
Anti-inflammatories for Spinal Pain
Discover why anti-inflammatories may not be the best solution for spinal pain. Learn about the importance of a multidisciplinary approach to effectively manage pain.
Chiropractic is a healthcare profession that focuses on diagnosing, treating, and managing conditions related to the spine, nervous system, and musculoskeletal system. Originating in the 1800s, chiropractic has evolved significantly. While spinal manipulation was once the cornerstone of treatment, modern chiropractic care now emphasizes a holistic approach. This includes addressing movement, lifestyle, and socio-economic factors that contribute to pain. Chiropractors in South Africa are highly trained professionals who use evidence-based techniques to help patients achieve better health and wellness.
Most Chiropractors these days do a lot more than just spinal manipulations and focus on a holistic approach to patient management including movement, lifestyle, and socio-economic factors that may contribute to the painful experience.
Chiropractors in South Africa undergo six years of rigorous training. They study anatomy, physiology, biology, diagnostics, and chiropractic-specific techniques such as motion palpation, biomechanics, and manual therapy. Their training also includes spinal manipulation, dry needling, exercise therapy, and soft tissue manipulation. During their studies, they gain hands-on experience in campus clinics, treating patients under the guidance of experienced chiropractors. Additionally, they complete a master’s dissertation to qualify as chiropractors.
Once qualified, chiropractors can diagnose, manage, and treat a wide range of conditions affecting the muscles, joints, and nerves. This includes issues in the spine, shoulders, elbows, wrists, hands, hips, knees, ankles, and feet. If a condition falls outside their scope, they can guide patients to the appropriate healthcare provider.
Chiropractors specialize in treating everyday aches and pains, such as lower back pain, neck pain, headaches, and shoulder or hip pain. While spine-related conditions remain a core focus, chiropractic care has expanded to address issues involving the nerves, muscles, and joints throughout the body. Chiropractors also manage sports injuries, sciatica, herniated discs, and chronic pain conditions like fibromyalgia and chronic fatigue.
Spinal manipulation is the most well-known chiropractic technique, but it’s not just about the “crack.” The popping sound, caused by gas bubbles releasing in the joint, is not the goal of treatment. Chiropractors use spinal manipulation to influence the central nervous system, altering pain patterns and improving function.
In addition to spinal adjustments, chiropractors in South Africa use techniques like dry needling, soft tissue massage, instrument-assisted soft tissue manipulation (e.g., the “spoon” technique), stretching, and exercise therapy. Some also incorporate electro-modalities such as TENS, laser therapy, and shockwave therapy. Lifestyle advice and comprehensive pain management strategies are also integral to modern chiropractic care.
Yes, chiropractic care is safe when performed by a well-trained professional. In South Africa, chiropractors conduct thorough diagnostic assessments, including neurological, orthopedic, biomechanical, and pain evaluations, before starting any treatment. Studies show that chiropractic care is safer than over-the-counter pain medications and often more effective for managing pain.
Chiropractors prioritize patient comfort and safety. If you’re uncomfortable with spinal manipulation, they can use alternative techniques to help you feel better and move more freely.
EXCELLENT Based on 21 reviews Craig PrinceTrustindex verifies that the original source of the review is Google. Dr. Neil Cunninghame performed the most thorough examination that I have ever had in South Africa or in the United States where I am from. He followed up with my personal physician and I can’t thank him enough for all he has done. I would highly recommend him to everyone! Alison McLarenTrustindex verifies that the original source of the review is Google. Dr Cuninghame is amazing!!! I've struggled with my back for years and he has helped me figure out the pain and get some more permanent relief. He is very much about finding the problem and fixing it and not just short term solutions and return visits. Would recommend 100%! Marc AllenTrustindex verifies that the original source of the review is Google. I went to Dr Cuninghame for my upper left back/neck area originally. I just woke up one morning and could hardly even turn my head. In 2 sessions, he had me as right as rain. While I was there I just mentioned a left heel issue that was troubling me whilst running, but wasn't preventing me from getting out there, so it wasn't a big deal (runners are idiots). But a few weeks later, I started to feel that my right knee was starting to really hurt due to compensating for the left heel issue. All I did was send Neil a message and he suggested I get some ultrasound scans done on my heel. Within little to no time, he got back to me and said it looked like I had a heel spur. He took it upon himself to get a deep analysis of the issue done by Dr Kevin MacIntyre at the KZN Foot and Ankle Clinic at Busamed Gateway. Neil obtained a number of options for my condition/recovery, one of which was keyhole surgery. As it turned out, this is what I opted for (after getting Neil's okay) and this was for sure the right way to go. The before and after photo's are proof of just how much calcium build up there was and how much "cleaning" needed to be done around the heel and the bottom of the Achilles. The entire experience from start to finish with Neil was a pleasure. Nothing like getting a serious heel issue sorted when you just actually popped in with a temporarily sore neck! You can mess around with massages, physios, bio's etc but if you want an unrushed, well-considered analysis and learned opinion on your problem, you MUST go see Dr