kobido- McKenzie techniques have been used extensively for some time now w/
scientific support. As to the debate on extension- welcome McKenzie vs.
Williams flexion methodology. Symptom resolution or aggravation during a
McKenzie maneuver is the key. If radicular symptoms are aggravated the
technique is not wise in choice and vice versa. Same holds true in
manual/mechanical traction. Axillary vs. shoulder lesions can dictate
effectiveness of any given technique. Not any single technique is 100%.
LUMBAR DISC HERNIATION A CONTROLLED, PROSPECTIVE STUDY WITH TEN YEARS OF
OBSERVATION by Henrik Weber, M.D. Spine 1983; 8:131-140 NONOPERATIVE
TREATMENT OF HERNIATED LUMBAR INTERVERTEBRAL DISC WITH RADICULOPATHY AN
|OUTCOME STUDY by J.A. Saal, M.D. & J.S. Saal, M.D. Spine 1989;14:431-437
RELATIVE THERAPEUTIC EFFICACY OF VERTEBRAL MANIPULATION AND CONVENTIONAL
TREATMENT IN BACK PAIN MANAGEMENT by Vincent C.B. Nwuga, Ph.D. American
Journal of Physical Medicine 1982;61:273-278 Shall I go on?
By the way, chiropractic was introduced into the Medicare system in 1972.
They allowed us to bill for spinal manipulations (and that's it). They
wouldn't pay for extremity adjustments, examinations, x-rays, laboratory
testing, physical therapy modalities or rehab. That was 37 years ago, and
it hasn't changed since. We STILL aren't getting paid for 80% of the
services we provide. So please excuse me if I tell you you're way off base
in targeting chiropractic for abusing medicare.
@ roquefortfiles, I understand your view and agree that a lot of
chiropractors continue to treat with the same high velocity adjustment
"passive care" as the end all be all treatment, the fault lies not in 5
treatments, but the lack of "active care" ...exercises, stretches..putting
the care back into the hands of the person ultimately responsible. You
should know if your are getting benefit in 4-6 treatments and if ur not the
doctor or you needs to change direction of treatment.
@ksmithdc YES! I like the vid that Dr. Echols says something like, 'suppose
you had a peble in your shoe and it was causing you some foot, back, and
shoulder pain while walking...you can either go to this one guy and get a
drug to take away the pain, or you can go to this other guy (a
chiropractor) and he'll take the pebble out of your shoe and do an
adjustment on your foot.' Which would you do? Keep the peble nd take the
drug or remove the peble and let someone rub your foot?
Chiropractic is very much like orthodontia. If an orthodontist told you it
was going to take 3 years to straighten your kids teeth, would you have the
same cheap skepticism? Probably not. But if a chiropractor wants to
straighten your spine - and try to get it handled in 5 visits, that's
fraud? Also, chiropractic follows the same laws of exercise physiology. It
takes time to change the muscles & ligaments in the spine. That's why you
can't get adjusted once and that's it.
Oh come on that is a ridiculous analogy. Chiropractic is like booting your
fender in place. It is not a "Curative" treatment otherwise people who got
treated would never need to come back again. I am not saying repeat visits
are never warranted i am just saying many Chiros i have seen are "too
quick" to jump on the "why don't you come back again next week.. and next
week and 3 more times after that too.. band wagon. When all i felt was a
little misalignment.
You can be on blood pressure meds until you can get your BP down to a
normal level. Most people do not do the needed things to get off their meds
so they stay on them. The issue is that high BP is damaging and when
someone does not exercise/lose weight/modify diet than they need to be on
the drugs. What do you do for the patient with a BP of 166/100 when they
are non compliant with lifestyle mods? THEY NEED TO BE ON THE DRUGS! Its a
matter of life and death.
I totally agree. These scam artists spend a few weeks at the chiropractic
academy learning how to crack people, and majority of the time learning how
to scam insurance companies for their wacky treatments. These funky
neck-twisting moves can also cause a stroke. I'll take my chances with
NSAIDS and real physicians before I let a quack crack me. Chiropractic
crack = quack. The best cure for neck and back pain is to maintain a
healthy weight and exercise.
@bobthe345 If that were true, chiropractors would have the highest
malpractice insurance premiums of any doctor. As it is, we have the lowest?
Want to know why? Because we don't kill people. The insurance & legal
people keep tabs on who gets injured and by whom. The data is clear:
chiropractic is the safest form of healthcare on the planet. There is
nothing safer. Consequently, allopathic medicine kills 250,000 every year
(in the U.S. alone).
Great post. The problem here is that the other poster is so tuned into the
medical model of "disease care" he/she doesn't seem to understand what true
health is all about. Health is about optimal physical, mental and social
well being and not merely the absence of disease or informity (according to
Dorland's Medical Dictionary). Health is about wellness - NOT managing
symptoms through chemicals. Health does NOT come from a bottle of pills!
There is a wide application of chiropractic care. Certain approaches can
restore the normal curves to the spine (which can get distorted after a
trauma). Chiropractic can reduce or eliminate disc herniations (as evident
with post MRI scans). Chiropractic is also used by athletes (from amateur
to Olympians) to help them bounce back after injuries. It's used to improve
the function of the nervous system which has infinite health benefits.
Maybe. And i agree that they do help. I have benefited myself. The problem
i have with many of them, not all. Is that many of them have too much of a
tendency to abuse medicare. Insisting on numerous return visits. It is
shamelessly padding their bottom line and THEY KNOW IT. I refuse to
participate in that kind of crap. Fix my problem yes. But i aint giving the
guy a Hawaiian vacation on unneeded billing. Any chiros out there disagree?
Looks like the guy is trying to be as careful as possible but no doubt
risky.Ones reaction when in that awkward position is to flex or tense up
the neck muscles in which can cause a combination of risk from both parties
involved resulting in a mistake or bad ajustment.I think that when the
patient is at a sitting position the risk is less as it allows the patient
with ease to relax and the head feels more of a pipit state.
The hard part is finding a chiropracter who actually knows what he's doing
and how to cure any given ailment. there are a lot of knuckle crackers who
can actually make an injury worse with improper adjustments. I saw an old
chiropracter many years ago who completely cured a two year back problem in
about two months through applied kinesiology. He died about 15 years ago
and I havent found anyone like him sinse.
UCL Professional Services women share their career stories - UCL Astrea session 2 plenary session
Title: Culture Shift 50/50 UCL Professional Services women share their stories UCL Astrea, a grass-roots network for women in professional services roles ...