Should I Listen To My Chiropractor?

[quote]Worf wrote:
This is my first post to T-Nation. I am a 27 year old male, 5’9", 188 lbs, about 15% bodyfat. I have been training about 5 years.

I recently visited a chiropractor. I am not injured nor do I have any pain. I went simply for a check-up. She did, however, discover some problems, including some scoliosis (curvature of the spine) and a subluxation (misalignment) in the mid-spine and neck.

She recommended a treatment plan, but also recommended I not do any weight training involving the back or shoulders for 90 days time. She said it would interfere with the treatment and possibly slow down the progress.

Seeing as how I am not injured now, nor feeling any pain, should I take her recommendation seriously?

I appreciate your comments. [/quote]

No, don’t listen her at all!
i work with a chiropractor and active releaser as a functional trainer and i never heard such a shits coming out of some kind of professionals.
keep going to workout and be adjusted when you need to be adjusted.
Chiropractic as some other kinds of therapies are good tools to let you enjoy workout the best and treat your body to reach its full potential through training keeping it always in the perfect balance…well obviously you need also a balanced program
push hard!

[quote]stefanogym wrote:

No, don’t listen her at all!
i work with a chiropractor and active releaser as a functional trainer and i never heard such a shits coming out of some kind of professionals.
keep going to workout and be adjusted when you need to be adjusted.
Chiropractic as some other kinds of therapies are good tools to let you enjoy workout the best and treat your body to reach its full potential through training keeping it always in the perfect balance…well obviously you need also a balanced program
push hard![/quote]

Well, I have since found out that part of my chiropractor’s treatment does involve active release techniques, I just wasn’t familiar with the term at the time. I discussed with her what was discussed here in this post and she said it was fine that I resume my training. I guess she just doesn’t have much experience in sports medicine.

Damn! Go away for a couple days and miss 50 some posts.

To address some of the topics I encountered while reading through some of these posts:

First, Mike the Bear, there is a difference between the medical definition of ‘subluxation’ and the chiropractic definition. This has created so much confusion between chiropractic and the rest of the medical community, that I personally never use the term ‘subluxation’ in my practice other than to explain the different meanings to patients so if they read it somewhere, they know the difference.

So, the medical definition implies that the joint had lost stability and slipped in such a manner that the joint surfaces are no longer have the normal configuration, but they are still in contact or proximity to each other. This is a condition that is ‘less than a dislocation’ where the joint surfaces are completely separated.

The chiropractic definition refers to a situation where a vertebral motion segment is not functioning properly. This could be caused by a muscular problem, a joint problem, a disc problem, abnormal nervous or proprioceptive functioning etc. It absolutely does not mean that the joint surfaces have lost stability and slipped out of place. However, there could be some static vertebral malposition related to a muscle imbalance, guarding etc.

I hope that clears up that problem.

Next issue:

Chiropractors are physicians as recognized by the government for purposes of health insurance claims. Some states allow chiropractors to use the term Chiropractic Physician while others only allow them to be referred to only as Doctor of Chiropractic.

Really people, what’s the big deal? Why such prejudice?

Next issue:

Chiropractors think they can cure everything by adjusting the spine.

Some do, most do not.

Here’s the deal, the body has the ability to heal itself to a large extent. Obviously the degree it can do this is dependent on the degree of insult to it. You get the flu, you don’t have a compromised immune system, you get better. You get the ebola virus, you die. You get hit from behind by a car doing 10 mph, you get mild whiplash and mostly heal. You get hit by a semi doing 60, you are probably dead. The body can only handle so much stress until there is a breakdown of some sort.

The main types of stress are physical, chemical and mental. Within each of these categories, there are differing amount of stress the body is able to tolerate or adapt to. Any amount greater than that results in a problem. Also, these three categories are not independent. The body as a whole can only handle so much stress, regardless of the type. Lets say the body can handle 100 units of stress. Anything above that is going to result in a problem. If you have 50 units of chemical stress plus 25 units of mental stress, that only leaves you with 25 units of physical stress. Let’s suppose your training program demands 30 units of physical stress. Now you have a problem. So, chiropractors believe that by helping to eliminate some of the physical stress through adjusting and other physical modalities, and educating the patient on proper diet/nutrition to eliminate some chemical stress and helping educate on some mental stress relief tactics, that they can improve the health of their patients.

Crazy talk I know:)

Next topic:

Chiropractors most certainly believe in the germ theory of disease. They also believe that not everyone exposed to the same virus or bacteria will necessarily become infected, unless of course the virulence of the agent is so overwhelming as to completely overwhelm the body’s defenses (like the above mentioned ebola virus). Chiropractors believe that host defense is an important, but often overlooked part of the equation. The virus or bacteria represents a stressor to the body, if the other stressors on the body are high, the chance of infection is increased conversely if the other stressors are low, the body has a better chance of fighting off the invader. Make sense?

Next topic:

There seems to be some kind of general opinion that only athletes should have some kind of musculoskeletal problem.

Does anybody understand what sitting on your ass at a desk for 8 hours a day does to the body? The body is built for movement. If we were meant to sit at a desk all day, we wouldn’t need all the muscles and joints that we have. Daily life is a significant physical stressor. Add to that a poor diet (chemical stressor) and the daily mental stress and you are looking for some problems to develop.

