Talk:Vertebral subluxation/Draft

Hi Matt, well done. I've done a first run copy edit, culled out some bits that seemed to me to be rather introspective argument, and tried to put in a couple of bits based in part on the comments in the Talk page on WP. I'll come back to this, but I've bust my specs so ...Gareth Leng 07:23, 12 January 2007 (CST)

No problem! You probably needed a break:) It is really neat to watch things transform and "mature" as you make your changes. Like always, you've kept the concept and said it better. I am curious about the science section (more as a student:), did I misinterpret it, or did you think it wasn't necessary? --Matt Innis (Talk) 07:35, 12 January 2007 (CST)

No, no misinterpretations. I guess I saw the general case as mainstream established science, not new or controversial, and I thought that presenting it there made it seem new or controversial, especially by picking a few primary studies rather than quoting reviews. I'll come back to this though, and think again.Gareth Leng 09:58, 12 January 2007 (CST)

Okay, as long as I didn't read it wrong. After listening to critiques for so long, I begin to doubt myself sometimes;) Just wanted to make sure I was interpreting the information the way it was presented. If you don't think it is necessary from an editorial POV, I'm okay with that. I could go on for hours, but surely don't want to bore the audience:) --Matt Innis (Talk) 12:18, 12 January 2007 (CST)

I added some in the intro as well. Feel free to work with it. --Matt Innis (Talk) 15:59, 12 January 2007 (CST)

Matt, here's the problem I have with this article, its the same problem I have with vertebral subluxations- I can't grasp it because it always seems to be presented with circular reasoning. Here's what I mean: as far as I can tell a vertebral subluxation is something that must exist because fixing it cures a problem. But- there does not seem to be anything concrete presented about how to objectively tell a vertebral subluxation is there, The "scientific proof" does not address identifying a vertebral subluxation, in other words- granted that a misalignment of a vertebral joint can lead to arthritis, but vertebral subluxations are treated by chiropractors all the time when there is no measureable misalignment of the joint. I'm not saying that your working on the back is not effective, I'm saying that the theoretical basis may be imaginary. I was bringing this up in the Chiropracter article, believe me in medicine many physicians avoid having their examining skills tested, but some don't. In those who don't, if there is a diagnosis that is made on clinical examination the exams of many physicians can be compared. This is a lot of work, but not expensive and so, I don't buy that chiropracters don't have the support of major grant makers and that explains the lack of these kinds of studies. Maybe they do exist and you and I are not aware of them. Bottom line- what's the evidence that one chiropractor finds the same problems in a back that the next one does? It doesn't make sense to me that we say vertebral subluxations exist because of history and Palmer. Nancy Sculerati MD 18:45, 12 January 2007 (CST)

Okay, so what you are saying is that you would like to see some sort of solid information on how a subluxation is found and maybe some proof that there is some degree of certainty that several blinded doctors would find the same thing. I think there were some tests done in the 80's on this very thing. I'll see what I can find. --Matt Innis (Talk) 23:28, 12 January 2007 (CST)

Dumping ground as I find some. Feel free to view and let me know if you see something you like in particular.

• Manual Examination of the Spine: A Systematic Critical Literature Review of Reproducibility

Are physicians leery of the claims made by chiropractors? What about Osteopathic Docs and Physical Therapists? I know that in terms of osteopathic manipulation, I trust the DOs coming out of the number 4 school in the nation for primary care - MSU COM, and one really good physical therapist who works in Okemos, MI. However, I definitely benefit from having T3-T5 joints "loosened up" about once a week - but I can do this sitting in a chair and pushing inferiorly and stretching my spine that way - pop, pop, pop. I'm interesting in reading more, even though I'm biased. I'm also really interesting to read some of the really new and interesting physical therapy research that is starting to get published. -Tom Kelly (Talk) 20:16, 12 January 2007 (CST)

Hey Tom! Yes, I think it is safe to say that we are all leery of each other;) I don't blame you for being biased, DCs don't have the best reputation - mostly because we have some that keep shooting us in the foot:) Feel free to add whatever you like, and certainly at least check my spelling! I'm thinking "subluxation" in the upper thoracic region;)lol. --Matt Innis (Talk) 23:28, 12 January 2007 (CST)