Space City Skeptics

The Official Blog of the Houston Skeptic Society

Chiropractic Practice Building Schemes…..

with 22 comments

Making it as a chiropractor is hard. Some do very well, but because of low demand and marketplace oversaturation many practices fail. In fact, chiropractors are more likely to default on student loans than any other health related profession. It is easy to see why so many turn to the practice building techniques taught in chiropractic school classrooms and seminars run by companies promising to bring more patients in.

Virtually everything you see on a chiropractic website or read about a chiropractor in a local publication, is part of a prepackaged practice building scheme. The wording is carefully chosed to have the biggest impact. Every flyer or handout found in a chiropractor’s waiting room is designed to indoctrinate you so that you not only come back, but you go out and spread the word. Here is a nearly ubiquitous example from a chiropractic website’s FAQ section:

“How long will you need chiropractic care?

You’ll need chiropractic care as long as you live in Hanover Park and encounter physical, chemical or emotional stress that you cannot adapt to or accommodate. Ready to get started? Call our office today.”
 
And another from a different chiropractic website’s “Story of Chiropractic” page: 
 
“Ultimately, the goal of the chiropractic treatment is to restore the body to its natural state of optimal health.  In order to accomplish this, I use a variety of treatment methods, including manual adjustments, massage, trigger point therapy, nutrition, exercise rehabilitation, massage, as well as counseling on lifestyle issues that impact your health.  Since the body has a remarkable ability to heal itself and to maintain its own health, the primary focus is simply to remove those things which interfere with the body’s normal healing ability.”  
 
Usually these practice building techniques come in the form of setting up information booths at local gyms or fairs, ads for free spinal exams, or pseudojournalistic press releases run in smaller local publications or on personal websites (1, 2, 3, 4). I’m sure you have seen these before, but you may not have realized something.

These seemingly personal stories always revolve around two things. The chiropractor always tells the story of how he or she, or a family member, was injured and could only find relief in the caring hands of a chiropractor, thus inspiring them to join the field. And they always involve the chiropractor making a confession about how they have been taking the credit for healing all those patients when really it was the chiropractic all along. Check out the links above and you’ll see, and trust me there are thousands more that are easily accessible online.

The reason why the general format is similar, and often exactly the same word for word, is because these chiropractors are using a standard template bought from practice building firms. The chiropractor simply puts in his or her name, practice location and hours, and some personal information such as a picture and a description of his or her beautiful family. I imagine that they choose from a list of personal tragedies that led them into the chiropractors office, and the testimonials typically placed in the ad are likely invented as well.

 Many of these ads disparage the medical profession, and I have come across a number which blame vaccines for SIDS and other health problems. I am constantly amazed at the audacity of placing these cookie cutter ads when the internet provides such an easy way to compare them to others and see through the charade. But I don’t think that anyone using such techniques ultimately care. It probably doesn’t take many suckers to fall for this tactic, and to sign a longterm maintenance contract, to turn a profit.

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Written by skepticpedi

March 30, 2009 at 7:03 am

22 Responses

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  1. Why all the anti chiropractic blogging?

    ridgewoodnychiro

    April 1, 2009 at 11:36 am

  2. This site is dedicated to skeptical analysis of pseudoscience, bad science, psychics, and paranormal, in general. Skepticpedi, in particular, is an actual medical doctor and so is particularly interested in these topics as they relate to medicine and health.

    Although I should let him speak for himself.

    However, I recommend http://www.whatstheharm.net

    Geek Goddess

    April 1, 2009 at 12:19 pm

  3. I am particularly interested in chiropractic as it is by far the most accepted form of so-called alternative medicine by the general public. I am intrigued by it and the machinations of its practitioners, and amazed at the credulity of so many people who seek them out. But in reality, chiropractic has made up a rather small portion of what I post on, although there has been an increase recently.

    skepticpedi

    April 1, 2009 at 12:48 pm

  4. I really appreciate you writing on this stuff. I am a chiro who does not believe in scripting and hard selling care. If you are ever interested in another point of view and would like to trade some emails or do an interview I would be happy to answer questions, honestly and with candor. Could be fun.