Next topic:

Chiropractors keep you coming back for appointments…

First of all, my name isn’t Jesus, it will take me more than one treatment to treat you. Does you MD just give you one NSAID, pain pill or muscle relaxant? Do they only send you for one physical therapy appoint?

OK, yes there are some ‘straight’ or completely ‘subluxation’ based chiropractors that will lay out a 60-90 visit protocol for patients for a ‘spinal correction’ type program.

I absolutely despise that because it has created this negative stereotype of all chiropractors. Now, that being said, I know some doctors like this and I would like to ring their necks for making my job harder, but they honestly think that is what is best and they do help alot of people. However, I do not agree with that philosophy and wish they did more myofascial work, stretching, and rehab because people would get better quicker and have less dependence on the doctor.

OK, now what about going once a month or every few months, etc.
(The once you go you have to keep going forever argument)

You absolutely do not have to keep going. If you go, get fixed and never come back, that is perfectly fine.

Is there a benefit for going regularly? Sure there is. I find it funny that no one ever says you know once you go to the dentist you have to keep going. Why do you go to the dentist?

Do you brush your teeth everyday? Just once or more than once? Do you ever floss? Why? Do you do any exercises everyday to help maintain the health of your spine? Do you have perfect posture all the time so that you don’t place much stress on the spine? Do you not have any kind of stressors that could effect your spine everyday?

I find it funny how much people will do for their teeth just like it is second nature. Why do you do it? Because you were taught to from the time you were a kid and taught the importance of it.
How much do people spend on braces to make their teeth straight or kits to whiten their teeth?

In the grand scheme of things, they are your freaking teeth, if necessary, they can pull them all out and give you a new set. They don’t make new spines yet. Not to take away from dental hygiene, as I think it is important.

It is just that if a chiropractor were to recommend to follow-up periodically to maintain ‘spinal hygiene’ it is viewed like he/she is some crazy quack.

In reality the patients that do come in for regular treatment do so because they have found that it makes them feel better or improves their quality of life to some degree. How often that they need to come in varies. Some people come in once a month, some people only need to come in once every few months and some may need to come in more frequently depending on their problem. Some people just have chronic pain and if they get relief from chiropractic adjustments and the other therapies offered and that allows them to have less pain during their daily activities and increases their quality of life then what is the harm. Better than having them sucking down vicodin or oxycontin like PEZ.

Next topic:

The whole PT/versus chiropractic issue.

First of all most chiropractos today do much more than just adjust the spine. People really have a very limited view of what chiropractors actually do. We can adjust, do myofascial therapy, ultrasound, electric stimulation, laser therapy, spinal decompression, stretching rehab, and on and on.

Physical therapists do much of the same stuff, so i guess that is where the ‘turf war’ comes in. Since I do not know the laws of all states, I will not comment other than to say that often PT’ are not allowed to diagnose an injury (although they are more than qualified to do so and in many cases, if the patient is referred from a GP, the PT should be theone making the diagnosis because they have more training in that area than a GP) and often you need a referral for a doc to go to a PT. I do not believe this is true for every state however.

Personally, I think PT’s should be the resource for initial post-surgical rehab for most surgeries as well as post-stroke rehab.

Really most practicing DC’s and PT’s get along well and cross refer patients to each other.

Now I am tired and need some sleep.

I hope this clarifies a few issues and if there are any I missed, feel free to let me know.

Take care,

Ryan

I agree with the guy who said Dr. Ryan reassures him about DCs, and that jbdd makes them feel untrusting of the profession. When I read jbdd’s post I imagine someone who begins by talking in a loud, rude, obnoxious voice and slowly escalates to shouting and then screaming.

My heartbeat begins to rise as I read the long run-on sentences and I start to feel anxious; my relief is brought about only by the merciful punctuation at the end of the run-on.

Just give it a rest jbdd, as soon as you start name-calling and saying dickhead, etc, etc, you lose 95% of the readers on the site.

Dr. Ryan is correct. Many states have direct access now. That means people can go into a Physical Therapy clinic without an order from an MD.

First, let me say that I do not dislike chiros. However, I believe the turf war is not because there is overlap between the two professions. I think it stems from the fact that the chiropractic association has tried to sue the PT association and say we are not qualified to treat the spine. This occured in South Carolina when our state practice act was changed to allow for Direct Access. The chiropractic association lost that battle in court and it did create some friction between most PT’s and chiros.

[quote]conwict wrote:
I agree with the guy who said Dr. Ryan reassures him about DCs, and that jbdd makes them feel untrusting of the profession. When I read jbdd’s post I imagine someone who begins by talking in a loud, rude, obnoxious voice and slowly escalates to shouting and then screaming.

My heartbeat begins to rise as I read the long run-on sentences and I start to feel anxious; my relief is brought about only by the merciful punctuation at the end of the run-on.

Just give it a rest jbdd, as soon as you start name-calling and saying dickhead, etc, etc, you lose 95% of the readers on the site.[/quote]

My apologies. Just out of curiosity,what would you call a LAWYER who complains about ANY profession just being in it for the money,laughable! Now breathe sweetheart, breathe! Go back to your happy place.

Jbdd - I can probably write pages on why I go on the offensive against chiros, but the bottom line is that I don’t like to see people spending money on treatments that are unnecessary and/or ineffective. And no, I’m not saying that all chiropractic treatments are unnecessary or ineffective. However, I think this thread has shown that, like in any profession (including lawyers), there will be bad apples who are out to scam.

