Expert: Dr. Victor Dolan, DC, DACBSP - 6/6/2009

Question
Hello!  I've written you before about a herniated c6,7 disc
occuring 1/5/09 and that I've received good results from
regular chiropractic, trigger pt. massage and MacKenzie
exercises.  Last week I experienced vertigo that sent me to
the ER.  Its much better although I'm still not quite
right.  At the hospital I mentioned my recent lower molar
extraction, the powdered calcium supplement I'd just
started and that I'd had chiropractic that day.  They were
eager to do an MRI with dye to check for stroke from
chiropractic.  I obligued and had the test done and it was
normal.  Do you have any information on what caused the
vertigo?  Can chiropractic help my situation?  Of course
I'll continue being treated for my neck situation I just
don't want anything to be missed in the process. Thank you
for any information.  Joni Gooss in DE

Answer
Vertigo




Hello Joni,

I am sorry to hear of your Vertigo.

".....I've written you before about a herniated c6,7 disc
occuring 1/5/09 and that I've received good results from
regular chiropractic, trigger pt. massage and MacKenzie
exercises. .....",  I am glad to hear you have tried a chiropractic approach towards your complaints, and gotten good results!

"...At the hospital I mentioned my recent lower molar
extraction, the powdered calcium supplement I'd just
started and that I'd had chiropractic that day...."
You give a pretty thorough history- good!  The Vertigo 'could' be related to any and all of these.

'Powdered Calcium Supplement'- was the vertigo also accompanied by any nausea or stomach upset?, any bowel changes?- perhaps the calcium supplement did not agree with you, or will take a little time to get used to.  Any GI disturbance or nausea--- I would say with these and Vertigo--- it could be the supplement.  Vertigo alone, possible, but not probable.

'Molar Extraction'- again also possible.  Changing your bite pattern, literally pulling teeth- could have upset your TMJ, could upset your balance/ coordination, could upset proprioception, could cause vertigo.  Possible.

'Chiropractic'- again possible, and possible without causing a stroke or transient ischemic attack (TIA).  What type of chiropractic did you receive- there are many approaches- a 'toggle recoil' adjustment?, an S.O.T. stairstep cervical maneuver?, Gonstead P->A without rotation?, Seated v. Supine v. Prone cervical rotary adjustment?, an activator adjustment?, HVLA (high velocity low amplitude) type maneuver?; there are many types of 'Chiropractic'.  Some types of chiropractic make bigger changes faster in your Cervical spine, and could alter proprioception for a transient time.

ALL of these (and more) chiropractic maneuvers will alter the biomechanics of the cervical spine.  Altering the Biomechanics of the cervical spine could alter your proprioception.  Altering your proprioception could give you transient Vertigo- it is a change in your body, with your body talking to your brain.

Causing a stroke or TIA- the probabilities of that are very, very low.

This is a current bug-a-boo that some in the MD industry are throwing at Chiropractic Doctors.

"....They were eager to do an MRI with dye to check for stroke from
chiropractic.....",  I am glad you allowed the test.  I am glad the test found no significant problems.  'They were eager', because then they could write an article and get famous, and give a bad name to that demon--- Chiropractic.  There is still some competition between some MDs and DCs.

There is no doubt that Cervical Manipulation in hands OTHER then Doctors of Chiropractic (DCs) could cause some type of trauma, possibly a TIA or Stroke.  Even in these hands (other then Chiropractic hands), manipulation is very, very safe.  Some studies have shown, in rare instances, manipulation can cause the stroke---
notice I said MANIPULATION.  MDs, PTs, even LMTs sometimes manipulate patients.  IF manipulation causes a problem, it is almost INVARIABLY at the hands (pun intended) of a non-chiropractic provider.  Many studies lump 'manipulation' with 'chiropractic adjustment'- this is not correct.  'Manipulation' does NOT equal 'Chiropractic Adjustment', and if it is NOT a chiropractOR that 'hurts someone' with an adjustment, then it is NOT chiropractIC.

The SAFETY of CHIROPRACTIC manipulation- more accurately called an Adjustment is unquestioned--- just see the LOW malpractice rates of Chiropractic vs just about any other health provider.

I would certainly let my DC know of this occurrence, the doctor could then decide whether to continue with the same or a different adjustment approach.

