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Fun with Chiropractors on Chiroweb
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Fun with Chiropractors on Chiroweb - January 17, 2003 2:14:00 PM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
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An interesting conversation is brewing with some ChiroWeb.com chiropractors and I, regarding the inappropriateness of my discussing my interpretation of chiropractic truths with chiropractic students. Apparently, (according to some private e-mails) I'm responsible for several students questioning their education and eventually leaving chiropractic school in pursuit of an MD or DO (no DPT's yet . . . but give it time). Some DC's see this as horrific --- I on the other hand think that it's horrific that critical thinking among students too often supressed. See what YOU think:
Chiroweb Member:
I think you half-missed my point. In private practice, we all balance between being in the BUSINESS of healthcare, and the business of HEALTHCARE.
While there are certainly disciplines that have more businessmen/businesswomen than others, chiropractic is clearly tilted toward being NOT a healthcare profession --- but rather a business of something resembling healthcare. It's heatlh-like. It's heatlh entertainment. As someone with an MBA, I'm not knocking that. It's American capitalism at work --- if the customer is willing to pay, go for it. Chiropractors too often forget, however, that nothing in that regard has changed since the days of DD and BJ. Chiropractors are businessmen first --- not heatlhcare providers --- and certainly not healthcare physicians.
Chiropractors, in my opinion --- and I submit the opinion of the 88% of the public who runs from DC's like the plague, really aren't healthcare providers any more than the WWF wresteling is a sport. The WWF is now considered "sports entertainment" and let's face it, chiropractic is more "health entertainment" than true healthcare. As such, chiropractic clinics are more closely aligned with boutiques selling products/services than a healthcare professional's office.
As a clinician, and Ph.D. in healthcare managment, I find that unethical --- but as an MBA I sing a different tune. As an MBA, I say give the people what they want, instead of struggling to give patients that which they're not interested in. In that vein, and in that vein only, I think that the way that someone like Bryson, just like the story of the Jabberwocky in "Through the Looking Glass" gets the "oysters" (that are his clients) to follow him only to shuck and devour them en masse (e.g. raid their wallets for YEARS under the iatrogenic misconception that VSL must be cured to eliminate dis-ease and illness), while an unethical practice for a healthcare professional --- is completely acceptable under the the capalist society in which we live. DC's like that talk a good game --- like the slick-talking steotypical used car salesman, who dupe the customer into a lopsided deal. DC's have the benefit of sounding as though they know what they're talking about by spouting psuedoscientific and pseudomedical nonsense. I have to admit I'm WOW'ed by the marketing skill --- I almost bought into AK after listening to a slick DC talk about for a few mintues --- and that's after reading all the research that trashes it. The general public has no knowledge that they're are being taken for a ride ---but, make a buck and let the buyer beware of the fraud right? That's what DD and BJ were --- brilliant salsemen with a gimmick that wasn't as easy as phrenology to see as bogus (Phrenology, by the way, being a favorite pre-chiropractic sales pitch of DD). That't it. It's health entertainment. Nothing more. Nothing less.
If the public wants to pay for it, as an MBA I say, "Great for you." The problem is that as a clinican and Ph.D. in healthcare management, the scheme makes me a little sick. The public puts their trust in the DC that they have a reasonable idea what they're talking about beyond theory and beyond biased and loaded research. They belive the DC to be a heatlhcare provider, not heatlh entertainment --- and that, in my mind as a clinician and Ph.D. in healthcare management --- is wrong. Furthermore, the chiropractors who are the clear businessmen among you, don't even realize what they are and often delude themselves (perhaps on the basis of the misconceptions of the customers of whom they're making a living) into thinking that they are actual heatlh professionals --- some even think they're physicians!
I'm beginning to get a little tired of this, so let's talk candidly about chiropractic and get it all out in the open --- for the benefit, of course, of lurking chiropractic students who've no idea that they're being taken for a ride:
Chiropractors commonly claim that their isolation from the health science mainstream results from organized medicine's opposition. Chiropractic propagandists have made much of a 1987 court decision that found the American Medical Association and others guilty of illegally boycotting chiropractors. But the Wilk case did not uncover any secret conspiracy by doctors to destroy chiropractic. It merely examined whether or not the AMA's ethical prohibition against voluntary professional association with nonscientific healthcare providers violated the Sherman Antitrust Act. On August 27, 1987, District judge Susan Getzendanner decided that it did. She stated in her decision, however, that the AMA's ethical prohibition was NOT economically motivated, but was based upon the AMA's belief that chiropractic care was did not serve the best interest of patients.
