Jonathan Hearsey

Musculoskeletal Health

'Self-Destructing Chiropractors'

Chiropractors are seemingly hell-bent on destroying themselves as a therapy.

This affluent discipline has now taken to throwing their legal weight around in two, very well reported and blogged about, legal cases.

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Frustratingly, as fellow manipulators they are probably going to bring down manipulative physios and structural osteopaths too. (I use the term structural as society is not permitting us to drop the cranial/structural tag and, with regard to evidence, structural osteopathy is the only part of osteopathy that actually has some science behind it – not much I admit!).

I get the feeling that chiropractors have missed a golden opportunity here. Instead of demonstrating their legal might they should have used what little evidence there to parry the criticism plus given the scientific community the assurance that they would fund further research.

As a fully-fledged sceptic I want to add my opinion. It’s my blog after all.

Spinal manipulation has come a great distance in the last 100 years. The evidence suggests that spinal manipulation, used with other forms of therapy might offer an alternative to existing protocols. It is NOT better than existing protocols, just an ALTERNATIVE.

There is no evidence, that I know of (and I do not possess an encyclopaedic knowledge of such things so correct me if I’m wrong), that spinal manipulation helps more esoteric conditions such as IBS, PMS, infertility, colic in infants et cetera, et cetera.

Spinal manipulators have a place in healthcare. That place is NOT in an ivory tower. That place is in a health service, working alongside existing musculoskeletal practitioners doing what we can do better than them – manipulating spines. It is not the consultant post that some dream of but it is a position in a multidisciplinary team that the manipulator should value, as I do.

JH

5 comments

5 Comments so far

  1. HolfordWatch August 20th, 2008 9:25 am

    Unity over at the Ministry of Truth asks an interesting question: Can you libel woo? She has some plausible insights into what might be driving the chiropractors’ agenda in this action.

    Conceivable, the public kicking that another bunch of woo merchants – homeopaths – has gotten over the last year or so may have spooked the BCA but, casting around for information presents a rather more enticing and plausible explanation as to why they might want to prevent the publication of adverse commentary in the press and any kind of critical public debate surrounding the efficacy and risks of chiropractic…

    …and to see that explanation first hand one need only take a short trip over to the website of NICE the National Institute for Clinical Evidence, where we find that one of things they’re working on is a new set of clinical guidelines for the treatement of non-specific lower back pain.

    Yep, its the key to the NHS gravy train. If NICE approves the use of chiropractic manipulation as part of the treatment regime for lower back pain then the door opens to chiropractors taking referrals from the NHS under contracts in which the NHS pays their fees and before you can say ‘vested interest’ you’ve got a whole bunch of chiropractors on what is effectively the public payroll. Little wonder then that just about the last thing that the BCA want right now is science journalists asking all sorts of awkward questions like ‘is there any evidence to show that it works?’ and ‘what kind of risks might patients face when referred for a course of woo?’. [Emphasis added.]

    All of which does sound plausible particularly as further elaborated by Blue Wode on the Bad Science Forum.

    It seems a reasonable strategy if one considers Get Well UK’s ’successful’ pilot programme in NI and what that has done towards promoting the uptake on CAM on the NHS.

    You would be a very good person to comment on the plausibility, however.

  2. Jonathan Hearsey August 20th, 2008 2:59 pm

    Deal – I’ll post separately – feel free to debate/disagree/shoot me down in flames/kidnap my pets – after all, this is what CAMs are most frightened of. FFS – why? Surely, something positive might come of this if we all enter the same arena and hash this out!

    JH

    (PS – I don’t have a lawyer so you are safe. Actually, that’s not true – I had a lawyer once when I moved house but he was slower than Steve St. Slow when he was ‘a bit under the weather’ so you are safe to comment freely.)

  3. HolfordWatch August 20th, 2008 4:29 pm

    We emphatically deny that we are the sort of people from whom others need to hide their pets (ICHC is a not-so-secret indulgence) or for whom legal barriers are appropriate.

    We just thought that osteopaths must have already gone through the NHS-accreditation process (so to speak) so might have more of an insight into whether the chiropractic associations might be taking such matters into consideration. However, with this being a sensitive subject, we fully accept that this might not be something that is easy to discuss. Blue Wode makes some slightly chilling observations about the success rate of previous letters from the UK’s chiropractic organisations when complaining about press coverage.

  4. Jonathan Hearsey August 20th, 2008 4:34 pm

    No – bring it on – I hate the cats anyway. The dog is OK, so leave him out of it!

    I challenge people to debate this – I really do. I’m way out of my depth already but I strongly believe that something needs to be done about this and the only way forward is to get some dialogue going.

    I’ll do my best.

  5. Jonathan Hearsey August 21st, 2008 1:31 am

    HolfordWatch,

    It’s done…

    Fire at will.

    JH

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