".....Do you have any information on what caused the
vertigo?...."- proprioceptive changes; could be from anything discussed above.  Vertigo?- I recommend a book/ website/ Doctor for information:
    http://www.amazon.com/Medications-Treatment-Dizziness-Fibromyalgia-Conditions/dp...     What Do You Do When the Medications Don't Work? A Non-Drug Treatment of Dizziness, Migraine Headaches, Fibromyalgia, and Other Chronic Conditions [ILLUSTRATED] (Hardcover)  by Michael L. Johnson (Author)
       http://lifechangingcare.com/
    Dr. Michael L. Johnson   - http://lifechangingcare.com/about.php



"....Can chiropractic help my situation? ....", I would return to that DC, I would inform the doctor as to the incident.  Could Chiropractic help?- yes, many people have been helped BY cervical adjustments for cervical induced vertigo and dizziness.



Since this is a current Bug-a-boo that the medical industry is throwing at Chiropractic healthcare, I have gathered some information on this very subject.  This will be long, you may or may not wish to read any/ all of it:



+++++++++++++++++++++++++++++++++

Strokes – Here we go again…
Dr. Matthew McCoy Editor – Journal of Vertebral Subluxation Research

May is national stroke month  so there was some planning in the timing of the release of the latest study that contends there is a relationship between cervical manipulation and stroke.

The study appears in the May 13th issue- Journal of Neurology -and is a retrospective case series analysis using surveys and phone calls to patients diagnosed with strokes and basically asks them if they had a chiropractor crank on their neck prior to their stroke.

They  mention 8 cases from the study that had strokes from "iatrogenic" causes and conveniently leave out any discussion of these. Considering they were doing a study on stroke its curious why the researchers didn’t think it was important to discuss the strokes that were verified to have been caused by MD’s – in their own study! Does it get any more bizarre?

There are also several cases they mention where the care givers at the time could not determine the cause of the strokes but now these guys are ----retrospectively  ------  determining there was a relationship to manipulation one or two years later - crystal ball gazing comes to mind.

In my experience defending chiropractors in several alleged stroke cases I have found in each one that the patient first hears the notion that the chiropractor caused the stroke from the first MD to see them. What do you think the patient will remember years later? Of course this study does not ask whether or not there was litigation involved.

They also go out as far as 30 days after the manipulation and they call for informed consent regarding the possibility of stroke for anyone getting their neck manipulated. The Editorial accompanying the article however, was at odds with this recommendation.

How to deal with all the hoopla? JVSR devoted an entire issue to the topic of stroke  and I refer you to that for all the background information and other information that is also applicable to this study. In addition I have provided a copy of the press release put out by the World Chiropractic Alliance below. Also, you can remind your patients that


the medical profession kills 822 people a day in this country alone


and that perhaps there is some better research they could spend their time on.
As always, I look forward to your feedback, comments and suggestions.
Regards,
Dr. Matthew McCoy editor@jvsr.com
Editor – Journal of Vertebral Subluxation Research
"http://www.jvsr.com"
------------------------------------------------------------------------------------------------------------
FOR IMMEDIATE RELEASE
Contact for Reporters: For information, call: World Chiropractic Alliance, 800-347-1011 or email comments@worldchiropracticalliance.org.


Stroke report proves media, medical bias against chiropractic, says World Chiropractic Alliance

Chandler, Ariz., May 16 -- The media feeding frenzy following a May 13 study in the journal Neurology is a glaring example of how the news media is manipulated by the medical industry to help destroy chiropractic. That was the conclusion of the World Chiropractic Alliance (WCA) after a relatively insignificant research report was given massive publicity this week.

In 1990, in Wilk vs. AMA, the American Medical Association was found guilty of conspiring with other medical organizations in a "lengthy, systematic, successful and unlawful boycott" designed to eliminate chiropractic as a competitor.

According to Dr. Terry A. Rondberg, WCA president, the news media has become a co-conspirator in medicine’s war against chiropractic. “Newspapers, magazines, the Internet, television and news shows are using press releases from the medical and pharmaceutical industries without bothering to ask questions about the validity of the research,” Dr. Rondberg accused. “The court ruling prevents the AMA from attacking us openly, so the campaign by the medical industry has gone underground, with the media doing the bulk of its dirty work.”

