this post was submitted on 05 Dec 2023
1630 points (97.1% liked)

You Should Know

33205 readers
117 users here now

YSK - for all the things that can make your life easier!

The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:

Rules (interactive)


Rule 1- All posts must begin with YSK.

All posts must begin with YSK. If you're a Mastodon user, then include YSK after @youshouldknow. This is a community to share tips and tricks that will help you improve your life.



Rule 2- Your post body text must include the reason "Why" YSK:

**In your post's text body, you must include the reason "Why" YSK: It’s helpful for readability, and informs readers about the importance of the content. **



Rule 3- Do not seek mental, medical and professional help here.

Do not seek mental, medical and professional help here. Breaking this rule will not get you or your post removed, but it will put you at risk, and possibly in danger.



Rule 4- No self promotion or upvote-farming of any kind.

That's it.



Rule 5- No baiting or sealioning or promoting an agenda.

Posts and comments which, instead of being of an innocuous nature, are specifically intended (based on reports and in the opinion of our crack moderation team) to bait users into ideological wars on charged political topics will be removed and the authors warned - or banned - depending on severity.



Rule 6- Regarding non-YSK posts.

Provided it is about the community itself, you may post non-YSK posts using the [META] tag on your post title.



Rule 7- You can't harass or disturb other members.

If you harass or discriminate against any individual member, you will be removed.

If you are a member, sympathizer or a resemblant of a movement that is known to largely hate, mock, discriminate against, and/or want to take lives of a group of people and you were provably vocal about your hate, then you will be banned on sight.

For further explanation, clarification and feedback about this rule, you may follow this link.



Rule 8- All comments should try to stay relevant to their parent content.



Rule 9- Reposts from other platforms are not allowed.

Let everyone have their own content.



Rule 10- The majority of bots aren't allowed to participate here.

Unless included in our Whitelist for Bots, your bot will not be allowed to participate in this community. To have your bot whitelisted, please contact the moderators for a short review.



Partnered Communities:

You can view our partnered communities list by following this link. To partner with our community and be included, you are free to message the moderators or comment on a pinned post.

Community Moderation

For inquiry on becoming a moderator of this community, you may comment on the pinned post of the time, or simply shoot a message to the current moderators.

Credits

Our icon(masterpiece) was made by @clen15!

founded 1 year ago
MODERATORS
 

"Systematic reviews of controlled clinical studies of treatments used by chiropractors have found no evidence that chiropractic manipulation is effective, with the possible exception of treatment for back pain.[8] A 2011 critical evaluation of 45 systematic reviews concluded that the data included in the study "fail[ed] to demonstrate convincingly that spinal manipulation is an effective intervention for any condition."[10] Spinal manipulation may be cost-effective for sub-acute or chronic low back pain, but the results for acute low back pain were insufficient.[11] No compelling evidence exists to indicate that maintenance chiropractic care adequately prevents symptoms or diseases.[12]"

top 50 comments
sorted by: hot top controversial new old
[–] [email protected] 340 points 11 months ago (49 children)

Anything a chiropractor can do that will actually help, a PT can do better. They'll also teach you what exercises to do to prevent needing to see them again.

A chiropractor will just tell you to come to them more often, and take more of your money over time.

[–] [email protected] 156 points 11 months ago (9 children)

You can save a lot of money by just going to a masseuse instead of a chiropractor. People attribute the positive feeling they get from attention to well being improvements, and pseudoscience practitioners certainly achieve that at a premium price. If it's attention you want, get a massage, otherwise go to a PT and get some real help.

[–] [email protected] 65 points 11 months ago (20 children)

Also I think a massage therapist will tend to be more educated on the muscles and how they work together than a masseuse

load more comments (20 replies)
load more comments (8 replies)
load more comments (48 replies)
[–] [email protected] 140 points 11 months ago (3 children)

its not just not helpful, it can be deadly/dangerous.

strokes are triggered by these idiots.

[–] [email protected] 90 points 11 months ago (3 children)

Strokes, but also broken necks.

And some of these quacks do "adjustments" on children and infants.

