Not too long ago, the Eighth Joint National released a new set of evidence-based guidelines for evaluation and treatment of hypertension (high blood pressure). The committee’s report represents ...View Article
Chiropractic Care is a essential part of keeping your spine healthy. Chiropractic care increases flexability and range of motion of the joints in the body. Chiropractic Adjustments treat Subluxations. Subluxations is a term used to describe a joint that is fixated or misaligned causing vascular and nerve interfierence. Chiropractic Care is nessessary for everyone who has a spine. Patients vary from infants to seniors. As a healthy part of your lifestyle it is reccomended that you see a Chiropractor and get adjusted.
Why Should I Go See A Chiropractor?
Chiropractic care allows the body to function correctly. It is a scientific
fact that your brain, spinal cord, and the rest of your nerves control every
aspect of your body. Any imbalance in your spine can cause an adverse effect to
the overall health of you and those around you, such as your family.
If Chiropractic care starts at birth, you can achieve a higher level of health and
wellness throughout life, naturally!....
Chiropractic care has been helping families have vital lives for over 100
years. Vital health expression is the result of a properly aligned spine, a
healthy lifestyle and a positive mental attitude. Families want safe and
natural health care solutions. More and more people are choosing
Chiropractic care FIRST, because it makes good sense. No other form of health
care is safer. Chiropractic is a great choice for family vitality in the new
On the job, on the track, on the court or anywhere, Chiropractic improves
human performance. Chiropractic patients experience a higher level of
performance and stamina in all areas of life, as their bodies function
optimally from the inside out. You deserve to be your best. Why not
experience life at the top of your game? Try Chiropractic today and feel
Quality of Life
Our lives are a direct result of the decisions we make. Because health is not a
given, we must make decisions that impact our health every day. Chiropractic
improves the quality of life. Your health is your responsibility and your
health decisions WILL affect the quality of your life. Helping you maximize
your health is the goal of Chiropractic.....
Research tell us that over 80% of the general population will suffer from
one of the great variety of vertebrogenic disorders for certain periods of
their life. Vertebrogenic disorders mean disorders of the body that are caused
in whole or in part by spinal faults.
In addition to pain and discomfort in the neck and back, these disorders
include tension headaches, migraine headaches, dizziness, neuralgia, pain in
the shoulders and arms, certain types of pain in the chest and abdomen, pain in
the hips, knees and legs (sciatica), disc disorders, certain digestive
disorders and problems with menstrual cycles. The connection between these
seemingly unrelated conditions and the spine is that the nerves, which serve
all areas of the body, can be irritated directly or indirectly by spinal
Even people suffering from arthritis find great relief with chiropractic care.
Frequently spinal problems start in childhood, years before clinical symptoms
appear. Identified early, most of these disorders are reversible, and it is for
this reason that spinal examinations for children are imperative.
* Are you suffering from lower back pain? Or, do your
headaches never seem to go away?
* Have you been injured at work or in a car accident and are
having trouble dealing with the pain?
* Are you active in sports, but after the game have stiff
joints and shooting pains?
* Are you pregnant with an aching back?
* Are you in your Golden years and having trouble enjoying
retirement because those aches and pains are getting in the way?
* Are you concerned with the health of your whole body, and
are looking for a different approach to health care?
* Are you concerned with your newborn's or child's long term
well being and growth?
* If you answered yes to any of these questions, You should
visit your local chiropractor.
* Every day in the ....USA...., over 1.5 million people
receive treatment from Doctors of Chiropractic.
* Your chiropractor is a doctor with over 7 years of
university education in the art of hands-on healing.
Chiropractors use a combination of treatments for your condition. They are
specialists in using exact, gentle manipulations of your spine to make you feel
great. Chiropractic treatment also includes diet and exercise programs to get
you back into tip-top shape.
Millions of patients love their chiropractor and appreciate our unique and safe approach to recovery from pain. Significant research suggests that chiropractic is the safest approach available for relief from neck pain, back pain, headaches and other "musculo-skeletal" complaints. Lets review that research, and discuss how modern medicine has contributed to the Myth that chiropractic care is dangerous.
