A chiro, a arms dealer and a Brexit donor meet in a bar.
The arms dealer: my job is so secret, I cannot tell my neighbour what I do.
The Brexit donor: I have to keep things so close to my chest that not even my wife knows what I am doing.
The chiro: that’s nothing; my work is so secret that not even I know what I am doing.
CHILDISH, I KNOW!
But I am yet again intrigued by a survey aimed at finding out what chiropractors are up to. One might have thought that, after 120 years, they know what they are doing.
This survey described the profiles of chiropractors’ practice and the reasons, nature of the care provided to their patients and extent of interprofessional collaborations in Ontario, Canada. The researchers randomly recruited chiropractors from a list of registered chiropractors (n=3978) in active practice in 2015. Of the 135 randomly selected chiropractors, 120 were eligible, 43 participated and 42 completed the study.
Each chiropractor recorded information for up to 100 consecutive patient encounters, documenting patient health profiles, reasons for encounter, diagnoses and care provided. Descriptive statistics summarised chiropractor, patient and encounter characteristics, with analyses accounting for clustering and design effects. Thus data on 3523 chiropractor-patient encounters became available. More than 65% of participating chiropractors were male, mean age 44 years and had practised on average 15 years. The typical patient was female (59% of encounters), between 45 and 64 years (43%) and retired (21%) or employed in business and administration (13%). Most (39.4%) referrals were from other patients, with 6.8% from physicians. Approximately 68% of patients paid out of pocket or claimed extended health insurance for care. Most common diagnoses were back (49%, 95% CI 44 to 56) and neck (15%, 95% CI 13 to 18) problems, with few encounters related to maintenance/preventive care (0.86%, 95% CI 0.2 to 3.9) and non-musculoskeletal problems (1.3%, 95% CI 0.7 to 2.3). The most common treatments included spinal manipulation (72%), soft tissue therapy (70%) and mobilisation (35%).
The authors concluded that this is the most comprehensive profile to date of chiropractic practice in Canada. People who present to Ontario chiropractors are mostly adults with a musculoskeletal condition. Our results can be used by stakeholders to make informed decisions about workforce development, education and healthcare policy related to chiropractic care.
I am so sorry to have mocked this paper. I shouldn’t have, because it actually does reveal a few interesting snippets:
- Only 7% of referrals come from real doctors.
- The vast majority of all patients receive spinal manipulations.
- About 6% of them are under 14 years of age.
- Chiropractors seem to dislike surveys; only 35% of those asked complied.
- 23% of all consultations were for general or unspecified problems,
- 8% for neurologically related problems,
- 5% for non-musculoskeletal problems (eg, digestive, ear, eye, respiratory, skin, urology, circulatory, endocrine and metabolic, psychological).
- Chiropractors rarely refer patients to other clinicians; this only happened in less than 3% of encounters.
- Apart from manipulation, chiropractors employ all sorts of other dubious therapies (ultrasound 3%, acupuncture 3%, , traction 1%, interferential therapy 3%, soft laser therapy 3%).
- 68% of patients pay out of their own pocket…
… NO WONDER, THEY DO NOT SEEM TO BE IN NEED OF ANY TYPE OF TREATMENT: 54% of all patients reported being in “excellent/very good overall health”!
72 Responses to WHAT DO CHIROPRACTORS DO? They exploit the healthy and wealthy!
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Great post! And that is a perfect joke for any party!
Having spent a decade watching the internal-workings of DCs I can say you are accurate. Additionally, since one human cannot “treat away” another humans’ pain “source” in the arena of spinal/back/neck pain…WHAT they do, in terms of their manual and gizmo “adjusting” is, and has always been entrepreneurial-theatrics aimed at the appearance of having substance and efficacy. However MOST of the time they strongly suggest they in fact actually do know and treat the SOURCE/CAUSE of the pain, not just the symptom…masking-pain is for those nefarious MDs and big Pharma companies.
When you are adept at siphoning money from the worried-well you become very adept at exploiting coincidence and natural attrition for your own greed. A legacy of pride for sure. That may be why so many chiroquackers, like pickpockets, conmen and carnies get their kids into their businesses…larceny runs in families.
@MK
“That may be why so many chiroquackers, like pickpockets, conmen and carnies get their kids into their businesses…larceny runs in families.”
As a physiotherapist these comments are highly unprofessional Michael Kenny.