Dr. Ryan - Thanks for clearing up the definition of subluxation, or at least your definition. I didn’t mean to imply that all chiros are quacks who disbelieve in the germ theory and who believe that subluxations are the cause of all human ailments including cancer. Unfortunately, some chiros still believe in that D.D. Palmer mysticism nonsense. You obviously do not, and that is commendable. You are not the type of chiropractor that I have a problem with.

[quote]conwict wrote:
I agree with the guy who said Dr. Ryan reassures him about DCs, and that jbdd makes them feel untrusting of the profession. When I read jbdd’s post I imagine someone who begins by talking in a loud, rude, obnoxious voice and slowly escalates to shouting and then screaming.

My heartbeat begins to rise as I read the long run-on sentences and I start to feel anxious; my relief is brought about only by the merciful punctuation at the end of the run-on.

Just give it a rest jbdd, as soon as you start name-calling and saying dickhead, etc, etc, you lose 95% of the readers on the site.[/quote]

Actualy after shouting I go right to punching,why bother with screaming,LMMFAO

[quote]MikeTheBear wrote:
Jbdd - I can probably write pages on why I go on the offensive against chiros, but the bottom line is that I don’t like to see people spending money on treatments that are unnecessary and/or ineffective. And no, I’m not saying that all chiropractic treatments are unnecessary or ineffective. However, I think this thread has shown that, like in any profession (including lawyers), there will be bad apples who are out to scam.

Dr. Ryan - Thanks for clearing up the definition of subluxation, or at least your definition. I didn’t mean to imply that all chiros are quacks who disbelieve in the germ theory and who believe that subluxations are the cause of all human ailments including cancer. Unfortunately, some chiros still believe in that D.D. Palmer mysticism nonsense. You obviously do not, and that is commendable. You are not the type of chiropractor that I have a problem with.[/quote]

Mike, Thanks for that, I think we agree on this whole issue.Being an obvious loud mouthed proponent of Chiropractic,if A D.C. tried to “heal me” by rubbing his fingers over me or waving magnets over me or any of the other “mysticism nonsesnse” I would, and have told them they are what gives the profession a bad name. I think Dr. Ryan summed it up much more eloquently and intelligently than my poorly thought attempt,Thanks Dr. Ryan!

get a second opinion and maybe even a third. Ive been to 4 diferent over the years and 3 of them were honest and very good. I was in pain and they eliminated it. I have one now that is my regular but not as regular as I should and he incourages smart lifting. My wife also goes once a month and weight trains too. Since she started going her headaches and neck pain that has plague her for years is gone. SO seriously a good doctor works.

Mike,

I will fully agree that there are some chiropractors out there that have taken post-graduate seminars to learn some seriously f-ed up techniques and I wish that once they got certified in that crap that they would have to refer to themselves as such and not as a chiropractor, since it is always these freaks that end up on TV (such as the aforementioned Penn and Teller show) and make chiropractic look like some carnival side show gimmick.

Chiropractic is a neuromusculoskeletal treatment that is very effective at treating neuromusculoskeletal conditions. I could bury you in research studies to support its effectiveness if you really wanted to learn more. Does it have an effect on conditions that you wouldn’t necessarily think that it would? Absolutely. Is this guaranteed in all cases? Absolutely not. Most research has been geared to more musculoskeletal problems, however, many more studies are starting to look into these other conditions as well. Any Doc that has been in practice for any length of time could give you a laundry list of all the things patients have reported to them, but then again these are case studies and not the gold standard double-blind, yada yada.

Do all medications work for all patients? No

Spending money on un-needed or ineffective treatment? What about giving antibiotics for a viral infection? How about putting patient’s on blood pressure meds, cholesterol meds and meds for adult-onset non-insulin dependent diabetes, without first educating the patient on nutrition, diet and exercise and making the patient responsible for their own health?

How about keeping patients on narcotic pain medication for conditions that could be helped by chiropractic or physical therapy?

Do not take this as an insult to the medical community as it is not intended as such. I have much respect for MD’s, PT’s etc. and feel that when we all work together, the patient’s benefit greatly. The only people who suffer because of the petty arguing are the patients. I only use these examples to illustrate that your point could be applied to any profession.

Also, there seems to be some misunderstanding about some chiropractic beliefs. There may be a few chiropractors that think the ‘subluxation’ is a factor in diseases such as cancer, etc, but it is a very small number. I think where the confusion arises is from the belief that the body has an innate ability to heal itself if given the proper healing environment. Basically, if the body has all the necessary building blocks, if you remove other impediments to healing, the body will have the best chance to heal itself. The more stressors you can remove, the better chance of a postive healing response.

That is a far cry from saying that chiropractic treats cancer.

Let me know if there are any other questions.

Take care,

Ryan

[quote]Dr. Ryan wrote:
Mike,

I will fully agree that there are some chiropractors out there that have taken post-graduate seminars to learn some seriously f-ed up techniques and I wish that once they got certified in that crap that they would have to refer to themselves as such and not as a chiropractor, since it is always these freaks that end up on TV (such as the aforementioned Penn and Teller show) and make chiropractic look like some carnival side show gimmick.

