aphreal42 replied to your post “deep breath, and....”
I would "like" this more than once if I could.
YOU CAN LIKE THIS POST, TOO. x.x I saw your reply last evening and nearly came out of bed to say something, then declined on the grounds that I needed to chill.
My voice teacher SWEARS by her chiropractor. Like, if she doesn't get an alignment done once a month or so, she's in terrible pain. But I always wonder if it's a good thing that she's so dependent on him? Anyway, you know way more about this than I do. I yield to your knowledge. I'm just skeptical every time she talks about it and this makes me even more so.
I didn’t mean to turn this into a rant, but it happened, and it’s been something that has been sitting on my chest for a while.
I just did a quick PubMed search on “chiropractic.” The majority of the first 20-something articles are only people talking about views on chiro, not whether or not it actually treats people. There are two systematic reviews in that early set and both of them say that evidence supporting chiro is really inconsistent and not good! I’m not saying all physical therapists are perfect, but as a healthcare science, our evidence base is huuuuuuuuuge.
Full disclosure we “compete” for the same client base a lot, but if you’re in the field for best patient practice, then you should want your patient to go where they will get the best care. As a student PT, I’m taught when to refer.
But chiropractors and physical therapists come from very different schools of thought. Original chiropractic thought, as established by Dr. Daniel David Palmer was that chiros could not diagnose and treat medical problems but that problems in the spine were related to those health problems and “adjustments” could influence health for the better, which, honestly, to me, doesn’t sound so bad. I mean, is there evidence for it? I have no clue, but anecdotally it sounds pretty good. Chiropractic today is more focused on “subluxations” and “adjustments” in the spine as a method of treating pathology, and they probably want to sell you some vitamins, too. Basically, if a chiropractor pops your T7 back into place, maybe your lungs function better. According to them.
Physical therapists are movement dysfunction specialists. If your voice teacher came to me because of back pain, I would assess her spine, her hip, and her SI joint (which are all connected to each other and work together), and see if the vertebrae are not moving and whether or not it is a bony restriction or a muscular restriction. After correcting the imbalance, I WOULD ASSIGN HER EXERCISES TO MAINTAIN THE NEWLY GAINED RANGE OF MOTION. I’m not trying to cure multiple sclerosis, IBS, or any other neural/visceral pathology. I only want to help her move better, and hey, in the process of standing up better or sleeping without pain if she happens to take up an exercise program that helps control her diabetes (which I would definitely counsel her on), all the better, but it’s not my job to fix the diabetes.
tldr; Anyone can pop someone’s back. People pop their own backs all the time without adverse consequences to their organs. The problem is whether or not doing so is helpful (not harmful is not the same as helpful), and whether a clinician is doing to retain the improvements they make or if they are stringing a patient along every month to do something about it.
Side note: Today I was performing treatment for hypomobile vertebrae, and I got a cavitation (AKA a pop) on a classmate around the T6 level. She didn’t immediately breathe better, and neither did she breathe any worse, but guess what, her back was a little more mobile. AND I’M NOT A CHIROPRACTOR.