What is the professional code of conduct for physiotharapists in your part of the world?
What does it say about comments like this?
I had chronic asthma and migranes. Within 3 months through chiropractic i was off inhalers and my migraines stopped. Also lost weight and was in the best shape of my life. Hope you some day discover the benefits of it because right now your comment is pretty ignorant given the fact that you had no experience of your own.
Hi Gabi.
Here’s something I wrote just for you in June 2002. It was one of my responses to viewer mail that the producers of A Different Way to Heal? forwarded to me after this particular episode of PBS’ “Scientific American Frontiers” first aired:
________________________________
Badanes’ response:
No, I CAN’T explain why you find “relief” at the chiropractic office. But, I’d wager your chiropractor can’t, either –even though I imagine you’ve been offered a chiropractic reason why you might. In any case, you haven’t said anything about your complaint, what’s been diagnosed by anyone who’s seen you, and what therapies you’ve tried, biomedical and/or otherwise. So there’s no way for me to reasonably comment on the specifics of your case.
Naturally, I’m pleased that your back feels better but I’d be reticent to simply recommend “chiropractic” as a remedy for back pain or anything else on the BASIS of your testimonial –or even hundreds like it. Similarly, and for the same reason, I seriously doubt you’d tell me you DON’T feel better if I supply any number of anecdotes from patients who said they received NO benefit from seeing the chiropractor or who claimed they were injured by one. That’s because each of our stories are just hearsay and rumor –nothing you’d want to rely-on when choosing or recommending a medical intervention.
The fact is, patients often respond to all KINDS of empty therapies and for no good reason. Even so, while they are pleased with the “result” they associate with the particular medicine or event, it’s incumbent on the scientific practitioner to do better. DD Palmer, for example, the “father” of the chiropractic (featured in the historic part of the SAF segment), treated Harvey Lilliard with the first Spinal Adjustment. He reasoned that his spinal treatment restored Lillard’s hearing. Does this mean that he had discovered the cure for deafness and should then open a clinic for the deaf? Of course not. One thing had nothing to do with the other and for all we know, Palmer just dislodged some earwax when he “cracked” Lillard’s back.
Like I say, I’m pleased you have rapport with your chiropractor and that you enjoy and apparently benefit from your sessions. On the face of your testimonial, however, I would be unable to distinguish your report from someone who enthusiastically insists their lymphoma disappeared after a visit to Lourdes or after getting sprinkled with “Tirta” (Holy Water) by a Balinese priest. I couldn’t explain any of this, either. I just wouldn’t choose these medicines on the basis of these stories if I were the patient and I wouldn’t recommend or use them for patients as a science-based practitioner.
________________________________
I’ve had lots and lots of experience with “chiropractic” and chiropractors.
~TEO.
It seems to me most chiropractors know exactly what they are doing… Also 68% of patients pay out of pocket money and 39% of patients reffer others… This shows patients are happy with the results… But please dont let me stop you from turning everything against the profession.
what about commenting on points 1-10 raised in the post?
I have an additional point that you may have overlooked. For further research as it seems not to have been addressed in the original study to which you referred.
11. Produce soft porn. or at least Benny Hill style titillation.
See this chiropractic video titled:
“Don’t Watch This If You’re Offended By Hot Chicks Wearing Yoga Pants Getting Adjusted”
https://www.youtube.com/watch?v=wUqEGrtzpbs
Couldn’t agree more. Then I googled searched chiros physios and medical doctors in North York Ontario. Even included hospitals. Weird. The physics and chiros all had great reviews… the doctors not so much the 3 hosptials even worse. I mean if all these people are paying out of pocket. Even if 1 through 10 are valid. Something must be wrong. Personally my medical doctor had no clue what was going on with my back. Started naproxen. Three weeks xray and T3.s… three months later MRI and dilaudid nothing wrong ish with the MRi. 6 months upto 8mg of dilaidid a day. Going downhill fast. 10 visits to my medical doctor and their partners ni help one visit to an aggrisive chiropractor. Told me it was my sacril ileum joint. Beat me up on my low back. Body checked me on my side. 12 vist and 1 month later I was 99 percent good. 2 years later still weining off dilauded. Still need 1 mg a day or my systems just shut down. I hate to debate in case studies but in my mind those real doctors nearly killed me and didnt know what and sacril iliac joint was.
