Evidence: “It Worked for My Aunt Tillie” Is Not Enough

Evidence means different things to different people. Even quacks and their victims claim to have evidence that their treatments work. Sometimes that evidence consists only of testimonials from satisfied customers or from personal experience. “I tried X and I got better.” “I know Y works because it cured my Aunt Tillie’s arthritis.” I had a

Can Airrosti Really Resolve Most Chronic Pain in Just Three Visits?

A correspondent asked me to look into Airrosti because her employer’s insurance company had started covering it, and she was skeptical. She had tried to look up its effectiveness and safety record on the Internet and hadn’t found much. The information on their website didn’t tell me what I wanted to know, so I did a little

Ridiculous Warning from Chiropractors About Alleged Health Effects of Texting

The United Chiropractic Association has warned that using mobile phones for texting could cause poor posture that could shorten your life. They claim that poor posture is as big a health risk as obesity and that it increases the risk of an early death, especially in elderly people. Chiropractors have said a lot of silly things, but

Top 10 Chiropractic Studies of 2013

ChiroNexus recently listed the top 10 chiropractic studies of 2013. In my experience, chiropractic studies tend to be of poor quality. A media report says “study shows chiropractic works for X,” and when I look for the study it turns out to be a single case report or an uncontrolled study. When Simon Singh was

Chiropractic Reform: Myth or Reality?

The recent uproar about the chiropractor who was accused of breaking an infant’s neck has provoked renewed discussions about the role of chiropractors, not only in the care of children, but in general. We have addressed chiropractic many times on this blog. While spinal manipulation therapy (SMT) is an effective option for treating certain types of low back

Update: Chiropractic Neck Manipulation and Stroke

Can neck manipulation cause strokes? Most MDs and many chiropractors agree that it can, but some chiropractors disagree. The subject has been covered on SBM before: here, here, here, here, here, here, here, here, and here. We keep returning to the subject not because it is a common problem (it isn’t), but because it is

Chiropractic Abuse: An Insider’s Lament

There is a new book critical of chiropractic: Chiropractic Abuse: An Insider’s Lament. The author, Preston Long, DC, PhD, is a chiropractor who says he made a big mistake when he chose chiropractic as a career. He has written an intriguing book explaining his mistake and the experiences that resulted from it during 3 decades as

Chiropractic Education for Primary Care

Chiropractors would like to reinvent themselves as family doctors. I’ve written about that before and Jann Bellamy has written about it here, here, here, and here. A new study in The Journal of Chiropractic Education alleges that the National University of Health Sciences is nearing its institutional goal of training chiropractic students as primary care practitioners. The data they collected don’t even begin to support

The War Against Chiropractors

In 2011, chiropractor J.C. Smith published The Medical War Against Chiropractors: The Untold Story from Persecution to Vindication. He promises an exposé comparable to Harriet Beecher Stowe’s exposé of slavery in Uncle Tom’s Cabin. His thesis is that the AMA waged a shameless attack on competition, motivated only by money. I think the reality is closer to what he

Sports Physicals, Sudden Death, and Chiropractors

A correspondent sent me a link to an article about the decision of the Wichita Falls (Texas) Independent School District to recommend that chiropractors be allowed to give sports physicals to junior high and high school students. Current policy limits examiners to physicians, physician assistants, and nurse practitioners. Adding chiropractors to this list would bring the district

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