First, a short review of history
In the early 1960's, the American Medical Association (AMA) decided to try to contain and eliminate Chiropractic as a profession.  The AMA's purpose was to prevent medical physicians from referring patients to Chiropractors, as well as preventing them from accepting referrals from Chiropractors; to prevent Chiropractors from obtaining access to hospital diagnostic and radiology services; to prevent medical physicians from teaching at chiropractic colleges, or engaging in any joint research; and, to stifle any other form of cooperation between the two professions. The AMA also told its membership, medical students, insurance companies, and the general public that Chiropractic was an "unscientific cult".
In 1976, five Chiropractors filed a lawsuit against the AMA (and other named entities) for violation of the Sherman Anti-trust Laws. After 15 years of litigation, the U.S. Court of Appeals stated that the AMA intended to "destroy a competitor," and that there was evidence "showing that the AMA was motivated by economic concerns". The court found that the AMA had concealed evidence showing it's guilt, and was caught "doctoring" documents. The AMA was also "guilty of systematic, long term wrong doing and has not acknowledged its lawlessness". 
Following the Court enforced reversal of AMA's policy, tiny splinter groups formed, with the intention of labeling chiropractic as a quackish cult. Their methods mimicked the earlier AMA suppression tactics: Create doubt about the quality of chiropractic education, and mislead the public into believing that chiropractic claims ALL disease is caused by subluxations. Although these groups hide behind the noble claim that they wish to protect the public from unscientific practices, their true motives are transparent. Their sole intention is to suggest that only allopathic medicine is well supported by scientific research. However, that is just not true!
In an editorial in the highly esteemed British Medical Journal, titled Where is the Wisdom? The Poverty of Medical Evidence, BMJ's editor Dr. Richard Smith recounts a lecture he attended with renowned health policy consultant Dr. David Eddy. Eddy found, after doing significant research, that only about 13% of medical interventions are supported by, solid scientific evidence and that only 1% of the articles in medical journals are scientifically sound. Why is that? Because most of those articles quote from other articles which make unsupported and unfounded claims.
The Increasing Popularity of Alternative Medicine
After publication of David M. Eisenberg's 1993 New England Journal of Medicine article (Unconventional Medicine in the United States), various factions of modern medicine became increasingly anxious and aggressive in their accusations that alternative approaches to medical healthcare were not supported by research.  This same group was NOT forthcoming in mentioning the small fraction of established medical practices that have ever met these same stringent requirements. They certainly never mention the low level of success which medicine delivers for the same health complaints that chiropractic is so famous for.
|Interesting Sidebar from the British Medical Journal
Scientific heavyweights deplore the NHS money wasted on "unproved and disproved" treatments used by practitioners of complementary and alternative medicine (CAM), [1 2] but Lewith, a CAM proponent (see previous letter), is cited elsewhere as saying that the BMJ reckons that 50% of the treatments used in general practice aren't proved, and 5% are pretty harmful but still being used. 
Read more on this topic
The text says, "The figures suggest that the research community has a large task ahead and that most decisions about treatments still rest on the individual judgements of clinicians and patients." On 9 October 2007 the situation had changed-but not for the better. Treatments rated "beneficial" had decreased from 15% to 13%.
1. Kamerow D. Wham, bang, thank you CAM. British Medical Journal 2007 (Sep 29); 335: 647
2. Colquhoun D. What to do about CAM? British Medical Journal 2007 (Oct 13); 335: 736
3. Cope J. The great debate. Healthwriter 2007 (Apr): 1-3.
The High Risks of the Medical Approach
Dr. Lucian Leape, researcher at the Harvard Medical School of Public Health, also states that only 13% of medical procedures have ever been tested for appropriateness by randomized trials. He noted that adverse events occurred in 3.7 percent of all hospitalizations. Worse yet, 13.6 percent of those adverse events led to death! . He is also quoted as saying:
"Medicine is now a high risk industry, like aviation. But, the chance of dying in an aviation accident is one in 2 million, while the risk of dying from a medical accident is one in 200!" 
The most comprehensive review of "adverse events" (also referred to as " .
This fully referenced report reveals that:
2.2 million people experience in-hospital, adverse reactions to prescribed drugs per year.
20 million unnecessary antibiotics are prescribed annually for viral infections
7.5 million unnecessary medical and surgical procedures are performed annually, and
8.9 million people are exposed to unnecessary hospitalization every year!
The most stunning statistic, however, is that the total number of deaths caused by conventional medicine is an astounding 783,936 per year!