DD and BJ "BS" Palmer can be forgiven for their nineteenth-century misconceptions, but today's followers in the church of chiropractic cannot be excused for failing to avail themselves of the scientific advances of the twentieth century to test chiropractic theory and practice. In fact, chiropractors have never defined a subluxation in measurable terms, nor shown that it even exists. Despite the ability of neurophysiologists to measure nerve impulses, chiropractors have not shown that impinging a spinal nerve alters an impulse beyond the zone of impingement, nor have they shown that disrupting a nerve impulse produces disease. Yale University anatomist Edmund Crelin, Ph.D., demonstrated that only a disabling spinal injury could produce the impingement that Palmer posited as the basis for chiropractic.
That doesn't daunt straights like Bryson. Oh no! They argue pseudoscientific balony that, "no one fully understands the mechanisms of many effective medical procedures." As clinicians they feel capable of detecting subluxations subjectively, even if objective methods for doing so are lacking. Even more comical, chiropractors have yet to pass a test of interexaminer reliability (not that most DC's even know what that means nor how to construct a study to detect it). Studies of the ability of two or more chiropractors to find the same subluxation(s) on either the same x-ray film or in the same patients have demonstrated that chiropractors cannot even agree among themselves about what specific conditions need treatment.
Having a Ph.D. in healthcare management, I can't keep biting my tounge on the following information either . . . In 1972, the Medicare law was amended to include chiropractic care for "subluxations demonstrated by x-rays to exist." A 1986 report by the Inspector General of the Department of Health and Human Services revealed that many payments for chiropractors do not meet this legal requirement. The fact that the federal government does not de-facto mean that chiropractic now all of the sudden has some sort of validity --- but it does raise questions as to why it fails to enforce the rules it has established for chiropractors and in so doing raises the question of a double standard.
Is there one standard for science-based medicine and another for nonscientific practitioners with slick political savvy?
Anyone visiting a number of chiropractors (and I have) will be confronted with a bewildering variety of pseudoscientific diagnostic procedures. In 1981 Mark Brown, a reporter for the Quad City Times, spent five months visiting chiropractors in the Davenport, Iowa, area (the birthplace of chiropractic). Diagnostic methods included placing a potato on his chest and pressing down on his arm (applied kinesiology), projecting lines on his back to read body contours (Moire contour analysis), reading the iris and comparing markings with a chart (iridology), measuring leg lengths for unevenness (one chiropractor said Brown's right leg was shorter, another said his left leg was shorter) , measuring skin surface temperature differences, and palpation]. Other dubious diagnostic methods used by some chiropractors include pendulum divining, electroacupuncture, reflexology, hair analysis, herbal crystallization analysis, computerized "nutritional deficiency" questionnaires, a cytotoxic food allergy test, and the Reams urine and saliva test.
Chiropractors also employ a wide variety of pseudomedical therapies. Magnetic therapy (placing magnets on the body), homeopathy, herbology, colonics, colored-light therapy, megavitamin therapy, radionics (black box devices), bilateral nasal specifics (inserting a balloon in the nose and inflating it), and cranial manipulation are but a few of the unfounded therapies employed by various chiropractors.
Shockingly, with less nutrition training than just about any true heatlhcare provider (RN, DPT, MD, RD, etc.), a 1988 trade survey found that 74% of chiropractors in the United States (mixers primarily) use nutrition supplements in their practices. Many prescribe and sell these directly to patients -- a practice that is generally regarded as unethical in ANY profession.