    drkevdc

    April 7, 2009 at 3:44 pm

  5. I’ve been approached by many chiropractors with claims of how what they do is different in the past. It doesn’t tend to pan out. Do you, for instance, reject the subluxation as a chiropractic entity? If not, then I am skeptical at the onset. But, as a skeptic, I am always (almost) willing to hear new information and adjust my conclusions as warranted. I’ve heard talk of a reform movement amongst chiropractors similar to that which took place in osteopathy for years but have yet to see any real world impact. I think it is a fantasy to be honest. I realize that there are some chiropractors out there who only treat musculoskeletal issues, don’t accept subluxations, don’t push supplements or bogus diagnostic techniques like applied kinesiology, support vaccines, etc, etc. There just aren’t very many.

    skepticpedi

    April 7, 2009 at 9:25 pm

  6. Nevermind. Unless this isn’t your blog: http://drkevdc.blogspot.com/.

    And unless you have significantly changed your approach to practicing chiropractic since your last post was written in 2006. If you have, I’d love to know how, and more importantly, why.

    But if it is your old blog, and you continue to support what you wrote in it, then what you do is no different than what almost any other straight chiropractor does. You believe that a chiropractic subluxation is the actual pinching of a spinal nerve by an out of place vertebra. This is pure fantasy. You preach the tired old straight dogma that you don’t cure anything, it is the body, once you fix the subluxation of course.

    But more to the point of your comment. Also in the blog, is the following:

    “From the consultation I move into the exam. The exam is gives me a greater understanding of what is going on in your spine. I start with Range of motion, then look at posture, perform any necessary orthopedic and neurologic tests and check your reflexes.

    Once I am finished with that I begin palpating your spine. I know this may sound like a strange concept, however, it is impossible for me to fix you if I don’t have an idea on how your spine is moving. I am always surprised when people tell me that they have been to a couple of doctors for this an no one has ever touched their spine before.

    After the palpation I usually have a pretty good idea if I can help them or not. If I think that I can help them I will tell them. If not, then I try to recommend them to someone who may be able to help them.

    I often take x-rays to get a real clear picture of the spine.

    When I have completed all of this, I send the patient home, asking them to come back the next day so that I may go over all of the findings.”

    This is standard practice building boilerplate. The act of sending a patient home without treatment during the first visit is a classic technique to lure them into thinking that whatever you tell them is very serious and thus they are more likely to agree to longterm maintenance care. This is scripting and hard selling care, as you put it. Let me ask you this, how often do you tell a patient that they do not have a subluxation and that they do not need an adjustment?

    I’ve just found another blog, this one current, that is also almost certainly written by you:

    http://drkevdc.wordpress.com/2008/11/16/how-exactly-does-chiropractic-work/

    In this post you use, as you did in the older blog, the comparison of a water hose being pressed by something heavy to the chiropractic subluxation’s pinching of a spinal nerve. You state that this compromises the “flow” through the nerve and leads to a suboptimal performance of glands, muscles and organs. This is also standard practice building boilerplate and it is extremely misleading.

    Medical science has, many years ago, discovered what happens when the nerve impulse is slowed down, or when nerves are compressed by an outside structure such as bone or a tumor. Our understanding of this process is complete and backed by decades of proper evidence. It does not support your claims. Implying that organ dysfunction or general poor health is somehow related to the pinching of an exiting spinal nerve is typical chiropractic propaganda.

    skepticpedi

    April 7, 2009 at 9:58 pm

  7. I appreciate the response… I have in fact changed where the person does go home the first day with a treatment. After some thought it did seem silly to not help people on the first day they came in. Understand that there does need to be time to review x-rays, that is something no one wants rushed, it is not like you get do-overs.

    Now as far as the way that I choose to communicate with patients, if I went into complex detail as to why a vertebra out of place was bad for them, they would be asleep after sentence 3. We must take some liberties in order to get a point across. There is an old saying, if they knew what I knew, the would do what I do. Do we simplify a complex process, of course we do? Is it done to scare a patient into long term care? I don’t believe you will find anything in what I wrote that will imply that.

    If you are interested in continuing I will happily continue. There is a large growing number of chiro’s who are extremely science based, with tons of studies to back up our theory of what a normal spine is and ways to help people get back to that. These studies are published in articles like Spine, Clinical Biomechanics, and the European Spine Journal.

    I would be happy to debate these and any other topics with you.

    drkevdc

    April 8, 2009 at 7:30 am

  8. In so many respects, there is still tons of this crap that belittles a very powerful healing art. Our most severe troubles still come from the inside.

    However, no doctor ever disserves her patient by being 100% open and honest, setting reasonable goals and expectations. Good advice is evidence based, with empiricism applied in each patient treatment plan.

