Summary
This episode explores the concept of subluxation philosophy and routine chiropractic adjustments, which are heavily debated within the chiropractic community. The traditional belief that spinal misalignments cause disease is not supported by current scientific evidence. Chiropractors struggle to reliably identify subluxations, and there is no strong evidence to support the effectiveness of routine chiropractic adjustments. Chiropractors could play a role in healthcare by taking thorough health histories, performing effective physical exams, and providing patient-centered care. The use of consensus and subjective assessments in chiropractic practice raises concerns about informed consent and patient dependency.
Chapters
00:00 The Benefits and Limitations of Chiropractic Adjustments
01:37 The Importance of Physical Activity, Strength Training, and Cardio
02:14 The Role of Nutrition, Sleep, and Mental Health in Pain Management
02:41 Chiropractic: Beyond Adjustments
02:50 Misleading Terminology in Chiropractic
02:51 Chiropractic Subluxation Theory
03:48 Routine Spinal Adjustments and Organ Health
04:03 The Role of Scientific Evidence in Understanding the Human Body
04:33 The Importance of Keeping an Open Mind
04:46 Issues with the Chiropractic Philosophy of Spinal Misalignment
05:21 The False Sense of Dependency Created by the Belief in Realignment
05:49 The Potential Medical Emergency of Spinal Instability
06:02 The Poor Correlation Between Imaging Findings and Pain
06:31 Misalignments on X-rays: Not Always Indicative of a Problem
06:59 The Design of the Spine: Twist and Tilt with Stability
07:29 The Value of Imaging for Medical Interventions
07:54 When Imaging May Not Be Necessary
08:02 The Relevance of Spinal Misalignment
08:30 Differentiating Structural Problems
08:38 Differing Opinions on Spinal Dysfunction
09:07 The Lack of Evidence for Chiropractic Subluxations
09:31 The Definition of Chiropractic Subluxation
09:58 Abandoning the Bone Out of Place Narrative
10:27 Potential Changes to the Model
10:53 The Challenge of Reliably Identifying Subluxations
11:48 Methods Used to Locate Subluxations
13:46 The Reliability Issue with Chiropractic Assessments
14:44 Questioning the Effectiveness of Subluxation-Based Chiropractic
16:42 The Dilemma of Maintenance Chiropractic Adjustments
17:48 Understanding Chiropractic Subluxations
18:48 Reliability of Clinical Tests for Subluxation Location
19:46 Lack of Reliable Tests for Subluxation Existence and Clearance
20:05 The Assumptions in the Process of Subluxation Adjustment
20:22 The Role of Scientific Evidence in Chiropractic Adjustments
21:05 Effectiveness of Chiropractic Adjustments for Low Back Pain
21:51 Lack of Research on Chiropractic Maintenance Care
22:19 Chiropractic Adjustments for Headaches Related to Neck Pain
23:17 Questioning the Concept of Subluxation
23:19 Understanding Chiropractic
23:49 Comprehensive Approach
24:27 Challenges with Chiropractic Adjustments
24:40 The Impact of Chiropractic Adjustments on Clinical Outcomes
24:57 Reducing Opioid Use with Chiropractic Care
25:26 The Need for Further Research in Chiropractic Care
25:28 Addressing Patient Concerns and Ruling Out Scary Things
26:50 Considering Factors Influencing Pain and Treatment Options
27:40 Explaining Prognosis and Setting Realistic Expectations
28:31 Teaching Patients to Not Need Chiropractors
28:45 Different Approaches in Chiropractic Clinics
29:07 The Need for Informed Consent and Transparency
31:03 Avoiding Unsupported Claims and Adjusting the Narrative
31:48 The Role of Research in Chiropractic
33:03 Addressing Negative Stereotypes in Chiropractic
33:22 The Founders' Vision for Change
33:49 Romanticizing the Past
References
Palmer College of Chiropractic Continuing Education - Care Plans, Maintenance Care, and the Reliability of Methods for Detecting Subluxations
Palmer College of Chiropractic Continuing Education - 6 Myths About Back Pain
Key Facts and Figures About the Chiropractic Profession (American Chiropractic Association)
Everything you need to know about chiropractic (Medical News Today)
MCL - 333.16401 Definitions; scope; principles of construction
The International Chiropractic Education Collaboration 2014 Position Statement (Clinical and Professional Chiropractic Education
Where to find Chris Netley:
Instagram: @chrisnetleyDC
YouTube: @chrisnetleyDC
X (formerly Twitter): @chrisnetleyDC
Facebook: Chris Netley, DC
Music: Pixel Swing
Musician: Moscillate
Site: https://icons8.com/music
