Back in the “old days”, the regular medical doctors looked upon chiropractors as “quacks”, practicing a form of medicine that had no effect on the patient. They figured that if no medicines were prescribed, then there was no effective treatment. The American Medical Association did everything it could to discredit chiropractic medicine. Times have changed and now both branches of medicine work together.
Today, chiropractors are the third largest group of health care providers, after physicians and dentists, who treat patients directly. The American Medical Association policy now states that it is ethical for physicians not only to associate professionally with chiropractors, but also to refer patients to them for diagnostic or therapeutic services.
What led to this change in the way the medical profession views chiropractors? Several factors are believed to be responsible:
The 1990 U.S. Supreme Court decision on a lawsuit, known as the Wilks case, that found the AMA and others
guilty of illegal conspiracy against the chiropractic profession.
Recognition by the established medical community that most medical therapies for back pain are ineffective.
RAND’s 1992 groundbreaking analysis of spinal manipulation that showed this intervention does benefit
people with acute low-back pain. This study directly influenced the Agency for Healthcare Research and Quality to include positive recommendations on spinal manipulation in its 1994 clinical practice guidelines on low-back pain. This federal agency issues such guidelines to help the medical community improve the quality of health care in the United States.
Chiropractors do not believe they can replace traditional forms of medical treatment. They do not treat the some of illnesses and conditions that a general practitioner does. Most chiropractors focus on problems of the spine, that is, conditions affecting the backbone and associated muscles and nerves.
Chiropractors most commonly adjust the spine by using their hands to apply forceful pressure, on areas that are out of alignment or that do not have normal range of motion. Sometimes this causes an audible “pop.” At times, a chiropractor will do an adjustment with an instrument called an activator. Chiropractors also use mobilization techniques (manual therapy that does not involve a high-velocity thrust) as well as physical therapy.
Although spinal manipulation is the key component of chiropractic care, most practitioners take a holistic
approach and include such things as nutrition counselling and exercise advice in their treatment program.
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