    And this is exactly why we were asked to Co-Author (and recently completed) The Perfect Medical Practice Platform.

    perfectpracticeweb

    July 6, 2009 at 6:20 pm

  9. “Perfect Web Practice” is just yet another site that helps chiropractors market a sham technique to gullible people. Over and over again, it has show to be no better than placebo. The only ‘peer-reviewed’ journals for this pseudoscience are published by the industry itself.

    GeekGoddess

    August 4, 2009 at 2:04 pm

  10. My my. I guess you also ignore the great neurobiologist Korr, The great MD James Cyriax, and all the MDs that send their patients to see us.

    I would also be very careful, as your statements about my company will be forwarded, and monitored by our legal counsel.

    I will gladly publicly debate, anywhere any time.

    perfectpracticeweb

    August 4, 2009 at 3:14 pm

  11. Forward whatever you want. Chiropractic has never passed any double-blinded randomly controlled trials beyond a placebo effect. Any ‘peer-reviewed’ articles are published in journals that are written by chirocs, such as the Journal of Manipulative Physiology Therapy, hardly an unbiased endorsement. Anecdotes do not constitute evidence. Personal stories by people who believe they have been helped are not data, and are not controlled for regression to the mean.

    A concise but thorough meta-analysis of all trials, which also discusses the quality and neutrality of existing studies, is summarized in Simon Singh’s book Trick or Treatment which was published in 2008. It was on the best-sellers list for quite a while, so I’m sure you’re able to find it. If you would read the chapter on chiropractic and furnish specific rebuttals to the claim with science-based evidence, I’d love to talk to you about it.

    An ‘appeal to authority’ is not a valid defense. Cyriax has been dead over 20 years, so you don’t know what his current views would be. Thomas Jefferson extolled the virtues of bleeding as a curative for many ailments. Less than 150 years ago, the medical profession *knew* disease was caused by bad smells, called miasma. Science eventually showed that diseases like cholera were caused by the spread of germs, through water or air, and not stinky odors.

    Science, evidence, data, proof. Gotta love it.

    GeekGoddess

    August 6, 2009 at 7:03 am

  12. The great neurobiologist Steven Novella, professor at Harvard, authors the web site

    Scienced-Based Medicine

    has quite a bit to say on the subject, including extensive archives on articles regarding chiropractic, clinical trials, and the role of science.

    GeekGoddess

    August 6, 2009 at 7:29 am

  13. Ms Goddess, I am enjoying this discourse.

    And I love Novellas work!

    I hate the BS that goes on in Chiropractic just as much, if not more than you do, which is why I have worked hard for 28 years to integrate clinically excellent care from all disciplines.

    By the way, have you ever treated patients? Had the opportunity to witness clinical miracles in both medicine and chiropractic?

    Where did you complete your clinical training?

    Had many, many patients referred to you by their neurosurgeons, neurologists and just about every other specialty to you personally?

    Ever had the opportunity to choose a “Science Based” treatment that might just kill your patient? Or choose to employ low cost, low risk care when it’s in the patients best interest.

    Lets continue. Lets bring in Haldeman, Cassidy, the late great Kirkaldy-Willis, Pope, et al.

    Then lets really look at the boondogle highlighted in Volume 22, Number1, January 2009, pp 62-68 of The Journal of the American Board of Family Medicine entitled “Overtreating Chronic Back Pain: Time to Back Off?”

    Now, lets talk about the billions wasted on so called scientific approaches to treating mans ills. But please, figure in iatrogenisis, hundreds of thousands of deaths due to the administration of “scientific” methods of care.

    But, do not disparage, one of our colleages compiled this great summary, that I recently commented on. If we should disect each study one by one, let the games begin.

    Just Some Evidence for the Effectiveness of Chiropractic, you I am sure looked at all of these too.

    Quality of Results

    “…for the management of low-back pain, chiropractic care is the most effective treatment, and it should be fully integrated into the government’s health care system.”
    The Manga Report, 1993.

    Versus Alternative Treatments

    “Chiropractic treatment was more effective than hospital outpatient management, mainly for patients with chronic or severe back pain.”
    British Medical Journal, 1990.
    British Medical Research Council Study.

    “…spinal manipulation applied by chiropractors is shown to be more effective than alternative treatments for low-back pain.”
    The Manga Report, 1993.

    “…injured workers … diagnosed with low-back pain returned to work much sooner when treated by chiropractors than by physicians.”
    The Manga Report, 1993.