Chiropractic is a neuromusculoskeletal treatment that is very effective at treating neuromusculoskeletal conditions. I could bury you in research studies to support its effectiveness if you really wanted to learn more. Does it have an effect on conditions that you wouldn’t necessarily think that it would? Absolutely. Is this guaranteed in all cases? Absolutely not. Most research has been geared to more musculoskeletal problems, however, many more studies are starting to look into these other conditions as well. Any Doc that has been in practice for any length of time could give you a laundry list of all the things patients have reported to them, but then again these are case studies and not the gold standard double-blind, yada yada.

Do all medications work for all patients? No

Spending money on un-needed or ineffective treatment? What about giving antibiotics for a viral infection? How about putting patient’s on blood pressure meds, cholesterol meds and meds for adult-onset non-insulin dependent diabetes, without first educating the patient on nutrition, diet and exercise and making the patient responsible for their own health?

How about keeping patients on narcotic pain medication for conditions that could be helped by chiropractic or physical therapy?

Do not take this as an insult to the medical community as it is not intended as such. I have much respect for MD’s, PT’s etc. and feel that when we all work together, the patient’s benefit greatly. The only people who suffer because of the petty arguing are the patients. I only use these examples to illustrate that your point could be applied to any profession.

Also, there seems to be some misunderstanding about some chiropractic beliefs. There may be a few chiropractors that think the ‘subluxation’ is a factor in diseases such as cancer, etc, but it is a very small number. I think where the confusion arises is from the belief that the body has an innate ability to heal itself if given the proper healing environment. Basically, if the body has all the necessary building blocks, if you remove other impediments to healing, the body will have the best chance to heal itself. The more stressors you can remove, the better chance of a postive healing response.

That is a far cry from saying that chiropractic treats cancer.

Let me know if there are any other questions.

Take care,

Ryan[/quote]

Bravo and Thank you Dr. Ryan, I think my wife the D.C. and 15 year cancer survivor would agree as well! Please correct me if I am wrong.It is the nutrition,diet,excercise and resposibility for one’s own health vs. unneeded, unwarranted medication that is at the crux of this debate!

[quote]MikeTheBear wrote:
jbdd wrote:
You say your friend is a Mortician, hmm you wouldn’t by any chance be an M.D., cause that would explain your friendship…

Interesting that you have 7 physicians in your family yet hold so much contempt for the AMA. I originally wanted to be an M.D. but ended up going to law school instead. I’ve seriously considered serving on Dr. Barrett’s legal advisory board.

He’s really not as anti-chiropractor as he is made out to be. He does believe that chiropractor’s have a role in back pain management. What he opposes is the idea that subluxations are the root of all human medical problems, i.e., the so-called “straight” or subluxation-based chiropractors. It seems that Dr. Ryan shares a similar philosophy.

So what do you do for a living?[/quote]

You’re probably lucky that you aren’t on his legal staff, considering he’s been largely discredited, and his claims are not being taken seriously anymore - not to mention his numerous failures in court. Here is my post from another topic highlighting this.

J.V.


(Warning, long post with many sources)

HOV -

I’m very sorry you had a bad experience with your chiropractor, however like all ‘real’ doctors there are good doctors, bad doctors, or doctors that may not have the training or experience necessary for a particular condition. In your case, you may have gone to a bad one or one that didn’t have the training for your condition. It’s sad that you decided to judge an entire healthcare profession by your singular experience. I know that if I had done that with some of my experiences, I would be holed up in my house and not go to any doctor. I don’t have the energy to point out everything you mentioned, but I will comment on a few things -

Here are two examples in my case.

I had an upper respiratory infection, and in most cases they usually work themselves out. In this case it got worse, so I went to my local doctor (I was away at college) and received a prescription. It did nothing, and I got worse. I went back to the doctor and received the same prescription with the instructions that I may have to take a longer course in order to eliminate the infection. This went on for over a month, and I actually got worse. I drove home during a break in college and went to my doctor for the condition. I showed him the bottle of antibiotics I was taking and he actually laughed and told me those were never intended for the infection I had, and haven’s been prescribed in significant numbers in years. He also commented that the other doctor was a quack for not knowing this, and went on to prescribe me another type of antibiotic. I got better within a week. So is the entire medical community full of quacks? According to my doctor, the other doctor is a quack! Should I judge the medical community because of this experience?

How about when I was playing football, and after being the recipient of a vicious tackle I could not fully feel my hands, and had excruciating pain in the shoulder? I went to an orthopedist and after testing and examinations he mentioned I should get ready for shoulder surgery. Shoulder surgery? I was in line for a football scholarship, and this would have devastated my chances for it. I went for a second opinion, this time to a chiropractic physician who had been recommended to me (my M.D. no less) who dealt with sport injuries. He performed a similar exam, tests, and received the x-rays the orthopedist took. He commented that he found nothing to warrant the surgery the orthopedist suggested, but he would treat me and if there was no improvement within a certain amount of sessions, he would refer me out to another orthopedist for a consultation. The first treatment took care of most of my symptoms! I came to find out from this doctor that I had subluxation of my right first rib (which he showed me on x-ray), and after he treated it, the pain and numbness melted away. It was the strangest feeling I ever felt. I went back for two more treatments and to this day have had no issues with it. Who was the quack here? If I were to judge the medical profession on these two experiences, I bet you could see why I would find medical doctors quacks. However I don?t. There are good doctors and bad doctors, and it’s unfortunate that you have to run into the latter from time to time, but that’s the nature of healthcare in the world. (BTW- the orthopedist I went to had a partner, and that partner was later found guilty of performing unnecessary surgery for financial gain! Makes you wonder huh!)

