I recently learned that chiropractors in Switzerland are very different. They are all medical doctors and need to fulfill strict requirements so they can work as chiropractor. It is also a common thing here to go to chiropractors and I have never heard of any accidents.
those are 'licensed physical therapists'.. the few good things that might be attributed to chiropractors are ready done by actual medical professionals... even here in the u.s.
the difference is, we allow quacks to pretend to be 'doctors' here. a certain subset of the population are drawn to the homeopathic, pseudo-science nature of it.
All the time? No, but it’s happened before. Particularly with high neck manipulations that sever the spinal cord above the point where the nerves that control autonomic functions branch off from the neck (I think that’s C2?) Randomly? Also no. It’s a very predictable result of spinal manipulation. Just like lung cancer doesn’t happen ‘randomly’; if you smoke enough and long enough, it’s pretty likely, but if you don’t smoke at all it’s very, very rare.
It’s definitely happened. I think the technical term is “vertebral artery dissection.” I don’t think it’s like a daily occurrence or anything, but there is a very real risk of it happening whenever you get a chiropractic adjustment on your neck. Basically you have some delicate arteries running through your neck bones and the sharp sudden movement of certain chiropractic adjustments have the potential to rupture them. It can cause a stroke and some various other bad things that can happen when blood flow through the spine is interrupted.
I was under the impression that the assertion that chiropractic neck manipulation causes vertebral artery dissection is often suggested, but that evidence of such a causation is inconclusive. I certainly believe it, but I can’t assume. Chiropractors may twist the inconclusiveness into suggesting that such neck manipulation is safe, but that’s a fallacy.
I lean towards believing it, based on having met a person who suffered a vertebral artery dissection, and cerebellar infarcts, following chiropractic treatment.
That’s a weird standard. People see physicians for years because of chronic issues.
Are you saying my brothers oncologist isn’t legit because he has to see him for life ?
Not all their techniques are garbage. DO are trained in manipulation as well. The basic premise of chiropractics is what’s at fault. I’ve seen newer chiropractics switch to more PT style of treatment. No idea if that’s in their scope but I know one who rarely adjust people. It’s mainly massage, weight lifting and body mechanics.
One point of going to a MD is to treat an existing condition. Obviously not every condition can be cured but that’s the aim. Chiropractic doesn’t even try and treat a condition, it’s all about short term relief.
For what it’s worth, as a massage therapist I’ve interviewed with some chiropractors and know plenty of other therapists who have worked for them. The number of chiropractors NOT doing some kind of shady billing or breaking some other scope of practice/ethical boundaries is shockingly small. I’m sure they exist, but in swapping stories with other therapists over almost 2 decades, I might know 1.
For example, one Chiro I interviewed with had his “program” set as patients being categorized into “back” or “neck” patients. Depending on which you were categorized into determined how many sessions (manipulation plus other therapies) per week for 8 weeks the patient would receive. After 8 weeks he would reassess. Seriously waiting 8 weeks to see if it’s helping. He knew what insurances would cover, so he cookie cuttered his whole practice. From what it looked like I don’t think people “graduated” by getting better, moreso just once they ran out of money.
Seriously. I had a friend extolling how good his experience with his chiropractor was, in response to my tale about physical therapy after a skiing accident. I ended the argument pretty quickly by asking “how often do you have to go back”
Hell yes! The creator decided he wanted to be a doctor, but he didn’t want to go to doctor school. So he made up his own medicine—with blackjack, and hookers!
I don’t think you understand the level to which people take chiropracty. People use it in a “cures what ails you” mentality. Colds, flu, hand arthritis, all sorts of diseases. There is a ton of danger in allowing “back cracking for healing” when it doesn’t do anything that couldn’t be done with massage.
Everyone will have different experiences. Going to a chiropractor helped me with my posture in the long term. After my first visit it was no longer uncomfortable to stand up straight. I used to have this lump in the back of my neck and whatever they did made that go away. I did initially go for back pain and I can't say if the visits helped with back pain in the long term but the adjustment did help me with my posture.
