Finding the Best Chiropractic Clinic: What to Look For


In downtown Toronto, and indeed in many towns, myths about chiropractic care abound. From the notion that once you start seeing a chiropractor, you’re committed for life, to clinics that insist on extensive treatment plans before providing relief, it’s crucial to discern fact from fiction. As a chiropractor with over 18 years of experience, I’m passionate about my profession. However, I’m also aware of practices that don’t always align with what I believe is ethical. Let’s address these concerns and guide you on what to ask when visiting a chiropractic clinic.

Best Chiropractic Clinic, Bad Chiropractic Clinic, Ugly Chiropractic Clinic

In this article, I will address these issues and reveal to you the best practices, and the direct questions to ask when going to a chiropractic clinic anywhere. Remember, with any profession there is the good, the bad, and some that I admit are downright UGLY.

1. Immediate Treatment: Is It Possible?

Myth: You can’t be treated on your first visit to a chiropractic clinic, especially when in pain.

Truth: Immediate treatment is often possible and beneficial. While some clinics may delay treatment for various reasons, it’s rarely unsafe to provide relief from the first visit. Always inquire if immediate treatment is an option, especially if you’re in acute pain.

There are circumstances when you should not treat a person right away with chiropractic adjustments. This would be when the history includes such things as a recent accident, trauma, cardiovascular issues etc…

Even when there is trauma, a chiropractor can still treat it without using chiropractic adjustments. The goal would be to decrease inflammation or to decrease pain to make the person feel more comfortable.

See Also:  Guide For Finding The Best Chiropractor In Your City

Bottom line: Rarely is it unsafe to treat on the first visit. Look for a different chiropractic clinic if they cannot justify it.

Downtown Toronto Chiropractic Clinic
Chiropractic Subluxation:  Two vertebrae where one is slightly out of place causing a pinching of the nerve.

2. The Myth of Killer Subluxations: Best Chiropractic Clinic

Myth: Subluxations are dire threats that can lead to severe health consequences.

Truth: While subluxations, or minor misalignments of the spine, can cause discomfort and affect nerve function, they are not death sentences. An honest chiropractor will explain the nature of subluxations without resorting to fear-mongering. Always seek a clear, factual explanation of your condition.

A medical subluxation is a “significant structural displacement, and therefore visible on X-rays”, whereas chiropractic subluxations are more subtle and usually only palpable with the skilled hands of a chiropractor.

The World Health Organization defines chiropractic subluxations as separate and different from medical subluxations.

Simply put, if a chiropractor tells you will have dire health because of subluxations you should leave. If they are telling you that subluxations pinch the nerves that go to various organs and can affect the way they function, that is being honest and true.

The difference is fear-mongering versus simply giving the facts.

3. Lifetime Commitment to Chiropractic Care?

Myth: Once you start seeing a chiropractor, you must continue indefinitely.

Truth: Chiropractic care should be tailored to your individual needs, including the decision to continue with maintenance treatments. Three phases of treatment are involved with most treatment plans.

  • Acute Phase or Initial Intensive Care: The idea is to eliminate pain and swelling.
  • Sub-acute Phase also called Rehabilitative Care: Here you are strengthening muscles and improving spinal function. This is great except that many chiropractors are just giving chiropractic adjustments and giving very few exercises or none at all. Giving you the “Big Three” rehab exercises is not a rehabilitation program.
  • Maintenance/Wellness Care:  This phase should be Your Choice. If not needed, move on.

Bottom line:  You don’t need to be treated on a maintenance or wellness plan forever. It should be your choice. If not, move on.

4. The Three-Minute Treatment

Myth: A three-minute chiropractic session is sufficient for your needs.

Truth: Effective chiropractic care requires more than just a few minutes of treatment. A comprehensive session should include time to assess your progress and adjust treatment accordingly. Inquire about the duration and content of each session to ensure your care is not rushed.

Three minutes is not enough! Whether you are seeing a medical doctor or getting a chiropractic adjustment, you have a bad relationship if each encounter is only three minutes long.

Why? It takes more than three minutes to connect with a person to find out how things are.

“But I’ve been told it needs to be quick.” Don’t be fooled!

Many chiropractors will put a machine on you to help with pain or inflammation and leave the room to tend to other patients. This is great as long as there is more than this involved in that treatment session.

Bottom Line: Many chiropractors spend about 10 minutes. I believe it should be a minimum of 20 minutes.

5. Understanding the Costs

Concern: The cost and commitment to a predetermined number of visits can be daunting.

Advice: Transparency regarding costs and treatment plans is essential. Be wary of clinics that push for long-term, pre-paid treatment packages without a clear rationale. A reputable clinic will provide a straightforward explanation of costs and treatment expectations.

