User talk:WhiplashDr

November 2021

Please do not add inappropriate external links to Wikipedia, as you did to Whiplash (medicine). Wikipedia is not a collection of links, nor should it be used for advertising or promotion. Inappropriate links include, but are not limited to, links to personal websites, links to websites with which you are affiliated (whether as a link in article text, or a citation in an article), and links that attract visitors to a website or promote a product. See the external links guideline and spam guideline for further explanations. Because Wikipedia uses the nofollow attribute value, its external links are disregarded by most search engines. If you feel the link should be added to the page, please discuss it on the associated talk page rather than re-adding it. [1] MrOllie (talk) 18:54, 26 November 2021 (UTC)

Hello, I would like the ability to edit the Chiropractic page. A lot of the information is intentionally misleading such as Chiropractic being a pseudo medicine as well as the information published by quackwatch which is specifically designed to demine chiropractic.

The negative ideas of Chiropractic was a marketing ploy enacted by the AMA for profit and was states as such in the Supreme Court Decision, Wilk v. American Medical Association, 895 F.2d 352 (7th Cir. 1990). You can also review the American Medical Associations Journal of Ethics that describes this process. Chiropractic’s Fight for Survival | Journal of Ethics | American Medical Association (ama-assn.org)

In March 2018, the United States’ Congress mandated further expansion of on-station chiropractic care within the VA, which was codified in May 2018 via VA Directive 1210. VHA Directive 1210 Chiropractic Care. In: Affairs UDoV, editor. 2018. states the following and can be emailed to you for verification

Doctors of Chiropractic (DCs) are licensed independent practitioners (LIP) in VHA who provide examination, diagnosis, treatment, and management of neuromuscular and musculoskeletal conditions using non-pharmacologic and non-operative methods. A chiropractor typically completes 4 years of baccalaureate training and 4 years of chiropractic training. Residency training is 1 year beyond attainment of the Chiropractic Degree, and fellowship training is for 1 to 2 years beyond the completion of residency training. f. Chiropractors utilize standard medical evaluation procedures, along with biomechanical assessments, to establish a diagnosis and formulate a management plan. Chiropractic care is included in Joint Commission pain management standards, and evidence shows that patients receiving chiropractic care are: (1) Less likely to use other health care services that are more costly and have greater risk, such as opiate medications, spinal imaging and injections, and elective spinal surgeries; and (2) Have lower overall health care costs for episodes of non-operative spine related disorders. Chiropractic clinics are administratively aligned in physical medicine, primary care, pain medicine, or other service lines consistent with local facility needs.

In addition advancements in medical imaging now shows exactly how Chiropractic works.

Benefit of Chiropractic Gong, Wontae. Effects of cervical joint manipulation on joint position sense of normal adults. Journal of Physical Therapy Science 2013; 25:721–723. Haavik H, and Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. Journal of Manipulative and Physiological Therapeutics 2011; 34(2):88-97 • “New research shows that spinal adjustments can result in immediate improvements in cervical joint function.” • “Cervical manipulation, also called neck adjustments, can significantly improve joint position sense, which may improve neck mobility in patients with neck pain or whiplash.” • “Joint position sense is a major component of proprioception, or the body’s awareness and ability to control your limbs without looking at them. Patients with neck pain and whiplash injuries have been found to have impaired joint position sense in their neck and upper limbs. This may limit the ability of the joint to move fluidly with speed and accuracy. Poor joint position sense in neck pain patients has also been tied to symptoms of dizziness.” • “The findings suggest that chiropractic neck adjustments could immediately improve cervical range of motion, which may help to explain why patients may experience reduced neck pain after a single session of chiropractic care.”

