February 21, 2006

Curious George: Chiropractic Quackery? Or Legit?

So, I got into a car-wreck about a month ago, resulting in a)the loss of my wife's beloved Cabrio, and b) some low intensity, but persistent neck pain for myself. I went to my regular doctor, and his advice was to take some advil and if it doesn't go away he'll do an MRI. Fine. In the meantime, I'd like something more proactive to be done about the pain (which isn't that bad on the whole, but tends to flare up at the end of the day and interfere with my sleeping and such), and a friend of my wife's suggested going to a chiropractic doctor. I went today, and it was... weird. I have some serious mixed feelings about some of the "treatments" (in particular the doctor's use of a laser light to "stimulate nerve cells" or some such that I'm having a hard time buying), but I've got to admit that I feel quite a bit better, with a marked decrease in neck and shoulder tension. I'm not terribly informed on the whole chiropractic vs. AMA debate, but I do know that there's quite a history there. Do any of you monkeys have opinions on the legitamacy of the chiropractic profession? Experiences? Anecdotes? I'd love to hear them, because right now... I just don't know what to think.

  • I've got some recurring back and neck issues that are sorted out with a few visits now and again. I've run into some practices that are run like cults, and others that take their position as members of the medical profession seriously. I can recommend a couple of local chiros if you're interested. From what I've seen, it's the ones that claim that their work will cure stuff like diabetes and blindness that are most suspect. There also tends to be some overlap with fundamental christianity.
  • Caveat: I've never went to one. My head says "crap!" But I've known several very sensible and otherwise not prone to wild talking out of their ass people say that chiropractic treatments have been invaluable to them. So I figure, if it helps your pain, what's the harm?
  • My sister is a massage therapist and sees quite a number of people who are in pain. You may wish to consider this as a next step, sort of a middle ground before jumping all the way into chiropractic. These folks do nothing along the lines of "I can cure diabetes" nor will you find any magic laser beams in their office or have to listen to any mumbo junbo about alternative medicine. What they will do is tell you what muscles they are working on, why what they are doing may help, and what you can do on your own to lessen any lingering pain. They will also tell you that their work isn't guaranteed to help, but at least you're getting the straight dope, and it is impossible to go away from a good massage and not feel better. Worth a try. My 2 cents.
  • I wish I had a good answer. After 2-3 years of chiropractic treatment, the only definitive result, other than lightening my wallet considerably, was a definite reduction of pain in my wrist (carpal tunnel RSI) from a direct adjustment. The response to "I feel fine -- why should I continue going?" is "Only 10% of your nerves are pain receptors, so you might not feel any difference." Okaaaaayyyy...? Come on. There has to be some quantifiable benefit to make it worth while -- I've had enough of "just trust me, it helps!" I've stopped going, but I haven't written it off entirely.
  • The final word? It isn't medicine but people like it. Sometimes covered under insurance. Some people don't respond to it.
  • If you get into a car accident here, then you hire a personal injury attorney and go see the chiropractor. The chiropractor will take x-rays of you and then conclude that you need about $3,000 worth of treatment. Coincidentally, insurace claims specialists scoff at any chiropractic bill that exceeds approximately $3,000. So you go see the chiropractor for 4-6 weeks or so. When you tell the chiropractor after a week of treatment that you feel fine, he will still advise you to continue with your treatment. If you still have pain at the end of the $3,000, then he will tell refer you to a medical doctor. When you are through treating, the attorney will attempt to settle your injury claim with the insurance claims specialist. The specialist will typically award 2 to 3 times the medical bills for settlement. The higher the medical bills, the higher the settlement (unless the bills seem artificially inflated: see above). The attorney will then settle the case for $7,000. That means that the attorney will take his third of about $2,333. The chiropractor will then reduce his bill from $3000 to somewhere around $2267. Final tally? Attorney $2333, client $2400. Everyone is happy.