I won’t even get into my experience with an Osteopathic treatment. LOL.

I’ve had good experiences with both professions, and see them as integral pieces of the healthcare puzzle. As for the whole quack thing with chiropractors - I would be very careful with making false statements like that and would definitely recommend you (and anyone else sharing a similar view) check your facts thoroughly before making such crude, ill-informed assertions. They make you look foolish, and ignorant. Chiropractic physicians, like medical and osteopathic physicians, are primary healthcare providers and are, like the other two, first contact doctors. Several chiropractic institutions have their students do hospital residencies, and many hospitals employ chiropractic physicians as another specialty on their staff, including the US government’s VA administration. Quacks indeed!!

Since you are asking for people to submit other viewpoints besides “chiropractic fanboism” I would ask you to do the same. You should probably do a lot more research to back up your arguments besides relying primarily on one website, particulary one as dubious as Dr. Barretts. Here are some things you may not have known about him. These are available on the public record and in numorous court cases across the country. In fact, most informed people are viewing his information and his various websites, 21 or so in total, as complete rubbish. Here are some things you might want to know about your primary source, like the fact that he is not even certified by the medical board of psychiatry as a psychiatrist because he failed the certification exam! He intentional hid this fact until it came out in a recent court case. (this is just a small bit of what’s out there, and are just a few examples of why he’s been largely discredited.) -

  1. In a recent court case against Dr. Barrett the presiding judge tossed out the case Barrett was making, and reprimanded him in court due to a variety of factors, one of which was the financial gains he and his firm stood to make, which biased him as an expert witness.

Here is an excerpt - "Dr. Barrett was a psychiatrist who retired in or about 1993, at which point he contends he allowed his medical license to lapse. Like Dr. Sampson, he has no formal training in homeopathic medicine or drugs, although he claims to have read and written extensively on homeopathy and other forms of alternative medicine. Dr. Barrett’s claim to expertise on FDA issues arises from his conversations with FDA agents, his review of professional literature on the subject and certain continuing education activities.

As for his credential as an expert on FDA regulation of homeopathic drugs, the Court finds that Dr. Barrett lacks sufficient qualifications in this area. Expertise in FDA regulation suggests a knowledge of how the agency enforces federal statutes and the agency’s own regulations. Dr. Barrett’s purported legal and regulatory knowledge is not apparent. He is not a lawyer, although he claims he attended several semesters of correspondence law school. While Dr. Barrett appears to have had several past conversations with FDA representatives, these appear to have been sporadic, mainly at his own instigation, and principally for the purpose of gathering information for his various articles and Internet web-sites. He has never testified before any governmental panel or agency on issues relating to FDA regulation of drugs. Presumably his professional continuing education experiences are outdated given that he has not had a current medical licence in over seven years. For these reasons, there is no sound basis on which to consider Dr. Barrett qualified as an expert on the issues he was offered to address. Moreover, there was no real focus to his testimony with respect to any of the issues in this case associated with Defendants’ products.

Credibility of Plaintiff’s experts

Furthermore, the Court finds that both Dr. Sampson and Dr. Barrett are biased heavily in favor of the Plaintiff and thus the weight to be accorded their testimony is slight in any event. Both are long-time board members of the Plaintiff; Dr. Barrett has served as its Chairman. Both participated in an application to the U.S. FDA during the early 1990s designed to restrict the sale of most homeopathic drugs. Dr. Sampson’s university course presents what is effectively a one-sided, critical view of alternative medicine. Dr. Barrett’s heavy activities in lecturing and writing about alternative medicine similarly are focused on the eradication of the practices about which he opines. Both witnesses’ fees, as Dr. Barrett testified, are paid from a fund established by Plaintiff NCAHF from the proceeds of suits such as the case at bar. Based on this fact alone, the Court may infer that Dr. Barrett and Sampson are more likely to receive fees for testifying on behalf of NCAHF in future cases if the Plaintiff prevails in the instant action and thereby wins funds to enrich the litigation fund described by Dr. Barrett. It is apparent, therefore, that both men have a direct, personal financial interest in the outcome of this litigation. Based on all of these factors, Dr. Sampson and Dr. Barrett can be described as zealous advocates of the Plaintiff’s position, and therefore not neutral or dispassionate witnesses or experts. In light of these affiliations and their orientation, it can fairly be said that Drs. Barrett and Sampson are themselves the client, and therefore their testimony should be accorded little, if any, credibility on that basis as well."

BTW- this was in federal court.

  1. This was in the Missouri supreme court and it involved Dr. Barrett, his defuct organization the National Council Against Health Fraud (NCAHF), where they went after not a chiropractor, but and osteopath (D.O). It involves chelation therapy, which is becoming much more accepted for heart patients. Here is the press release -

"The North American “quackbuster” operation scrambles for survival

The North American “quackbuster” operation is scrambling for survival because, among other things, the American Court System is “horse-whipping” them.

I just received word about a new Supreme Court Case Decision involving an attack on an innovative health practitioner, Edward W. McDonagh, D.O., from Missouri, who had the common sense to use chelation therapy on his heart patients.
Of course his patients got better, and of course the State, blindly following the recommendations, and the nonsensical statements, found on delicensed MD Stephen Barrett’s ludicrous “quackwatch.com” website, tried to take this dedicated healer’s license to practice medicine away from him.

They failed.

