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- Does chiropractic treatment qualify for reimbursement?
- Do I need a GP referral?
- If I decide to consult a chiropractor at my own discretion, will my GP agree?
- How long does a visit take?
- How long will it take before I am free of pain?
- How often do I need to come back for treatment?
- What is the clicking or cracking sound during treatment?
- Do I have a trapped nerve or do I have a protruded disk?

Does chiropractic treatment qualify for reimbursement?

Most Health Care Insurers have chiropractic included in the (additional) package. Usually between 50-100% of the costs will be reimbursed. Please check your insurance policy or ensure with you Health Care Insurer if you qualify for reimbursement.

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Do I need a GP referral?

No, usually not. Very few Health Care Insurers in the Netherlands request a referral from a GP. Most Health Care Insurances require a chiropractor to be a member of the Netherlands Chiropractors Association (NCA) or be registered with Foundation for Chiropractic Netherlands (SCN). 'Chiropractie Brussee' is member of the NCA and registered with the SCN.

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If I decide to consult a chiropractor at my own discretion, will my GP agree?

A growing number of GPs acknowledge chiropractic as an effective complementary type of medicine. In other words, it is a useful addition to other treatment modalities. Chiropractor Brussee has approached many GPs to facilitate the collaboration and communication. In general GPs are willing to refer patients to our practice. Chiropractic is however still regarded as an alternative medicine and often GPs refer their patient after having tried physiotherapy or manual therapy to no avail. In countries where chiropractic is a formally acknowledged profession patients are more readily referred to a chiropractic in the acute phase.

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How long does a visit take?

The first visit lasts about half an hour to three quarters of an hour. In advance you will be requested to fill in a query form about your complaint. You may complete the form in the waiting room or download is from this website (download questionnaire.pdf). During the first visit you will have an extensive interview and physical examination. In addition, it may be decided that additional examinations have to be done (eg. x-rays, blood or urine tests). This will be done in collaboration with the GP. During the second visit the chiropractor will explain the findings and start treatment. The second visit lasts about half an hour. Regular repeat visits last approximately 15 minutes. For more information refer to Treatment.

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How long will it take before I am free of pain?

Your recovery depends on a number of factors. The type of complaint, duration of complaints, your general health, life style and own efforts during and in between treatments all determine the time until attenuation of the complaints. As your complaints start to attenuate the treatment visit frequency will decrease in a stepwise manner, but continue at a certain level in order to stabilise the body. It is our experience that, otherwise, patients tend to relapse to their old pattern once they feel better.

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How often do I need to come back for treatment?

On average 6 to 8 treatments are needed to be free of pain. Subsequently the chiropractor will start to gradually cut down the visit frequency. It is important that you comply with the instructions, in the beginning usually twice a week for two weeks and subsequently at a lower frequency. Discuss with your chiropractor what the planned treatment schedule will be for you.

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What is the clicking or cracking sound during treatment?

If you put tension on a stiff joint and subsequently move it with a rapid brief impulse, a pressure gradient occurs within the joint. This may lead to a temporary air bubble within the joint. The release of the air causes the clicking or cracking sound, which is painless. Absence of the sound does not indicate treatment failure. In some patientes and with certain chiropractic treatment techniques these sounds never occur.

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Do I have a trapped nerve or do I have a protruded disk?

These common general questions, which in fact pertain to a number of conditions. The chiropractor will come to a specific diagnosis and tell you what is wrong.

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