Chiropractors, also known as doctors of chiropractic or chiropractic physicians[54] in many jurisdictions,[55] emphasize the conservative management of the neuromusculoskeletal system without the use of medicines or surgery,[34] with special emphasis on the spine.[2] Chiropractic combines aspects from mainstream and alternative medicine, and there is no agreement about how to define the profession: although chiropractors have many attributes of primary care providers, chiropractic has more of the attributes of a medical specialty like dentistry or podiatry.[4] It has been proposed that chiropractors specialize in nonsurgical spine care, instead of attempting to also treat other problems,[4][40] but the more expansive view of chiropractic is still widespread.[56] Mainstream health care and governmental organizations such as the World Health Organization consider chiropractic to be complementary and alternative medicine (CAM);[1] and a 2008 study reported that 31% of surveyed chiropractors categorized chiropractic as CAM, 27% as integrated medicine, and 12% as mainstream medicine.[3] Aligning with conventional medicine could give chiropractors more university affiliation and access to hospitals and long-term facilities; aligning with the CAM movement could bring more patients looking for nonmedical approaches.[57]
Chiropractors use x-ray radiography to examine the bone structure of a patient.
The practice of chiropractic medicine involves a range of diagnostic methods including skeletal imaging, observational and tactile assessments, and orthopedic and neurological evaluation.[34] A chiropractor may also refer a patient to an appropriate specialist, or co-manage with another health care provider.[4] Common patient management involves spinal manipulation (SM) and other manual therapies to the joints and soft tissues, rehabilitative exercises, health promotion, electrical modalities, complementary procedures, and lifestyle counseling.[5]
Chiropractors are not licensed to write medical prescriptions or perform major surgery in the U.S.,[58] but that recently changed when New Mexico became the first state to allow "advanced practice" trained chiropractors the ability to prescribe certain medications.[59][60] Their scope of practice varies by state, based on inconsistent views of chiropractic care: some states, such as Iowa, broadly allow treatment of "human ailments"; some, such as Delaware, use vague concepts such as "transition of nerve energy" to define scope of practice; others, such as New Jersey, specify a severely narrowed scope.[61] 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.[58] A 2003 survey of North American chiropractors found that a slight majority favored allowing them to write prescriptions for over-the-counter drugs.[46] A 2010 survey found 72% of Switzerland chiropractors judged the current allowance in Switzerland to prescribing nonprescription medication as an advantage for chiropractic treatment.[62] A related field, veterinary chiropractic, applies manual therapies to animals and is recognized in a few U.S. states,[63] but is not recognized by the American Chiropractic Association as being chiropractic.[64]
A treatment table at a chiropractic office.
Chiropractic overlaps with several other manual-therapy professions, including massage therapy, osteopathy, physical therapy, and sports medicine.[12][65] Chiropractic is autonomous and competitive with mainstream medicine,[66] and osteopathy outside the U.S. remains primarily a manual medical system;[67] physical therapists work alongside and cooperate with mainstream medicine, and osteopathic medicine in the U.S. has merged with the medical profession.[66] Members distinguish these competing professions with rhetorical strategies that include claims that, compared to other professions, chiropractors heavily emphasize spinal manipulation, tend to use firmer manipulative techniques, and promote maintenance care; that osteopaths use a wider variety of treatment procedures; and that physical therapists emphasize machinery and exercise.[12]
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.[22] Two U.S. states (Washington and Arkansas) prohibit physical therapists from performing SM,[68] 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.[
**Note : Emergency Appointments are available
**Massage available upon appointment - Mon, Tues, Wed, Fri
Sally Krueger
Office Manager
Sally is Dr. Krueger's wife and our office manager. You may not see much of her as she usually does her work when the office is closed. Sally worked as Keith's front desk receptionist and billing manager until they started their family in 2002. Now she focuses most of her energy on raising their three children - Caleb, Chloe & Bella.
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| Office - (717) 393-9505 | fax - (717) 393-9520
Paula Loux
Front Receptionist
Paula is our front desk receptionist and the smiling face you’ll see when you walk in our doors. Paula joined our team in the summer of 2008 and has been a terrific addition to the team. She brings a great collection of experiences to her job, having previously served our country in the US Air Force, as well as having worked in the business world for several years. She is an avid baseball fan and music lover, two passions also shared by her daughter Sarah and husband Dean
Dianne DiMeglio
Message Therapist
Dianne is one of our massage therapists. She lives in Lancaster with her husband and three children. She is also an art teacher in the public school system. She has been a massage therapist since 1973 and is certified with the NCBTMB. She has experience treating all age groups, as well as with pre-natal massage. Dianne has been part of our team for almost 5 years
Angie Straub
Massage Therapist
Angie is also a massage therapist and has became a member of our team in the Spring of 2007. She is board certified and takes on clients of all ages, as well as expectant mothers. Angie loves her work and also keeps busy at home looking after her one year old son.
