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For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice.
Chiropractic treatments might appear safer than they actually are because their adverse effects are under-reported in medical trials, a study has found.
Improper reporting of the adverse effects of a medical intervention was unethical, said Edzard Ernst, professor of complementary medicine at the Peninsula medical school, University of Exeter, who led the latest analysis. This had allowed chiropractors to create a falsely positive picture about the safety of their treatments, he said.
Chiropractors use spinal manipulation to treat ailments of the muscles and joints. Some practitioners claim the treatments can be used to treat more general health problems such as colic, asthma and prolonged crying in babies.
In his latest analysis, Ernst's team collated data from 60 randomised controlled trials (RCTs) of chiropractic carried out from January 2000 to July 2011. They found that 29 of the studies failed to mention any adverse effects of the treatment and, of the 31 trials where adverse effects were reported, 16 reported that none had occurred during the study. The results are published in the April 2012 edition of the New Zealand Medical Journal.
Guidelines for publishing clinical trials require that all adverse outcomes of a medical intervention should be published. If an intervention is totally safe and, therefore has no adverse effects, the researchers should report that there were no adverse effects.
"Imagine you have a drug where mild adverse effects are documented and hopefully rare adverse effects are being reported in case reports," said Ernst. "Then somebody does a trial on this drug and doesn't even mention adverse effects. That, in anybody's book, must be unethical.
"I feel that chiropractors do have a strange attitude towards the safety of their interventions. When you read the literature, you see proclamations that spinal manipulation, according to chiropractors, is 100% safe."
This is despite hundreds of case studies that have documented problems with the treatment. "About 50% of patients seeing a chiropractor have adverse effects, which is staggering," said Ernst. "In addition to these fairly mild adverse effects, which basically are pain at the site of manipulation and referred pain sometimes, which only lasts one or two days, we have about 500-700 cases of severe complications being reported."
With extreme chiropractic movement of the neck, an artery can disintegrate and lead to a stroke, an outcome that is well-documented in medical literature. "We only see what is being published and that can only be the tip of the iceberg," said Ernst. "Some neurologist sees a stroke and he finds out that this was associated with chiropractic – in 99.9% of cases he won't publish that."
Ernst said the under-reporting of adverse effects meant decisions about the best course of treatment for a patient would be made difficult. "Therapeutic decisions ought to be taken not on considering the effectiveness alone but also you have to have effectiveness as a balance with the potential for harm. You have to do a risk-benefit analysis. When you under-report risk, this cannot possibly be done robustly."
The British Chiropractic Association was approached for a response to the study but a spokesperson said it was unable to comment in time for publication.
Dangers of chiropractic treatments under-reported, study finds
The takeaway is that one should be quite careful before deciding to go down the route of chiropractic therapy and perhaps look to other forms of therapy instead. At the very least, make sure that you get a local recommendation when choosing a practitioner.
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I live in BFE. Nobody knows anything here.
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Has a chiro actually maladjusted a neck and killed a patient? lol
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On December 02 2015 08:14 farvacola wrote:For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice. Show nested quote +Chiropractic treatments might appear safer than they actually are because their adverse effects are under-reported in medical trials, a study has found.
Improper reporting of the adverse effects of a medical intervention was unethical, said Edzard Ernst, professor of complementary medicine at the Peninsula medical school, University of Exeter, who led the latest analysis. This had allowed chiropractors to create a falsely positive picture about the safety of their treatments, he said.
Chiropractors use spinal manipulation to treat ailments of the muscles and joints. Some practitioners claim the treatments can be used to treat more general health problems such as colic, asthma and prolonged crying in babies.
In his latest analysis, Ernst's team collated data from 60 randomised controlled trials (RCTs) of chiropractic carried out from January 2000 to July 2011. They found that 29 of the studies failed to mention any adverse effects of the treatment and, of the 31 trials where adverse effects were reported, 16 reported that none had occurred during the study. The results are published in the April 2012 edition of the New Zealand Medical Journal.
Guidelines for publishing clinical trials require that all adverse outcomes of a medical intervention should be published. If an intervention is totally safe and, therefore has no adverse effects, the researchers should report that there were no adverse effects.
"Imagine you have a drug where mild adverse effects are documented and hopefully rare adverse effects are being reported in case reports," said Ernst. "Then somebody does a trial on this drug and doesn't even mention adverse effects. That, in anybody's book, must be unethical.
"I feel that chiropractors do have a strange attitude towards the safety of their interventions. When you read the literature, you see proclamations that spinal manipulation, according to chiropractors, is 100% safe."
This is despite hundreds of case studies that have documented problems with the treatment. "About 50% of patients seeing a chiropractor have adverse effects, which is staggering," said Ernst. "In addition to these fairly mild adverse effects, which basically are pain at the site of manipulation and referred pain sometimes, which only lasts one or two days, we have about 500-700 cases of severe complications being reported."
With extreme chiropractic movement of the neck, an artery can disintegrate and lead to a stroke, an outcome that is well-documented in medical literature. "We only see what is being published and that can only be the tip of the iceberg," said Ernst. "Some neurologist sees a stroke and he finds out that this was associated with chiropractic – in 99.9% of cases he won't publish that."
