About Chiropractic

This section was compiled by Frank M. Painter, D.C.
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Patient Satisfaction Cost-Effectiveness Safety of Chiropractic

About Chiropractic Chiropractic Rehab Repetitive Stress

Headache Page Whiplash Section Disc Herniation

Chronic Neck Pain Low Back Pain Stroke & Chiropractic

Iatrogenic Injury Placebo Problems Subluxation Complex

ChiroZine Case Reports Pediatric Section

Conditions That Respond Alternative Medicine Approaches to Disease

Chiro.Org is proud to support Logan College and the ICPA for their continuous research into the health benefits of chiropractic care.   Please offer them your financial support.


The Safety of Chiropractic
A Chiro.Org article collection

Millions of patients love their chiropractor and appreciate our unique and safe approach to recovery from pain. Significant research suggests that chiropractic is the safest approach available for relief from neck pain, back pain, headaches and other “musculo–skeletal” complaints. Lets review that research, and discuss how modern medicine has contributed to the Myth that chiropractic care is dangerous.

The Cost-effectiveness of Chiropractic
A Chiro.Org article collection

The cost advantages for chiropractic for matched conditions appear to be so dramatic that Pran Manga, the aforementioned Canadian health economist, has concluded that doubling the utilization of chiropractic services from 10% to 20% may realize savings as much as $770 million in direct costs and $3.8 billion in indirect costs. [20] When iatrogenic effects [yet to be discussed] are factored in, the cost advantages of spinal manipulation as a treatment alternative become even more prominent.

Patient Satisfaction With Chiropractic
A Chiro.Org article collection

For matched back pain conditions, patient satisfaction with chiropractic treatment has invariably been shown to be significantly greater than that with conventional management [administered by a primary care physician, an orthopedist, or an HMO provider]. Read the results of a variety of studies right here!

Chiropractors as the Spinal Health Care Experts
A Chiro.Org article collection

Enjoy these learned articles about chiropractors as first-contact Spinal Health Care Experts.

The Chiropractic Antitrust Suit ~ Wilk, et al vs. the AMA, et al
A Chiro.Org collection

For those who have forgotten, or for those who never knew, organized medicine spent decades and millions of dollars trying to discredit and destroy chiropractic. Today the vestiges of this surpression are still found on fringe web sites which ignore the body of peer-reviewed research supporting chiropractic care. Explore the breadth of medical arrogance in this in-depth review of the Wilk case.

Chiropractic Identity: A Neurological, Professional, and Political Assessment
Journal of Chiropractic Humanities 2016 (Jul 20); 20: 1–11 ~ FULL TEXT

Over 120 years since its inception, chiropractic has struggled to achieve an identity for which its foundations could provide optimal health care. Despite recognition of the benefits of spinal manipulation in various government guidelines, advances in US military and Veterans Administration, and persistently high levels of patient satisfaction, the chiropractic profession remains underrepresented in most discussions of health care delivery. Distinguishing characteristics of doctors of chiropractic include the following:

Interprofessional Collaboration in Research, Education,
and Clinical Practice: Working Together for a Better Future

J Chiropr Educ. 2015 (Mar);   29 (1):   1–10 ~ FULL TEXT

Interprofessional collaboration occurs when 2 or more professions work together to achieve common goals and is often used as a means for solving a variety of problems and complex issues. The benefits of collaboration allow participants to achieve together more than they can individually, serve larger groups of people, and grow on individual and organizational levels. This editorial provides an overview of interprofessional collaboration in the areas of clinical practice, education, and research; discusses barriers to collaboration; and suggests potential means to overcome them.

Hospital-Based Chiropractic Integration Within a Large Private Hospital
System in Minnesota: A 10-Year Example

J Manipulative Physiol Ther. 2009 (Nov);   32 (9):   740–748

This article describes the process of integrating chiropractic into one of the largest private hospital systems in Minnesota from a business and professional perspective and the results achieved once chiropractic was integrated into the system. This study identified key factors that facilitated integration of services and demonstrates that chiropractic care can be successfully integrated within a hospital system.