Chiropractors promote themselves as "drugless practitioners," capitalizing on the restrictions against the use of drugs or surgery that lawmakers have placed upon them. The word drug has several definitions. Included are: articles listed in several recognized official United States pharmacopoeias; articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or animals; articles (other than food) intended to affect the structure or any function of the body. In 1987 the supreme court of Georgia ruled that because chiropractors were licensed as drugless practitioners, they could not prescribe dietary supplements for the prevention or treatment of any condition. Not long afterward, the legislature reacted to chiropractic lobbying by passing a law permitting chiropractors to recommend dietary supplements to their patients, but not to prescribe them as drugs. That's a political solution, yet chiropractors seem to delude themselves into thinking that they earned the right with their one semester class.
It's the same thing with rehab. SMT didn't pan out, so DC's look to see what they can steal from other professions. Quacks or theives, take your pick. The only chiropractors worth anything seem to be the critical thinkers looking to get out --- who question why the heck they didn't see the writing on the wall before they graduated.
Trash talking aside, I have to give DC's props for their "health entertainment" skills. It's funny to me that chiropractors get so upset at this complement --- as if to say that it undervalues their education and training. Look around guys! Have you been reading? Research is showing that there ISN'T any other demonstrated value of your professional existance.
It's a positive. It's a complement. Take it. What other disciplines should be asking is why chiropractors excel at satisfying their patients. Why is it that patients consistently rank them above medical doctors in the concern exhibited about their problems, understanding their concerns, amount of time spent listening to a description of their pain, information provided about the cause of their pain, making them feel welcome, and other factors related to the art of fulfilling human needs? It seems that MD's and DO's at least could learn something from chiropractors about meeting the emotional needs of suffering patients --- but that invovles marketing this to to MD's and DO's --- and the DC's are too busy trying to invent their value and worth instead of coming to terms with what they are, and what they're not.
Objectively,
Andrew M. Ball, PT, Ph.D., MBA
[This message has been edited by Andrew M. Ball PT PhD (edited January 19, 2003).]
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 1:10:00 PM
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function
Posts: 29
Joined: October 5, 2002
Status: offline
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I must thank you so much for bringing this to light. As a clinician and Ph.D. in healthcare management, you certainly hit the nail on the head when it comes to chiropractic. I had never heard it put so succinctly before in all my life.
I always thought that my patients referred people to me was because I respected them, diagnosed them properly, managed them appropriately, and the majority of the time...they got well. However, with the help of you, a clinician and Ph.D. in healthcare management, I realize that it was just my good salesmanship.
I was sure that the local children's hospital had me do a test ergonomic evaluation on 20 employees and then decided to have me evaluate and train over 400 employees over the next 4 months because I presented an easy to learn and effective ergonomic training program. Once again, your analysis, helped considerably by being a clinician and Ph.D. in healthcare management, is right on...it was my superior salesmanship. It must have also been my superb powers of persuasion that caused the decrease in injuries.
Now I question whether the local Pepsi bottling plant had me do safety training for their employees at 4 different plants on 10 separate occasions because of the quality of the training I offered or was it once again...because of my salesmanship. And what about the ones that I did at the Gap distribution center...hmmm and why do both companies send me all of their soft-tissue injuries for evaluation and treatment? My gut tells me one thing, but I shouldn't forget that you are a clinician and a Ph.D. in healthcare management......I think I am just going to have to admit that I am what I am.....An Awesome Salesman practicing as a chiropractor.
In fact, with such excellent sales skills I am going to leave the chiropractic world behind and go where the real money is...Wall Street. Thank you Dr. Ball, thanks to your skills as a clinician and Ph.D. in healthcare management I would have never seen the light and my new chosen profession. With those skills you would be a wonderful high school guidance counselor, as well as a clinician and Ph.D. in healthcare management........and an MBA. Did I forget one...?
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 3:40:00 PM
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NYDC67
Posts: 49
Joined: December 19, 2002
Status: offline
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Drew,
Your post is the exact reason I have no respect for you. You praise chiropractic one minute, and you trash it another. You remind me of the Batman character Two-Face!
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 3:59:00 PM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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I respect certain things about chiropractic, and despise others. That's not two-faced, it's objectivity. I'm sorry that you don't agree, and don't appear to have a response other than proclaiming your disdain for me personally.
