurred following chiropractic spinal
manipulation, and the risks surpass its benefit.

Mixer chiropractors "mix" diagnostic and treatment
approaches from osteopathic, medical, and chiropractic
viewpoints. Unlike straight chiropractors, mixers believe
subluxation is one of many causes of disease, and they
incorporate mainstream medical diagnostics and employ many
treatments including conventional techniques of physical
therapy such as exercise, massage, ice packs, and moist
heat, along with nutritional supplements, acupuncture,
homeopathy, herbal remedies, and biofeedback. Mixers tend to
be open to mainstream medicine and are the majority group.

Dr. Daniel Gambino Smulge :No single profession "owns"
spinal manipulation and there is little consensus as to
which profession should administer SM, raising concerns by
chiropractors that orthodox medical physicians could "steal"
SM procedures from chiropractors. A focus on evidence-based
SM research has also raised concerns that the resulting
practice guidelines could limit the scope of chiropractic
practice to treating backs and necks.18 Two U.S. states
Washington and Arkansas prohibit physical therapists from
performing SM,citation needed some states allow them to do
it only if they have completed advanced training in SM, and
some states allow only chiropractors to perform SM, or only
chiropractors and physicians. Bills to further prohibit
non-chiropractors from performing SM are regularly
introduced into state legislatures and are opposed by
physical therapist organizations.

About Dr. Dan Gambino Chiropractors obtain a first
professional degree in the field of chiropractic. Although
chiropractors often argue that this education is as good as
or better than medical physicians', most chiropractic
training is confined to classrooms with much time spent
learning theory, adjustment, and marketing. Accredited
chiropractic programs require that applicants have 90
semester hours of undergraduate education with a grade point
average of at least 2.5; many programs require at least
three years of undergraduate education, and more are
requiring a bachelor's degree. Canada requires a minimum
three years of undergraduate education for applicants, and
at least 4200 instructional hours (or the equivalent) of
full-time chiropractic education for matriculation through
an accredited chiropractic program.The World Health
Organization (WHO) guidelines suggest three major full-time
educational paths culminating in either a DC, DCM, BSc, or
MSc degree. Besides the full-time paths, they also suggest a
conversion program for people with other health care
education and limited training programs for regions where no
legislation governs chiropractic.
Upon graduation, there may be a requirement to pass
national, state, or provincial board examinations before
being licensed to practice in a particular jurisdiction.
Depending on the location, continuing education may be
required to renew these licenses. Specialty training is
available through part-time postgraduate education programs
such as chiropractic orthopedics and sports chiropractic,
and through full-time residency programs such as radiology
or orthopedics.

Dr. Dan Gambino Throughout its history it has been
controversial. For most of its existence, chiropractic has
battled with mainstream medicine, sustained by ideas such as
subluxation that are not based on solid science. Among
chiropractors there are significant disagreements about
vaccination. The American Medical Association called
chiropractic an "unscientific cult" and boycotted it until
losing an antitrust case in 1987. Chiropractic has had a
strong political base and sustained demand for services; in
recent decades, it has gained more legitimacy and greater
acceptance among medical physicians and health plans in the
U.S., and evidence-based medicine has been used to review
research studies and generate practice guidelines. Many
studies of treatments used by chiropractors have been
conducted, with conflicting results. Collectively,
systematic reviews of this research have not demonstrated
that spinal manipulation is effective, with the possible
exception of treatment of back pain. The efficacy and
cost-effectiveness of maintenance chiropractic care are
unknown. Although spinal manipulation can have serious
complications in rare cases, chiropractic care is generally
safe when employed skillfully and appropriately. Death has
occurred following chiropractic spinal manipulation, and the
risks surpass its benefit.

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