“Distribution of most frequent problems managed as reported by chiropractors.
Back problem
Neck problem
Back syndrome with radiating pain
Sprain/strain of joint nos
Bursitis/tendinitis nos
Shoulder problem
Muscle problem
Osteoarthritis, other (not spine)
Non-musculoskeletal problem
Musculoskeletal disease, other
Neurological problem
Hip symptom/complaint
Musculoskeletal symptom/complaint other
Health maintenance/preventive care
Kyphosis and scoliosis
Knee symptom/complaint
Ankle problem
Headache
Tennis elbow
Jaw symptom/complaint
Injury musculoskeletal nos
Concussion”
Activator Technique
Logan Basic Technique
Gonstead Technique
Directional Non-Force Technique (DNFT)
Thompson Technique
Pettibon Spinal Biomechanics
NETWORK
Mears Technique
Spinal Stressology
Toftness Technique
Chiropractic Biophysics Technique
Atlas Specific/HIO (Toggle Recoil)
Pierce-Stillwagon Technique
NUCCA Technique
Barge (Tortipelvis/Torticollis) Technique
BioEnergetic Synchronization Technique (BEST)
Sacral Occipital Technique (SOT)
Applied Kinesiology (AK)
Neuro Organizational Technique (NOT)
Perianal Postural Reflex Technique
Meric Technique
Receptor Tonus Technique (NIMMO)
Lemond Brain Stem Technique
Grostic Technique
Neuro Emotional Technique (NET)
Holographic Diagnosis and Treatment
… plus at least 50 more.
~TEO.
@John Badanes
I have not heard of many of those old techniques and had to look them up.
That list is outdated. Probably from old the days when you bathed in the Kool Aid with Sid Williams.
I had a conversation with a critical physiotherapist about the more recent proliferation of techniques within chiro and physio. We came to the conclusion that to be successful a new technique needs to follow two simple rules.
1. The word “functional” must be in the title.
2. The title must be followed by an “R” in a circle or (TM).
You need to keep up to date John. 😉
Take your oxycontin and shut the heck up. I’m a DC and most of my patients come to me after going through the medical route and having failed therapy.
Lol. Classic old man speaking. The war between chiros and MD’s is ending. It’s only the old geezers who are still fighting (on both sides). Haha. Not sure who wrote this, But he’s probably close to 70 yo or older.
I would love to see results of the same survey aimed at “real doctors”….
Professionalism! Think about it for a moment. As the author and owner of this article and domain, you declare you are a professional with MD, and other earned designations following your name. Do one of your designations contain DC? No!
So be professional. Don’t put down other professionals in Heath care. It’s unprofessional. You work and practice in the realm of sick care. Chiropractors practice in health care. Learn the difference. Just like you need to learn what doctor means. Or just stop the rhetoric
btw, Ontario and the chiropractic college in Ontario is a disgrace to the chiropractic profession and thus producing chiropractors practicing in Ontario that don’t know what they’re really doing. So next time just ask a professional. Probably something your parents should’ve done when learning to spell you name Edward lol
You work and practice in the realm of sick care. Chiropractors practice in health care.
nice platitude; only second to the primitive ad hominem that follows.
but chiros are not health professionals- clothing themselves in such terms is just done in order for them to ‘compete’ with real ones. That is precisely the problem.
Mr Bromberg,
Why did you not “go through the medical route” and then take up chiropractic as a post grad?
@RR
Know quite a few chiro’s AND physio’s AND RN’s who have gone on to study medicine. Zero for all three going the other direction. But then again a GP has a license to do just about anything they like and charge it to public health. We have GP’s doing acupuncture, naturopathy, ultrasound, interferential, cold laser, herbal medicine, homeopathy etc.
I understand what you mean but to me a post grad study implies a specialism on top of a basic graduate study. How would the nonsense of chiro fit this model ? . It would be like reading Enid Blyton after having read Jean -Paul Sartre!
Over the years I have seen all sorts of therapy for my back which has ended up with me having several operations on my back. When my back first went with a severe prolapsed disc i saw a chiropractor who who gave me no manipulation just by putting blokes under my pelvis. And I was getting better having also spending six weeks lying down which he told me what to do. But I was young and naively took the advice of the surgeon which I deeply regret.as with hindsight if I would have stayed with John Adam and done what he it would have saved me 27 years of grief. Eventually having spinal fusion which got rid of my legs pain. But many years later I injured my thoracic area and went to a different chiropractor Jeff schur who put me on a Cox machine which brought back all my leg pains even though he said the chances of injuring me was one in
four million. Which resulted in me paying for private pioneering surgery with good results. The trouble and loss of work and psychological problems I suffered from this man words cannot describe.???