  • After a car totaling accident I saw a chiro for pain relief. He was on the edge of quackery with his claims that misalignment caused pretty much everything, but we stuck to the basics. Long term therapeutical benefit or not, I did walk out of there every time with much less pain and stiffness than I walked in with. Dramatically so on most days. About six months after the accident I was going in about once a week and knew the appointment was coming up as I was loosing flexibility, sometimes enough so that I'd be limping ever so slightly. But a couple of cracks later and I was driving home feeling fine again. Somewhere after about month eight I just stopped going. Still, I do contemplate it though. I spent a week recently sleeping on a rather uncomfortable couch and my back is still feeling it. Give it a try and use it as just one facet of the overall recovery from the accident. If it works it works. Just avoid the snake oil of light therapy and nerve fizzing and whatnot.
  • I know someone who suffered a bout of minor neck injuries (rubbernecking, always someone bumping into her car from behind. When waiting for a green light). She toured all kinds of chiros, wore neck braces for a month, then, after another incident, underwent a full treatment with a sport specialist that came highly recommended; daily, $$$ therapy that didn't really help her. She began to get heavy on the painkillers. Then she was recommended an acupuncturist. After first session, she felt 'like new'. After a month of weekly sessions (involving pinpricks, light massage, breathing & relaxation exercises and some homeophatic medicine) she recovered almost completely. And I've heard of others for which it has helped a lot on chronic back pain problems and such. I tried the needle thing with that doc for stress-related tiredness and helped somewhat. So it could be good for you to check with acquiantances about reputable acupunturists in your area. YMMV. Sorry, the doc is nowhere near Austin
  • Depends, is a placebo quackery? Lasers? They cure smoking too, or so I hear.
  • The laser light thing makes me a bit uncomfortable. Chiropractors who do more than massage and adjustments strike me as iffy in the extreme. Having said that, I see a chiro off and on for neck and jaw pain. She does wonders. Came highly recommended and has a wall full of accolades. I'm going to see her Friday, in fact. The bottom line is that there are a ton of quacks in the profession, and they can seriously fuck you up. Only pick a chiro on recommendations of people you trust, and you should be fine. If your chiro claims the ability to cure disease or feel the darkness in your soul, discontinue treatment. If the chiro cracks your bones and massages your muscles and you feel better and that's all there is to it, keep going. If it works, I think it's good.
  • From what I've seen, it's the ones that claim that their work will cure stuff like diabetes and blindness that are most suspect. There also tends to be some overlap with fundamental christianity. Only pick a chiro on recommendations of people you trust, and you should be fine. If your chiro claims the ability to cure disease or feel the darkness in your soul, discontinue treatment. Recommendation: Check. So far she's only treated aspects of the injury, and that's not too hard a sell for me as it seems reasonable that the type of adjustments she was performing could have an impact on physical pain. The laser thing? Well, maybe it would be different if I were footing the bill for that, but I'm willing to give it a go for free. If she tells me popping my spine is going to cure my allergies, and if any spiritual advice is dispensed, than I may be out that door pretty quick.
  • I would trust a chiropractor to the same degree as a politician. It has taken me a half dozen chiros over ten years to reach this conclusion. Yes I am a slow learner like other liberals.
  • I recently left my job of many years as a workers' compensation claims manager. I came away from that job with a very healthy suspicion of chiropractors. Under Washington State workers' comp laws, chiropractic treatment is considered "palliative care," which means that it isn't curative and makes you feel good for a little while. And over the years, I saw how many chiropractors will happily treat their patients 3-4 times/week for months and months on end, with no visible progress being made. This is why I am suspicious of chiropractors in general. That being said, they're not all like that. I would do some heavy research and get really top-notch references if you want to pursue chiropractic treatment. Talk with him/her and set a time limit on how long/how much treatment you would get if there isn't any long-term improvement. Usually, if you aren't feeling markedly better within 12 visits, it's time to move away from the palliative care. Me, I'd be more apt to see a physical therapist. Some form of exercise of the injured area really can be the most beneficial treatment, in my opinion.
