Comments on: Around the Tubes http://quichemoraine.com/2009/02/around-the-tubes/ We don't need no stinking subtitle Wed, 08 Jun 2011 05:44:29 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Stephanie Zvan http://quichemoraine.com/2009/02/around-the-tubes/#comment-5286 Stephanie Zvan Fri, 21 Aug 2009 13:58:06 +0000 http://quichemoraine.com/?p=184#comment-5286 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. 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.

]]> By: sijproblem http://quichemoraine.com/2009/02/around-the-tubes/#comment-5284 sijproblem Fri, 21 Aug 2009 13:07:55 +0000 http://quichemoraine.com/?p=184#comment-5284 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... 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…

]]> By: Nick http://quichemoraine.com/2009/02/around-the-tubes/#comment-2422 Nick Thu, 28 May 2009 10:56:21 +0000 http://quichemoraine.com/?p=184#comment-2422 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") 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”)

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