[–] [email protected] 27 points 11 months ago

Saw that on episode of Bullshit with Penn and Teller. Anyone who would do that to a baby should be imprisoned for life.

load more comments (2 replies)
[–] [email protected] 31 points 11 months ago* (last edited 11 months ago) (2 children)

https://www.ahajournals.org/doi/full/10.1161/01.str.32.5.1054

Thank your pointing this out. It's not just any stroke too, it's primarily vertebral/basilar artery distribution strokes. Those supply the brain stem which includes such necessary functions as control of breathing and consciousness. You don't want a stroke anywhere, but particularly not there.

Some chiropractors might swing back that, you've only showed correlation not causation. Well, when we have no clear evidence of chiropractic neck manipulation being helpful for anything, and we have a likely very dangerous correlation, the clinical parsimony is just not there. So no one is going to run that study (give a large amount of people neck manipulation, a large amount of people no neck manipulation, and compare rates of stroke that occur afterwards), it would be very unethical, no institutional review board would ever approve that study as ethical to perform.

And it makes a lot of sense too, the vertebral artery is encased in the neck vertebrae, so violent movements of the neck vertebrae can stretch and tear those arteries. Those tears, called a dissection, can sometimes obstruct blood flow all on their own, but more often create a spot for blood clots to form that then move onward into the brain and basilar artery (since there's turbulent blood flow and a defect in the smooth artery wall that normally prevents your blood from clotting). So please, no violent neck movements for any reason, chiropractor or otherwise.

load more comments (2 replies)
load more comments (1 replies)
[–] [email protected] 105 points 11 months ago (2 children)

But boy, oh boy. Say this to a believer and get ready to loose an afternoon.

[–] [email protected] 78 points 11 months ago

loose an afternoon

That’s alright. A chiropractor can tighten up that afternoon for ya.

[–] [email protected] 41 points 11 months ago (11 children)

Indeed. I’ve got a chiropractor in my family, and I actively avoid talking to them about their work because I’ve always been convinced that it causes more harm than good. I think they finally got the hint after the 1000th time I refused their offer of an adjustment. They do some genuinely bizarre stuff beyond the standard adjustments, and talk about it like it’s proven science.

load more comments (11 replies)
[–] [email protected] 83 points 11 months ago* (last edited 11 months ago) (5 children)

People should also be aware of the growing number of alternative mental therapists popping up everywhere due to the shortage in actual psychologists.

They are nothing more than life coaches with a six-month certificate in whatever-the-fuck, most of which are disguised as Masters qualifications from wherever-the-fuck.

load more comments (5 replies)
[–] [email protected] 70 points 11 months ago* (last edited 11 months ago) (10 children)

Chiropractors and osteopaths only exist in such large numbers because they bill less to insurers than actual doctors & hospitals. So of course insurers are going to promote these quacks because it's cheaper than somebody going to an actual physiotherapist for treatment.

There should really be legislation that requires insurers to cover science & evidence based treatments. If someone wants woo it should be at additional expense to them, not part of a standard policy.

load more comments (10 replies)
[–] [email protected] 66 points 11 months ago (15 children)

I am actually really torn about this one, on one hand I had one episode of back pain that lasted nearly a year, swearing up and down the whole time that chiropractors were basically witch doctors and that I would never go to one. However, when I finally caved and went to one he fixed my issue after two sessions. On the other hand, my more recent back pain was not helped after I saw my chiropractor four times. In addition, I work as a nurse and have now seen at least three patients come in with vertebral dissections, essentially a stroke, that occurred literally right after they had seen a chiropractor for neck pain. Anecdotally, I would say it isn't worth the risk. Had I done physical therapy and used bought a tens unit the first time I'm sure it would have also fixed it without the chiro, but I was lazy

[–] [email protected] 57 points 11 months ago

That's the thing. Chiropractic could be considered a manual treatment which is a therapeutic modality. PTs do manual therapies that are less traumatic and are one component of the musculoskeletal issues that contribute to pain that chiro claims to heal. For most situations of acute back pain they resolve in 4 to 6 weeks so even the ineffective treatments appear to help- it's just like treatments for the common cold.

load more comments (14 replies)
[–] [email protected] 58 points 11 months ago (2 children)

If you see a youtuber calling themselves Dr. and giving out medical advice, 99% they are a chiropractor.

