“Systematic reviews of controlled clinical studies of treatments used by chiropractors have found no evidence that chiropractic manipulation is effective, with the possible exception of treatment for back pain.[8] A 2011 critical evaluation of 45 systematic reviews concluded that the data included in the study “fail[ed] to demonstrate convincingly that spinal manipulation is an effective intervention for any condition.”[10] Spinal manipulation may be cost-effective for sub-acute or chronic low back pain, but the results for acute low back pain were insufficient.[11] No compelling evidence exists to indicate that maintenance chiropractic care adequately prevents symptoms or diseases.[12]”

    • chaogomu@kbin.social
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      7 months ago

      Strokes, but also broken necks.

      And some of these quacks do “adjustments” on children and infants.

      • BigDaddySlim@lemmy.world
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        7 months ago

        Also animals, I saw a video of someone doing it to a pit bull and after he cracked the dogs neck the pit gave him the “I’m going to rip your fucking throat out” look.

        It’s straight up animal abuse.

      • Fredselfish@lemmy.world
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        7 months ago

        Saw that on episode of Bullshit with Penn and Teller. Anyone who would do that to a baby should be imprisoned for life.

    • Ranvier@sopuli.xyz
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      7 months ago

      https://www.ahajournals.org/doi/full/10.1161/01.str.32.5.1054

      Thank your pointing this out. It’s not just any stroke too, it’s primarily vertebral/basilar artery distribution strokes. Those supply the brain stem which includes such necessary functions as control of breathing and consciousness. You don’t want a stroke anywhere, but particularly not there.

      Some chiropractors might swing back that, you’ve only showed correlation not causation. Well, when we have no clear evidence of chiropractic neck manipulation being helpful for anything, and we have a likely very dangerous correlation, the clinical parsimony is just not there. So no one is going to run that study (give a large amount of people neck manipulation, a large amount of people no neck manipulation, and compare rates of stroke that occur afterwards), it would be very unethical, no institutional review board would ever approve that study as ethical to perform.

      And it makes a lot of sense too, the vertebral artery is encased in the neck vertebrae, so violent movements of the neck vertebrae can stretch and tear those arteries. Those tears, called a dissection, can sometimes obstruct blood flow all on their own, but more often create a spot for blood clots to form that then move onward into the brain and basilar artery (since there’s turbulent blood flow and a defect in the smooth artery wall that normally prevents your blood from clotting). So please, no violent neck movements for any reason, chiropractor or otherwise.

    • kibiz0r@lemmy.world
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      7 months ago

      loose an afternoon

      That’s alright. A chiropractor can tighten up that afternoon for ya.

    • BertramDitore@lemmy.world
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      7 months ago

      Indeed. I’ve got a chiropractor in my family, and I actively avoid talking to them about their work because I’ve always been convinced that it causes more harm than good. I think they finally got the hint after the 1000th time I refused their offer of an adjustment. They do some genuinely bizarre stuff beyond the standard adjustments, and talk about it like it’s proven science.

        • BertramDitore@lemmy.world
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          7 months ago

          “Testing” for allergies or nutritional deficiencies by holding a sample up to your forehead and then applying downward pressure to your outstretched arms to “determine” sensitivity. Weird stuff like that.

          Edit: I believe it’s called Applied Kinesiology, but that just makes it sound legit. Which it’s not.

  • yenahmik@lemmy.world
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    7 months ago

    Anything a chiropractor can do that will actually help, a PT can do better. They’ll also teach you what exercises to do to prevent needing to see them again.

    A chiropractor will just tell you to come to them more often, and take more of your money over time.

    • Shadywack@lemmy.world
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      7 months ago

      You can save a lot of money by just going to a masseuse instead of a chiropractor. People attribute the positive feeling they get from attention to well being improvements, and pseudoscience practitioners certainly achieve that at a premium price. If it’s attention you want, get a massage, otherwise go to a PT and get some real help.

  • arc@lemm.ee
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    7 months ago

    Chiropractors and osteopaths only exist in such large numbers because they bill less to insurers than actual doctors & hospitals. So of course insurers are going to promote these quacks because it’s cheaper than somebody going to an actual physiotherapist for treatment.

    There should really be legislation that requires insurers to cover science & evidence based treatments. If someone wants woo it should be at additional expense to them, not part of a standard policy.

  • JCreazy@midwest.social
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    7 months ago

    I know people that swear by it which I can kind of understand if you have pain and they “pop” something and you feel better. But is it really helping if you have to keep going back?

    • Arfman@aussie.zone
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      7 months ago

      I wonder if it’s a placebo effect. Like I go for a back massage every month or so and feel good for a few weeks but I’m fully aware it’s just muscle pain relief and not some permanent fix.

  • Art35ian@lemmy.world
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    7 months ago

    People should also be aware of the growing number of alternative mental therapists popping up everywhere due to the shortage in actual psychologists.