In defense of chiropractors who are Board Certified & licensed homeopaths.
“As both a homeopath and chiropractor, I have seen the effect of homeopathy in helping thousands of patients to overcome both physical and emotional illness in my New York City private practice of 30 years, as well as through my work as the Project Coordinator for Haiti with Homeopaths Without Borders NA in 2010. I have taught homeopathy to health professionals in countries as diverse as France, Kenya, Tanzania, and Trinidad. Since the 1980s, I have helped other chiropractors integrate homeopathy into their practice by developing curricula in homeopathy for chiropractic colleges, medical schools and teaching hospitals around the world, including Memorial Sloan Kettering Cancer Center, Columbia Presbyterian, and New York University Hospitals.”
http://theamericanchiropractor.com/homeopathy-a-perfect-partner-for-chiropractors-who-work-with-athletes/
LOL!
LOL 😀
Interesting it is to teach Homeopathy to Chiropractors !
To a fool with only a hammer, all problems look like a nail. Some people know nothing more about health care than homeopathy toy medicine.
but chiros are not health professionals- clothing themselves in such terms is just done in order for them to ‘compete’ with real ones. That is precisely the problem.
Doctors of Chiropractic are not competing with Medical Doctors. They both serve a purpose and should work together. I see both for different reasons.
They both learn the same schooling for the their first 4 years of post grad, and then in the 5th year, they decide if they want to either be a “medical doctor” or a “natural doctor / Chiropractor.”
The notion that Chiropractor want to be medical doctors is just plain ignorant. If Doctors of Chiropractic wanted to be Medical Doctors, they would have done so. It’s the same amount of post grad schooling. Doctors of Chiropractoc don’t want to be Medical Doctors. The same as Dentists don’t want to be Medical Doctors or Chiropractors.
but they do love to confuse the public with a doctor title; good for business, I suppose.
Excellent comment(s) @Paul.
I have to laugh at Ernst’s efforts to save humanity from chiropractors and homeopaths because he’s sure the health care consuming “public” is comprised of hundreds of millions of uneducated imbeciles.
oh Sandra! you have understood next to nothing.
Nothing new there, then.
The beat continues into the present…..
“Like anyone else, I am prone to getting things wrong, to making mistakes and to being fooled by my own prejudices. And yes, like everyone else, I did make mistakes in the past, plenty of them!” Edzard Ernst 28 Aug 2019
If you ever spot anything Prof Ernst gets wrong, please be sure to let us know – and back it up with evidence and reasoned argument, of course.
@EE
And now we have physiotherapist DPT’s calling themselves doctor. LOL 🙂
DC’s don’t confuse the general public with “Doctor” title. They ARE Doctors so not sure why you are so concerned. The only ones I see trying to confuse the general public is by MD’s like yourself. Not sure what you are so afraid of? DC’s provide an integral part of overall health care, which MD’s are not educated about nor qualified to discusses.
The General Chiropractic Council supposedly regulate chiropractors in the UK. They state:
I don’t think there are any chiros in the UK who also hold a general medical qualification.
This is a list of conditions chiros are allowed to claim to be able to treat:
The list is complete: there are no other conditions they can claim to treat.
Ron, your comments are so elementary. We can all see how small minded your thinking is. You compare Doctors of Chiropractic to Unicorns. Really. That’s your contribution to this post? Anyways… moving on.
So, demeaning me is your contribution? I think that is the very definition of small-minded, Paul.
And bringing “everyone (We can all see. . .)” into it somehow supports your attack? Schoolyard bullying. But, to be expected, I guess.
Yes, please move on. (In keeping with your need to feel superior, however, I suspect you’ll want the last word. Go ahead. I will say nothing more.)
Chiropractors are listed as health professionals by government, health board, and other health organizations. Homeopathic is not.
The NHS says this about chiropractic:
and this about homeopathy:
When you discredit fellow doctors and try to regard only yourself as a “Real” doctor, you end up looking like an ignorant ass, who then becomes less credible in anything you say.