Maintaining a Vitalistic Perspective in Chiropractic
in the Postmodern Era

Journal of Chiropractic Humanities 2005;   12 (1): 2–7   55–66

Vitalism is only problematic if we begin with the assumption that a mechanist worldview or paradigm is the correct way to explain the world. In postmodern thought, a multiplicity of worldviews may coexist. One view is no more valid or correct than another and these divergent views are judged best by their utility under various circumstances. Exploring clinical practices and methodologies, such as whole systems research, arising from a vitalistic perspective could lead to innovations in both patient care and research, if pursued with flexible non-dogmatic thinking.

Assessment of Knowledge of Primary Care Activities
in a Sample of Medical and Chiropractic Students

J Manipulative Physiol Ther. 2005 (Jun);   28 (5):   336–344 ~ FULL TEXT

To examine the influence of chiropractic education on knowledge of primary care tasks. Scores received on a test of knowledge of primary care tasks were compared between 3 samples of chiropractic students and 1 small sample of medical students. In this sample, chiropractic students performed almost as well as medical students on a test that was designed to measure knowledge of primary care tasks. If the premise is accepted that medical school is the gold standard of primary care instruction, that chiropractic students fared almost as well as medical students is noteworthy.

Blue Cross Lumbago Study Demonstrates Chiropractic's Cost-effectiveness
Dynamic Chiropractic – October 31, 2000

When sorted by the average cost per episode, chiropractic is more cost-effective than anesthesiology; neurosurgery; neurology; registered physical therapy; orthopedic reconstructive surgery; physical medicine and rehabilitation; and rheumatology. The majority of chiropractic charges were associated with the basic office-treatment-related services performed. Eighty-nine percent of the chiropractic charges were for services related to the treatment, while only 45 percent of the family practice costs were related to treatment of the condition. The remainder of the costs were for expensive diagnostics. For each 100 episodes, the chiropractor provided 265 modalities. For each 100 episodes, the registered physical therapist provided 885 modalities: over three times as many units of physical therapy provided by RPTs than chiropractors. This is a cost that has to be globally charged to the family practice providers, since patients cannot access RPTs without a referral from a medical doctor.

Does Early Joint Trauma Lead to Osteoarthritis?
Annals of Internal Medicine 2000 (Sep 5);   133 (5):   321–328

This page describes the increased risk of oateoarthritis following trauma, then reveals that surgery also increases that risk, and goes on to suggest that those risks can be reduced with conservative chiropractic care.

Studies Supporting Chiropractic's Efficacy, Appropriateness
and Cost-effectiveness

FROM: National Board of Chiropractic Examiners ~ 2000

A summary of published studies and official inquiries documenting the efficacy and appropriateness of chiropractic health care, compiled by the National Board of Chiropractic Examiners.

Chiropractic Training vs. Medical Training
Chiropractic Education Requirements

FROM: The Chiropractic Profession. NCMIC Group Inc. 2000

Chiropractic colleges require a minimum of four academic years of professional resident study (not less than 4,200 clock hours), including clinical experience under strict supervision, preceded by a minimum of two years of college work with a curriculum concentrated in the biological and basic sciences, and clinical disciplines. The remaining two years emphasize practical or clinical studies dealing with the diagnosis and treatment of disease with approximately half the time spent in college clinics.

Chiropractic: More Than Spinal Manipulation
Journal of Chiropractic Humanities 1998;   8:   71–76 ~ FULL TEXT

Chiropractic has made great advances in its acceptance by the general public and the biomedical establishment in recent years. However, the medical establishment still views chiropractic as a procedure – spinal manipulation – rather than as a profession which operates based on a unique approach to health care. This article provides a rationale and support for chiropractic as a profession that offers a unique approach to health care, based on the chiropractic belief system and the interpretation of the chiropractic clinical encounter developed by medical anthropologists. Requirements and implications for the future development of the profession in this direction are discussed.

New Study Compares Chiropractic and Medical Education
Altern Ther Health Med. 1998 (Sep); 4 (5): 64–75

Coulter et al. studied the curriculum of six schools in California, Iowa, and Texas–– one chiropractic college and one medical school for each state. According to their methods, comparisons were drawn by examining course directories, syllabi, outlines and notes, as well as timetables, lectures, seminars, practicals, and rounds.