Cuninghame! He truly makes you feel comfortable and he makes a massive effort to make sure that you come to a JOINT decision about the way forward and treatment required Anthony Mc MillanTrustindex verifies that the original source of the review is Google. Very professional! When your in pain, this is the place to go. Marion RossouwTrustindex verifies that the original source of the review is Google. I have recently been treated by Dr Neil Cuninghame and am VERY impressed, my back is not a problem anymore am so thrilled. I will go back to him again should my back play up again Shaun RubensteinTrustindex verifies that the original source of the review is Google. Dr Cuninghame has been my Chiro for the last 10 years. Every year running with the boat for Dusi leads to a bunch of little issues that Neil understands and always manages to sort out. Its always reassuring knowing you have the support of a very knowledgeable and caring Chiro. I would absolutely recommend Neil with a 5 star review. Blake LouwrensTrustindex verifies that the original source of the review is Google. Professional and to the point got me back on my feet with some serious injuries from my sport. Highly recommend Neil Brendon FunnellTrustindex verifies that the original source of the review is Google. So I'm not the kind of guy that likes going to a Dr or Dentist or even the Vet to be honest, but having an insanely sore shoulder for 2 weeks eventually got the better of me and I booked (very easily via an online platform) with Dr Neil Cuninghame to have a look at what was going on. I only really chose him because he was situated really conveniently in the new Meyrickton Office Park on Old Main Road in Hillcrest and close to my offices at Funnell Cars. Not having ever been to a physio let alone a chiro in my life, I had no idea what to except pain to the max ... What I found was the opposite, in fact it was amazing, and totally not what I was thinking ~ this GUY is a true professional, an expert and such a great guy over and above all the medical expertise. We ended up chatting for quite a bit and then when my mind was at ease he did a few tests and isolated the problem. What he did after that can only be described by a non medically minded person as witchcraft (😝😝) as he stuck in 2 needles in my shoulder without me even flinching, did some more magic, stretching, pulling and with a few proper adjustments of my neck and spine (popping which would have made bubble wrap embarrassed) he was done. Applied some strapping, some more advice to boot and said I needed to see him in 2 days for a follow up. I already felt like a new man, so I wondered if I would be back, but walking out and seeing the next appointment of his hobbling in on crutches peaked my interest... Two days later, with my shoulder 90% better already I was back and the Dr did the similar sequence and by now I was feeling 100s... To my amazement, on the way out from this appointment, the same crutches guy who could barely make it around 2 days ago WALKED in (albeit looking tender) but literally like a walking miracle given what I had seen of him previously 😱😱 Forget the Pastors of Doom, eating grass and all that kind of stuff, of you're looking for some healing then place yourself in the care of this guy 😉👌🏼 All I can say is I'll probably be paying him monthly visits now just to have my back realigned and for a general chat session, as it was just that worth it 👨⚕️🙌🏽 Mich DonneTrustindex verifies that the original source of the review is Google. Over 15 months of battling with a chronic running injury , I was skeptical of yet more help. But Neil was confident he could help. So glad I went. I am proof that his methods work. Pain management, the central nervous system and the training the brain. After a few sessions of chiro, monthly rehab and using the tens machine that he provided, I am at last pain free. Neil I am so grateful. Long may this carry on. Thank you thank you. 😁
No, chiropractors cannot prescribe medication. However, some chiropractors have advanced training in pain management and can advise on how medications like anti-inflammatories may support your treatment. They often collaborate with general practitioners to ensure you receive the best care.
No, you don’t need a referral or imaging studies like X-rays or MRIs before visiting a chiropractor. Chiropractors are trained to diagnose and manage neuromusculoskeletal conditions and can determine if further imaging or specialist care is necessary.
Yes, most medical aids in South Africa cover chiropractic treatments, typically drawing from your medical savings. Many chiropractors, including myself, can claim directly from your medical aid. However, it’s always best to confirm coverage with your provider beforehand.
Your initial Chiropractic consultation at The Hillcrest Chiro will be approximately 45 – 60 minutes and usually includes a detailed case history, physical examination as well as relevant orthopaedic and neurological tests ruling out any nasties and trying to get to the bottom of your pain or discomfort. Chiropractic treatment thereafter is based on findings during the consultation and will vary depending on the course of treatment we decide on. Special tests or specialist referrals will be done should it be deemed necessary.
Each follow up consultation is approximately 30 minutes.
If you’re experiencing pain, discomfort, or even a minor niggle, it’s a good idea to see a chiropractor. Early intervention can prevent small issues from becoming bigger problems. Chiropractors help you feel better, move better, and get back to living your best life.
Discover why anti-inflammatories may not be the best solution for spinal pain. Learn about the importance of a multidisciplinary approach to effectively manage pain.
Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.
Discover effective TFL stretching techniques and professional pain management solutions to alleviate ITB syndrome at our Hillcrest clinic. Contact Dr. Neil Cuninghame for expert care.
© Dr Neil Cuninghame 2025