The Neurology study, which was publicized in the print and broadcast media around the world, involved interviews with just 51 stroke victims. Although there was no definitive evidence linking them to chiropractic and the researchers admitted the strokes in question – called Vertebral Artery Dissection (VAD) – were extremely rare, news headlines screamed that chiropractic causes strokes. “Such irresponsible journalism is further degrading the integrity of the news media at a time when its credibility is already strained to the breaking point,” Rondberg said.


Numerous prior studies, some involving

thousands of patients,

contradict the Neurology findings. “Documents on the WCA website contain references to numerous research studies showing the alleged link between strokes and chiropractic is completely bogus,” he added.
Timothy Feuling, president of Chiropractic Benefit Services, which insures chiropractors for malpractice, says the company hasn’t had a single claim involving a stroke in years. “It’s almost unheard of. The reason chiropractors pay relatively little for malpractice coverage is that chiropractic is extremely safe.”

In contrast, "most interventions by allopathic physicians have a higher complication rate than chiropractic interventions," said Philip Lee, M.D., a co-investigator of a research survey presented at the American Heart Association’s 19th International Joint Conference on Stroke and Cerebral Circulation.

In addition, studies such as the Neurology report fail to prove any real link between strokes and chiropractic care. “The fact that a temporal relationship exists between two events does not mean that one caused the other," explained chiropractic researcher Christopher Kent, D.C.

The World Chiropractic Alliance also condemned the media and the medical industry for failing to distinguish between “spinal manipulations” and chiropractic adjustments. A report in the Journal of Manipulative and Physiological Therapeutics, noted that "manipulations" administered by medical doctors, osteopaths, physiotherapists, and others had been incorrectly attributed to chiropractors.

The media’s double standard was made obvious by the unwarranted publicity given to the Neurology study. Medical treatment and drug errors account for more than 100,000 deaths each year, according to a report in the April 1998 issue of the Journal of the American Medical Association. Another 350,000 adverse drug reactions occur in U.S. nursing homes each year, many of which are fatal. “Yet, the media practically ignores these statistics in its rush to promote medical treatment and drugs,” Rondberg charged.

The reason for the harassment by the medical and pharmaceutical industries is evident. Chiropractic offers a drug-free, cost-effective way to improve health by correcting vertebral subluxations, which interfere with normal nerve function. The shift to chiropractic from medicine cuts deeply into M.D. pockets.

“Millions of people are turning to chiropractic for their health and wellness care,” Rondberg explained. “That’s millions of dollars that won’t go for risky medical treatment or expensive drugs. The medical and drug industries have a strong incentive to scare people away from chiropractic.”

Money may also be a prime reason why the media is such a willing partner in the campaign against chiropractic. Drug companies and other medical firms spend more than $3 billion yearly to fill newspaper and magazine pages, saturate radio and television airwaves, and blanket the Internet with ads.

“ When you depend on the medical and drug trades for much of your income, it’s easy to fall into the trap of being their lackeys and using their propaganda without asking hard questions,” Rondberg pointed out. “If the news media ever hopes to regain its credibility, it needs to re-examine its practice of sensationalizing reports that attack chiropractic. The WCA challenges the news media to do some real investigative reporting and tell the truth about the ongoing campaign against chiropractic by the medical and drug industries.”


http://www.youtube.com/watch?v=11VN2sGMdbI

http://www.youtube.com/watch?v=s68Yr38-lAQ&feature=related

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

FOR IMMEDIATE RELEASE: January 22, 2008


Study: Chiropractic Does Not Increase Risk of Stroke


A new study finds there is no evidence of excess risk of stroke following chiropractic spinal manipulation, according to a February 2008 report in the journal.  In the study, researchers noted that patients are no more likely to suffer a stroke following chiropractic treatment than they would after visiting their family doctor’s office.

The study goes on to say that any observed association between a vertebrobasilar artery (VBA) stroke and chiropractic manipulation is likely due to patients with an undiagnosed vertebral artery dissection seeking care for neck pain and headache before their stroke.

“This may prove to be one of the most important and significant studies in the profession’s history,” said ACA President Glenn Manceaux, DC. “The results of this study confirm that chiropractic manipulation is a safe and appropriate course of treatment.”
The issue of stroke being associated with a chiropractic neck adjustment focuses around the very rare occurrence of a tear to the vertebral artery as it passes through the sides of the upper cervical vertebrae and into the base of the skull. An injury to the arterial wall may lead to formation of a blood clot, which can break free and travel upward until it lodges in one of the smaller blood vessels in the base of the brain, blocking circulation.
There are many reports in the literature of cervical artery dissections (CADs) occurring after everyday activities that most people would consider non-traumatic, such as turning the head when driving, having your hair washed at a beauty salon, or sleeping on your stomach.


