this post was submitted on 05 Dec 2023
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"Systematic reviews of controlled clinical studies of treatments used by chiropractors have found no evidence that chiropractic manipulation is effective, with the possible exception of treatment for back pain.[8] A 2011 critical evaluation of 45 systematic reviews concluded that the data included in the study "fail[ed] to demonstrate convincingly that spinal manipulation is an effective intervention for any condition."[10] Spinal manipulation may be cost-effective for sub-acute or chronic low back pain, but the results for acute low back pain were insufficient.[11] No compelling evidence exists to indicate that maintenance chiropractic care adequately prevents symptoms or diseases.[12]"

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[–] [email protected] 66 points 8 months ago (6 children)

I am actually really torn about this one, on one hand I had one episode of back pain that lasted nearly a year, swearing up and down the whole time that chiropractors were basically witch doctors and that I would never go to one. However, when I finally caved and went to one he fixed my issue after two sessions. On the other hand, my more recent back pain was not helped after I saw my chiropractor four times. In addition, I work as a nurse and have now seen at least three patients come in with vertebral dissections, essentially a stroke, that occurred literally right after they had seen a chiropractor for neck pain. Anecdotally, I would say it isn't worth the risk. Had I done physical therapy and used bought a tens unit the first time I'm sure it would have also fixed it without the chiro, but I was lazy

[–] [email protected] 56 points 8 months ago

That's the thing. Chiropractic could be considered a manual treatment which is a therapeutic modality. PTs do manual therapies that are less traumatic and are one component of the musculoskeletal issues that contribute to pain that chiro claims to heal. For most situations of acute back pain they resolve in 4 to 6 weeks so even the ineffective treatments appear to help- it's just like treatments for the common cold.

[–] [email protected] 22 points 8 months ago (1 children)

I’m a radiologist and I too have seen multiple cases of vertebral artery dissections and stroke immediately following chiropractic manipulation. Absolutely no chance I would ever suggest someone see a chiropractor.

[–] [email protected] 6 points 8 months ago

This is the entire problem with quackocrackers, they have no ability to diagnose any illness or disease. So people who think they just have a back ache and go to a quackcracker instead of a real dodctor are delaying getting a proper diagnosis, so then if they happen to have something more serious like cancer, they'll essentially be sacrificing their own life by going to quackocracker instead of finding out whats really wrong.

[–] [email protected] 2 points 8 months ago (1 children)

Someone who knows what they're doing, and knows the limits of what they can do, can benefit certain physical conditions you may have. But they're not doctors. They have no prescribing power. A lot of people go there thinking that they can also prescribe them a medication, which is not the case. But there's no standards for being a chiropractor, so each one is different and some may do little to help you or even hurt you or name you and in some rare cases, kill you

[–] [email protected] 6 points 8 months ago* (last edited 8 months ago) (1 children)

Not only can they not prescribe anything (because they are play doctors not real ones) but they have no access to the medical equipment (other than xrays which can literally only tell you if you have a broken bone) so they have Zero ability to diagnose whats really wrong with you, or your back, or anything really. Its all guesswork for them and the few people on here who say "quackocracked hepped me!!" is the one time they get it right out of 10 or 20 failures.

[–] [email protected] 0 points 8 months ago (1 children)

Anyone who says that a chiropractor helped them is just validating the placebo effect

[–] [email protected] 1 points 8 months ago

The thing about the placebo effect - it can work, even if you know about the placebo effect. It's pretty powerful.

[–] [email protected] 2 points 8 months ago

It's because what they're doing can sometimes provide temporary relief and when it works, it works fast. An underlying cause has made some inflammation, they stretch things out, relieve some pressure in places that shouldn't have pressure. But they're not fixing anything, just letting your body get back up to barely functioning until the underlying cause rears it's head again. Messed up discs are their bread and butter, but they're just resetting the house of cards you call a back.

Actually fixing the problem is a big, expensive, scary, painful deal and (US) chiros let insurance companies off the hook for a long time.

[–] [email protected] 1 points 8 months ago (1 children)

I'm 100% on board with science and evidence based therapies but I've had a similar experience with back pain. I won't let them manipulate my neck at all though.

[–] [email protected] 4 points 8 months ago (1 children)

I'd say the science is clear: humans don't understand what makes them sick and they don't understand why they get better. We value our own anectdotal evidence over actual research almost every time, and we keep making the wrong conclusions. I'd go so far as to say that you can't be "on board" with both science and with your own conclusions based on anectdotal evidence. It's one or the other.

[–] [email protected] 5 points 8 months ago (1 children)

Show me in the rules where I'm required to be internally consistent!

[–] [email protected] 2 points 8 months ago

It basically the human wave function. I can be consistant and inconsistent at the same time