    They are nothing more than life coaches with a six-month certificate in whatever-the-fuck, most of which are disguised as Masters qualifications from wherever-the-fuck.

  • corsicanguppy@lemmy.ca
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    7 months ago

    Quick reminder that Physios and Chiros outside America face different rules for accreditation, and may not warrant similar judgement.

  • edric@lemm.ee
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    7 months ago

    If you see a youtuber calling themselves Dr. and giving out medical advice, 99% they are a chiropractor.

  • Daqu@feddit.de
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    7 months ago

    You know it’s a legit therapy if a dead doctor told you in a seance about it.

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    7 months ago

    If chiropractic was legit people wouldn’t have to keep going back for more “treatment”.

    If you’ve got a bad back, watching your posture and doing some core strength training is more effective.

    • Neuromancer@lemm.ee
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      7 months ago

      That’s a weird standard. People see physicians for years because of chronic issues.

      Are you saying my brothers oncologist isn’t legit because he has to see him for life ?

      Not all their techniques are garbage. DO are trained in manipulation as well. The basic premise of chiropractics is what’s at fault. I’ve seen newer chiropractics switch to more PT style of treatment. No idea if that’s in their scope but I know one who rarely adjust people. It’s mainly massage, weight lifting and body mechanics.

      • IchNichtenLichten@lemmy.world
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        7 months ago

        One point of going to a MD is to treat an existing condition. Obviously not every condition can be cured but that’s the aim. Chiropractic doesn’t even try and treat a condition, it’s all about short term relief.

  • Alien Nathan Edward@lemm.ee
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    7 months ago

    it’s an interesting decision to exclude

    with the possible exception of treatment for back pain.

    and

    Spinal manipulation may be cost-effective for sub-acute or chronic low back pain

    from the title here

  • Furbag@lemmy.world
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    7 months ago

    This is one of those things, like acupuncture, that I will not fault anyone else for engaging in. There’s no hard evidence that they are effective, but if it helps you with your problem (even if it’s all in your head), then it was worth it, was it not?

    I know people who have had their lives improved and their mobility restored thanks to chiropractors. I also know one or two who swear they got scammed for years because the pain always comes back really quickly.

    I may not personally recommend a chiro to someone as a solution to their back or neck pain, but I won’t discourage them from going if they are considering it.

  • mateomaui@reddthat.com
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    7 months ago

    Uh, yeah, having had several accidents resulting in vertebral subluxation or a rotated SI joint that was only corrected and relieved by chiropractors, whoever came up with that conclusion can fuck all the way off.

    • NataliePortland@lemmy.caOP
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      7 months ago

      Thank you for sharing your story! While it’s a great example of anecdotal evidence, the “whoever” that came up with these conclusions are called “scientists” who perform research based on scientific evidence. It’s great that you feel better for having seen a chiropractor, but many do not.

      • mateomaui@reddthat.com
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        7 months ago

        That’s also anecdotal stories, and it’s not my imagination that after attempting numerous other methods, that chiropractors were the only ones who did anything except say to walk it off or offer painkillers. You can fuck off along with those scientists.

        By the same logic, all the “real” medical practitioners whose efforts and advice had zero positive effect on those situations are also quacks, or whatever. Fortunately for them, I have more realistic experience and understanding than that.

        The only funny part about this to me is that the only advice any “real” medical practitioner gave me that helped any of these situations was to refer me to a chiropractor, after prescribing painkillers to help tolerate it until I could see one.

        • originalucifer@moist.catsweat.com
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          7 months ago

          you really trust yourself over the majority of scientsits and medical people the world over? really?

          please tell me you also never to a hospital or ever dial 911 for a medical emergency. they may use science on you

          • mateomaui@reddthat.com
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            7 months ago

            You must be partially illiterate since I’ve already said I went to doctors, and that I was recommended to see a chiropractor by at least one them, and that I experienced relief and long term correction for multiple accidents. Not just relief, but instant relief, from realigning the vertebrae from a position that created nerve entrapments. The mechanics of chiropractic and how they work is not difficult to understand. If any of these scientists were messed up badly enough to need one, they would also draw different conclusions.

            edit: and yes, I do trust my own observations about the presence of pain and its elimination from my own body. I don’t need scientists or doctors to tell me that it didn’t actually happen. I was there.

            • originalucifer@moist.catsweat.com
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              7 months ago

              wow. i mean, you always read about people who just dont understand science… but then you see one in the wild

              good luck, buddy.

              you are the blood from which regulations are written

    • lseif@sopuli.xyz
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      7 months ago

      erm thats actually placebo effect ☝️🤓 you do realize that the effects you feel dont matter, since studies indicate otherwise

  • oxjox@lemmy.ml
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    7 months ago

    The amount of people in this thread not reading more than the headline is mind numbing.