Not only did they fail, but the resulting Supreme Court Decision has become a landmark, and will be used across the land, as “case law” whenever any State agency is dumb enough, or sleazy enough, to use the “quackbusters” or “quackbuster” dogma, as a resource. The case decision had a lot to say about a lot of issues.

The final words of the Missouri Supreme Court Decision are: “This case needs to be over. The board should end the case itself rather than suffer the indignity of further adverse commission and judicial rulings, to say nothing of the waste of public resources that such proceedings will entail.”

You can read the whole decision by clicking here. When you go to the page you’ll find the decision in two parts. The first part (in green text) is the decision of the Missouri Appeals Court. The second part (in black text) is the words of the Missouri Supreme Court.

Here’s what one of the Missouri Supreme Court Justices said about the State’s action against Doctor McDonagh, and some of the bigoted assumptions made by the State in the McDonagh case:

Physicians are afforded considerable leeway in the use of professional judgment to decide on appropriate treatments, especially when applying the negligence standard. For instance, Hasse v. Garfinkel, 418 S.W.2d 108, 114 (Mo. 1967), a medical negligence case, holds that “as long as there is room for an honest difference of opinion among competent physicians, a physician who uses his own best judgment cannot be convicted of negligence, even though it may afterward develop that he was mistaken.” “Negligence” does not seem an appropriate concept where the physician has studied the problem and has made a treatment recommendation, even though that is not the prevailing view of the majority of the profession. The lack of general acceptance of a treatment does not necessarily constitute a breach of the standard of care. The use of negligence in licensing situations, in the absence of harm or danger, is particularly inappropriate.

One could argue that because chelation therapy is not accepted by mainstream medicine and is an off-label practice not approved by the FDA, it is therefore harmful and dangerous. If that were the board’s position, the licensing statute would thwart advances in medical science. A dramatic example is the treatment of stomach ulcers, which were long thought to be caused by stress. In 1982, two Australians found the bacterium helicobacter pylori in the stomach linings of ulcer victims. Because helicobacter pylori is a bacterium, some physicians – a minority to be sure – began prescribing antibiotics to treat stomach ulcers as an infectious disease. The National Institutes of Health did not recognize antibiotic therapy until 1994; the FDA approved the first antibiotic for use in treating stomach ulcers in 1996; and the Centers for Disease Control began publicizing the treatment in 1997. Today?s physicians accept as fact that most stomach ulcers are primarily caused by helicobacter pylori bacteria infection and not by stress. (FN6) But, by the chronology of this discovery, if a physician in the late 1980s or early 1990s had treated ulcers with antibiotics, that treatment would have been “negligent” as the board in this case interprets that term because inappropriate use of antibiotics can be dangerous."

Delicensed MD Stephen Barrett, and his nefarious website “quackwatch.com,” the “quackbuster’s” " bible, is being dropped, as a resource, almost EVERYWHERE. It is court Decisions like this that fuel these actions."

  1. This is a press release from a Canadian publication. The top part gives a nice summary of the full press release.

"Dr. Stephen Barrett of Quackwatch Exposed In Court Cases

At trial, under a heated cross-examination by Negrete, Barrett conceded that he was not a Medical Board Certified psychiatrist because he had failed the certification exam.

This was a major revelation since Barrett had provided supposed expert testimony as a psychiatrist and had testified in numerous court cases. Barrett also had said that he was a legal expert even though he had no formal legal training.

The most damning testimony before the jury, under the intense cross-examination by Negrete, was that Barrett had filed similar defamation lawsuits against almost 40 people across the country within the past few years and had not won one single one at trial.

During the course of his examination, Barrett also had to concede his ties to the AMA, Federal Trade Commission (FTC) and Food & Drug Administration (FDA).

P R E S S R E L E A S E

FOR IMMEDIATE RELEASE

Date: October 13, 2005

Location: Allentown, Pennsylvania

Court Case: Stephen Barrett, M.D. vs. Tedd Koren, D.C. and Koren Publications, Inc.
Court of Common Pleas of Lehigh County for the State of Pennsylvania
Court Case No.: 2002-C-1837
Contact: Carlos F. Negrete
LAW OFFICES OF CARLOS F. NEGRETE
San Juan Capistrano, CA 92675
Phone: 949.493.8115
Fax: 949.493.8170
email: mediarelations@healthfreedomlaw.com
mediarelations@negretelaw.com
URL: www.healthfreedomlaw.com
www.negretelaw.com

Dr. Tedd Koren, DC.
Phone: 800.537.3001
267.498.0071 Fax: 267.498.0078
URL: www.korenpublications.com

Subject: Quackwatch Founder Stephen Barrett loses Major Defamation trial in Hometown

In a stunning development, Lehigh Valley Pennsylvania Judge J. Brian Johnson on Thursday, October 13, 2005, tossed out nationally known self - proclaimed ‘consumer medical advocate’ Stephen Barrett?s defamation lawsuit just minutes before it was going to be considered by a local jury.

The lawsuit, filed in August 2002, against also nationally known Pennsylvania chiropractor, lecturer, researcher and publisher, Dr. Tedd Koren sought unspecified damages against Koren and his company, Koren Publications, Inc. for statements that he wrote in his newsletter in 2001 about Barrett.

Barrett, a long-time nemesis of chiropractic, filed the lawsuit because of Koren?s publication that Barrett was ?licensed? and in trouble because of a $10 million lawsuit and because Barrett was called a ‘Quackpot’.

