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Chiropractic: Not All That It's Cracked Up to Be 1st ed. 2020 Edition, Kindle Edition
| Edzard Ernst (Author) Find all the books, read about the author, and more. See search results for this author |
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Of all forms of alternative medicine, chiropractic is the one that is most generally accepted. In the UK, for instance, chiropractors are regulated by statute and even have their own ‘Royal College of Chiropractic’. In the US, chiropractic’s country of origin, most chiropractors carry the title ‘doctor’ and many consumers believe they are medically trained.
Despite this high level of acceptance, chiropractic is wide open to criticism. The claims and assumptions made by chiropractors are far from evidence based. Chiropractic manipulations are of doubtful effectiveness and have regularly been associated with severe adverse effects, including multiple fatalities. The advice issued by chiropractors to patients and consumers is often less than responsible. The behaviour of chiropractors and their organisations is frequently less than professional.
This book presents and discusses recent evidence in and around chiropractic in a factual and unemotional manner. It amounts to an evidence-based critique of this profession and discloses the often dangerously misleading information published for the lay audience. It thereby contributes to advancing public health and critical thinking.
- ISBN-13978-3030531171
- Edition1st ed. 2020
- PublisherSpringer
- Publication dateAugust 14, 2020
- LanguageEnglish
- File size6592 KB
Editorial Reviews
From the Back Cover
Of all forms of alternative medicine, chiropractic is the one that is most generally accepted. In the UK, for instance, chiropractors are regulated by statute and even have their own ‘Royal College of Chiropractic’. In the US, chiropractic’s country of origin, most chiropractors carry the title ‘doctor’ and many consumers believe they are medically trained.
Despite this high level of acceptance, chiropractic is wide open to criticism. The claims and assumptions made by chiropractors are far from evidence based. Chiropractic manipulations are of doubtful effectiveness and have regularly been associated with severe adverse effects, including multiple fatalities. The advice issued by chiropractors to patients and consumers is often less than responsible. The behaviour of chiropractors and their organisations is frequently less than professional.
This book presents and discusses recent evidence in and around chiropractic in a factual and unemotional manner. It amounts to an evidence-based critique of this profession and discloses the often dangerously misleading information published for the lay audience. It thereby contributes to advancing public health and critical thinking.
--This text refers to the paperback edition.About the Author
Edzard Ernst was born in 1948 in Wiesbaden, Germany. He went to school in Germany and the US and studied psychology and medicine at the LM University in Munich. In 1977, he qualified as a physician in Germany where he also completed his MD and PhD theses.
He was Professor in Physical Medicine and Rehabilitation (PMR) at Hannover Medical School (Germany) and Head of the PMR Department at the University of Vienna (Austria). He came to the University of Exeter in 1993 to establish the world’s first Chair in complementary medicine. In 1999, he took British nationality. Since 2012, he is Emeritus Professor at the University of Exeter and now lives in Cambridge, UK as well as in Brittany, France.
Professor Ernst is/was founder/Editor-in-Chief of three medical journals (‘Focus on Alternative and Complementary Therapies’, ‘European Journal of Physical medicine and Rehabilitation’ and ‘Perfusion’). He has been a columnist for many publications (BMJ, GP, PJ, The Guardian, The Independent, The Spectator, etc.). His work has been awarded with 17 scientific awards (most recent: John Maddox Prize 2015 and Ockham Award 2017) and two Visiting Professorships (Canada and USA). He served on the ‘Medicines Commission’ of the British ‘Medicines and Healthcare Products Regulatory Agency’ (1994 – 2005).
