There has been, within the United States, especially, a major paradigm shift in health care, with a "switch to" (or "return to") natural, less invasive, approaches, notably chiropractic, the so-called "alternative/complementary/integrative approach".
Major national inquiries have been undertaken by:
In brief, the reports were hailed by every chiropractic community as an official seal of approval, chiropractic was finally recognized by a national government agency as being safe and effective, at least so far as low back pain was concerned.
The allopathic community, of course, led by orthopedic surgeons, raised such a ruckus that the AHCPR was reorganized and the government is never again to adopt the position of issuing clinical practice guidelines!
Orthopedic surgeons may be jealously guarding their "turf", which provides them with up to 500,000 back surgeries, annually. Intriguingly, Dr. Hochschuler of the Texas Back Institute, himself an orthopedic back specialist, makes the admission in one of his consumer books, that half of these surgeries (250,000) are unnecessary.
From the consumers standpoint, if chiropractic works, let' go for it. Is it as simple as heading for the nearest office with a chiropractor sign out front?
A recent review in the single, peer-indexed chiropractic journal included on Medline discussed this issue:
(Nelson, CD et al., Manual healing diversity and other challenges to chiropractic integration. The Journal of Manipulative and Physiological Therapeutics, March/April, 2000, Vol. 23, No. 3: )
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