In his defense, Koren contended that the statements were true and not defamatory and that he had a First Amendment right to write them in his newsletter.

Thursday?s ruling by Judge Johnson represented a major reversal of the finding of an arbitration in August 2004 wherein a panel of three local private attorneys reviewing the case had found in favor of Barrett and awarded Barrett $16,500 in damages and that Koren should publish a retraction. That award was appealed by Koren.

Dr. Koren was represented by well-known health freedom San Juan Capistrano, California, attorney Carlos F. Negrete for trial and Washington, D.C. attorney James Turner of Swankin & Turner. Easton, Pennsylvania attorney Christopher Reid of Laub, Seidel, Cohen, Hof & Reid served as local counsel for the team and was co-counsel for the trial along with Negrete.

Turner and Negrete have been well known for their representation of clients in the health food, supplement and vitamin industries as well as representing naturopaths, nurses, dentists, physicians, chiropractors and complimentary therapists across the country.

Turner’s experience dates back the 1960s when he joined consumer advocate Ralph Nader and was one of the groundbreaking Nader’s Raiders that made consumer advocacy popular and brought about significant changes in manufacturing and consumer protection.

In making the ruling to throw out the case, Judge Johnson granted a rare directed verdict to the jury finding there was insufficient evidence to support Barrett’s claims. Judge Johnson indicated that this case was one of those rare times where such a motion was appropriate.

Barrett operates the web site www.quackwatch.org , www.chirobase.org and 20 other web sites and has been a long time critic of chiropractic calling much of it “quackery”.

The victory to chiropractor Koren comes almost 18 years to the date that chiropractors received national attention with their victory against the American Medical Association (AMA) by obtaining an injunction against the AMA from an Illinois federal judge for engaging in illegal boycotting of doctors chiropractic in Wilk et al vs. AMA.

Barrett had been an outspoken supporter of the AMA at the same time that Koren had been a vocal advocate that the AMA has, in recent years, violated the spirit of the federal judge?s order.

After the ruling, Koren proclaimed that: I am overjoyed and enthusiastic that this nightmare is over and that the science, art and philosophy of chiropractic and the work of all of my colleagues have been vindicated.

“This case took a toll on my life and family, but I knew that I was right in publishing the truth.”

Dr. Barrett has no right to misinform the public about chiropractic and other natural healing arts or to try to silence anyone who criticizes him or tell consumers that he is not what he purports to be.

“I believe that it is not right to be silent when there is a duty to inform the public and let the truth be told.”

For years, Barrett has touted himself as a medical expert on ‘quackery’ in healthcare and has assisted in dozens of court cases as an expert. He also was called upon by the FDA, FTC and other governmental agencies for his purported expertise.

He was the subject of many magazine interviews, including Time Magazine and featured on television interviews on ABC?s 20/20, NBC’s Today Show and PBS.

He has gained media fame by his outspoken vocal disgust and impatience over natural or non-medical healthcare, including his criticisms of two time Nobel Prize winner Linus Pauling.

Dr. Tedd Koren is known for his writings and lectures on chiropractic science, research, philosophy, and chiropractic patient adjusting.

He is known for his Koren Publications chiropractic patient education brochures, posters, booklets, books and other products that are used in chiropractors? offices throughout the United States and around the world.

Dr. Koren also co-founded a chiropractic college, is on the extension faculty of two chiropractic colleges, is published in chiropractic and bio-medical journals and has received numerous awards in his field. His web sites include www.korenpublications.com and www.teddkorenseminars.com

In his 2001 newsletter, Koren published articles that revealed that even though he touted himself as a medical expert, Barrett had not been a licensed physician since the early 1990s.

He also published that Barrett had been the subject of a $10 million racketeering lawsuit [that had been withdrawn] and called him a "quackpot’ for the contradiction of his website and lack of credentials.

Koren?s trial attorney, Carlos F. Negrete of San Juan Capistrano, California, is known for his defense of physicians, chiropractors, dentists, clinics and natural heath providers who practice what is known as complimentary & alternative medicine and holistic healthcare. Negrete has also handled groundbreaking cases against HMOs in California and has represented many celebrities and politicians.

At trial, under a heated cross-examination by Negrete, Barrett conceded that he was not a Medical Board Certified psychiatrist because he had failed the certification exam.

This was a major revelation since Barrett had provided supposed expert testimony as a psychiatrist and had testified in numerous court cases.

Barrett also had said that he was a legal expert even though he had no formal legal training.

The most damming testimony before the jury, under the intense cross-examination by Negrete, was that Barrett had filed similar defamation lawsuits against almost 40 people across the country within the past few years and had not won one single one at trial.

During the course of his examination, Barrett also had to concede his ties to the AMA, Federal Trade Commission (FTC) and Food & Drug Administration (FDA).

This was not the first time that Negrete was a trial attorney in a Barrett case. He also represented anti-fluoridation advocate Darlene Sherrell in a federal lawsuit filed in Eugene, Oregon by Barrett.

Barrett also lost in trial of that case. Negrete also represented Robert King of King Bio Natural Medicine of North Carolina and MediaPower (manufacturers of CalMax and Nu-Zymes) of Maine in cases filed by an organization led by Barrett, which were lost by Barrett’s organization.