That is a mind-boggling 2147 people killed daily!
That's 7 jumbo jet plane crashes, each and every day.
That's a 9-11 incident occurring every other day...FOREVER.
God help us all.
Now, Lets Discuss the Safety of Chiropractic
Canada has a government-run national health care system. As occurred with Medicare in this country, there had been such pressure on the Canadian government to include chiropractic as a covered benefit, that the Ontario Ministry of Health hired a renowned heath care economist to make a recommendation. The first "Manga Report" [
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 complications for LBP patients.
Chiropractic is more cost-effective. There would be highly significant cost savings if more management of LBP was transferred from medical physicians to chiropractors.
There is good empirical evidence that patients are very satisfied with chiropractic management of LBP and considerably less satisfied with physician management
The specific Recommendations were:
Chiropractic services should be fully insured under the Ontario Health Insurance Plan
Chiropractic services should be fully integrated into the health care system. Because of the high incidence and cost of LBP, hospitals, managed health care groups, community health centers, comprehensive health organizations, and health service organizations and long-term care facilities should employ chiropractors on a full-time and/or part-time basis
A good case could be made for placing chiropractic as the gatekeepers for all musculoskeletal complaints that presented to hospitals.
|Review of Specific Safety Studies|
A. The Safety of Cervical Adjusting
No one pays closer attention to injury statistics than Malpractice Insurance carriers.
Scott Haldeman, MD, DC reviewed malpractice claims records for a 10-year period between 1988 and 1997. In reviewing the outcomes following the application of 134.5 million cervical manipulations (commonly referred to as the chiropractic adjustment), the records indicated that there were 23 reported cases of stroke or vertebral artery dissection (VAD).  Of this group, 10 of the patients had the complicating factors of high blood pressure, use of oral contraceptives, or a history of smoking, all of which are associated with vascular disease. The actual incidence of stroke or VAD following cervical manipulation was found to be one per 5.85 million cervical adjustments. That means that the average chiropractor could work for 1430 years (or practice 48 full chiropractic careers!) before they might be involved with this type of litigation.
Other reports listing a higher frequency of adverse events have been compromised by the tendency of those authors to inappropriately list the pracitioner as a chiropractor, even when it turned out that the injury was caused by a medical doctor, a physical therapist or a hairdresser! , 
Rather than raising concerns about the safety of chiropractic, these statistics emphasize that spinal manipulation, in the hands of unskilled practitioners, is dangerous, and the practice must be closely regulated. 
The World Health Organization recently released a comprehensive set of guidelines that clearly states that chiropractic is a separate profession, rather than a set of techniques that can be learned in short courses by other health professionals. They also make it clear that medical doctors and other health professionals, in countries where the practice of chiropractic is not regulated by law, should undergo extensive training to re-qualify as chiropractors before claiming to offer chiropractic services. In some countries there have been recent efforts by medical groups to provide short courses of approximately 200 hours in chiropractic technique. WHO's guidelines indicate that a medical graduate should a require an additional minimum of 1800 class hours, including 1000 hours of supervised clinical training, before claiming to offer chiropractic services. 
B. The Safety of Low Back Adjusting
Lower back injury alleged to have occurred following spinal manipulative therapy has been reported in patients with pre-existing disc herniation or prolapse. While it is suggested that the forces required to cause a disruption of the annular fibers of the healthy intervertebral disc well exceed that of a rotational manipulative thrust, some disc herniation/protrusion may certainly be aggravated by an inappropriately applied manipulative maneuver, as it may be by other simple activities of daily living such as bending, sneezing, or lifting. The most frequently described severe complication is compression of the cauda equina by massive midline nuclear herniation at the level of the 3rd, 4th or 5th intervertebral disc.
Of the 30 cauda equina complications associated with manipulation reported in the French, German and English literature over an 80 year period, only 8 were allegedly related to chiropractic treatment. 
|The Risks of Medical Procedures Aimed at Relief of Similar Symptoms|
A. Non Steriodal Anti-Inflammatories (NSAIDs)
One group of patients who rely on NSAIDs for pain relief are those suffering from rheumatoid arthritis. In 1998, Dr. Singh of the Stanford University of Medicine reviewed the records of 11,000 arthritis patients at 8 participating institutions. He extrapolated that approximately 107,000 patients are hospitalized annually for nonsteroidal anti-inflammatory drug (NSAID)-related gastrointestinal (GI) complications (internal bleeding) and at least 16,500 NSAID-related deaths occur each year among arthritis patients alone. The figures for all NSAID users would be overwhelming, yet the scope of this problem is generally under-reported. 