    Long-Term Effectiveness

    “Two and three years after patients with back pain were treated by chiropractors, they experienced far less pain than those who were treated by medical doctors.”
    British Medical Journal, 1990.
    “Low Back Pain of Mechanical Origin: Randomized Comparison of Chiropractic and Hospital Outpatient Treatment.”

    “…one of the unexpected findings …looks as though the treatment that the chiropractors give does something that results in a very long-term benefit.”
    T. W. Meade, M.D., CBC Radio.

    M.D.s now categorize chiropractic manipulation with the highest rating: “Generally accepted, well-established and widely used.”
    Spine, 1991.
    North American Spine Society.

    “A majority of family physicians (in Washington) admitted having encouraged patients to see a chiropractor, and two-thirds indicated a desire to learn more about what chiropractors do.”
    The Journal of Family Practice, 1992.
    “Family Physicians and Chiropractors: What’s Best for the Patient?”

    “Our trial showed that chiropractic is a very effective treatment, more effective than conventional hospital outpatient treatment for low-back pain … particularly in patients … who have severe problems.”
    T. W. Meade, M.D.

    “The only difference that I can see is that the patients at John F. Kennedy get chiropractic manipulations. And in my experience, the patients at J.F.K. almost without fail get out of the hospital in a week. At Lutheran, it usually takes, oh, not uncommonly, 14 days.”
    Per Frietag, M.D., an orthopedic surgeon, on why he prefers to admit his patients with back pain to John F. Kennedy Hospital, which has staff chiropractors, rather than Lutheran General, which does not have staff chiropractors.

    “Manipulative medicine is no longer a taboo topic.”
    Norton Hadler, M.D., self-described “cantankerous doctor who would have never dealt with manipulation in the past,” professor of rheumatology, University of North Carolina Medical School at Chapel Hill, Time Magazine, 1991.

    “Ten years ago if you practiced manipulation … you couldn’t get published and were never invited to meetings. Now I can’t keep up with the invitations.”
    Neurologist Scott Haldeman. M.D.. D.C..
    New York Times. 1991.

    Cost Effectiveness of Chiropractic

    Cost/Quality Analysis

    “The overwhelming body of evidence shows that chiropractic management of low-back pain is more cost effective than medical management, and that many medical therapies are of questionable validity or are clearly inadequate … Chiropractic manipulation is safer than medical management of low-back pain.”
    The Manga Report, 1993.

    “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.”
    The Manga Report, 1993.

    Mean Compensation Costs

    “The mean compensation cost (not treatment costs) paid out by the Utah Worker’s Compensation Board for patients treated by medical doctors was $668.39; the mean compensation cost paid for patients treated by chiropractic was only $68.38.”
    Journal of Occupational Medicine, 1991.
    “Cost per Case Comparison of Back Injury Claims for Chiropractic vs. Medical Management for Conditions with Identical Diagnostic Code.”

    Medical Payments

    Total medical costs for back-related injuries cost the Utah Worker’s Compensation Board an average of $1,665.43 per case; chiropractic costs for similar diagnoses cost only $775.30.
    D.C.. Tracts, 1989.
    “Cost per Case Analysis of Utah Industrial Back Injury Claims: Chiropractic Management vs. Medical Management for Diagnostically Equivalent Conditions.”

    Medical payments for back-related injuries cost the Florida Worker’s Compensation Board $1,100 per case; chiropractic treatment for similar diagnoses cost only $558.
    ACA Journal of Chiropractic, 1988.
    “An Analysis of Florida Worker’s Compensation Medical Claims for Back-Related Injuries.”

    Comparison of Compensation Days

    Of 1,996 low-back pain cases studied, patients receiving chiropractic treatment averaged 6.26 compensation days compared to 25.56 compensation days for medical patients.
    Chiropractic Journal of Australia, 1992.
    “Mechanical Low-Back Pain: A Comparison of Medical and Chiropractic Management.”

    The Av-Med Study

    This study included 80 patients, each of whom was previously treated by a medical doctor and subsequently referred to the Silverman Chiropractic Center. Of these 80 patients, 21 % had been diagnosed with disc problems, 5% received emergency room treatment and 12% had been diagnosed as requiring surgery.

    Following chiropractic treatment, no surgery was required. 86% needed no further treatment at all. And the projected savings on the patient study group was approximately $250,000.
    The Av-Med Study, 1993.