  • I went to a chiropractor in an attempt to get some release from stress-aggravated neck pain. I was so trepidatious that the chap would make a wee error and render me paralyzed that the neck pain got worse, in fact.
  • When I was four years old, my mom was having regular chiro treatments. She usually dropped me off with a relative or sitter, but couldn't find anybody this particular day, so she dragged me along, gave me a book and asked me to sit quietly during her adjustment. It freaked me out -- there was my mom in her UNDERWEAR and a gown that was OPEN AT THE BACK, and this dude who wasn't my dad was TOUCHING HER IN A WAY THAT DUDES DON'T NORMALLY TOUCH YOUR MOM. I mean, he could see her UNDERWEAR and everything. Trusting that this was just a part of the grownup world I didn't know anything about, I kept my mouth shut, despite extreme discomfort. But then, then he PULLED DOWN THE TOP OF MY MOM'S UNDERWEAR, ever so slightly to get at her lower back. I stood up and threw out a defiant pointy finger and declared "YOU PULL MY MOMMY'S PANTIES BACK UP RIGHT NOW!" Without a word or even a glance in my direction, up they went. And I never went to another appointment with her, ever again.
  • The point I'm trying to make here, Nickdanger, is that my mom is a huge whore and you could totally score with her. Which would undoubtedly help your neck.
  • digits please.
  • Monkeyfilter: my mom is a huge... wait, it should be, MCT's mom is a... No, it sounds too thrashy any way. Even for MoFi.
  • Admit it, middleclasstool, this scenario was later to fuel sexy chiropractic/underwear fantasies for you, wasn't it? It's okay to 'fess up, you're among friends here!
  • I'm of the 'if it's not getting better and you're still going, something's wrong with the treatment' crowd. That being said, though, anyone who is shining lights at me isn't going to get my money. MCT has it, I think, as so recommendations of just a masseuse to start, perhaps. Also, if your state has a violation checking/licensing checking website (I see licenses here, but I don't see anything that reports violations like the CT public health website does), you should always run a new doc through that wringer. My brother got good results with a handful of visits to the acupuncturist when he got an on-the-job back injury; he hasn't been back since.
  • From firsthand experience (crushed nerve in the lower spine), first thing is don't let up on telling your regular doc that you're still feeling badly. Most insurance companies have a path you have to follow, usually something like: rest/ibuprofen>more ibuprofen>MRI>physical therapy/more ibuprofen>surgery/other/referral to a specialist. You have to try the cheaper stuff and have it not work before you can move to the next step. In my case, doc didn't take it seriously and I hovered a long time in the physical therapy/steroid injection stage. The result was permanent nerve damage. Don't think you're whining if you keep going back. You have to follow that path and you can't do it without your doctor. Also, I highly recommend PT. It's designed with long-term recovery in mind. Mine after surgery was amazingly helpful.
  • Low Level Laser Therapy I actually haven't read the article past the point where I could ascertain that this is indeed the same light-bulb my chiropractor pointed at me today.
  • Except, of course, that the author is more concerned with pointing the bulb at horses and dogs. But he does reference human studies as well.
  • From Chiropractic site: simply put, photonic energy is absorbed by the photo acceptor sites on the cell membrane which trigger a secondary messenger to initiate a cascade of intracellular signals that initiate, inhibit or accelerate biological processes such as wound healing, inflammation, or pain management. Of course, I have no facility to verify this statement one way or the other. Anymonkey more knowledgeable than me who cares to testify?
  • Sounds like medical doublespeak mumbo jumbo to me.
  • Let me be, kittenhead, for I am shrouded in shame. And whory chiro fantasies.
  • As long as these whory chiro fantasies don't include YOUR MOM, there is no need for the shame. Just a detailed description posted here will be fine.