Barrett has also filed a lawsuit against Negrete and his client Dr. Hulda Clark (author of The Cure for All Diseases and The Cure for All Cancers) , which is now pending and awaiting trial in San Diego, California federal court.

After the Koren trial, Negrete stated: “The de-bunker has been de-bunked. I am pleased and satisfied with this outcome for Dr. Koren and am proud that Dr. Koren did not succumb to the pressures of the intimidation of Barrett?s legal wrangling. Not everyone can stand up to someone as well known as Barrett.”

Negrete continued, "It is another great day for health freedom and alternative healthcare around the world. I am especially pleased that this most important victory was in Barrett?s own hometown. It just goes to show you that there is justice anywhere, even when you are a visitor challenging the home team.

Barrett is a shill for the medical and pharmaceutical cartels and his bully tactics and unjustified discrediting of leading innovators, scientists and health practitioners should not be tolerated."

Negrete said, ?You can be assured that our legal team will be wherever health freedom advocates and practitioners are being persecuted. The tide is now turning and people are no long accepting that synthetic drugs are the only form of treatment are the only way to address health concerns.

“Every day, consumers are becoming more educated about the benefits of holistic and alternative methods. This is something that the medical establishment obviously fears and wants to crush with false propaganda.”

Koren said that he would now go back to his home in Pennsylvania to spend more time with his family and continue to write, research, and lecture on topics concerning chiropractic and healthcare and the experiences he has gained from this precedent setting legal battle.

He plans to give new lectures to chiropractors across the country who are under attack or have been subjected to governmental actions.

He also announced that he is forming a new organization aimed at informing and assisting chiropractors across the country.

The trial started on Monday, October 10, 2005 and ended on October 13, 2005 Barrett was represented by local Allentown attorney, Richard Orloski."


This is quite a bit of information, and is the tip of the iceburg for Dr. Barrett and his organization. He is now considered a fraud by most in the mainstream. HOV I would be very careful about citing Dr. Barrett as a source considering his dubious reputation. My suggestion would be to ask someone you respect and trust about a referral to a licensed D.C. (or any health care physician). Maybe your experience will be better with that one.

As for why I’m posting all this - there is already so much hate, ignorance, and foolishness out there as it is, and I find some of the remarks made on this and other threads regarding this subject similar to people who think they are informed about fitness proclaiming that weightlifting is a ‘dangerous’ activity that is not good for you.

J.V.

BTW - before anyone asks, I go to a D.C. and an M.D. depending on the situation so I don’t have a bias one way or the other. I guess I’m just ‘fair and balanced’ ;-).

[quote]MikeTheBear wrote:
A 1970 study showed just that. The researcher used cadavers to determine how much force was necessary to “subluxate” the vertebrae and discovered that the force necessary to cause subluxations also caused the vertebrae to fracture. Bottom line: if you really have a spinal subluxation, chances are you also have a broken back.[/quote]

I’m not sure about that, and I’m no fan of chiros as a group, but this is definitely not true for neck vertebrae. I’ve had my neck so far out-of-place that it was sticking up at an angle (it slid back into alignment on it’s own though, with a little help from hanging upside down).

My mom dislocated a vertebra in a fall, and a chiro partially corrected the problem. The violent nature of the adjustment made her afraid to go back though. For fifteen years she couldn’t turn her head very far to the right. Then, as you might have guessed, she fell again and the problem corrected itself.

[quote]nuwayv wrote:
Majin wrote:
I thought chiropractors aren’t even in a real medical field are they? It’s like ‘alternative’ medicine…

That’s always been my understanding of it. chiropractors are not doctors and I don’t believe they are a part of the AMA.

These may be helpful.

[/quote]
they are not medical doctors and quite frankly the use of “doctor” for a chiro is misleading (to a trusting, vulnerable population) and disrespectful to those that do spend 10 years in medical school to become a physician as well as an additional 4-6 years after that for residency…

who the FUCK goes to a chiropractor for a check-up.

[quote]Rylan wrote:
nuwayv wrote:
Majin wrote:
I thought chiropractors aren’t even in a real medical field are they? It’s like ‘alternative’ medicine…

That’s always been my understanding of it. chiropractors are not doctors and I don’t believe they are a part of the AMA.

These may be helpful.

they are not medical doctors and quite frankly the use of “doctor” for a chiro is misleading (to a trusting, vulnerable population) and disrespectful to those that do spend 10 years in medical school to become a physician as well as an additional 4-6 years after that for residency…

[/quote]

Rylan,

It seems clear that you don’t really know what the requirements are for any of the primary healthcare physicians - MD, DC, or DO. None of them spend 10 years in ‘medical school.’ Usually all three must have a minimum of three years of undergraduate education - with a b.s/b.a. preferred. The actual program for each is a 4 year doctoral program, with a residency of 1-5 years depending on the specialty. This is quite a bit different than “10 years of medical school plus a 4-6 year residency.” There are several reputable websites out there that explain this procedure.

Also, the AMA is a professional organization, like the NRA, NAT, etc for the medical profession. Chiropractic, dentistry, and osteopaths, etc have their own as well. Besides according to the AMA only 17% of medical doctors are a part of that organization.

“Who the F%$#” goes to a chiropractic physician for check-ups? More than 30 million in America alone, not including the millions of patients seen by them in hospitals. Hope this helps clear up confusion.

J.V.

Hey Dr. Ryan

How do you feel about the “activator” technique vs. manual manipulation?

Thanks for your time.