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March 1, 2017 • 12:34 pm
Why Evolution is True is a blog written by Jerry Coyne, centered on evolution and biology but also dealing with diverse topics like politics, culture, and cats.
Why Evolution is True is a blog written by Jerry Coyne, centered on evolution and biology but also dealing with diverse topics like politics, culture, and cats.
Certainly a tweet by Kim K. Or any tweet is not scientific medicine., nor is manipulative medicine for zoos.
As a D.O. Orthopedic surgeon retired, spent years reading “scientific” analyses of backmpain. Move too much, fuse, not move enough make an artificial disk, exercise, rest. Drugs, steroids, hypnotism. All sorts of theories few well substantiated, and pain is a problem for which a cause for all pain is yet known.
The Swedish investigators worked diligently years ago to define abnormal motion in the pelvic ring, perhaps a cause for pain at the sacroiliac joint, perhaps from instability at the symphysis publis. ( we long ago learned that those with a traumatic fracture or separation at the anterior pelvis profited from stabilization). They found stopping motion with externally applied pins to the ilium and connected could measure motion, and locking the R and L sides may help. Fusing n of the sacroiliac joint is still performed, newer techniques touted as better, and arguments that is unnecessary or noxious procedures.
Documenting absolute measurements of segmental abnormal motion, or limited motion are lacking. Blinded studies of techniques for defining and manipulating various segments are still, in my opinion, anecdotal. and unreliable.
Yet, some are lik Kim, and obsesss, others helped in treatments when needed, few by maintenance, and mdavbling in other things than skilled manual knowledge obtained through hands on over time is quackery for sure.
That the high velocity manipulations of the neck can be dangerous is understood, but most of gentle procedures are not. Over decades many chiropractors referred many patients to me or other physicians when issues needed more study. And many API e surgeons referred to these same chiropractors.
Would that there was an effective, reasoned, scientific method to analyze symptoms and study treatments in long term double blinded studies .