Chiropractic Insider’s Guide

As a practicing doctor of chiropractic in San Antonio, Texas for 17 years, I have seen and tried many different approaches to practice. Over the course of my time in chiropractic, I have used several practice management consultants. While all of these consultants had their own unique style and recommendations, they all strongly advised a “high volume” model of practice. Have a look at for more info on this.

A high volume model of practice means that the doctor of chiropractic strictly rations his or her time with each patient. For a typical treatment in a high volume practice, the doctor spends two to five minutes (sometimes even less) personally treating each patient and then may have an assistant and/or some type of machine provide additional therapy. Most often, the additional therapy is in the form of electrical stimulation or some other unattended treatment.

In my experience and opinion (I’m sure many doctors of chiropractic will disagree), many of these unattended therapies are of minimal benefit and seem to be used more frequently as a means of increasing the doctor’s reimbursement from the patient’s insurance than they are as a means of helping the patient recover. I base my opinion on my on personal experience with using these treatments and on my observations and discussions with other chiropractors that many doctors forgo these treatments on most uninsured patients, yet always use them on insured patients.

These days the majority of chiropractors intentionally run “high volume” practices. While this can be a good system for those patients with relatively minor problems who don’t really need any intensive treatment, many people these days simply need more than a cursory chiropractic adjustment and some electrical stimulation.

We are all under considerable amounts of stress. Most of us don’t eat optimal diets. Most people don’t get appropriate amounts of exercise. Many do not get adequate sleep. These lifestyle factors place an incredible load on the body and often manifest physically as pain, tight and sore muscles, restricted mobility, irritability, and other symptoms.

That “standard treatment” used by many doctors of chiropractic might have worked for most people at one time, but times have changed and, based on my experience in my San Antonio practice, most people need more in-depth treatment these days to get better in a reasonable amount of time.
In my practice, I not only do a very thorough chiropractic adjustment that includes the whole spine, but I also perform muscle and soft tissue release techniques, evaluate the extremities (joints and muscles of the arms and legs) when needed, discuss nutrition and exercise, and work with you on stress management and reduction.