Ernst said the under-reporting of adverse effects meant decisions about the best course of treatment for a patient would be made difficult. "Therapeutic decisions ought to be taken not on considering the effectiveness alone but also you have to have effectiveness as a balance with the potential for harm. You have to do a risk-benefit analysis. When you under-report risk, this cannot possibly be done robustly."
The British Chiropractic Association was approached for a response to the study but a spokesperson said it was unable to comment in time for publication. Dangers of chiropractic treatments under-reported, study finds The takeaway is that one should be quite careful before deciding to go down the route of chiropractic therapy and perhaps look to other forms of therapy instead. At the very least, make sure that you get a local recommendation when choosing a practitioner.
Some practitioners claim the treatments can be used to treat more general health problems such as colic, asthma and prolonged crying in babies. and these practitioners are widely regarded as idiots by other chiropractors.
Re: Strokes
http://www.ncbi.nlm.nih.gov/pubmed/12195461
And as always, I recommended chiropractic manipulation as a part of a holistic solution to this problem (SI joint pain).
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So as I understand it, when you do exercise, you go into a state of insulin sensitivity, which lasts until you have a carb rich meal. If you're interested in losing weight, shouldn't you not eat for a while after you work out, then to prolong this state of insulin sensitivity?
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On December 10 2015 09:36 Jerubaal wrote:
So as I understand it, when you do exercise, you go into a state of insulin sensitivity, which lasts until you have a carb rich meal. If you're interested in losing weight, shouldn't you not eat for a while after you work out, then to prolong this state of insulin sensitivity?
Insulin has a phenomena known as 'Insulin Sensitivity' which can be summed up as 'The amount of action a single molecule of insulin can exert inside a cell'. The more insulin sensitivity you have, the less overall insulin you need to exert the same effect. A large scale and prolonged state of insulin insensitivity is what is known as Type II diabetes (among other co-morbidities).
Insulin is neither bad nor good from a health and body composition perspective. It has certain roles in the body and activating it may or may not be beneficial for particular individuals, but may also be wondrous for others. Typically sedentary obese persons would be wise to limit insulin secretion while power athletes or relatively lean athletic individuals would be wise to use carbohydrate timing strategies to maximize the effects of insulin.
http://examine.com/topics/insulin/
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I'm not really sure what you're getting at.
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From my understanding, if you're working out, insulin sensitivity post workout helps uptake nutrients to your muscles, which is a good thing. So avoiding carbs post workout is probably a bad idea for most people, even those trying to lose weight.
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I was looking at it from the perspective that if you are insulin resistant, it might be beneficial to sit for longer in this state of insulin sensitivity. Maybe that doesn't even help.
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Well I'm almost disappointed. A few days before I was set to meet the chiropractor, my back suddenly stopped hurting. I would have liked to compare before and after at the height of my pain. Anywho, Santa Claus said my legs were a little uneven. The first thing he did was push down on my back and that made about 6 vertebrae crack. Then he put me on my side and did something with me leg, flip and repeat. I think it was a push? Can't be sure. It wasn't too terribly dramatic, but I did feel something shift. I felt pretty wobbly walking out. Prescribed a hip flexor stretch which is basically a half pigeon on your back. Anyway no pain for the past week, so whether it was that or coincidence I don't know. Back to the gym tomorrow for the first time in forever.
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Canada17708 Posts
On December 02 2015 08:14 farvacola wrote:
For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice.
i giggle when Chiros claim they can read an x-ray as well as a radiologist.
people should start any journey through the medical system with their family physician. and, any good family physician will direct you to a chiro under very well delimited guidelines.
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On January 15 2016 15:15 JimmyJRaynor wrote:Show nested quote +On December 02 2015 08:14 farvacola wrote:
For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice.
i giggle when Chiros claim they can read an x-ray as well as a radiologist. people should start any journey through the medical system with their family physician. and, any good family physician will direct you to a chiro under very well delimited guidelines.
I believe the opposite. Minor physical pain and/or discomfort can be adressed pretty quickly,
Chiropractic care is pretty non invasive,cheap, and god damn effective for muscle stuff.
If you are puking blood or have fever you go to a doctor obviously. A good chiro will realize when he is out of his expertice field and refer you to another professional (unlike MANY doctors who believe the solution to all muscle pains is anti-inflamatories and rest, which does pretty much nothing to solve the real issue)
Jerubaal; you prolly got your hip alinged as it was rotated.
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good doctors are good. good chiros are good. bad doctors are bad. bad chiros are bad.
