Evidence Chiropractic

Evidence Chiropractic
Quote from Chirobase?

On Kalos’s advice I decided to read Chirobase, and randomly pulled up a page http://www.chirobase.org/01General/chiroquotes.html
Assuming for the moment that chiropractic is a valid therapy with real uses, why wouldn’t chiropractors be seriously concerned about the potential for a portion of their practice to cause injury and work to eliminate that particular treatment unless it was truly necessary and of significant benefit in a particular instance? Physicians do not routinely remove tonsils the way they used to. Cancer specialists compare the benefits of a lumpectomy to a mastectomy and determine whether the more serious procedure is required or more desirable in a particular case. But most chiropractors have a blind devotion to such things as neck manipulation and are unwilling to acknowledge its risks. This, to my mind, is evidence that chiropractic is largely a religion.
Does anyone else find this quote extremely funny? Best answer to whoever gives a good commentary :P

There are some very good answers here so I will just say a couple more things.

The particular type of stroke that is associated with neck manipulation is caused by a dissecting aneurysm in the vertibral artery. Some of the signs and symptoms of this type of stroke are headache and suboccipital pain, two reasons people visit a chiropractic, so some of the people that have strokes after visiting a DC are already in the process of having that stroke when they walk in. That being said, the risk of a manipulation causing this are roughly 1 in 5.8 million. This number is actually believed to be a high estimate. The chances of gettting a gastrintestinal bleed from an NSAID is something on the order of 1 in 400. I forget the number of people that die per year from NSAIDS, I think it is estimated to be 16,500.

Chiropractors are highly trained to safely perform a neck manipulation. We (or at least I) don’t manipulate every neck that comes into our clinics, even for neck pain. There are many modalities we can use, depending on the signs and symptoms, and responses to initial treatments.

You say physicians don’t “blindly” remove tonsils, but they do “blindly” do many other things.

Example: Patient goes to PCP, “Doc, my back hurts!”

PCP: “Let’s see. You have low back pain. Here is a prescription for flexoril and ibuprofin.”

Next visit: “Doc, my back still hurts!”

PCP: “Hmm, lets send you to physical therapy.”

The patient proceeds to go to physical therapy, who does a full physical therapy examination. He does one session and doesn’t bother to listen to the PT’s advice. This patient here’s about chiropractic from a friend and decides to try it.

“Doc. I am really skeptical about chiropractic, but my friend said it works.” The chiropractor does a full orthopedic and neurological exam, and gives the patient a treatment plan, incuding spinal manipulation. The patient goes once doesn’t come back for a second visit. Instead he goes back to the PCP.

“Doc. Physical therapy didn’t work. I tried chiropractic…”

“Noooo, don’t do that.”

“Anyway, that didn’t work either.”

“Ok. I will send you for an MRI and schedule you to see an orthopedic surgeon.

MRI shows a disc bulge at the L5/S1 level.

“Yep that’s it. You need surgery.”

“Great Doc.”

Meanwhile, the actual pain generator is a facet joint or and SI joint problem, and the surgery doesn’t work. I am not making fun or putting down medicine, but merely am pointing out that any doctor might blindly do a procedure based on their education. Many chiropractors don’t know much more than neck adjustments, so they will nail that problem with their hammer. But to generalize us all as “blindly” following the “religion” is ridiculous.

Hitler on chiropractic evidence mashup (adult content)

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