    Respectfully, John Hayes Jr, DC, MS, DABCO
    Author, “Living and Practicing by Design-Saving the Hearts that Care for our Lives”

    perfectpracticeweb

    August 7, 2009 at 6:41 am

  14. “By the way, have you ever treated patients? Had the opportunity to witness clinical miracles in both medicine and chiropractic? Where did you complete your clinical training?”

    All irrelevant. It does not take a degree in medicine or experience caring for patients to critically evaluate the claims of chiropractic and see that they are without merit in the overwhelming majority of cases. I am a physician and I have seen many patients get well under my care. I am also rational enough to understand that none of these instances, even when unexpected, deserve being called a clinical miracle. Your doing so betrays an underlying bias. You, like many in the various fields falling under the umbrella term alternative medicine, see yourself as a miracle worker who can’t possible be wrong about something you just know to be true because you have seen it with your own eyes. People like Geek Goddess understand that interpreting the world through a filter of personal experience is the basis for many wrong conclusions.

    “Had many, many patients referred to you by their neurosurgeons, neurologists and just about every other specialty to you personally?”

    Many individuals, regardless of their background or training, have been fooled in the past, and this trend shows no signs of slowing. But this is merely an example of selection bias and very likely the human brain’s poor recollection skills. The number of patients referred to you by misinformed or simply mistaken medical professionals pales in comparison to the number who refuse such referrals, or who are what we refer to as “shruggies” just going along with what their patient wants regardless of whether or not they think it will do them any good. Neither of which serve as evidence that chiropractic is bogus. Anecdotes are meaningless no matter what side of the debate they fall on. Once again, this comment causes me to question whether or not you could approach the question of the effectiveness of chiropractic impartially.

    “Ever had the opportunity to choose a “Science Based” treatment that might just kill your patient? Or choose to employ low cost, low risk care when it’s in the patients best interest.”

    Having done both on many occasions, I fail to see the relevance in this comment as well. This is simply an attempt to establish a false dichotomy between medicine and chiropractic, focusing the readers attention on the negative aspect of medicine, while ignoring the great benefit which comes from its practice, and on a straw man representation of chiropractic. Any therapy with no benefit is too expensive and too risky. With very few exceptions, chiropractic falls squarely into this category.

    Few science based practices are entirely risk free, though many of the most effective, like smoking cessation, are. And some may even carry the risk of serious morbidity or mortality. But they are decided on with a risk to benefit ratio in mind. Science based medical professionals will always attempt to choose the treatment plan which has the most favorable of these and serves the patient best. But, and I am sad as I realize just how often I have to point this out to those of your ilk (I can understand when my 5-year-old daughter doesn’t get this however), even if modern medical practices are entirely off base, even if they kill every patient that comes through the door to our offices, clinics and hospitals, this does not in any way effect whether or not chiropractic, whatever that is, works. And the pattern of your comments containing signs of serious bias continues with your use of scare quotes around science based.

    “Lets continue. Lets bring in Haldeman, Cassidy, the late great Kirkaldy-Willis, Pope, et al.”

    Argument from authority. Do you honestly think that I can’t easily come up with great minds that speak ill of what you do. So what.

    “Then lets really look at the boondogle highlighted in Volume 22, Number1, January 2009, pp 62-68 of The Journal of the American Board of Family Medicine entitled “Overtreating Chronic Back Pain: Time to Back Off?””

    Sweetheart, is that you. Get off of daddy’s computer please.

    “Now, lets talk about the billions wasted on so called scientific approaches to treating mans ills. But please, figure in iatrogenisis, hundreds of thousands of deaths due to the administration of “scientific” methods of care.”

    Okay, but only if we can do so rationally, incorporating a denominator into the equation to put the discussion into perspective. Speaking of deaths caused by medicine without also speaking of the countless millions of lives saved or changed for the better by the steady advance of scientific medicine over the past century or so is a shameless scare tactic that comes as no surprise from you considering your prior attempts at littering this blog with your propaganda. Please, and take your time on this, list the top 10 chiropractic interventions and a rough estimate of how many lives they have saved and we’ll compare them to just vaccines. But I could pick from a host of other medical advances if you would like. But, once again, even if medicine had not saved life one, chiropractic would be no more likely to work because of it. More scare quotes. Classy.

    “But, do not disparage, one of our colleages compiled this great summary, that I recently commented on. If we should disect each study one by one, let the games begin.”

    Really? Manga? To borrow from your playbook, please tell us where he trained and how many patients he has cared for.