--This text refers to the paperback edition.Product details
- ASIN : B08FY4Q2BZ
- Publisher : Springer; 1st ed. 2020 edition (August 14, 2020)
- Publication date : August 14, 2020
- Language : English
- File size : 6592 KB
- Text-to-Speech : Enabled
- Screen Reader : Supported
- Enhanced typesetting : Enabled
- X-Ray : Not Enabled
- Word Wise : Enabled
- Sticky notes : On Kindle Scribe
- Print length : 278 pages
- Best Sellers Rank: #2,294,860 in Kindle Store (See Top 100 in Kindle Store)
- #2,179 in Applied Psychology
- #3,780 in Medical Applied Psychology
- #4,437 in Ethics & Morality
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Ernst is obviously biased in this topic, and that is fine, being biased does not necessarily make you wrong, it merely makes you intellectually weak. His term “so-called alternative medicine” (abbreviated SCAM), is a childish pun transparently aimed at getting a rise out of alternative medical practitioners and stroking the egos of alternative medicine detractors. The existence of alternative medicine detractors is not a bad thing, critical examination is important, but their being condescending ideologues possessed by their own perceived intelligence is probably unnecessary.
Of the many examples of the smugness and self-referential virtue signaling of his own intelligence in the text, I think that the rhetorical question, “who is more likely to provide impartial information, the chiropractor who makes a living by his trade, or the academic who has researched the subject for the last 30 years?” (page 10) is most hilarious because Ernst is actually neither of these. He is an author who is *selling books in an attempt to discredit the chiropractic profession* (unless I am misinterpreting the title of this book). He therefore cannot present himself as “impartial” because he stands to make a financial gain from people purchasing a book (*his* book) arguing against chiropractic. A little self-awareness would go a long way, much of the tone of Ernst’s writing is a mix of individual, comparative, and antagonistic arrogance.
He spends a large portion of the book discussing serious adverse outcomes of cervical spine manipulation (CMT). He spends a full chapter listing case report after case report of serious adverse events (strokes, a few cases of paralysis, one case of visual issues, etc.) caused by CMT. He also lists many systematic reviews and retrospective studies of case reports from around the world, leading to a grand total of about 700 serious adverse events (page 192) from the literature. The line of reasoning in this chapter is funny when considered alongside Ernst’s later statement, “the plural of anecdote is anecdotes, not evidence!” (page 272), which he uses to justify his idea that one cannot make scientific conclusions of causality based on case reports and reviews of clinical success/failure. This statement is true, but it apparently does not apply to his own analysis of causal relationship between serious adverse side effects and CMT (lest we forget that case reports and retrospective analyses are both classified as anecdotal data).
Since the overall number of serious adverse events in the literature across CMT history is pretty low (proportionately low compared to millions of CMT treatments per year), he repeatedly states that “most adverse events remain unpublished” and “under-reporting is therefore huge” in the absence of any evidence to corroborate this claim. Absence of additional reports of serious adverse events does not have any causal link to the their existence. The idea that “most” *serious* adverse consequences of CMT are somehow below the radar of the entire medical community seems spurious. Are we supposed to believe that many chiropractic patients around the world are having strokes and telling no one? There is no evidence to support such an unverifiable claim (it is impossible to verify that “most” of an uncounted phenomena is uncounted).
The underlying premise of Ernst’s above statement is that not reporting adverse events in scientific papers is unethical and unscientific (one of his stated reasons for chiropractic research being unethical), which is true. This critique is fair and should be considered. Limiting underreporting of adverse events is a reasonable goal for the chiropractic profession, but it does not logically follow that the absence of a system to report these events necessitates the existence of “many” serious adverse complications (which is Ernst’s argument, so far as I can tell).
Overall, this book presents a series of issues within the chiropractic profession that must be addressed for the profession to improve its standing within the scientific medical community. However, sorting through Ernst’s pejorative, condescending material to get to the fair, unbiased, and unpretentious material is quite a task.
This is not a book. Its a glorified internet message board post with a plethora of cherry picking "evidence" to propagandize their hate under the guise of "science" from their perspective. Things like this is why we cant have nice things.
DOI: 10.7759/cureus.498
Cite this article as: Church E W, Sieg E P, Zalatimo O, et al. (February 16, 2016) Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus 8(2): e498. doi:10.7759/cureus.498
It’s sad to know people consume information like this and will never get to experience true health care. If you want to take a pill for all your ills, keep following the people like Edzard