  • I've never been, but I've always had a kind of curiousity. (Just like I've never seen a tornado and would like to, but don't want anyone hurt or property damage) However, I knew a guy who went to a chiropracter for back pain pretty regularly. Then he couldn't stand one day so they took him to a doctor. He had surgery and after years of dealing with back pain hasn't had any problems since the surgery. So that tends to color my perception of chiropracters. I'm also suspicious of acupuncture. I know someone that had it done and swears by it. I know people in Asia have done it for centuries, but they have also been eating animal penises for veritlity for centuries too and I don't see penis stores opening up...
  • If you like evidence, are "reality based," and actually believe in the scientific method, the answer is quackery. There are no well designed scientific studies to support better outcomes with chiropractic over say regular back rubs. Period. For my money, I'd rather go someplace that also guarantees a happy ending as it's less disingenuous, and probably more legitimately therapeutic that way. That said, there are plenty of case reports in the literature of broken necks resulting from over-enthusiastic chiropractors.
  • C'mon, let's call a scam a scam. The theoretical underpinnings of chiropractic aren't recognized by mainstream medicine. Check it out . Here's a test of chiropractice's integrity: A few years ago it was discovered that certain neck manipulations caused strokes. How did the chiropractic associations deal with this? They hummed and hawed, denied the problem, wheedled and generally obfuscated the issue, leading victims to take the matter into their own hands. A physiotherapist or massage therapist recommended by a doctor is a much safer and less expensive bet.
  • Addenda: There have been plenty of undercover investigations of chiropractors. "In 1994, ABC's "20/20" reported on visits to 17 chiropractors who had made it known...that they treated children. An infant named Blake was taken by his mother to nine chiropractors in the New York metropolitan area, accompanied by a "friend" who was carrying a hidden camera. Blake had had recurring ear infections, a problem that a pediatrician said could be managed with antibiotics and would eventually be outgrown. Every chiropractor found a problem, and all said they could help and recommended care ranging from several weeks to a lifetime. The first found "a misalignment between the second and third bones in his neck." ...The third, using muscle-testing, found "weakness in the adrenal glands." The fourth said there was a subluxation because one of Blake's legs was shorter than the other. The fifth claimed he could diagnose the boy's problem by pulling on his mother's arm while she touched the boy on the shoulder. The sixth chiropractor did a similar test by pulling on the mother's legs while Blake lay on top of her back. After diagnosing "jamming of the occiput (the back bone of the skull)," the chiropractor said he corrected it by "lifting" Blake's occiput with his thumbs. He also said: (a) Blake needed work on his immune system, (b) learning disorder might be a problem, (c) both mother and son had "eyes that don't team too well," and (d) the cameraman, whom the chiropractor incorrectly assumed was the boy's father, had the same eye problem." Pull my arm! Pull my arm! Hilarious.
  • simply put, photonic energy is absorbed by the photo acceptor sites on the cell membrane which trigger a secondary messenger to initiate a cascade of intracellular signals that initiate, inhibit or accelerate biological processes such as wound healing, inflammation, or pain management. I think that's saying that warm light feels good. That's all. In college, I had a good friend who was a chiropractor and a crazy old hippy (he was also a Hog Farmer and knew Ken Kesey, for those of you who know). I would swap a certain plant matter for adjustments, and I always found it quite pleasant. I enjoy having my muscles and joints manipulated *gently* while I relax. He had an extremely dim view of most chiros, insisting that the schooling requirements weren't what they used to be. He also said that any chiro who makes any joint pop is a quack. Poping joints is bad, period. It feels really good because it stimulates seratonin in the brain. That also makes it addictive. He insisted that a good chiro can make all the necessary adjustments without anything popping. Especially extremely delicate places like your neck and spine. In short, I think I'm with kittenhead and middleclasstool. A good chiro might do wonders, but 95% of them out there are dodgy as hell.