    Skepticpedi

    August 7, 2009 at 8:33 pm

  15. My husband finally succumbed to the pressure of his CEO to try his chiropractor for my husband’s lower back pain. Sigh. Nice reading this thread–too bad I didn’t get a chance to have my hubby read it before his appointment.

    Classic–did analysis, etc., no treatment. Chiropractor insisted that I had to come back with him for a follow-up before treatment. My husband thought maybe it was because I would help him with some at-home exercises, so he agreed. No, it was just so I could be there for the sales pitch, the financials discussion, the discount we would receive if my husband paid for a year’s worth of treatment in advance. What a complete waste of my time!! At least I managed to talk my husband into not paying more than a week in advance! A bunch of talk about needing serious commitment from my husband for this treatment program. We’ve both done physical therapy for various stuff, and they never talk about committing to a series of treatments before they can even consider treating you.

    I have to say that this first live experience with a chiropractor has only reinforced my belief that it is all a crock.

    I have tried acupuncture for some things. It worked great on my plantar fascitis, and did nothing for my sinus issues. I liked the approach my acupuncturist took though–he said acupuncture is good at treating some things, not so good at others. He said to try 3 treatments and if there was no improvement, then acupuncture would not help and I should try other options. No talk about signing up for a year’s worth of treatments! No talk about pre-paying! And there have been studies showing it is good for some nerve pain and for inflammation.

    Funny how chiropracty seems to be more accepted than acupuncture, and yet I think acupuncture is probably a more “real” treatment.

    But maybe it is because no one has developed a pre-packaged practice building scheme for acupuncture yet… hey, can anyone say “market opportunity”??

    Katherine who hates sales pitches

    October 13, 2009 at 7:57 pm

  16. Katherine, he saw the wrong doctor. There are some in every profession, but sometimes we seem to have more than our share.

    The best docs usually advise care for up to 1 month (3-6 weeks) initially, with a progress exam, If improvement is rapid and forthcoming. Some serious cases, like disc herniations with neuro deficits require protracted care, but always with progress exams each month, and commonly concommitant medical care. Your acupuncturist did a better job.

    This is exactly the garbage that gives the best docs a big hill to climb, and never is this in the best interest of the patient.

    perfectpracticeweb

    October 13, 2009 at 8:35 pm

  17. Katherine, thanks for posting. I recommend you look into the wealth of information on the web. I highly recommend the book “Trick or Treatment” which explains placebo, how randomly controlled trials are conducted and evaluated, as well as have a separate chapter on all of the studies and tests done on the major ‘alternative medicine’ sham treatments available – homeopathy, chiropractic, acupuncture, ‘natural’ herbal healing, and so on.

    Also, here are some good discussions of the science *and lack of* that you can read on the web:

    http://www.sciencebasedmedicine.org/?p=59

    For a long but interesting and fact-based ‘discussion’ with chiros written by a neurologist:

    http://www.theness.com/neurologicablog/?p=398

    Geek Goddess

    October 26, 2009 at 11:03 am

  18. A patient fell off her horse last week. Does she need a Chiropractic treatment? Examination revealed whiplash-like misalignments in her neck, upper and lower back

    wendell

    December 11, 2009 at 2:04 am

  19. Having chiropractic care I one of the most needed care now a days. Because all of us need to care about our back bone.

    chicago chiropractor

    December 11, 2009 at 2:06 am

  20. I would say no, Wendell, she needs to see a real doctor.

    As to ‘chicago chiropractor’ – perhaps if you had gone to a real medical school, associated with a real university – you would have learned to write in coherent sentences.

    GeekGoddess

    December 11, 2009 at 8:26 am

  21. Charming strategy GeekGoddess, advancing your rational, science-based argument against chiropractors by making a childish attack on what is clearly a spam comment by an SEO service.

    At bottom many of your criticisms have merit, some chiros are un-ethical, and some chiros’ claims are unsubstantiated and shouldn’t be made, yet as adults we can and should aim higher in our conversations about these issues.

  22. Mr. Stowell, that particular person (whose IP addresse is visible to the site administrators) has a long history of spamming and trolling under various pseudonyms. You can’t have a rational conversation with someone who has no concept of how science actually works, or has stated the there is no amount or type of evidence that would change their opinions.

    We can only do our part in our own little corners. For instance, I was able to effectively campaign to have my company’s insurance no longer cover acupuncture or chiropractic. I have noticed that the Boy Scouts of America now require their members to have annual physicals (needed if the Scouts attend camps) by medical doctors.

    Geek Goddess

    January 2, 2010 at 10:56 am


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