Allopathic vs Chiropractic Medicine for Whiplash Injury Patients Woodward MN, Cook JC, Gargan MF, Bannister GC. Chiropractic treatment of chronic 'whiplash' injuries. Injury. 1996 Nov;27(9):643-5 • A 1996 study by renowned researchers Gargan and Bannister, indicated: "…benefits can occur in over 90% of patients undergoing chiropractic treatment for chronic 'whiplash' injury." • "No conventional (medical) treatment has proven to be effective in these established chronic cases.” • Therefore, chiropractic care is the patient's best chance of improving when suffering from whiplash injuries, even late or chronic whiplash. • Chiropractic treatment benefits the patient with damaged facet joints by restoring normal motion and mechanics to the ce

Srbely J, Vernon H, Lee D, Polgar M. Immediate effects of spinal manipulative therapy on regional antinociceptive effects in myofascial tissues in healthy young adults. Journal of Manipulative and Physiological Therapeutics 2013 • “Researchers have explored the neurophysiological mechanisms and potential therapeutic applications of spinal therapy in treating and managing myofascial pain. Studies have suggested painful trigger points in the myofascial tissues may contribute to this chronic pain condition.” • “Researchers investigated if spinal adjustments could produce immediate pain relief by increasing patients’ pressure pain thresholds in myofascial trigger points.” • “They discovered that adjustments evoked immediate increases in pressure pain thresholds.”

“Recent meta-analyses of the clinical literature, focusing on spinal manipulation, suggest that manipulative therapy is effective for the treatment of acute and chronic musculoskeletal pain.” o Bronfort G. Spinal manipulation: current state of research and its indications. Neurol Clin 1999;17:91–111. o van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine 1997;22:2128 – 56. o Vernon HT, Aker P, Burns S, Viljakaanen S, Short L. Pressure pain threshold evaluation of the effect of spinal manipulation in the treatment of chronic neck pain: a pilot study. J Manipulative Physiol Ther 1990; 13:13 – 16. o Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. J Manipulative Physiol Ther 1998;21:448–53. o Vicenzino B, Collins D, Wright A. The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain 1996;68:69–74. o Zusman M, Edwards BC, Donaghy A. Investigation of a proposed mechanism for the relief of spinal pain with passive joint movement. J Man Med 1989;4:58–61.

Functional Benefit of Spinal Manipulation Pickar J: Neurophysiological effects of spinal manipulation. The Spine Journal 2 (2002) 357–371 • “The mechanical force introduced into the vertebral column during a spinal manipulation may directly alter segmental biomechanics by releasing trapped meniscoids, releasing adhesions or by reducing distortion of the annulus fibrosus.” • “Spinal manipulation, then, alters the inflow of sensory signals from paraspinal tissues in a manner that improves physiological function.”

Medical Agreement on Benefits of Spinal Manipulation for Chronic Pain Vega CP, Hitt E: Does Spinal Manipulation Relieve Low Back Pain? CME: MedScape, 09.25.2012 (Part of the Medical Education) • "This study confirmed the immediate analgesic effect of [spinal manipulation/mobilization] over [sham therapy]," the study authors note. "Followed by specific active exercises,reduces significantly functional disability and tends to induce a larger decrease in pain intensity, compared to a control group," they add. • According to the researchers, these results confirm the clinical relevance of spinal manipulation as an "appropriate treatment" of chronic nonspecific low back pain.

The reason medical doctors is against Chiropractic is that their treatments for chronic pain do not work and cause harm.

Spinal Injections: US Food and Drug Administration: Protecting and Promoting Your Health: Epidural Corticosteroid Injection: Drug Safety Communication – Risk of Rare but Serious Neurological Problems: Including: Methylprednisolone, Hydrocortisone, Triamcinolone, Betamethasone, and Dexamethasone. Posted 04/23/2014 • “FDA is warning that injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death. The injections are given to treat neck and back pain and radiating pain in the arms and legs. The effectiveness and safety of epidural administration of corticosteroids have not been established, and FDA has not approved corticosteroids for this use.” Peterson, CK, et al. Symptomatic Magnetic Resonance Imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Journal of Manipulative and Physiological Therapeutics 2013 • “Chiropractic adjustments were just as effective as epidural injections for patients with back pain.” “The findings that chiropractic can significantly reduce pain in patients with lumbar disc herniation and is less expensive than medical treatment.” • Lack of Medical Research: “Although the injections are widely used, controversy lingers due to the lack of a studies with placebo controls, and questions about the effects of steroids versus anesthetic alone. Side effects of steroids include a weakening of muscles and spinal bones around the affected nerve and a disruption of the body’s natural hormone balance. It’s also unclear whether epidural injections are more effective than other conservative treatments for lumbar disc herniation.”