Drew
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 4:29:00 PM
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NYDC67
Posts: 49
Joined: December 19, 2002
Status: offline
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From your last post it doesn't seem like you respect anything about chiropractic.
You said "Research is showing that there ISN'T any other demonstrated value of your professional existance."
I have one question for you: If spinal manipulation was not a valid therapy, why are PT's and MD's jumping on the bandwagon and learning the procedure?
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 4:53:00 PM
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ChiroGuy
Posts: 63
Joined: January 24, 2002
From: Toronto, Ontario, Canada
Status: offline
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Hey everyone,
It is encouraging to see SJBird challenging comments which are extremely one sided. As I have mentioned in my response to Dr. Ball's comments on ChiroWeb, I was disappointed to see this uncharacteristic diatribe and attack which lacks objectivity and basis in reality. As I have grown to respect Dr. Ball's opinions over the past year that I have been a member here, I am willing to ascribe this strange twist of mentality to a bad day, and hope that we can all return to productive and rational discussions.
ChiroGuy
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Re: Fun with Chiropractors on Chiroweb - January 18, 2003 9:45:00 PM
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flexion
Posts: 151
Joined: August 7, 2002
Status: offline
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This is a damaging post to both professions. I submit that physiotherapists and chiropractors should learn from each other as best as we can in the healthcare market.
I've approached this board as a chiropractor with a willingness to learn and collaborate having initiated some "Cooperative Case Study" posts which I feel were meaningful.
I don't spend my time reading your message board looking for ways to disparage the physiotherapy profession. I enjoy the discussions you have as it allows me to better understand the way you practice.
If your profession wants to bash us for the sake of your own humour then please do it in a private forum. The above post speaks for itself in terms of credibility and professionalism and I hope someone on this board addresses it.
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 1:42:00 AM
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Diane
Posts: 1507
Joined: March 9, 2001
From: Vancouver, B.C., Canada
Status: offline
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Ditto Flexion.
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 6:16:00 AM
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PTstud
Posts: 86
Joined: March 8, 2002
From: Texas
Status: offline
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In a perfect world, the public would be aware of the benefits of PT over chiropractic, and WE would have all the freedoms that chiropractors do (in terms of true direct access, reimbursement, etc). As like Dr. Ball mentioned WE are the ones that practice under scientific and evidence based procedures. Im glad theres someone to represent us on chiroweb. However Dr. Ball, Im wondering if you are putting equal effort into educating and emailing the people that REALLY COUNT...the legislators in your state, as there are some pretty important issues that are up for debate and hopeful passage (as you are probably aware).
Mike
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 6:36:00 AM
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Barrett
Posts: 967
Joined: July 28, 1999
From: Cuyahoga Falls, Ohio
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Drew,
I'm in perfect agreement with what you've written. Making legislators aware of this is far more difficult than has been implied.
Hang in there. When I see what is done in that community I think: "No More Mr. Nice Guy," and it sounds like you've came to the same conclusion.
Barrett L. Dorko, P.T.
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:06:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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PT Stud,
You've a good point. In a word, YES, I'm quite active, and with the completion of my Ph.D. --- now more than ever (I've now got the time). If you will be at CSM, I'd be happy to speak with you about my current efforts in more detail.
Drew
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:19:00 AM
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NYDC67
Posts: 49
Joined: December 19, 2002
Status: offline
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Drew,
Maybe you and Barrett should get together and start a research project showing the benefits of PT over chiro. I know that no other studies have shown that, no matter how poor you think those studies are. Now that would be more beneficial for your profession.
Comments like yours show fear more than anything.
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:34:00 AM
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coloradojulie
Posts: 413
Joined: November 10, 2002
From: colorado usa
Status: offline
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I have to agree with the general sentiment of Dr. Ball's, MBA, Healthcare manager, and soon to be PhD, original post. I too experience a high degree of frustration with several aspects of chiropractic care...in general. I believe like any profession there are ranges of skill and "business-minded-ness".
The individual above who discusses ergonomic assessment falls into the realm of "gray" area practitioner...when in fact he is practicing a field designed by physical and occupational therapists. As Dr. Ball stated there is now a gathering of modalities from other professions, being sold under the title of chiropractic care.