Origins & History of Chiropractic Care
FROM: The American Chiropractic Association

This from the ACA News web site: The word ‘Chiropractic’ comes from the Greek words cheir (meaning ‘hand’) and praktos (meaning ‘done’), i.e. Done by Hand. The name was chosen by the developer of chiropractic, Daniel David Palmer. A prolific reader of all things scientific, DD Palmer realized that although various forms of manipulation had been used for hundreds if not thousands of years, no one had developed a philosophical or scientific rationale to explain their effects. Palmer’s major contribution to the health field was therefore the codification of the philosophy, art and science of chiropractic, which was based on his extensive study of anatomy and physiology. Palmer performed the initial chiropractic adjustment in September 1895. Palmer examined a janitor who had become deaf 17 years prior after he felt something “give” in his back. Palmer examined the area and gave an “adjustment” to what he felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved.

A Parents Guide to Chiropractic
FROM: The International Chiropractic Association

Chiropractic is a conservative and natural healing art and science that concentrates on keeping people well. While chiropractic is an American science over 100 years old, its wellness practices have stood the test of time--dating back to spinal manipulations first used by Hippocrates, the Father of Healing, in the 4th Century B.C. Chiropractic is a conservative and natural healing art and science that concentrates on keeping people well. While chiropractic is an American science over 100 years old, its wellness practices have stood the test of time--dating back to spinal manipulations first used by Hippocrates, the Father of Healing, in the 4th Century B.C.

Is Chiropractic Less Costly Than Medical Care?
J Manipulative Physiol Ther 1993 (Jun);   16 (5):   291–299

Miron Stano, PhD, Oakland University, conducted a study comparing the health-care costs for chiropractic and medical patients with neuromusculoskeletal conditions. The database he used came from the records of MEDSTAT Systems, Inc., a health benefits management consulting firm which processes insurance claims for many of the country's largest corporations. This June 1993 Journal of Manipulative and Physiological Therapeutics study involved 395,641 patients Results over a two-year period showed that patients who received chiropractic care incurred significantly lower health care costs than did patients treated solely by medical or osteopathic physicians.

The Chiropractic Oath
In accordance with the law of nature, that law which God has prescribed to all men; and in consequence of my dedication to getting the sick well by the application of that law, I promise and swear to keep, to the best of my ability and judgement, the following oath:

What the Government says about Chiropractic

   Chiropractic as a Professional Choice
Occupational Outlook Handbook 2008–09
U.S. Department of Labor
Bureau of Labor Statistics

Chiropractors, also known as doctors of chiropractic or chiropractic physicians, diagnose and treat patients whose health problems are associated with the body’s muscular, nervous, and skeletal systems, especially the spine. Chiropractors believe that interference with these systems impairs the body’s normal functions and lowers its resistance to disease. They also hold that spinal or vertebral dysfunction alters many important body functions by affecting the nervous system and that skeletal imbalance through joint or articular dysfunction, especially in the spine, can cause pain.

   "Chiropractic in the United States:  Training,  Practice,  and Research"
AHCPR Publication No. 98–N002
December 1997

One hundred years ago, the founder of the chiropractic profession, D. D. Palmer, reportedly used spinal manipulation to restore a deaf janitor’s hearing. A series of events following this dramatic incident ultimately led to the establishment of what is now one of the largest health care professions in the United States. From its beginnings, this new profession eschewed more invasive treatments in favor of spinal adjusting (or manipulation) as its central approach to care. During much of its first century of existence, chiropractic was shunned by the medical profession and remained on the fringe of mainstream health care. In fact, as recently as 1980, the American Medical Association’s Principles of Medical Ethics proscribed any associations between physicians and chiropractors or other "unscientific practitioners."

   The COMPLETE article   "Chiropractic in the United States"
in Adobe PDF Format  --- WARNING...It's big and slow

D.D. Palmer, the Father of Chiropractic

B.J. Palmer, the Developer of Chiropractic

David Palmer and Friend...This is my all-time favorite!

Thanks to the Palmer Archives for permission to reproduce these pictures!

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Updated 12-22-2016

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