  • 1. When dealing with back and neck pain, most medical doctors are dangerous quacks and should be avoided. The research shows almost no positive results from back surgery, yet they keep recommending it. These folks feel the need to stare at MRIs and X-rays, say "Hmmm" and come up with a diagnosis, but they really are operating in no-man's-land and they won't admit it. 2. Chiropractors are also quacks, but they are more consistently quackish. I went to one once who ran some kind of squeaking machine over my body, claiming it did something-or-other. My husband's back pain was helped only by chiropractic, but once the guy he liked went out of business, that was it. Some of them are really scary. 3. I recommend getting a recommendation for a really good physical therapist. Many of them appear to be sane, and they don't pretend to know too much. If you can find a good massage therapist, who doesn't do anything extreme or make any bizarre claims, you may get lucky. I am told accupuncture works for many people, too.
  • I'm pro-chiro, sure. But I think it's hilarious that all of them are called "Dr. [first name]" The Simpsons episode w/ chiropractors was awesome. The simple truth is that a good diet, rest, meditation and yoga will make you feel 100%. But we all know that, like myself, you aren't going to do that. So, being your trusted anonymous Internet advisor (TAIA), I recommend: massage therapy followed by chiropractic adjustment once a week for 3 months, followed by once a month for 6 months, and then decide if you want to continue. Keep up the massage thereapy though. And go vegetarian. Also, send Chy money. I hear that helps.
  • Why not try reflexology? Trepanation? Blowing a goat? Hypnotism also works well, but if you want to really get rid of the pain do some past life regression "therapy". I was Napoleon!
  • I was the goat :(
  • Just a side note to agree with Cutflank--neck and backs are notoriously overtreated in America and most of the time, surgery does absolutely nothing but lead to the inevitable next surgery. I attended too many depressing medical seminars and saw too many failed surgeries under claims come to nothing or make it worse. Avoid surgery for back/neck pain like the plague if you can! Exercise, physical therapy, meditation, counseling/therapy (often depression plays a big part in pain), and sometimes even doing nothing at all but let time pass can achieve the same results.
  • I feel I should add that there are some back and neck situations that do require surgery. A loss of sensation or muscle weakness in the limbs, (or, Mothra forbid, loss of bladder or bowel control) that doesn't respond to traditional treatments should not be ignored because you believe that back and neck surgery is done too often.
  • Oh yeah, well maybe I want to lose my bladder or bow- ahhhhh dammit.
  • Yeah, well nobody's gonna crack your back now. *waits for GramMa with the hose*
  • I've been to the chiro over the past couple years to treat a pinched nerve in my upper thigh (pregnancy-related) and a pinched nerve in my arm/hand from a couple of falls that jarred my spine. Both times the treatments worked - did not cure it (having the baby cured the first, time cured the second), but made marked improvements in the situation, enough that I was willing to pay out-of-pocket for them. I'm pretty skeptical and the guy we've used can be a hard sell (he's tried to push us on the pediatric chiropractic, not interested, also on the "regular maintenance adjustments keep you healthy" stuff) so I find that obnoxious, but when I go, I feel better - so if it works, use it. After all, what are your other options - painkillers? Lots of doctor visits and possible surgery? You're feeling better, so something about it is benefiting you. But a lot of the other stuff many will feed you is pretty quackish to me. If the quackery of your particular chiro bugs you, find another.