6. Will I Need X-rays? Will This Chiropractic Clinic Make Me Get X-Rays?

Chiropractic Clinic Neck X-rays Downtown Toronto
Chiropractic Clinic Neck X-rays Downtown Toronto

Not everyone requires an X-ray, but some doctors of chiropractic take them as standard procedures, either as a defensive practice to rule out pathology and/or to aid in determining where to adjust the spine.

Unfortunately, in this litigious society, I cannot blame any chiropractor for taking an X-ray of each patient. While I don’t X-ray every patient, it can be helpful in many cases

X-ray Guidelines: Best Chiropractic Clinic Guideline

  • If the patient has sustained a significant traumatic injury at any age
  • If the patient has experienced any type of trauma (even a minor one) if over the age of 50
  • For most patients over 70 years of age, especially if the patient’s history and examination suggest a possible bone disease (such as arthritis)
  • If the patient has had long-standing pain that has not responded or been resolved with previous chiropractic health care.

SEE ALSO:  MRI, CT Scans X-rays:  Which One For My Pain?

Questions to Ask Your Prospective Best Chiropractic Clinic

  1. Can I be treated on the first visit?
  2. Can you explain what a subluxation is?
  3. Do I have a choice if I want maintenance treatments? Can I stop treatments whenever I want to stop?
  4. How much time will the chiropractor spend with me? Does this include the use of modalities (machines, to help with pain, healing, or inflammation?)
  5. How much is the initial visit and what are the costs for subsequent visits?
  6. Will I need X-rays? If you don’t fit the criteria, ask the chiropractor to justify why they are taking X-rays.
  7. Bonus Question:  Will I get a few exercises or an exercise program tailored to my condition? If they have to ask the chiropractor, chances are they will not give you the exercises needed to be as independent as possible.

Doing all these things won’t guarantee you will find the best chiropractor or best chiropractic clinic but it will filter out the mediocre and business-first clinics

Tell us what you think in the comments below and like us on Facebook. This Toronto Downtown Chiropractor will answer all questions in the comments section. Let us know in the comments section below what kind of best practices you like at the clinic you are attending and tell us who you think is the best Toronto chiropractor.

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  • My aunt’s been suffering from back and shoulder pain for the past months, and she can’t stand it any longer. That’s why my mom suggested she finds a chiropractor, and I believe your guide will help my family out. I appreciate your tips on asking how much time a chiropractor will spend with us before choosing one.

  • Hi..
    I am seeing a chiro in GTA. Dont see many patients there but what amuses me is that she charges me 40CAD for just few seconds of ‘adjustment’. Dont see much gain after 1 initial and 2 adjustment visits. She keeps claiming that 4-5 visits will get pain out.
    Sometimes I feel I am being ripped off. The adjustment is just lying on a bench and 4 bends and twists of my back and neck and thats it..

    • Post

      Thanks for your comment Mohi. If the chiropractor spends a few minutes with you, it seems that you have two concerns. The value the chiropractor is providing you in terms of time, and the quality of the treatment as you are not getting any better. I believe a guideline for chiropractors is supposed to be a 10-minute visit, which I read a while ago but I cannot find the source. It is difficult to give a quality treatment if the session is so brief. The two problems of value and quality are linked from my point of view.

      You may also have a problem with what I do. I charge $65 Canadian for one session but I spend twenty minutes with the person. You may think that is not much value as I am charging a lot more. For a downtown Toronto chiropractor, this is average. Some charge a little less and some charge a lot more. As for time, spending 20 minutes allows me plenty of time to say hi and do the mini-examinations that I always perform on everybody on every single visit. Sometimes it’s just a quick check of your range of motion of your lower back, sometimes more extensive depending on the status of the patient and their needs. Then I continually re-check these tests so I know if the treatment is working and by using what works customise a treatment plan for that particular individual.

      Usually, it takes time to get someone better. I cannot say if you should have gotten better already as I don’t know your case and I haven’t examined you. Each case is different. You have to make a decision based on what is comfortable for you. It sounds like you are not getting what you want out of it. Neither value or improvement but I don’t think you have given it enough time.

      Hope that helps you make your own decision.

  • Hi ,I recently met a chiropractor at a home show i went and seen her twice,the second time she gave her assesments then her secretary came in with the price information after i signed it i knew i made a mistake and i told the chiropractor i couldnt follow through as i couldnt afford it i have rent and car payments she wants me to do 33 sessions which would be fine if i had the money but i dont unfortunately my insurance doesnt cover a whole lot Blue cross and i dont want to be treated about what my insurance will pay…Its my foot nerve pain on the top of the foot and she explained all of it ,but i told her i couldnt afford it.. i called and cancelled all appointments and told her again i couldnt afford to go at her prices as it would make mye finicially burdened she still calls me every day wanting to know when i m going to start sessions up and ignores that fact i say i cannot pay that amount for her services.. I am beside myself legally what I can do too make her listen or am i obligated since i sgned her program payment before i thought about it it says on the legal form if i change my mind they will return all monies….I feel very pressure from her and her secretary even though i repeated i couldnt afford to come back as i dont have the money even the secretary made more appointments than i was comfortable with and like i told them i couldnt start up this week as payment is due for my rent and car ..What is my legal obligation as All i want to do is run ….