Another article titled "36 Percent of Acute Liver Failures Are Linked to Acetaminophen" suggests that other organ systems are also compromised by the use of over-the-counter pain medications. 
Lauretti's review of the literature found that The best evidence indicates that cervical manipulation for neck pain is much safer than the use of NSAIDs, by as much as a factor of several hundred times. 
B. Spinal Surgery
First, let's review some history. In 1974, the Congressional Committee on Interstate and Foreign Commerce held hearings on unnecessary surgery. Their findings from the First Surgical Second Opinion Program found that 17.6% of recommendations for surgery were not confirmed. The House Subcommittee on Oversight and Investigations extrapolated these figures to estimate that, on a nationwide basis, there were 2.4 million unnecessary surgeries performed annually resulting in 11,900 deaths at an annual cost of $3.9 billion. 
With the total number of lower back surgeries having been estimated in 1995 to exceed 250,000 in the U.S. at a hospital cost of $11,000 per patient.  This would mean that the total number of unnecessary back surgeries each year in the U.S. could approach 44,000, costing as much as $484 million. 
So, the biggest risk of spinal surgery is that it may not be necessary.
The next set of risks include:
a 2.1% chance of a serious adverse drug reaction. 
a 5-6% chance of acquiring a nosocomial infection 
a 4-36% chance of having an iatrogenic injury (medical error or adverse drug reactions). 
a 17% chance of a procedure error. 
As few as 3%, and no more than 20% of iatrogenic injuries are ever reported! Yipes! 
That takes all the fun out of being a statistic, doesn't it?
This September 2006 article from the Journal of the American Academy of Orthopedic Surgeons says it all:
"Failed back surgery syndrome is a common problem with enormous costs to patients, insurers, and society. The etiology of failed back surgery can be poor patient selection, incorrect diagnosis, suboptimal selection of surgery, poor technique, failure to achieve surgical goals, and/or recurrent pathology." 
That my friends is right from the horse's mouth.
The most recent controversy is from the New York Times:
"Spinal-fusion surgery is one of the most lucrative areas of medicine. An estimated half-million Americans had the operation this year, generating billions of dollars for hospitals and doctors.
But there have been serious questions about how much the surgery actually helps patients with back pain and whether surgeons' generous fees might motivate them to overuse the procedure. Those concerns are now heightened by a growing trend among some surgeons to profit in yet another way - by investing in companies that make screws and other hardware they install." 
Now, added to concerns about medicine's poor musculoskeletal training and dangerous statistics, we have to wonder if the orthopedist might be motivated to install 6 of those $1000 screws in your spine because they are a stockholder in a lucrative medical device manufacturer.
The sanest and safest approach is to use conservative approaches like chiropractic care first. You can always resort to drugs or surgical approaches as a last-ditch resort, but the statistics suggest that most low-back and neck pain can be successfully managed with lower costs and higher patient satisfaction by chiropractors.
You may want to explore research supporting chiropractic care for a wide variety of conditions in our Research section. There is also a significant body of work demonstrating the vastly superior Cost-Effectiveness of Chiropractic, as well as contrasting Patient Satisfaction With Chiropractic with standard Medical Care for the same conditions.