A research paper published in 2001 in the Canadian Medical Association Journal found there is only a one-in-5.85-million risk that a chiropractic neck adjustment will be associated with a subsequent CAD and stroke.

In this new study, the Canadian team looked at nine years of data in Ontario, and found that only 818 patients with a VBA stroke were reported among a population of some 11.5 million people. Unlike a previous study in 2001 that investigated the relationship between chiropractic visits and vertebral artery stroke, researchers in this study also studied visits to family doctors that preceded this kind of stroke.

According to the study’s authors, “Because the association between chiropractic visits and VBA stroke is not greater than the association between PCP visits and VBA stroke, there is no excess risk of VBA stroke from chiropractic care.”


Stroke Warning Signs
While there are no standard screening procedures to indentify patients with neck pain who are also at risk of a VBA stroke, health care providers should be aware of the following stroke warning:
•   Sudden difficulty speaking (slurred speech) understanding what people are saying
•   Sudden onset of confusion or altered mental status, such as loss of consciousness, or recognizing people who should be familiar
•   Sudden numbness or tingling on one side the face or body, or both
•   Sudden onset of dizziness or unsteadiness, loss of balance or coordination, or both
•   Sudden difficulty walking or standing upright
•   Sudden severe headache
•   Sudden severe unexplained upper-neck pain
•   Sudden trouble with vision or sight
NCMIC has made available a poster that discuses the warning signs of a possible arterial dissection.  To download a copy, click here.



Is chiropractic treatment safe?

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours. Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation, often called a neck adjustment, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck manipulation is a remarkably safe procedure. While some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, there is not yet a clear understanding of the connection. The occurrence appears to be very rare—1 in 5.85 million manipulations— based on the clinical reports and scientific studies to date. If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider. It is important for patients to understand the risks associated with some of the most common treatments for musculoskeletal pain -- prescription and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS) -- as these treatments may carry risks significantly greater than those of chiropractic manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.  http://www.chiroappointment.com/articles/aca-chiropractor-faq.html


American Chiropractic Association Response to "Chiropractic Stroke in Canada

By Dr. John W. Norris

The American Chiropractic Association (ACA) is denouncing as "junk science" a recent paper by
Canadian neurologists1 regarding chiropractic and the risk of stroke.

The study, which is extremely
limited and seriously flawed, has needlessly alarmed patients about one of the most safe and effective treatments in health care today, according to the American Chiropractic Association (ACA).

The Canadian neurologists' study, presented by Dr. John W. Norris and colleagues at the American
Stroke Association's 27th International Stroke Conference, contained no control group; it was essentially a random opinion survey based on the whims of doctors who themselves decided to participate. This outrageous paper, which is being falsely portrayed as legitimate science, leaves many basic questions unanswered, such as:


Who, in fact, performed the manipulations?


Were they doctors of chiropractic, physical therapists, osteopaths?


And what specific technique was
used? Given the fact that studies have shown that adverse reactions often do occur after visits to
untrained health care providers, the answers to these questions are especially important.


What was the total number of manipulations performed? The answer to this question is critical to
accurately determine the percentage of cases that resulted in arterial dissection. How long after
spinal manipulation were the vertebral artery dissections noted?

Many everyday activities such as hairwashing in a beauty salon, turning the head while driving and dancing have been known to cause similar injuries - and could well have contributed to the injuries in
these particular cases. These activities involve equal or higher rates of arterial dissection than ever
seen by a doctor of chiropractic.


Without answers to these very important and elementary questions, this paper appears to be nothing
more than junk science and a weak attempt by a group of politically-motivated medical doctors to
steer patients away from chiropractic care. The ACA believes that patients have the right to know
about the health risks associated with any type of treatment, including chiropractic.


However, health
care consumers should be aware that the risks associated with chiropractic treatment are
infinitesimally low.


The risks of chiropractic have been grossly exaggerated, and health care
consumers need to put these sensationalistic news reports into perspective. When compared to the number of illnesses and deaths that will occur this year from the use of
prescription and over-the-counter drugs, the number of serious complications from chiropractic
treatment is extremely low.

