Around the Tubes

For your edification and amusement:

PalMD is talking at WhiteCoat Underground about his trip to Honduras to provide medical care after Hurricane Mitch. I’ve always hoped he would, at least briefly, and he’s not doing this briefly. It’s an ongoing series, which currently starts here and continues here.

On the topic of medicine, you do know that chiropractic manipulation can lead to an increased risk of stroke, don’t you? Actually, you probably didn’t, because the chiropractors are doing everything they can to muddy the waters on the topic.

Coturnix at A Blog Around the Clock is talking about the locus of political power, traditional ways that power has been concentrated and how that power is shifting in the electronic age.

Locally, the MinnPost has a couple of great articles up, on The Myth of Voter Fraud and what the stock market tumble has done to local arts funding.

And the Minnesota Independent is keeping an eye on the influence of religion on politics, with a look at why the religious right dislikes the stimulus package and reporting that Norm Coleman is following Michele Bachmann in claiming divine endorsement.

Tags: , , ,

3 Responses to “Around the Tubes”

  1. May 28th, 2009 at 5:56 am

    Nick says:

    interesting, but “chiropractic manipulation can lead to an increased risk of stroke” is not really accurate. There has been some implication that CERVICAL manipulation MIGHT lead to an increased risk of stroke (whether it is done by a trained physician, like a chiropractor or an osteopath), a physical therapist, or joe-schmoe.

    The sad thing is, that some people tag the title “chiropractic” on to it when things might have gone wrong, whether or not an chiropractic was actually involved.

    In all of my years of practice, I have only seen one strokes event associated with a chiropractor. The association? The patient went to a chiropractor for neck pain, the chiro examined her and referred her to the ER because of concerns that she was having a stroke (where she was examined by the ER doc and a neurologist) and was sent home and told that the chiro “didn’t know what they were doing” and that “nothing was wrong with her”. The patient went home, went to bed, and woke up 3 hours later unable to speak and with facial paralysis.
    When she returned to the ER, the ER doctor reported that the event occurred “after seeing a chiropractor”, even though no neck manipulation was performed.

    (I was an intern when I was involved with this case during my rotations through the department of neurosurgery. There was a department of chiropractic medicine in that hospital as well. Neurosurgery, orthopedic surgery, PM&R, physical therapy and pain management routinely referred patients to the chiro department there, and I was told that there had never been an adverse event associated with chiro at the hospital greater than “soreness after treatment”)

  2. August 21st, 2009 at 8:07 am

    sijproblem says:

    Dear Harriet Hall
    I am not a chiropractor but a patient who has long been looking for help and has experience from many kind of treatments in the market from massage and physical therapy to chiropractics.

    Yes, there are studies that tell chiropractic is not effective.
    In those studies they have used unskilled physical therapists to give “chiropractic” manipulation. But really it was more mobilization and unskilled manipulation as in study with Mark Hancock 2007 for example. In this study the manipulation was given by physiotherapists. The majority of participants had low velocity mobilization techniques and only 5% experienced high velocity techniques. Yet the news told the study shows chiropractic treatment has no value as treatment.

    You cited Hurwitz 2002. There chiropractors were clinicians. Many poor HVLA-experts work there.
    I have visited tens of chiropractors (and other similar) as a patient and I have to say most of them are pretty much useless because they just don’t have the skills to perform real HVLA. That is understandable: In every occupation some are good but most are not. That’s why the results vary so much. If you use poor HVLA the results are poor.

    And also the Cochrane review used studies where “chiropractic” treatment was given by physical therapists. And if you only get neck adjustment, the problem won’t usually stay away. You have to get the treatment to the whole body from feet and pelvis to neck and C0. Pelvis and neck are very much affecting to each others. If you only adjust neck the result will be for short term only and usually useless in long term. Well, with Atlas adjustment you often get good results even if you do nothing else. There are some good videos on that in YouTube…

  3. August 21st, 2009 at 8:58 am

    Stephanie Zvan says:

    I don’t think anyone is really going to be taking medical advice from someone who can’t figure out that this is a link to Dr. Hall’s blogging elsewhere. In a post of links.

SEO Powered by Platinum SEO from Techblissonline