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Thread: Chiropractors

  1. #1
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    Default Chiropractors

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    Hey Coach,

    I’m in the middle of “Strong Enough” and you mention that chiropractors have a useful, legitimate place in the health care professions.

    When do you find a chiropractor useful and how does one discern the difference between a good chiro and a quack?

    I have trouble trusting these slippery sons-of-bitches. Especially when they start talking about removing “toxins.”

  2. #2
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    Chiropractors are useful for localized back pain with no radicular component. The quacks "remove toxins" while the good ones make your back feel better. It's sometimes a crapshoot, so references are useful.

  3. #3
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    Roger that - any idea what mechanisms are at play when they correct localized pain? Are we talking about a deep stretch on the soft tissue or actual realignment of facet joints, etc? I’m always skeptical when they talk about things being out of alignment.

  4. #4
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    I think that inflamed tissue is swollen and edematous, and that the manipulation disrupts the swelling and allows normal circulatory processes to resume. But really, I don't know.

  5. #5
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    Alright, thanks coach!

  6. #6
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    Quote Originally Posted by Soule View Post
    Roger that - any idea what mechanisms are at play when they correct localized pain? Are we talking about a deep stretch on the soft tissue or actual realignment of facet joints, etc? I’m always skeptical when they talk about things being out of alignment.
    I think the major mechanisms at work is a reduction in mechanoreceptor input after the cavitation is produced, and through an analgesic response via downregulation of excitatory interneurons through descending input from the brain.

  7. #7
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    Maybe both, if the tissue prep before the manipulation was extensive enough.

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