The use of oral contraceptives is considered to be safe by the medical
profession, but of every 100,000 healthy women under 40 who take birth control pills, 28 of them will
suffer a stroke. Statistically, this translates into 1.4 in every 5,000 healthy women.


A study published in the April 15, 1998 issue of the Journal of the American Medical Association
found that more than 2 million Americans become seriously ill every year from reactions to drugs that
were correctly prescribed and taken; 106,000 Americans die annually from those side effects.2


Complications from non-steroidal anti-inflammatory drugs (NSAIDs) -- a group that includes
prescription and non-prescription pain medications such as aspirin and ibuprofen -- are responsible
for 16,500 deaths each year, according to the New England Journal of Medicine.3

In comparison, a
study by the Rand Corporation found that a serious adverse reaction from cervical manipulation
occurs less than once in 1 million treatments.4

Studies have also shown that these rare adverse
reactions often occur after visits to health care professionals who are inexperienced or inadequately
trained in spinal manipulation, rather than licensed doctors of chiropractic.5

A more recent study published in the October 2, 2001 issue of the Canadian Medical Association
Journal found only a 1-in-5.85-million risk that a chiropractic adjustment of the neck will result in
vertebral artery dissection.6

Despite the sensational nature of this most recent Canadian report, the chiropractic profession does take the risk of vertebral artery dissection - no matter how minute -
seriously. During their four-year post-graduate education, doctors of chiropractic are alerted to
possible risk factors and taught when to modify their technique or refer a patient for other specialty
care.

Risk management is also a frequent topic in the continuing education seminars that most states
require practicing chiropractors to attend annually. Chiropractic researchers have spent a great deal
of time investigating risk factors so that doctors of chiropractic can identify the rare patients who may
be pre-disposed to injury. Other recently published and ongoing studies are testing the validity of pretreatment
screening tests, and devising strategies for even further minimizing the risks of chiropractic
neck treatments.




The time has come for the medical community and the media to focus their efforts on warning patients about common procedures with very real risks associated with them -- such as the
inappropriate use of drugs and surgery.




Chiropractic has been proven to be a safe and effective nondrug,
non-surgical treatment, and tens of millions of satisfied chiropractic patients will attest to this
fact.


ACA Today

References

1 Norris JW, Beletsky V, Nadareishvilli ZG, Canadian Stroke Consortium. Canadian Medical Association Journal 2000;
163(1): 38-40.

2 Lazarou JL, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients. A meta-analysis of
prospective studies. JAMA 1998; 279: 1200-5.

3 Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of non-steroidal anti-inflammatory drugs. New England
Journal of Medicine. 1999; 340(24); 1888-1899.

4 Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine. A
systematic review of the literature. Spine 1996; 21: 1746-59.

5 Terrett AGJ. Misuse of the literature by medical authors in discussing spinal manipulative therapy injury. Journal of
Manipulative and Physiological Therapeutics 1995; 18(4): 203-210.

6 Haldeman S, Carey P, Townsend M, Papadopoulous C. Arterial dissection following cervical manipulation: a
chiropractic experience. Canadian Medical Association Journal 2001;165(7):905-06

++++++++++++++++++++++++++++++++++++++++

The National Post
Letter to the Editor

Dear Editor,
The alarmist views expressed by Calgary neurologist Dr. Brad Stewart, regarding the safety of neck manipulation simply have no basis in fact. Dr. Stewart should be challenged to produce the evidence for his claims in a manner that can be evaluated and verified.

This is the standard practice in the
research community.


The published, peer-reviewed studies agree that the incidence of stroke or stroke-like symptoms associated with neck manipulation is rare - in the range of 1 to 2 per million treatments. There is also
a wealth of published research, as well as independent government-sponsored studies, that speak to the safety and effectiveness of chiropractic treatment particularly for neck and back pain.

Patient safety is the chiropractic profession’s number one priority and the profession is a leader in obtaining informed consent to treatment from patients.

This means explaining the risks and benefits of treatment options in direct communication with a
patient. Informed consent is required by law of all regulated health professions and we take that responsibility very seriously.

Collaboration, not confrontation, is in the best interests of the public and we welcome all soundly designed research studies that are published and peerreviewed so that the credibility of their
methodology and design can be evaluated. Dr. Stewart has no such foundation for his claims.
Dr. Mireille Duranleau
President
The Canadian Chiropractic Association
We note that several major media outlets such as the Globe & Mail and The Toronto Star (the largest
circulation paper in Canada), and Sun Media chose not to run this story reflecting, we believe, their
knowledge about lobbyist groups who try to manipulate them to gain attention.


