Citation-> The Edell Health Letter, April 1990 v9 n4 p2(1) COPYRIGHT Hippocrates Inc. 1990 ---------------------------------------------------------------------------- Title-> How to find a good chiropractor. (column) Authors-> Edell, Dean ---------------------------------------------------------------------------- Subject Hd->Chiropractors_evaluation Alternative medicine_evaluation ---------------------------------------------------------------------------- I ran into a well-known orthopedic surgeon the other night at a cocktail party. After exchanging some requisite chitchat, we plunged into a topic of intense interest to us both-chiropractic medicine, or the practice of treating health problems through spinal manipulation. Since we wound up agreeing on many aspects of the "chiropractor problem," I thought I'd share some of our conclusions with you. Maybe it will help you decide whether chiropractic medicine can help you. Chiropractors, it's safe to say, are a mixed bunch. There are the good ones, content to deal with the kind of muscular and skeletal problems that often frustrate ordinary physicians. Then there are the ones I call embarassments, the ones who want to be primary care physicians. This brand of chiropractor honestly believes that all diseases are caused by a pinched nerve or a misaligned spinal column. Preposterous though it sounds, this view is still taught in many chiropractic colleges. My surgeon friend and I both agree that there is a place for good chiropractors in health care. My friend described a man who came into his clinic recently with a sore neck. He advised the man to take aspirin, put hot packs on his neck, and take it easy for a couple of days. The patient promptly turned around and hunted down a good chiropractor who provided him with almost instant relief. The surgeon admitted he'd like to hire a chiropractor to work at his clinic. He would gladly send along patients with neck and back pain-after first ruling out more serious problems such as kidney disease, heart trouble, and prostate cancer. But he probably won't hire a chiropractor-at least in the near future-because most hospitals and doctors would refuse to do business with him. He's already been told as much-an indication of just how bad the blood is between these two professions. Most doctors simply don't trust practitioners who haven't earned a medical degree. This stand-off leaves the consumer caught in the middle. When is it appropriate to consult a chiropractor? Here's the only advice I can offer: Try a chiropractor for neck or back pain after first visiting an internist to rule out cancer and other more serious ailments. Be aware that chiropractors work best for people suffering moderate, chronic pain. Spinal manipulation can actually worsen many serious disorders, including herniated discs or arthritis. Make sure to find a good one. Many doctors still publicly refuse to refer patients to chiropractors, but you'll probably find that quite a few doctors "secretly" know of a few you can trust. Those are the chiropractors you'll want to patronize. Good luck. ----------------------------------------------------------------------------