Who are Doctors and who can hold the title of “Doctor.” The latin definition of a Doctor is an educator.
Healthcare professions for which members may be called by the title of doctor are: medicine, dentistry, clinical psychology, optometry, chiropractic, veterinary medicine, podiatry and, more recently, pharmacy.
You are therefore implying that none of the professionals above are educators / doctors. You are simply ignorant to facts.
Your conclusions of the paper are also very weak and small minded.
Good luck.
thanks
Edzard, got a prescription for that?
??
my last/family name is Ernst
Paul, if I didn’t know better, I’d say you write like (and offer the same logic as) a certain Calgary chiroquacker who has blocked me on twitter rather than offer evidence of his blathering.
Is that you, boo boo? (Please say it is—I miss you.)
Even if I’m mistaken, you should look him up. Maybe between the two of you, you can come up with something better than this drobbletwop. Sorry, but I won’t be waiting up.
@Ron
Nope. Not a chiropractor. Nor do I live in Calgary, Ron.
My suggestion to you though would be to post useful comments, instead of taunting and name calling people on forums. I can understand why someone would have blocked you in the past.
Your comments are useful?
“Doctors of Chiropractic are not competing with Medical Doctors. They both serve a purpose and should work together.”
They do confuse the public as chiros are not real doctors.
So, you aren’t a chiropractor? You just believe in them? Do you also believe in the power of unicorns? Like unicorns, chiroquackers serve no useful purpose. Their entire premise is based on woo. Just like your uniformed comments, Paul.
@St Paul: what kind of person defends the indefensible propositions and uselessness of Chiroquackery IF they ain’t one?!! Are you thinking those reading this blog need your non-perspicacious insights? At least they (DCs) have an excuse….sales and income! Entrepreneurial theatrics masquerading as healthcare for 125 years. But I’ll contend you are a DC…and if not you missed your calling. A life lived believing in testimony. Quite a legacy.
There are lots of us whom defend chiropractors while never actually have been one for several reasons
1. We have worked in the industry so know that they are recognised by the medical profession and the ministry of health and the government.
2. Chiropractors have better things to do than waste time arguing with those whom have no desire to learn and lack the basic knowledge to understand what they perform.
If you have an issue with a Chiropractic treatment which isn’t also performed by a physiotherapist then please state it here and I will try and find you a paper on it.
If only they had evidence, Julian.
They have lots of evidence. Which treatment that is not also performed by physiotherapists do you have issue with?
Where’s this evidence for chiropractic, Julian?
You need to be specific, which procedure not also performed by physios do you want evidence on. Your statement is like me proving all of evolution. Be specific
There seems to be a dearth of any willingness to provide evidence for anything chiropractic so feel free to choose whatever you believe is the best evidence…
There is a ton of chiropractor journals. If you want evidence then read some. Or be specific as to what treatment you want evidence for.
https://www.ncbi.nlm.nih.gov/pubmed/?term=ernst+e%2C+pittler+m%2C+nature
Julian
As I asked, whatever you believe is the best evidence…
See physiotherapy journals, they perform a lot of the same treatments. Journals on neuro science, they have a lot of the same treatments. If only you could be specific on which treatment you are referring to.
@Julian
There are indeed lots of journals covering all fields of biomedicine. So I’d like you to point me to a paper providing evidence for efficacy of chiropractic manipulations in curing fibromyalgia.
Hi Julian.
Here’s a list of chirodigms used to treat patient complaints. Notably, they are all uniquely “chiropractic” and are all used by chiropractors, some a LOT more than others, to treat any patient complaint. You can’t get more specific than this, Julian.
This list should keep you busy enough to make your pertinent comparisons between biomedical management of any given medical diagnosis and chiropractic’s, let’s call it “global” approach to the Chiropractic Patient.
Logan Basic Technique
Gonstead Technique
Directional Non-Force Technique (DNFT)
Thompson Technique
Pettibon Spinal Biomechanics
Activator Technique
NETWORK
Mears Technique
Spinal Stressology
Toftness Technique
Chiropractic Biophysics Technique
Atlas Specific/HIO (Toggle Recoil)
Pierce-Stillwagon Technique
NUCCA Technique
Barge (Tortipelvis/Torticollis) Technique
BioEnergetic Synchronization Technique (BEST)
Sacral Occipital Technique (SOT)
Applied Kinesiology (AK)
Neuro Organizational Technique (NOT)
Perianal Postural Reflex Technique
Meric Technique
Diversified
Receptor Tonus Technique (NIMMO)
Lemond Brain Stem Technique
Grostic Technique
Neuro Emotional Technique (NET)
Holographic Diagnosis and Treatment
… plus at least 50 more.
