Quack, Quack

Growing up I remember my older brother referring to the local chiropractor as the "Town Quack".  The term quack can be defined as someone who fraudulently pretends to have a medical skill.  This has often been used to describe chiropractors.  Chiropractors did not pretend to be medical doctors or possess the same skills as a medical doctor, rather we have developed our own particular skill set.  Chiropractors were seen as being unscientific and the chiropractic approach was labelled unorthodox.  Even though countless people were helped with chiropractic care, chiropractic was ridiculed and chiropractors labelled as quacks.

There has been a significant shift in attitudes in the past two decades as science has caught up to what chiropractors have observed clinically for a long time.  Independent researchers and policy makers are acknowledging the benefits of the unique chiropractic approach.  For the great majority of patients with both acute and chronic low back pain, neck pain, and cervicogenic headaches spinal manipulation (chiropractic adjustments) is recommended by authoritative groups who establish treatment guidelines in both Europe and North America.  These include the UK Evidence Report (2010), Joint Clinical Practice Guidelines from the American College of Physicians and the American Pain Society (2007), European Back Pain Guidelines (2004), Bone and Joint Decade Neck Pain Task Force (2006), and Evidence-Based Practice Center at Duke University (2001).  As recently as May of this year the British Medical Journal was arguing that primary care for patients with back pain and musculoskeletal problems should be transferred from general practitioners to chiropractors, osteopaths, and physiotherapists.

The reason for the wide acceptance of the chiropractic approach is that there is now a great abundance of research showing that chiropractic adjustments are amongst the most effective treatments available for neck pain, back pain, cervicogenic headaches, and other musculoskeletal conditions.  More of what we do as chiropractors is validated every year.   More of what we do still needs to proven.  But just because something is not scientifically validated doesn't mean it should be discontinued.

Even as chiropractic struggles to prove itself, much of what we consider to be scientifically accepted medical procedures actually remain unproven.  The Office of Technology Assessment, a branch of the United States Congress, with the help of an advisory board of eminent university faculty, has published a report with the conclusion that, " . . . only 10 to 20 percent of all procedures currently used in medical practice have been shown to be efficacious by controlled trial."  The British Medical Journal puts give the figure 15%. Therefore, 80% to 90% of medical procedures routinely performed are unproven.  Should all these procedures be discontinued until they are scientifically validated?  Probably not and neither should chiropractic procedures.  The very nature of scientific analysis and the vagaries of the human body may mean some very effective procedures may never be scientifically validated.

Only rabid sensationalist continue to call chiropractors quacks.  The term still doesn't apply because we are not medical doctors and we don't pretend to do medical procedures.  We practice chiropractic; a scientifically validated branch of the healing arts.