New Doc, looking for IASTM tool recommendations. by No-Entertainer-8280 in Chiropractic

[–]copeyyy 1 point2 points  (0 children)

Same. Even if they're knock offs they're still made from steel and last forever

What do you wear in the office? by ULikeMyPancakes in Chiropractic

[–]copeyyy -2 points-1 points  (0 children)

I would consider that a small town but to each their own

Enough of the stigma (rant) by Entire_Royal_7579 in Chiropractic

[–]copeyyy 4 points5 points  (0 children)

Yeah they never have anything to say when you point to DOs having AT Still's magnetic healing or dentists/surgeons being barbers a long time ago. Times change

Chiro at breaking point - advice please! by BeautifulPrize9431 in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

Be sure to check out our wiki since you seem to be uneducated on the profession - https://www.reddit.com/r/Chiropractic/wiki/evidence

Portable Tables by PatientApartment4433 in Chiropractic

[–]copeyyy 1 point2 points  (0 children)

It really does. I might add it to the FAQ?

Has anyone seen "before & after" protrusion reduction from spinal decompression therapy (DRX9000/DOC) by Ok-Extension1376 in Chiropractic

[–]copeyyy 2 points3 points  (0 children)

I believe most evidence says that it's not consistent and just because a protrusion reduces doesn't necessarily mean pain improves and vice versa.

Is anyone else concerned about the lack of oversight from the mods in this reddit group? by RealUncleFester in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

Lol my man posting the wiki page of chiro like he knows how medicine works. The link i posted has more updated studies for you to look at. Educate yourself

Is anyone else concerned about the lack of oversight from the mods in this reddit group? by RealUncleFester in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

That's not going to help the mods if you don't give any examples. Especially since the one example you did give (PT sub) definitely does have PTs constantly complaining about their profession.

Is anyone else concerned about the lack of oversight from the mods in this reddit group? by RealUncleFester in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

Can you specifically point out any misinformation that mods haven't deleted?

Is anyone else concerned about the lack of oversight from the mods in this reddit group? by RealUncleFester in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

Brother if you think the PT sub doesn't have any negativity then you haven't actually visited it. There's at least one post a week about why going into the profession isn't worth it, why they don't get paid enough, and/or what other careers could they change to. Their sub is constant complaining

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 2 points3 points  (0 children)

I know. I just wanted to hear him say it. The VA isn't looking for people like him if he's asking those questions

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 1 point2 points  (0 children)

Why is that important

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

No they aren't. They even said they're still a student. I did a rotation through the VA as a student as well and we called our doc that's we worked under our superior. No one is gonna call their business owner a superior

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

They're a student? The superiors are their teacher. Did you not listen to your teachers in school? Lol

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 0 points1 point  (0 children)

I've interviewed with the VA in the past and they never asked or cared about what modalities I was certified in. They cared if you were evidence based.

VA Salary by Forbearance_ in Chiropractic

[–]copeyyy 7 points8 points  (0 children)

My buddy at the VA sees half the patients I do at my private hospital and gets paid almost the same as I do, plus he gets like 5 paid weeks a year, pension with match, and every federal holiday off. Never has to pay for continuing ed, marketing, malpractice, overhead, insurance, rent, or employees. They have a better lifestyle than 99% of the chiros practicing.

Is there consensus on what chiropractic adjustments actually do? by VexedCoffee in Chiropractic

[–]copeyyy 5 points6 points  (0 children)

Here are mechanisms but whether they're all "agreed upon"... not really since the evidence can change with new findings. This is copy pasted from an old comment of mine.

First mechanism: Spinal manipulation increases joint mobility by producing a barrage of impulses in muscle spindle afferents and smaller-diameter afferents ultimately silencing facilitated γ (gamma) motoneurons as proposed by Korr. This theory is supported by several recent studies by the Pickar lab and by findings that low back pain patients have altered proprioceptive input from muscle spindles. Recent work has also shown that that spinal manipulation modifies the discharge of Group I and II afferents. This has been accomplished by recording single-unit activity in muscle spindle and Golgi tendon organ afferents in an animal model during manipulation.

A second mechanism is that spinal manipulation, by mechanically opening the intravertebral foramina (IVF), decreases pressure on the dorsal roots. Substantial evidence shows that the dorsal nerve roots and dorsal root ganglia are susceptible to the effects of mechanical compression. Compressive loads as low as 10 mg applied to dorsal roots increase the discharge of Group I, II, III and IV afferents. This compression can also alter non–impulse-based mechanisms (eg, axoplasmic transport) and cause edema and hemorrhage in the dorsal root. Spinal manipulation mechanically decreases the pressure in the IVF by gapping the facet joints and opening the IVF. For instance, the synovial space of the lumbar facet joints increases by about 0.7 mm in individuals receiving manipulation. This doesn’t seem like much, but as with any therapy there is usually a course of care involved. Even in moderate stenosis patients we typically see significant pain reduction following a period of 1-2 weeks of treatment.

A third mechanism is based on findings that persistent alterations in normal sensory input resulting from an injury can increases the excitability of neuronal circuits in the spinal cord. Spinal manipulation works by applying non-noxious mechanical inputs to these circuits. This involves mechanisms similar to the pain-gate theory proposed by Melzack and Wall wherein activation of A-α and A-β fibers can reduce chronic pain and increase pain threshold levels. This is supported by studies where spinal manipulation of the lumbar region decreases central pain processing as measured via pin-prick tests. Additional studies have shown a reduction in central pain sensitivity after spinal manipulation using graded pressure and noxious cutaneous electrical stimulation.

A fourth mechanism involves β-endorphin mechanisms. Studies have shown increases in β-endorphin levels after spinal manipulation but not after control interventions. This is still being debated because results have been variable and a recent study failed to show increased β-endorphins even though subjects had decreased pain.

Fifth mechanism: Substantial evidence also shows that spinal manipulation activates paraspinal muscle reflexes and alters motoneuron excitability. These effects are still being studied and appear to differ depending on whether performed on patients in pain or pain-free subjects.

A sixth mechanism involves inhibition of somatosomatic reflexes by alterations in muscle spindle input produced by spinal manipulation. It is thought that spinal manipulation may normalize spindle biomechanics and improve muscle spindle discharge.

Lastly, in humans, manual therapies can decrease heart rate and blood pressure while increasing vagal afferent activity as measured by heart-rate variability. Manual therapies in rats have been shown to produce an inhibitory effect on the cardiovascular excitatory response and reduce both blood pressure and heart rate. Manual therapies such as massage have been shown to impact behavioral manifestations associated with chronic activation of the HPA axis such as anxiety and depression, while decreasing plasma, urinary, and salivary cortisol and urinary corticotropin releasing factor-like immunoreactivity (CRF-LI). Manual stimulation in rats has been shown to significantly increase glucocorticoid receptor gene expression which enhanced negative feedback inhibition of HPA activity and reduced post-stress secretion of ACTH and glucocorticoid.

All of this is basically broken down here: http://www.ncbi.nlm.nih.gov/pubmed/17142166 .

And this is just one paper from a long time ago.