Hard core chiropractic

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Chemdude

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  1. Resident [Any Field]
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[YOUTUBE]http://www.youtube.com/watch?v=NuUM70kmUSg&feature=related[/YOUTUBE]
 
Some of the many reasons I will never see a chiropractor
 
That handheld plunger thing is so amusing. :laugh:

So what's your point, OP?

I came across this video while researching the history of chiropractic. The plunger thing looks pointless lol...
 
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What's up with all the parrots and dogs? I watched this with no volume, and now I feel terribly confused.

Oh, and that chiropractic stuff looks like some mad craziness, to me.

Edit: Oh, wow. I just turned the audio on. LOLOLOLOL All-American Rejects LOLOLOL
 
They're known to cause stroke/death via vertebral artery dissection, muscle/tendon damage via over-rotation, etc... So yeah, they're neither right nor safe.

Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.

With that said, I'm an orthopaedic surgery resident...you can guess my view point. I remember walking in to a Sam's Club recently where a local chiropractic practice had set up. In an overly obnoxious manner they cornered anyone walking in, including myself, and began to preach their gospel. The looks on their faces after a few minutes of talking when they asked what I did and I replied "orthopaedic surgery" was priceless (for the record, I can virtually guarentee I won't be doing spine surgery).
 
Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.

With that said, I'm an orthopaedic surgery resident...you can guess my view point. I remember walking in to a Sam's Club recently where a local chiropractic practice had set up. In an overly obnoxious manner they cornered anyone walking in, including myself, and began to preach their gospel. The looks on their faces after a few minutes of talking when they asked what I did and I replied "orthopaedic surgery" was priceless (for the record, I can virtually guarentee I won't be doing spine surgery).

:laugh: I wish I had been there to see this.
 
Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.

With that said, I'm an orthopaedic surgery resident...you can guess my view point. I remember walking in to a Sam's Club recently where a local chiropractic practice had set up. In an overly obnoxious manner they cornered anyone walking in, including myself, and began to preach their gospel. The looks on their faces after a few minutes of talking when they asked what I did and I replied "orthopaedic surgery" was priceless (for the record, I can virtually guarentee I won't be doing spine surgery).

Why not? 😕
 
Why not? 😕

The patients. The number of things that can be reliably helped with surgery are limited. The number of patients who are convinced that their problem can be helped are much less limited. So you get a clinic full of a bunch of chornic pain patients all looking for a miracle.
 
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Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.

The last time I looked all of the papers demonstrating no increase over baseline were backed directly by a chiro association. Not that I am saying the studies are directly biased, just something to think about.

Plus, shouldn't the fact that it's very debatable if VAD's increase with cervical manipulation mean you shouldn't have the procedure done given there isn't any proven benefit for undergoing the procedure (It's comparable to placebo)?

I recently watched a "True Life" episode on MTV where a chiro did a cervical manipulation to treat nacrolepsy and cataplexy because "the two sides of the patients bodies were off balance". (http://www.mtv.com/videos/true-life-i-have-narcolepsy/1672872/playlist.jhtml)

Start at 34:30, kind of hilarious.
 
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Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.
Are you sure?

Quackwatch gives a good overview of numerous studies' finding here: http://www.quackwatch.com/01QuackeryRelatedTopics/chirostroke.html

But heck, even the Mayo Clinic specifically says:

Possible complications include: A certain type of stroke (vertebral artery dissection) after neck (cervical) manipulation
 
Those cervical HVLAs in the video are by no means extreme.

I think any neck manipulation can be considered extreme when administered by someone with such limited credentials and training... half of which was business classes to boot. "How to keep your patients hooked 101".
 
Time for you to do some research. There are no conclusive studies proving this. For every study that demonstrates an increase in complications (typically looking at vertebral artery dissection), there are studies that show no increase over baseline.

With that said, I'm an orthopaedic surgery resident...you can guess my view point. I remember walking in to a Sam's Club recently where a local chiropractic practice had set up. In an overly obnoxious manner they cornered anyone walking in, including myself, and began to preach their gospel. The looks on their faces after a few minutes of talking when they asked what I did and I replied "orthopaedic surgery" was priceless (for the record, I can virtually guarentee I won't be doing spine surgery).

As a resident, then, you should be familiar with concepts of NNT and NNH. Given a treatment with such shaky and scant evidence for efficacy in the first place, we do not need to show much of an increased instance of complication at all over baseline to dub it a bad treatment.

Treatment 1: Heals/effectively treats 1 in 20. Does harm to 1 in 10,000
Treatment 2: heals/effectively treats 0, does harm to 1 in 10,000,000,000

treatment 1 is still better.

I have also seen papers going both way on the complications. In some cases the study design is inappropriate for the question asked (i.e. couldnt have the sensitivity needed in the first place). The literature suggests something real between cervical HVLA and stroke even if we cannot all agree on the exact correlation.
 
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