  • I'm pretty skeptical and the guy we've used can be a hard sell (he's tried to push us on the pediatric chiropractic... I apologize in advance. You are anything but skeptical. Anyone who actually knows something about human osteology would never in good conscience smear their reputation by practicing or endorsing any sort of bone manipulation on a child. This 'chiropractor' just told you he's not qualified to provide anything that might help you. I don't care if people think it works or not; it's not my money it's theirs. But anyone who lets a child have their unformed bones twisted about by a snake oil vendor deserves to be thrown in the clink for child neglect with a side of sterilisation. Why don't you just strap headboards on your kid and bind their feet? I know you weren't going for the pediatric treatment, but I'm amazed that in spite of his obvious cash grab you still bend over for him. Oh wait, he bends you over. When I see people let their children play on busy streets I let 'em have it. Christ, how could you continue to go to a person who blatantly tells you they have no idea what they're doing and that they only want your money? If the quackery of your particular chiro bugs you, find another. If the quackery of your particular chiro bugs you, learn that it is a symptom of the 'practice' and just take care of yourself with exercise and a good diet. And give yourself a little credit, your mind is what is making you feel better. So why don't you take all that money that you would have spent on that jack-ass that is lying to you (somehow I think of co-dependance) and spend it on yourself. You deserve it, since you're the one doing all the work. Chiropracty (is that even a real word?) is just a con. Christ, pediatric chiro? Again, I'm sorry.
  • If the quackery of your particular chiro bugs you, learn that it is a symptom of the 'practice' and just take care of yourself with exercise and a good diet. Tom Cruise has spoken? Anecdotes: my son's frontal and temporal bones were skewed due to a difficult labour and he was a generally cranky kid. My midwife recommended an osteopath (not a chiropractor, more like a bone-masseuse) and I figured that, even though it was a little too flaky for me, it couldn't hurt him to have someone essentially massage his head for twenty minutes. The osteopath, who had trained to work with babies, claimed he could straighten my son's skull plates out but I knew (and undoubtedly he did too) that they would straighten on their own, and did. But he was a calmer, happier kid for three or four days after each of those visits, and I could get a decent sleep, and not be up with a screaming infant for six hours at a stretch on a regular basis. When pregnant with my daughter I went myself because of the difficulties surrounding my son's birth -- I have a wonky pelvis, or something. Shh. It made no difference to me or my labour, but it was incredibly relaxing and I felt physically more relaxed and comfortable after each appointment. It was worth the money and, although it had no long-term benefit, it worked for me for the time I went. I'd say it's the equivalent of a massage at a beauty spa. And as far as knowing something about osteology, I know that kids' bones are so soft that gentle manipulation will do nothing for them. It would take some very rough, repetitive treatment for any lasting damage to occur -- and one should assume in Melinika's chiropractor's case that they are aware of their limitations when working with children. In other words, no harm but no benefit either, just a waste of money. I think, to be honest, that you're not being skeptical so much as blinkered, InsolentChimp. Some of the flakier medicines can work just as well. What's your opinion on acupuncture or acupressure?
  • Is this a good analogy: You take your car to an auto mechanic for a tune-up. He takes a look at your car and says: "Hmmm, i see the problem and i will fix it using this voodoo charm. I will rub it over your carburetor and your car will be all better". So he does so and your car still works and you may even imagine that it is better. What's the harm in that? To me there's a principle involved: supporting someone who is making claims without evidence.
  • Christ, sometimes I feel like that's exactly what happens when I take my car to the mechanic. That's certainly what happened when I took my car to the dealership's mechanic.
  • I second RalphtheDog's advice about going to see a massage therapist. I recommend asking for a happy ending.
  • Tom Cruise has spoken? Naw, tracicle, you're comparing apples to oranges. I can understand when people die from necessary surgery for, say, a gunshot wound or a fatal tumor. But when someone dies from a nose job it should make the darwin awards. And that people die from chiropractic, makes it really hard to say that the practice is harmless. Isn't Tom Cruise the one that practices dianetics? You know, that quack medical invention that couldn't get government approval so it was turned into a scam religion? Supporting this rookery is more Cruise-like. I should have said "that" kind of bone manipulation, you are absolutely right. Osteopaths actually have an diploma that hasn't been filled out in crayon on one side of a frosted flakes box. Osteopaths are physicians even though they have the D.O. thing in their Esq. Chiropractors are not licensed to prescribe medication or perform surgery, osteopaths are. Osteopaths also encourage preventative medicine which is what I was talking about when I said eat right, exercise more and spend some money on yourself. If you take your kid to an osteopath, that's great; you are looking out for your kid's health. If you take your kid to a wannabe pro-wrestler with the credentials of a third rate con man who will try to heal the wart on their finger by manipulating the bones of their spine and possibly turning them into a parapalegic, quadrapelegic or killing them: I hope you get marooned alone on an unpopulated island for the duration of your childs life and she or he gets to grow up with someone who will not subject them to danger for vanity's sake. What's your opinion on acupuncture or acupressure? Are there an alarming number of recorded cases of death from either practice?