I am tired of this battle, and perhaps that is the exceptional skill of chiropractors...they are tireless! Like the NRA who have only 3 million members, they have more power than the 60 million non-members...because they go after what they want! (somehow I often compare chiropractors with NRA members!)
I live in a small community with one particular chiropractor who drives me insane! He has pissed off just about every practitioner in the valley...claiming his knowledge superior...including medical docs, orthopedic surgeons and of cours PTs. He tells people he will fix grade three acromial impingement by realigning the neck...I'd like to avoid surgery too...so opt for his guarantee! He treats post MVA disc injuries for literally years before the people wise up and realize they are no better, and are in fact worse.
He hires his office managers husband, who has no training in any healthcare field what-so-ever, and claims that they are doing his rehabilitation. He has a PT aid acting like a PT.
Frustrated, I called the APTA and found out what I could do about such misrepresentation! Alas I was told that the profession decided that protecting the term physical therapy wasn't important enough...so other professions can use it without consequence. They just can't claim to be a physical therapist. So then I called the chiropractic association and tried to find some way of stopping this...and alas...the only real rule violations were:
Practicing electrical modalities without the required certification and education and
Listing Dr. on his advertisement, without somewhere else having indicated that this means chiropractic doctor or DC.
So I wrote letters, to the chiropractors to the PT aid, strongly suggesting they were mis-informed about the PT profession, and wouldn't they like to visit with us to observe what we do? Alas, no response...I also informed the PTA that he was unable to practice as a physical therapist nor without the supervision of a physical therapist. Alas no response.
What can I do? Pick up the pieces of poor and ineffective care...wait until people realize they are being duped and then diplomatically explain the difference between their physical therapy and mine???
I read an article on back injuries several years ago, more of an ergonomic/work comp survey, and it stated that 90% of people with back pain will spontaneously resolve without intervention. I encourage my staff that we can all have a 90% success rate...and if you can get that without any work...like passive cracking and rubbing of course, our lazy natured society will seek that out. But it is the 10% who need effective care that are getting the short end.
How can I advocate my profession, when my profession doesn't advocate it themselves? What will eventually happen is that chiros will start doing everything PTs historically do...claiming they came up with it...and with their superior professional advocation...PTs will fade away...LETS FIGHT BACK!
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:37:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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NYDC,
I'm not afraid of chiropractic's impact upon me and my practice, I'm afraid of chiropractic as a public health menance.
As for conducting research, you're quite right. I should conduct outcomes research. To do that, however, requires cooperation with the FCER or a few researchers who happen to be chiropractors (as opposed to the chiropractic researchers I've talked to to date).
I've approached the FCER and other "chiropractic researchers" about collaborative and objective research in that area. I've found many PT's willing to put themselves and their outcomes on the line win or lose, but with respect to DC's, the instances where I'm not ignored, I'm asked for guarantee of a "pro-chiropractic" study upon publication. I certainly smell fear, but not from the PT's.
It's chiropractors who are living in paranoid fear --- so much in fact that they are unwilling to participate in an objectively constructed study. I've got several ideas for such research, and if you know of any DC, Ph.D. up to the task --- have 'em step up to the plate --- you know where to find me.
If chiropractic wants to make such grand claims, they need to put up or shut up.
Drew
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:42:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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Julie,
With respect to the PTA without a PT issue, I agree that it's not an APTA issue --- it's a Board of PT Examiner's issue. Did you report it to them? I've heard of several boards suspending the license of the PTA for practicing without the supervision of a PT.
Function,
"Must be my marketing skills that keep these patients coming to me." In a word, YES. Ergonomics is the domain of the physical and occupational therapist STOLEN by the chiropractor. What business does a DC have with the handle "Function" anyway?
Drew
P.S. By the way Julie, and just a hunch, but did you go to Ithaca?
[This message has been edited by Andrew M. Ball PT PhD (edited January 19, 2003).]
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:44:00 AM
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function
Posts: 29
Joined: October 5, 2002
Status: offline
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It is not surprising that Barrett is in agreement with Dr. Ball. He has posted on this very board that he would never listen to a chiropractor. That mentality basically sums up his position quite nicely.
