It is your back and you are the chiropractor

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It is your back and you are the chiropractor

It is your back and you are the chiropractor - It is your back and you are the chiropractor matters.

It is technically fraudulent to classify chiropractic as a "science;" however, this is not to say that twisting a persons spine in a standard manner will not carry some level of success. Manipulative therapy is described by chiropractors as "the art of restoring a full and pain-free range of motion to joints in order to counteract the harmful local and distant effects of hyper- or hypo-mobile joints that have wide-ranging consequences on other parts of the body." They deliver a "high velocity but low amplitude thrust" that, usually, if successful, causes a usually painless, audible noise. In so far as I am concerned, the audible clunk, or crepitation that is heard is the fibrocartilaginous material crunching past other fibrocartilaginous material within the disc space. I have good reason to believe that it is the same sound often heard during the performance of The Revitalization Technique.

A 1989 study reported that "the public seemed to be more satisfied with chiropractors' level of understanding of the problem of the spinal patient's problems and more confident with the diagnosis and management when compared to family practitioners"(36). These data suggest that the family practitioners were not able to provide as clear or rational an explanatory model of the problem as chiropractors. Considering that chiropractors themselves readily admit that they cannot explain how manipulative therapy actually functions mechanically, anatomically, or physiologically, these studies imply only that chiropractors are more expert at perpetrating misrepresentations than family practitioners. It demonstrates to me that chiropractors do not help alleviate back pain better but simply are better able to "con" patients into believing that they know what they are doing, and family practitioners are equally as ineffective but more honest in their responses.

A societal casualty of this study's misinterpretation is the published conclusion: "The message here is pretty clear: since most patients are going to get better regardless of the treatment they receive, how we (physicians) treat the pain is less important than how we make patients feel about their care."(37) To hear that sort of conclusion evidences to me the sorry state of 1990's back pain management and a more obvious finding. It would appear that physicians are willing to concede that chiropractors are better at deceiving the public than they are and that doctors should learn to engage in similar practices so as to deceive patients equally well if not better. Such logic makes me lose faith in the competence of those researchers entrusted with the duty to adequately interpret scientific data and draw competent conclusions.

In my opinion, the message should be something more akin to: physicians are doing a horrible job of helping people with back pain and rather than learn how to dissemble better than chiropractors, they should redouble their efforts to find a method that actually helps people rather than creating an illusion of expertise while letting the patient walk out the door with only the law of probabilities on their side.

The Revitalization Technique can elegantly satisfy that need without resorting to hand-holding hocus-pocus. If you achieve substantial benefit from this website, I would suggest you inform the health care provider who failed to adequately alleviate your pain of this website's existence, so that they can, as rapidly as possible, begin to engage in meaningful discourse and treatments before they degenerate into chiropractic coddling. In the long run, true trust might be developed.

In deference to the field of chiropractic and to present a balanced picture, there are several controlled trials that provided evidence that chiropractic manipulation has a beneficial effect for low back pain, especially for select subgroups of patients; however in a study of 35 randomized trials of manipulation, only 5% showed an improved short term outcome, again though, selection biases and lack of standardized diagnoses make even that success profile subject to interpretive bias that evidences one already largely known marketplace fact: Some people do get relief from chiropractors.

What is problematic about their "theory" and practice is that they promote the belief that they can treat any number of unrelated diseases and that a long term management plan is necessary that causes a person to return again, and again, and again, for complete treatment success. In fact, they cannot consistently or scientifically fulfill those representations. Getting people to believe that a long-term, repetitive, practitioner mediated process is necessary accomplishes at least one thing--it insures a steady income for the chiropractor. Leading the patients to believe unrelated allergies or ear infections can be remedied by crunching on a spine, in my opinion, constitutes fraud and any chiropractor that strays into this realm should be abandoned in favor of one who sticks to helping the percentages of patients that they do help with spinal pain.

It is my belief that, in the future, when the principles of this method are widely studied for confirmatory validation, the chiropractic beneficial effect will be anatomically demonstrated to be slightly similar. In those few patients who have ideally-placed pieces of displaced disc material in the Lumbar or Cervical regions the herniated disc material can be serendipitously repositioned centrally by the wringing action of tightening the ligamentous peripheral lamina of the annulus fibrosus rapidly and forcefully during the twisting-type chiropractic manipulation very similar to the means described in the CHIROTATIONAL TWIST Section of this website. If this doesn't produce instant relief or if the lesion is in the less rotatorily mobile thoracic spine, another manipulative technique is employed in which the spine is put in slight traction by positioning; then a sharp, forceful push with the palms is given to the spine which induces an immediate hyperextension. This, too, is similar to the non-weight-bearing extension principle described in the EXTENSIONS Section of this website which physically squeezes the disc material anteriorly, so long as the disc material isn't positioned too far peripherally. If so, the pinching can squeeze off a partially extruded disc segment; and turn it into a fully extruded or sequestered fragment. Therein lies the harm they can do.


to be continued ...
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