  • A friend of the family had been going to a chiro for a long time for constant, bad, back pain. These treatments weren't helping, but based on past good experiences with chiro in general he kept going. My mom (who works for an M.D. and is thus biased against chiros in general) finally convinced him to go see a back specialist, and it turns out that he has bulging discs and a whole lot of other really bad stuff going on with his back. The doc told him that if the chiro had manipulated him incorrectly he was risking paralysis, and got him several appointments with a good physical therapist. So I guess my advice echoes others: it's hard to tell the (few) good chiros from the (many) bad ones, and you should get your back MRId (MRI'd? MRIed?) to make sure nothing is instable and risky in there before you get anyone to manipulate you again. (If, of course, you can get your insurance to spring for the test.) Also, I would be more inclined to go to a physical therapist, especially one who does massage to relax the back before making you do exercises to strengthen it. (My mom is having good results with this for her pinched nerves and *huge* back spasm around the nerves.)
  • My brother-in-law started wearing a copper bracelet about a year ago and claims it works wonders for relieving the pain of his rheumatoid arthritis. What does this have to do with Chiropractors? Nothing, but it has something to do with anecdotal evidence.
  • Every time I leave a room I flick the lightswitch 37 times and I seem to not die. I can't stop doing it now, can I?
  • What if you miscount?
  • QUACKERY!!! Sorry, late to the thread.
  • If I miscount I have to turn around 3.14159 times and start over, and I'll develop a cold and some photographs.
  • So glad somebody linked Quackwatch. Even if you don't take the author of that site as seriously as he would like you to, he still offers good info about which chiropractic practices may be super-bogus. I went to a chiropractor frequently for years. Right now, I think it was a waste of my parents' money: I've had about the same results from massage therapy alone, minus the adjustments. I went to good doctors and bad... the bad one was nice enough, but I didn't like his table setup, and his office was really new-age-fruity (I once had to sit around and listen to a receptionist babbling about how good crystals were for, why, just about everything!) A study came out a few years ago that people get about the same relief over the same period of time from chiropractic treatment, medical treatment (IE painkillers and muscle relaxants), and doing nothing (IE letting it heal on its own). Your back and neck are not going to fix themselves after a car accident, or at least not quickly. Soft tissue injuries often don't show up on the scans that the insurance companies will approve, and those are the injuries that really take a long time to heal. Still, in those cases, I agree that massage and physical therapy are probably your best bet. Chiropractic was not all that helpful to my mom after a car accident, but the attending massages were. I get a cracking, popping neck and shoulders, and related tension headaches, every now and then. I also experience sciatica maybe once every couple of months. I can no longer afford to see a chiropractor or a massage therapist, and I find that the rate of recovery on my own, with the help of heating pads and medication, is not much worse: if something is pinched the body almost always eventually takes care of it on its own. All of it is better if I am doing yoga frequently: my back is stronger to begin with. So, if I had the money, I'd still skip chiropractors, and enroll in yoga classes and have a weekly massage.
  • A friend of mine echoes verbm's experience. She ended up with weird minor nerve injury after an auto accident. Neither her physiotherapist or her doctor could figure it out. But after a period of time and yoga three times a week, it just went away.