As Forest Gump might say, “A chiropractic office is like a box of chocolates: YOU NEVER KNOW WHAT YOU’RE GOING TO GET!” ?
Good luck with the evidence, Julian.
~TEO.
Okay now exclude from list all the techniques not also used by physiotherapists or do you object to physiotherapy too?
So, Julian, if we were to exclude all the techniques used by physiotherapists, what would we be left with? What is it that makes chiropractic unique?
And getting back to the evidence, what you believe is the best evidence?
And after I remove all the Chiropractic Technics (Chirodigms) I listed above that are NOT used by physiotherapists, then you’ll provide evidence for those that REMAIN?
OK, then… NONE of those I listed (above) are used by physical therapists. Not one.
Didn’t you ask (many times now), “You need to be specific, which procedure not also performed by physios do you want evidence on?” I give you a list of uniquely chiropractic techniques that aren’t used by “physios” and you fold?
Want to try again? ?
~TEO.
Here are the list of treatments a chiropractor performs, https://www.acc.co.nz/for-providers/lodging-claims/who-can-lodge-claims/#chiropractor-a, you will see physiotherapist also treat the same injuries. You will find they use the same treatments. Names may be different but are essentially the same. Chiropractors and physiotherapists often work in same clinics. I would suggest you talk to your local physiotherapist and get them to explain to you but I know your type, any health professional that shows respect you will automatically think also a quack. You need to stop Google searches, and listen to experts
@Michael Kenny
As a physiotherapist you have a professional code of conduct.
As I have said before your comments are unprofessional and being anonymous on a blog does not give you a license to make unprofessional comments.
I’ll ask again, Julian, what is it (if anything) that makes chiropractic unique? what you believe is the best evidence?
@Julian
“Here are [sic] the list of treatments a chiropractor performs” [my italics]. No it’s a list of injuries grouped according to which type of practitioner can file an insurance claim for them. So we now know that you can’t distinguish between an injury and a treatment. Maybe that supports your sentence “Names may be different but are essentially the same.”
“I would suggest you talk to your local physiotherapist…”; “I know your type…”; ” You need to stop Google searches, and listen to experts”. I don’t know who the “you” is you’re addressing in these remarks. You’ve now had several people respond to your comments, and maybe they just become a blur to you. But I would politely ask you to step off your high horse for one moment and consider the possibility that many of the people who comment on this blog are genuine experts, who know a darn sight more about healthcare, pseudo-medicine and real medicine than you appear to do.
Perhaps you might enjoy my all-time favourite aphorism: if you think you’re good, you’re comparing yourself with the wrong people.
Julian said:
I am somewhat confounded here. Are you discussing ‘chiropractic’ or are you discussing therapeutic techniques which have been developed by various branches of evidence and science based health care? It is important in a discussion to define the subject clearly.
I have previously on this blog pointed out that the word ‘chiropractic’ is a well established term used to denote the theoretical/ideological background, methodology, manipulations and instruments invented (not discovered) by DD Palmer and his immediate disciples.
Let’s keep the subject clear here.
So not talking about leeches then? I am not interested in history. Doctors thought tea was a medicine in the past too. Stick with modern chiropractic treatment which was supported by government investigation aside from American chiropractors whom at the time still had some quacks . Attacking a profession because you don’t understand the science is no different than anti vaxxers attacking doctors. Talk to your doctor and have them explain. The world is too full of dr Googles.
My comment is I could hardly walk before seeing a chiropractor. Now I can with ease.
No further evidence needed…
Your article is coming from the perspective of the American medical association ( …not even spelling this in caps as it does not deserve it) in the 50s when they tried destroy chiropractic. I had a miraculous recovery through my adjustments to the point that i was ready to go to school to become a chiropractor and i know many who had similar experiences. That was in 2014 and have neen in the best shape of my life. If you had the wits to dive deeper and learn more about it believe me you would withdraw your idiotic article now.
Oh look another anti vaxxer whom also thinks they know more about the spine than experts. Chiropractors are recognized as proper medical professionals aside from USA.