What is Chiropractic Neurology?

What is Chiropractic Neurology?

Chiropractic neurology is a specialty within the chiropractic field that assesses the neurological condition of a patient and treats that patient using non-invasive, non-pharmaceutical therapies. It might be best described as brain-based physical rehabilitation.

Examination and assessment is similar to that of medical neurologists, however treatment modalities differ greatly. Chiropractic neurologists use specific ipsilateral afferent stimulations and chiropractic adjustments for brain-based physiologic rehabilitation of neurologic conditions. Patients with both pathological and physiological lesions can benefit from this approach.

How is it different from medical neurology?

The difference is in the treatment/therapy “tools.” Medical doctors utilize pharmaceutical and surgical intervention and management. Chiropractic neurologists focus on brain-based physical rehabilitation using afferent stimulation specifically targeting dysfunctioning areas of the brain and nervous system. Because therapies are specifically tailored to each individual’s neurological function, it is impossible to standardize this care. Every patient is seen by the doctor himself.

What patients would I refer?

MEDICAL DOCTORS: Those you suspect or have determined to have a neurological condition. Particularly, those patients with neurophysiological lesions (i.e.: negative tests/imaging for pathology) such as vertigo/dizziness, dystonia, ADD/ADHD, developmental delays, etc. Patients who have maximized the benefit of treatment options you have provided. Patients who have rejected invasive procedures or drug therapy. Pregnant patients who want to avoid pharmaceutical intervention.

CHIROPRACTIC DOCTORS: Those you suspect or have determined to have a neurological condition. Patients who have reached a plateau and are not continuing to progress under their current treatment plan or whose body has not responded to care the way you would have initially expected. Patients who have consulted a medical neurologist but have not resolved their condition and are looking for another option.



Back and neck pain


Balance problems

Tingling in an arm or leg

Coordination difficulty

Peripheral nerve injuries


Post-stroke rehabilitation

Movement disorders

Brain Injury


Joint Pain


Learning Disorders

Developmental Delays


What testing is performed?

Most cases seen have been through most diagnostic tests already. We do not have x-ray facilities on site, so any x-rays, MRIs, CTs or other imaging is outsourced on an as-needed basis. The examination performed by the doctor includes but is not limited to:

Orthopedic Tests

Oculomotor Function Tests

Bilateral Blood Pressure

Motor Coordination/Strength Tests

Balance Tests

Motor Timing Tests

Sensory Testing

What is afferent stimulation?

Afferent stimulation is a broad term for a variety of therapies that may be a part of a treatment protocol. They are elements in the natural environment that stimulate parts of the brain and nervous system. They can include but are not limited to:

Warm air coloric stimulation

Auditory stimulation

Metronome timing exercises

Hemistim (computer based visual stimulation)

Balance exercises

Vestibular spinning therapy

Extremity ADLs

Chiropractic adjustment

Eye exercises

Olfactory stimulation

Interactive Metronome®

For further examples of how these therapies are applied, read “It Really Is All Connected.”

Is nutrition part of the treatment?

Frequently, patients are in urgent need of nutritional changes and recommendations are made when appropriate.

What about changes in medication?

Changes in medication can only be made by the prescribing physician. Those decisions are between the patient and that doctor. Dr. Theirl works with patients and their medical doctors to help insure that everyone involved in the case is on the same page.

What is a chiropractic neurologist’s training?

Detailed coursework information is available through the Carrick Institute for Graduate Sciences. Diplomate of the American Chiropractic Neurology Board certification is granted after completion of at least three hundred hours of coursework and passing of the written and practical examination (see www.acnb.org). Active status is maintained in part by continuing education requirements.