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steve -> RE: Neck Pain (March 2, 2008 1:17:32 AM)
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Bob,
I'm really not interested in arguing whos patient list is the longest and who can do the better job fixing people up... Therapists are busy for reasons other than getting people better, perhaps the best example of this is one of the chiropractors who boast seeing up to 400 patients per day. Sadly, the type of care you advocate will likely appeal and be effective with that same 9% of the population who are interested in getting chiropractic care.
My problem with the "I do it because it works" faulty logic system is three fold:
1) It relies on experiential learning, which, although valuable, has significant issues with recall bias. Much of the practice patterns are based on guru teaching with faulty theoretical rationale.
2) Discards, ignores and fails to incorporate the use of evidence into practice because it conflicts with the clinicians theoretical held beliefs creating a clinician who is providing less than optimal care and unwilling to change practice patterns.
3) It reflects poorly on the rest of us who are attempting to give our profession increasing credibility as the MSK provider of choice within the medical community as opposed to being a fringe alternative medicine provider.
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