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Canada17708 Posts
On January 15 2016 23:01 GoTuNk! wrote:Show nested quote +On January 15 2016 15:15 JimmyJRaynor wrote:On December 02 2015 08:14 farvacola wrote:
For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice.
i giggle when Chiros claim they can read an x-ray as well as a radiologist. people should start any journey through the medical system with their family physician. and, any good family physician will direct you to a chiro under very well delimited guidelines. I believe the opposite. Minor physical pain and/or discomfort can be adressed pretty quickly, Chiropractic care is pretty non invasive,cheap, and god damn effective for muscle stuff. If you are puking blood or have fever you go to a doctor obviously. A good chiro will realize when he is out of his expertice field and refer you to another professional (unlike MANY doctors who believe the solution to all muscle pains is anti-inflamatories and rest, which does pretty much nothing to solve the real issue)
you've provided over simplified examples. diagnosis is tough. is it tendon? ligament ? tenosynovitis? muscle? cartilage? bone cancer? lactic acid build up in muscles? avascular necrosis? anemia?
your #1 priority in finding a permanent family physician is finding a skilled diagnostician. research the guys background. this guy will hold your life in his hands.
the content of your post entails decision-making that i'd leave to a skill diagnostician positioned in the center of hte medical system. namely, a family physician that is a skilled diagnostician. my family physician is the #1 emergency room DR at the Trilium Health Center. He is 1000X better than any Chiropractor for diagnosis. i did my research before selecting him.
if a family physician is unsure of diagnosis he can order a bone scan and send me to my orthopeadic surgeon.
the (family physician + orthopeadic surgeon + radiologist) combination is 10,000 times more effective at diagnosing a musculoskeletal issue than a chiropractor.
once they make their diagnosis if they decide chiropractic is the best path for treatment and recovery... then off i go to see the chiropractor.
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The problem with GPs is that they have such a big-picture perspective that it sometimes blinds them to the case at hand. If 1k people come in presenting flu like symptoms and 999 of them have the flu, the doctor is going to just start assuming that everyone he sees has the flu. And sucks to be the 1/1000 that doesn't have the flu. If someone complained to me about low back pain, I, and most of you, would first assume they just strained something.
I went to a clinic and it was apparent after the first visit that the guy was never going to get to the bottom of it.
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Canada17708 Posts
pro Sports teams don't use Chiropractors to diagnose musculoskeletal issues with their athletes and i would not use a chiropractor for diagnosis either.
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On January 16 2016 05:12 JimmyJRaynor wrote:Show nested quote +On January 15 2016 23:01 GoTuNk! wrote:On January 15 2016 15:15 JimmyJRaynor wrote:On December 02 2015 08:14 farvacola wrote:
For those pushing chiropractic manipulation without disclaimer, you're doing people a disservice.
i giggle when Chiros claim they can read an x-ray as well as a radiologist. people should start any journey through the medical system with their family physician. and, any good family physician will direct you to a chiro under very well delimited guidelines. I believe the opposite. Minor physical pain and/or discomfort can be adressed pretty quickly, Chiropractic care is pretty non invasive,cheap, and god damn effective for muscle stuff. If you are puking blood or have fever you go to a doctor obviously. A good chiro will realize when he is out of his expertice field and refer you to another professional (unlike MANY doctors who believe the solution to all muscle pains is anti-inflamatories and rest, which does pretty much nothing to solve the real issue) you've provided over simplified examples. diagnosis is tough. is it tendon? ligament ? tenosynovitis? muscle? cartilage? bone cancer? lactic acid build up in muscles? avascular necrosis? anemia? your #1 priority in finding a permanent family physician is finding a skilled diagnostician. research the guys background. this guy will hold your life in his hands. the content of your post entails decision-making that i'd leave to a skill diagnostician positioned in the center of hte medical system. namely, a family physician that is a skilled diagnostician. my family physician is the #1 emergency room DR at the Trilium Health Center. He is 1000X better than any Chiropractor for diagnosis. i did my research before selecting him. if a family physician is unsure of diagnosis he can order a bone scan and send me to my orthopeadic surgeon. the (family physician + orthopeadic surgeon + radiologist) combination is 10,000 times more effective at diagnosing a musculoskeletal issue than a chiropractor. once they make their diagnosis if they decide chiropractic is the best path for treatment and recovery... then off i go to see the chiropractor.
So...good doctors are good doctors and bad doctors are bad doctors and specialists are better than non specialists?
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On January 16 2016 05:31 JimmyJRaynor wrote:
pro Sports teams don't use Chiropractors to diagnose musculoskeletal issues with their athletes.
No shit. Plenty of them use chiropractors though. They also have nearly unlimited budget. Your average american can't/won't pay to see a GP + ortho + radiologist for non-serious injuries, and a good chiro can be extremely helpful and cost/time efficient.
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Canada17708 Posts
Diagnosis is your first priority. the question is .. who is the best diagnositician? it damn sure ain't a chiropractor.
here is the problem with a chiropractor..
when the only tool you own is a hammer.. everything looks like a nail.
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On January 16 2016 05:31 JimmyJRaynor wrote:
pro Sports teams don't use Chiropractors to diagnose musculoskeletal issues with their athletes and i would not use a chiropractor for diagnosis either.
It's not a problem of knowledge it's a problem of delivery. Chiropractors don't have a magical knowledge that orthopaedists don't, but you're not going to get to an orthopaedist unless you can find an GP without his head up his butt. I'm glad you have the best GP in Canada, but that's not going to be an option for everyone.
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EPT
