I AM A RADIOLOGIST WHO WORKS IN A HOSPITAL WITH A CHIROPRACTOR WHO HAS AN EXCELLENT REPUTATION. I SAW HIM FOR BACK PAIN WITHOUT RADICULOPATHY AND WITH NO RECENT IMAGING STUDIES.
HE DIAGNOSED SACROILIAC SYNDROME, PUT ME ON A TABLE AND DID SOME VIOLENT TWISTING OF BOTH SIDES. WHEN I LEFT, I MY LEG GAVE WAY AND I ALMOST FELL. LATER I HAD FASCICULATIONS IN MY THIGH AND A TOOTHACHE PAIN DOWN MY RT LEG.
I HOPPED INTO THE MRI THINKING I AM EITHER HYSTERICAL OR HAVE SUSTAINED AN IATROGENIC DISC HERNIATION. VOILA! IT SHOWED A RT HNP AT L4-5 WITH CEPHALD SUBLIGAMENTOUS EXTRUSION INTO THE RT LATERAL RECESS/ FORAMEN OF L4, SQUISHING MY NERVE ROOT.
I HAVE SINCE READ THAT THIS MAY NOT BE THAT UNCOMMON, BUT I WISH I KNEW AHEAD.
DON'T KNOW WHAT THE LESSON IS....MAYBE PRE-MANIPULATION IMAGING OR LESS VIOLENT MANIPULATION??Dear Dr Jeff,
Thank you for your contribution and your honesty.
I'm sure it's just as you say, and I have to admit that in thirty years I have had similar instances.
What I can say is that it IS uncommon, but it does happen. I can't remember the last time in my clinic, but I know it has happened in the past.
It's all about relative risks. The risk of taking anti inflammatory drugs, I'm sure you know that report in the American Journal of Gastroenterology of 14,000 people who actually died in one year from a gastric bleed after taking NSAIDs.
Our patients don't die, but serious iatrogenic affects do occur. I hope you recover.
A thought: the money factor comes into it: because he is a colleague, you probably didn't pay him, and he probably didn't examine you properly. It's not an excuse, but I find I have to work extra hard to give friends, family and colleagues the same level of care, or better, than my paying patients. There's a laziness in all of us...
And perhaps you didn't take any basic radiographs with you...
I hope you've had it out with him.
Barrie L, DC
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Physical Therapists providing a Chiropractic adjustment?
Many insurance companies now only pay for physical therapists
to provide a chiropractic adjustment; that's in the face of powerful
research proving that inclusion of DCs to perform their own technique would save them a good deal of money. One has to
conclude that political medicine has gone off on another tack to
contain our profession.
It's being successful with some doctors of chiropractic quitting. Others become involved in some dodgy practices, like demanding that patients sign up for a whole year of treatment in advance, in order to stay in business.
In recessionary times, the going is tough when
the insurance won't pay.
Is the day approaching for a new Wilk versus the AMA and the insurance companies?
The chiropractic profession has tried hard to stay on the moral high ground; those who stoop to unscrupulous practices need to be exposed and disciplined if we are not to stoop to the low blows that medicine has often resorted to contain and eliminate us.