I went nine times. I don't think I needed to keep going but I kept agreeing to the next appointment lol. My HSA covered it at least. Except for the first few appointments I'd go once a month. I don't plan on going again for now.
My insurance has chiropractors as a separate category with its own maximum $. Meanwhile physio & every other athletic therapy excluding RMT gets lumped into a single category. It’s fucking bullshit and I can only assume someone was payed off to make it happen. $500 a year of insurance $ I can’t use without endangering myself.
YSK that Medical Doctors are also not Chiropractors. This is why the letters after their names are different. M.D. means Medical Doctor, and D.C. means Doctor of Chiropractic. The major differences in their educations being Surgery, and Drugs for the MDs, and Nutrition, Physical Therapy, Manual Therapy are studied more by DCs. Depending on licensure laws both can order imaging, laboratory testing, and prescribe massage or physical therapy. Also the MD will only have 3-7 minutes to spend with you, and the DC will have much more time to do intake, history, therapy, and to explain what is going on with you and what can be done to improve your situation. Here's a fun fact for ya, some of the injuries attributed to joint manipulation, and this is well documented, were from barbers, kung fu teachers, and yes, MDs and PTs who went to a weekend course in manipulation, instead of the numerous semesters of learning that a DC will have as part of their normal coursework.
@NataliePortland, what's your issue? Why do you care so much about this particular topic?
Yeah NataliePortland, why do you care that people are getting ripped off and, in some cases, injured or killed for no benefit? They’re not even you, it makes no sense.
I could start spending my time bashing various professions, I suppose, but I've got better things to do. However, since you are obviously interesting in people being ripped off, injured or killed here's this, the first article that came up on search from PubMed:
Our prescription drugs are the third leading cause of death after heart disease and cancer in the United States and Europe. Around half of those who die have taken their drugs correctly; the other half die because of errors, such as too high a dose or use of a drug despite contraindications. Our drug agencies are not particularly helpful, as they rely on fake fixes, which are a long list of warnings, precautions, and contraindications for each drug, although they know that no doctor can possibly master all of these. Major reasons for the many drug deaths are impotent drug regulation, widespread crime that includes corruption of the scientific evidence about drugs and bribery of doctors, and lies in drug marketing, which is as harmful as tobacco marketing and, therefore, should be banned. We should take far fewer drugs, and patients should carefully study the package inserts of the drugs their doctors prescribe for them and independent information sources about drugs such as Cochrane reviews, which will make it easier for them to say "no thanks".
It is a free article, so you can read the whole thing, if you wish to be better informed.
No professions are being bashed here, just liars and thieves. One can be a professional thief, of course, but it’s not a respectable line of work and I won’t waste too much time hand-wringing over what they and their supporters feel about what I say.
Here’s one simple test: for a risk to be acceptable, there must be a benefit which can be achieved through taking that risk. Low risk, high benefit is good and high risk, low benefit is bad. I’m not going to defend the whole prescription drug industry because obviously it has its share of shitheads. Still, the broad range of products tends to fall on the favorable side of the risk/benefit balance when used as intended which is something I can’t say for no-benefit practices like chiropractic, osteopathic or any of the other imitation medicine offerings out there.
I’ve been cracking nearly every joint in my body for my whole life. So, I understand that it can feel amazing when you get 10 good pops down your spine.
On two occasions (over 40 years) my neck was so stiff, it caused incredible pain to move it at all.
Both of those times, someone I know recommended a chiropractor. Each time, I went in for an initial appointment and a follow up, and every single time, I left feeling exactly as miserable as when I walked in the door.
The first guy karate chopped my neck, which made it hurt more for the rest of the day. And the second guy just put some electrodes on my back and left the room while the machine zapped me for ten minutes. Neither of them ever claimed to know what was wrong or how to fix it. They just said, “We can try this and see how you feel. 🤷🏻♂️”
I’ve seen no evidence that they can do anything more than what I was able to figure out with a chair in 4th grade.
en.wikipedia.org
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