    • Post

      Thanks for your comments Annette. I believe this problem is unique to Canada and the US. It depends on the state (USA) or province (Canada). I don’t believe you are obligated to pay if you did not have any of her services. In fact, I believe you say you can get all your money back if you change your mind. Well, you changed your mind, and since you haven’t paid you have no obligation. You will have to check the laws in your jurisdiction but, I believe you are free and clear. I would personally write a note or letter saying you changed your mind so you are no longer obligated to make a payment as it says on the form.

      I am not a lawyer and every jurisdiction is different so you will have to check. Keep in mind this is an opinion and not a recommendation.

      As an example of a typical treatment plan, I personally have treatment plans that range from 2-8 visits. Some people need more especially chronic cases.

      Hope that helps you find a chiropractor that practices according to the standards or a clinic that makes use of best practices.

  • Thank you so much for this info. My husband and I were told we need, 90 visits over a year, and that, without treatment, in five years, he would not be able to help my husband at all. He did not have any symptoms, but decided to have a consult, since he was asked to come with me to my “doctors report”” as spousal support. He was told his X-ray showed his vertebrae was “almost fused together”. He could not understand why he wasn’t having symptoms, so probably something else is happening inside of his body. I was told my neck was in bad shape. We were also given a presentation about the “silent killer subluxations”. Some of our acquaintances rave about him, so we decided to give it a chance.. The treatments are no more than 3 minutes long and he does not encourage conversation. The treatment is done and out the door. We also have to take a number as he goes back and forth between 2 tables in a semi private area adjacent to the waiting room. The adjustments are the same for everyone, as his focus is on “correcting” the spine, back to where ” God wants it to be.” All of this has not felt right though, from the beginning, as he wanted money up front, however he does refund if treatment is terminated. This we found out from talking to one of his former patients.
    I am used to having 2 adjustments per month, and have been going to chiropractors all my life, but after one month at 3 visits per week, most of the time, I feel worse. When I try to tell him this, his response is “It’s just going to take time”. He says I am in stage 2 going into stage 3 and my husband is in stage 3. He rarely sees stage 4 because most of them are dead.
    After much discussion, getting over scare tactics, our plan was to end this “program” today. When I saw your article, I cannot tell you how grateful I was, because it just confirmed our decision.
    Thank you so much for putting these red flags out there, to help others.

  • My insurance covers my chiropractic visit but my chiropractor charges me $20 every visit for “exercises” that he says they do not cover. These lying on my stomach and doing one set of alternating leg lifts and then one set of squeezing my shoulder blades together, for a total of about 40 seconds. I can get a gym membership for that money, so I’m feeling a bit dubious about the value of his exercises. Should I not feel that way?

  • thanks for your information, that was really helpful for me, cause I have a problem in my neck but I’m still a little hesitate about the clinics and which one I have to choose.

  • I recently came across a chiro who did my xray at his own clinic, something along the lines of he preferred having the xrays done when patient is standing upright. (I’m assuming they do xrays laying down at the radiologist) However that meant I was out of pocket quiet a fair bit. Why do some Chiros do xrays at their own clinic?

    • Post

      Thanks for your question Candy. Doing X-rays standing up tells takes into account how you stand and your posture with your pain. If you are lying down you can’t tell you have a scoliosis (curvature of the spine) for example if it mild. Some chiropractors do X-rays at their own clinic as they feel it helps control the set-up of the x-rays. Others will simply X-ray everyone as a business tool. My opinion is that is not right but that’s just my opinion.

      I personally don’t send many people for X-rays for various reasons but that’s just me.

      Hope that helps you pick the right chiropractor.

  • This article is very important and extremely helpful. Thank you so much for considering the patients point of view on lack knowledge and fears of being misled.

  • Post

    I am very happy you found the information helpful. I have written a different article for when you actually meet the chiropractor. Use the information in the following link to see if they fit the criteria I have outlined. Ask for a free consultation (5-10 minutes). If they fit the criteria great, if they don’t think about moving on. The chiropractor doesn’t have to be perfect but you should use both articles as a guideline.

Dr Ken Nakamura downtown Toronto Chiropractor
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Dr. Ken, has been recognized as the Best Toronto Chiropractor in 2024, 2023, and 2018, here in downtown Toronto. As a sports chiropractor, he excels in treating a wide range of conditions including concussions, temporomandibular joint disorders (TMJ), sports-related injuries, and spinal issues. Beyond his clinical skills, Dr. Ken is an accomplished athlete, having represented Ontario in the Canadian Judo Championships and completed the Toronto Marathon on two occasions. He employs the innovative C3 Program to provide targeted and effective care to his patients, ensuring a holistic approach to their well-being and athletic performance.