WHAT ABOUT THE NUMBERS? WHAT DOES RESEARCH SHOW?
Reputable, peer reviewed research continues to show an incidence of stroke associated with manipulation in the range of one incident from a high of 1 million adjustments to a low of 5.85 million
adjustments. By comparison with any other health care intervention, this is an extremely low level of risk.

WHERE IS THE STROKE CONSORTIUM GETTING ITS NUMBERS FROM?
There are a number of inconsistencies and distortions between the data provided on the consortium’s
website http://www.strokeconsortium.ca/PG08i.spontads.html and as reported in the neurologists’
press release.

Manipulation as a major cause of stroke in the under 45 age group
The Consortium reports that there are 3,500 dissection strokes in this age group annually. They
further claim that there have been, over the past three years, 40 such cases associated with
chiropractic.


This means there have been 13 strokes per year caused by dissections.


One can
scarcely argue that 13/3,500 = 0.4% constitutes a major cause of stroke.
More than "100 cases per year"
This number is speculative. The data actually presented shows 40 cases over three years. Another
jump of logic is that the Stroke Consortium is assuming that those who died and who had adjustments
up to three months previously should be examined for dissection.
The obvious implication is that a chiropractic adjustment will be cited when the cause could be quite
different. In the February 10th issue of the Jerusalem Post there is an important article entitled
HighRisk Victims may be startled into a Stroke. Researchers at Tel Aviv University Sackler Medical
School and the Israel Center for disease Control report that:
Ischemic stroke may be triggered by people with cardiovascular disease by abrupt movements as
simple as jumping when the doorbell rings, by sudden loud noises, or when something else startles
them, according to a preliminary study presented Friday by Israeli researchers at the American Stroke
Association’s 27th International Stroke Conference in Texas.
Dr. John Norris of the Consortium was a guest on Toronto radio station AM 680 Feb 20th at 7:30 am.
At that time he suggested that the risk was 1:100,000. This is nothing like the number of ‘one in
5,000’ attributed to Dr. Stewart in the National Post article.
Clearly, proposing that dissection should automatically be ascribed to an adjustment, or that post
mortem procedures should attempt to connect these two events makes no scientific sense, especially
when one considers that the adjustment could have taken place months before and any number of
subsequent health or lifestyle interventions could have occurred.
"Little or no medical benefit"
The implication in this claim has no merit. Please simply glance at the Sampling of Research
References: Safety and Effectiveness of Chiropractic Adjustment attached to the second press
release to confirm a wealth of evidence which is available to any who sincerely wishes to check. In
our experience these kinds of brash statements are made by those whose opinions are hardened.


WHY DOES THE MEDIA ATTACK THE PROFESSION?
The media does not attack the profession, it reports stories and the more sensational the better.
Sensational stories increase circulation, and increased circulation is tied to advertising rates,
profitability, stock prices, and shareholder value. The media no more takes issue with chiropractic
than the chiropractic profession takes issue with engineers.
The CCA tracks chiropractic media reports. Between March 2001 and February 2002, there have
been 1,842 print and broadcast references to chiropractic. Of these, 60% are positive, 23% neutral,
and 17% negative. This means that 83% of references to the profession are either positive or benign.
Reviewing these figures objectively, one would have to conclude that chiropractic fares well in the
media on an overall basis.
The same reporter who wrote the chiropractic article in the National Post also authored a negative
story about the medical profession several months earlier. Again, the issue was controversy and on
this occasion the topic related to the alleged abuses of power by medical regulatory colleges. There
are daily media reports citing problems related to pharmaceuticals, hospitals, physicians under
investigation, botched operations, and so on. These things are reported because they are
sensational.
Mireille Duranleau, D.C.
President
The Canadian Chiropractic Association
Dennis Mizel D.C.
President
The Ontario Chiropractic Association
Ron Brady, D.C.
Chair, Board of Governors
Canadian Memorial Chiropractic College
Paul Carey, D. C.
President
The Canadian Chiropractic Protective Association





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Wishing you Good Luck, Good Health and a quick recovery,
your Internet Chiropractic Staten Island Expert,


Dr. Victor Dolan, DC DACBSP
http://drvictordolan.chiroweb.com - - -- - Email NewsLetter