The attitude of never listening is sad to see in a health care professional. I am always willing to admit that I don't know it all and there are others in different professions that can expand my knowledge base. Those out there that shut that door....I don't know what to feel...sorry for them....or comtempt for their myopic view.
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 7:50:00 AM
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coloradojulie
Posts: 413
Joined: November 10, 2002
From: colorado usa
Status: offline
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Not Ithica...McMaster University in Hamilton Ontario. So are you saying I could turn the PTA into the PT board of examiners?
Does anyone else think that we should protect the term physical therapy?
Julie
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 8:12:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
Status: offline
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Julie,
The role of the APTA isn't to enforce legal standards, it is professional advocacy. This is an issue that it is your professional ethical duty to report to the board of PT examiners.
At issue is whether or not the PTA is practicing physical therapy without supervision of a physical therapist. The board will investigate and respond appropriately. They may hand down fines, suspension, revocation of license, or find that the chiropractor found a loophole that needs to be plugged. If you are aware of such a situation, our code of ethics mandates that you take action only by reporting this to the Board. Submitting a letter to the DC, while noble in intent, assumes authority that is not yours to take from the board. Yours is to report to the board, no more, no less --- and I strongly encourage you to do so.
The word "physical therapy" is and should be protected by boards of physical therapy examiners and is in most states, this is not the APTA's role. Most states do not allow DC's to use the word "physical therapy" in advertisement, but allow for passive modalities to be used under another name.
Section 12-14-113 of the Colorado physical therapy practice act states that, Physical therapist assistants shall, “be under responsible direction and supervision of the physical therapist.” If the person used as a physical therapist assistant is unlicensed, the law goes further to say that direct (on-site) supervision by a physical therapist is required.
Drew
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Re: Fun with Chiropractors on Chiroweb - January 19, 2003 8:28:00 AM
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function
Posts: 29
Joined: October 5, 2002
Status: offline
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Coloradojulie,
With all due respect, I get tired of this ownership issue. The majority of ergonomic research is performed by Ph.D. at universities and is mostly done by ergonomists. I am sure that there has been much contribution from the PT and OT field and that is wonderful. However, I am not out there selling ergonomic training as chiropractic or saying that chiropractors are the only ones that can do it. I combine my knowledge of body mechanics and the training I have received from University level Ph.D.'s to create an efficient and easy to learn ergonomic program.
Is it my fault that twice I have had to come in a fix what a PT has done to local companies? The companies had heard about me and called to see if I could help. 6 months previous a PT came in and did some ergo training and after that the company had an increase in injuries. I came in, did an evaluation, corrected the mistakes that the PT made and 6 months later the company had a decrease in injury rates. Did I rant and rave to the company that PTs are never qualified to do ergo training and that only chiropractors are qualified? No! It was just obvious that this lone PT had no training or any idea what he was doing. He just was out making money.
Is it my fault that the local Gap distribution center and the local Pepsi bottling plant send all their musculoskeletal rehab to me? I don't force them to do it. In fact, the Pepsi plant has a occupational medicine center that they send all of their injuries to and Pepsi has told them that they have to send any musculoskeletal rehab to me and not their own PT. Why? I didn't slam the PT and say that chiropractic is better. They tried me to see what results I got and it seemed to them that I did a better job of getting their employees back to normal function. I was not involved in their internal decision making process. Now according to Dr. Ball's perspective, I am practicing PT without a license and shouldn't be doing this. Would you say that I am "stealing" from PT and should not do rehab?
I know that Barrett and Dr. Ball will not be able to accept it, but in this case a chiropractor did a better job than the PT at something that you say is owned by the PT and OT professions.
I am sorry that you have a piece of crap chiropractor practicing near you, but please don't use that sorry excuse for a chiropractor to label the whole profession. And please realize that ergonomics is not only for PTs or OTs. The majority of both professions are busy treating their patients with the best of intentions and to the best of their ability. There are bad apples in all professions and I am sorry that a bad chiropractor has shaped your view of the profession. Maybe someday you will meet some good ones and your position will change. As for Barrett and Dr. Ball, their views are plain and I really would not expect to see any change there.
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