Do Spinal adjustments hurt?
Are Spinal Adjustments are dangerous?
"There is no clinical or case-control study that demonstrates or even implies that chiropractic spinal manipulation is unsafe in the treatment of low-back pain. Some medical treatments are equally safe, but others are unsafe and generate iatrogenic (doctor-induced) complications for low-back pain patients. Our reading of the literature suggests that chiropractic manipulation is safer than medical management of low-back pain."
The one Caution that was advised by Pran Manga, Ph.D. who lead the study, warned that spinal adjustments performed by health care professionals other than qualified doctors of chiropractic were potentially harmful and less effective:
"several existing medical therapies of low-back pain are generally contraindicated on the basis of the existing clinical trials. There is also some evidence in the literature to suggest that spinal manipulations are less safe and less effective when performed by nonchiropractic professionals."
The Agency for Health Care Policy and Research (AHCPR) of the US Department of Health and Human Services released clinical practice guidelines for the management of acute low back pain on December 8, 1994. Their guidelines were developed after extensive study of the diagnostic and treatment methods used for acute low back pain. Their findings included:
The risk of serious complications from lumbar spinal manipulation is rare
Conservative treatment such as spinal manipulation should be pursued in most cases before considering surgical intervention
Prescription drugs such as oral steroids, antidepressant medications and colchicine are not recommended for acute low back problems
The Government of New Zealand published a 377 page report the result of a Commission that conducted approximately 2 years of hearings from recognized health care experts. They found…
“Spinal manual therapy in the hands of a registered chiropractor is safe”
“Chiropractors carry out spinal diagnosis and therapy at a sophisticated and refined level”
“Chiropractors are the only health practioners who are necessarily equipped by their education and training to carry out spinal manipulation (spinal adjustments)
The duration and training of a registered chiropractor are sufficient to enable him/her to determine whether there are contraindications to spinal manual therapy in a particular case, and whether that patient should have medical care instead of,or as well as chiropractic care”
Is Chiropractic Care Expensive?
The Manga Report, a 1993 Canadian government commissioned study,
"There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors... Users of chiropractic care have substantially lower health care costs, especially inpatient costs, than those who use medical care only."
An economic analysis conducted in Richmond, Virginia concluded;
"By every test of cost and effectiveness, the general weight of evidence shows chiropractic to provide important therapeutic benefits, at economical costs. Additionally, these benefits are achieved with apparently minimal, even negligible, impacts on the costs of health insurance."
When the State of Florida's Workers' Compensation Board conducted research in 1988 on treatment costs associated with injured workers who received care from either chiropractic doctors or medical doctors, they found chiropractic treatment costs were 58.8 percent of the treatments costs rendered by medical doctors ($558 vs. $1,100 per case)
You’ll have to continue care for the rest of your life
Chiropractors Only Treat Back Pain
What is less commonly known is the success that chiropractors have in treating a number of non musculoskeletal conditions. Conditions like dysmenorrhea (painful menses), ulcers, migraine headaches, and ear infections in children often respond favorably to chiropractic care. While we cannot claim to cure these conditions, we believe that many of these problems can be mimicked, aggravated and some times caused by disruptions in the nervous system as a result of spinal misalignments. By correcting these spinal misalignments, (vertebral subluxations), chiropractic has helped thousands of individuals overcome these conditions and regain control of their lives.
In one study that supports these findings, spinal manipulative therapy was compared with standard medical treatments in the treatment of duodenal ulcers. The researchers Pikalov, MD, and Kharin, MD, found those subjects receiving spinal manipulations took an average of 16 days to heal vs. 26 days to heal in the standard medical treatment group.
Chiropractic Doctors Lack Education Compared With Medical Doctors
Prior to entering chiropractic college, the student requires 2-4 years (depending on the college attended and the state one wishes to practice in) of pre-med undergraduate studies. Once completed, the student must next complete 4-5 academic years of studies at a chiropractic college. This includes extensive training in anatomy, physiology, pathology, neurology, radiology, differential diagnosis, chiropractic adjustive techniques, biomechanics, and other health-related studies as outlined below in the table.
Prior graduation each student must successfully complete several hundred clinical hours of "real" patient management in a clinical setting under professional supervision. Most chiropractic colleges also require students to partake in clinical externship programs which place them in actual chiropractic offices, further enhancing their clinical practice skills.
In addition to the regular classroom examinations most colleges conduct oral examination to be able to advance from one year to the next. Near or Prior to graduation new doctors must pass the National Board examinations, once they have successfully completed all 5 parts they are then able to sit for State board exams, which they must pass prior to obtaining a license to practice chiropractic. Once licensed, most states, including the Commonwealth of Massachusetts, require that chiropractors receive annual continuing education to ensure that a high level of competency is maintained.
Subject Hours Comparison Between DC's and MD's
ADDITIONALLY REQUIRED STUDIES