The Brain in Pain. THE PAIN PRACTITIONER, VOLUME 21, NUMBER 2, 43. • “Chronic opioid exposure is known to produce neuroplastic changes in animals and structural and functional changes in reward and affect-processing circuits. New research confirms that even short-term exposure to opioids causes changes in gray matter volume in several reward-processing and limbic areas of the brain, many of which persist over time

Pain, Not Addiction, is the Silent Epidemic. Celeste Johnston, Canadian Pain Society, Canadian Pain Coalition and McGill University. • “All medications, including non-prescription pain medications, have potential dangers. It is estimated that approximately 1600 Canadians die yearly due to the adverse effects of anti�inflammatory drugs and there have been recent warnings from Health Canada and the FDA in the United States regarding liver toxicity associated with acetaminophen (eg Tylenol) use.”A total of 13 structures survived the voxel- and cluster-level thresholds, demonstrating significant regional volumetric gain or loss over the one-month study period. Volumetric change in six of those regions was also significantly correlated with morphine dosage (i.e., higher morphine consumption lead to greater change). • One region showed gray matter decrease that was significantly correlated with morphine dosage. That region encompassed the medial aspect of the right amygdala (Figure 1a & 1b), approximately in the medial, basomedial, and ventral (cortical) nuclei. • Individuals consuming the greatest amount of morphine experienced the greatest gray matter loss in the amygdala (this is the mildest form of Opioids, imagine what stronger forms may do.) • Three additional regions demonstrated significant volumetric decrease that was not dosage�correlated. The regions included the right hippocampus, bilateral rostroventral pons, and right medial orbital gyrus of the orbitofrontal cortex. • Morphine-induced changes in regional gray matter volume were sustained at follow up, showing no reversion following cessation of the medication. The prolonged use of opioids for the treatment of pain has been associated with a number of deleterious side effects, and their use in chronic, nonmalignant pain is still controversial • Evidence also suggests that individuals can experience opioid-induced hyperalgesia (an increased sensitivity to pain) during prolonged opioid use • One important concern regarding the impact of opioids on brain volume is the durability (or conversely, the reversibility) of the changes. A quick and robust return to pre-opioid volume levels would suggest that opioid effects are transient, and easily negated by simple cessation of the drug. In our analyses, however, we found no evidence that morphine-induced volumetric changes reverse after opioid cessation. • Even after 4.7 months following cessation, morphine-induced changes were persistent In addition, the continued usage of Opioids will result in further harm and pain to the patient. According to the American Academy of Pain Management, Scientific Conference 2017, continued usage of opioid drugs will result in hypersensitivity of the nervous system within 30 days, and result in increased pain (hyperalgesia)

NSAIDs Parisien M, Lima LV, Dagostino C, El-Hachem N, Drury GL, Grant AV, Huising J, Verma V, Meloto CB, Silva JR, Dutra GGS, Markova T, Dang H, Tessier PA, Slade GD, Nackley AG, Ghasemlou N, Mogil JS, Allegri M, Diatchenko L: Acute inflammatory response via neutrophil activation protects against the development of chronic pain. Parisien et al., Sci. Transl. Med.14, eabj9954 (2022), 11 May 2022 Research has shown that over the counter pain management, NSAIDs and steroid drugs, typical pain management treatment options in the OHIP medicare system, increase the chance of developing chronic pain. This coincides with the increased average of chronic pain in the Canadian population, in which approximately 13% of the population had chronic pain in the 1990’s when multidisciplinary pain clinics were used to treat pain, but after the switch to pharmaceutical management, it is now estimated that nearly 40% of the population suffers from chronic pain.

I can provide additional information if requested, however I feel that it is irresponsible of your organization to minimize the benefit of Chiropractic and allow outdated information to be posted as "fact". I hope you will allow me to update the page based on the most up to date research on Chiropractic. Thank you for your time and consideration.

Jason WhiplashDr (talk) 14:44, 9 July 2022 (UTC)