 The Chiropractic Antitrust Suit ~ Wilk, et al vs. the AMA, et al
The Chiropractic Resource Archives
 Unconventional Medicine in the United States: Prevalence, Costs, and Patterns of Use
New England Journal of Medicine 1993 (Jan 28); 328 (4): 246-252
 Incidence of Adverse Events and Negligence in Hospitalized Patients
Results of the Harvard Medical Practice Study I
New England Journal of Medicine 1991 (Feb 7); 324 (6): 370-376
 The Iatrogenic Injury Page
 Death by Medicine
Life Extension Foundation
 A Study to Examine the Effectiveness and Cost-Effectiveness of Chiropractic
Management of Low-Back Pain
Ministry of Health, Government of Ontario Canada 1993
 The Adequacy of Medical School Education in Musculoskeletal Medicine
Journal of Bone and Joint Surgery 1998 (Oct); 80-A (10): 1421-1427
 Educational Deficiencies in Musculoskeletal Medicine
Journal of Bone and Joint Surgery 2002 (Apr); 84-A (4): 604-608
 A Comparison of Chiropractic Student Knowledge Versus Medical Residents
Proceedings of the World Federation of Chiropractic Congress 2001 Pgs. 255
 Arterial Dissections Following Cervical Manipulation: The Chiropractic Experience
Canadian Medical Association Journal 2001 ( Oct 2); 165 (7): 905-906
 Misuse of the Literature by Medical Authors in Discussing Spinal Manipulative Therapy Injury
J Manipulative Physiol Ther 1995 (May); 18 (4): 203-210
 Inappropriate Use of the Title Chiropractor and Term Chiropractic Manipulation in the
Peer-reviewed Biomedical Literature
J Manipulative Physiol Ther 1995 (May); 18 (4): 203-210
 Are German Orthopedic Surgeons Killing People With Chiropractic?
ChiroZine ~ 3-26-2005 ~ Editorial Commentary
 Guidelines on Basic Training and Safety in Chiropractic
World Health Orgainization ~ November 2005
 Guidelines for Chiropractic Quality Assurance and Practice Parameters
Preceedings of the Mercy Center Consensus Conference; Page 171
Aspen Publications 1993
 Recent Considerations in Nonsteroidal Anti-inflammatory Drug Gastropathy
American Journal of Medicine 1998 (Jul 27); 105 (1B): 31S-38S
 36 Percent of Acute Liver Failures Are Linked to Acetaminophen
U.S. News & World Report July 2, 2001
 US Congressional House Subcommittee Oversight Investigation.
Cost and Quality of Health Care: Unnecessary Surgery.
Washington, DC: Government Printing Office, 1976
 Herman R. Back Surgery. Washington Post [Health Section], April 18, 1995
 Testimony to the Department of Veterans Affairs' Chiropractic Advisory Committee
George B. McClelland, D.C., Foundation for Chiropractic Education and Research March 25, 2003
 Incidence of Adverse Drug Reactions in Hospitalized Patients
JAMA 1998 (Apr 15); 279 (15): 1200-1205
 Nosocomial Infection Update
Emerg Infect Dis 1998 (Jul); 4 (3): 416-420
 Error in Medicine
JAMA 1994 (Dec 21); 272 (23): 1851-1857
 Medication errors in hospitalized cardiovascular patients
Arch Intern Med 2003 (Jun 23); 163 (12): 1461-1466
 Failed Back Surgery Syndrome: Diagnostic Evaluation
Journal of the American Academy of Orthopaedic Surgeons 2006 (Sep); 14 (9): 534-543
 The Spine as Profit Center
New York Times December 30, 2006
 A Risk Assessment of Cervical Manipulation
vs. NSAIDs for the Treatment of Neck Pain
J Manipulative Physiol Ther 1995 (Oct); 18 (8): 530-536
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7], . It seems that the department chairs of several hospital-based orthopedic residency programs designed a basic examination on musculoskeletal competency and gave it to their residents. 82 per cent of medical school graduates failed the examination. Four years later the test was simplified and, once again, 78% of the examinees failed to demonstrate basic competency in musculoskeletal medicine. When this test was given to final quarter chiropractic students 70% of them passed the exact same exam! 
The differences between these 2 student groups should be noted. The medical students had already graduated from medical school (as MDs) and had completed their rotations through various hospital departments. Finally, they had been accepted into a hightly competitive orthopedic residency program...the pinnacle of medical musculoskeletal specialists. The chiropractic students however were still just students. 80% medical failure versus 70% chiropractic success. Quite astonishing!
6] was published in 1993.
This comprehensive study reviewed all the published literature on low back pain and made some astounding suggestions. In a nutshell, it concluded that: chiropractic should be the treatment of choice for low back pain
The specific Findings of the report were: - excluding traditional medical care altogether!Iatrogenic Injury") caused by modern medicine is the article Death by Medicine, written by Gary Null, Ph.D.; Carolyn Dean MD, ND; Martin Feldman, MD; Debora Rasio, MD; and Dorothy Smith, PhD.