[–] [email protected] 50 points 11 months ago (12 children)

I met one of these in an airport bar! He introduced himself as a doctor then when I asked what specialty, he said he's a chiropractor. "Ohhhh, so not a doctor doctor."

He was not impressed.

load more comments (12 replies)
load more comments (1 replies)
[–] [email protected] 58 points 11 months ago (4 children)

If you have spinal or neck pain, see a licensed physiotherapist. If you have a toothache, do you go to a toothiologist to have your teeth punched? Or do you go to a doctor of dental medicine?

[–] [email protected] 25 points 11 months ago

I mean a chiro would pop your back for your toothache.

load more comments (3 replies)
[–] [email protected] 57 points 11 months ago (4 children)

It does take an entire weekend of school to get certified though.

load more comments (4 replies)
[–] [email protected] 48 points 11 months ago (22 children)

I know people that swear by it which I can kind of understand if you have pain and they "pop" something and you feel better. But is it really helping if you have to keep going back?

[–] [email protected] 25 points 11 months ago (6 children)

I wonder if it's a placebo effect. Like I go for a back massage every month or so and feel good for a few weeks but I'm fully aware it's just muscle pain relief and not some permanent fix.

load more comments (6 replies)
load more comments (21 replies)
[–] [email protected] 46 points 11 months ago (2 children)

One of my best friend’s fathers was an MD before retiring.

The cadaver he used in med school: broken neck during an “alignment” at a chiropractor’s office.

Anecdotal evidence for sure, but definitely a story that I think of whenever someone talks about going to a chiropractor.

load more comments (2 replies)
[–] [email protected] 43 points 11 months ago (3 children)

Don't "patients" like die from this all the time/randomly?

[–] [email protected] 57 points 11 months ago (1 children)

They never complained afterwards.

load more comments (1 replies)
load more comments (2 replies)
[–] [email protected] 43 points 11 months ago (3 children)

That image feels designed to look like porn at a passing glance.

load more comments (3 replies)
[–] [email protected] 40 points 11 months ago (2 children)

Quick reminder that Physios and Chiros outside America face different rules for accreditation, and may not warrant similar judgement.

load more comments (2 replies)
[–] [email protected] 37 points 11 months ago* (last edited 11 months ago) (9 children)

If chiropractic was legit people wouldn’t have to keep going back for more “treatment”.

If you’ve got a bad back, watching your posture and doing some core strength training is more effective.

load more comments (9 replies)
[–] [email protected] 36 points 11 months ago (8 children)

I think this depends on the kind of chiropractic work. If they are just there to pop bubbles for that crack, then nothing is happening. I got into a car accident and my insurance sent me to a chiropractor that never cracked my back. Instead he gave me physical therapy, got me MRI images to check for an cracks on my spine or hernias in my discs, and gave me some equipment to help relax my back muscles and provide support to my bacl. I feel like this kind of work actually does provide benefit. I don't go anymore since all of that stuff is cleared up now, but I would trust that guy with my back again if I needed it.

[–] [email protected] 64 points 11 months ago

Yeah, If the chiropractor doesn't use chiropractic methods, it's definitely preferable.

[–] [email protected] 43 points 11 months ago (3 children)

Did you maybe go to a physiotherapist? That doesn't sound at all like a chiropractor, especially the MRI and actual treatment part.

load more comments (3 replies)
[–] [email protected] 39 points 11 months ago (1 children)

That's just a physiologist right?

load more comments (1 replies)
[–] [email protected] 35 points 11 months ago (1 children)

A good chiropractor is one that doesn't use chiropractic "treatment"

load more comments (1 replies)
load more comments (4 replies)
[–] [email protected] 32 points 11 months ago (4 children)

it's an interesting decision to exclude

with the possible exception of treatment for back pain.

and

Spinal manipulation may be cost-effective for sub-acute or chronic low back pain

from the title here

[–] [email protected] 46 points 11 months ago (4 children)

A massage never killed anyone, unlike chiropracty. Just get a massage.

load more comments (4 replies)
load more comments (3 replies)
[–] [email protected] 27 points 11 months ago (2 children)

Physical therapy will always be the better route.

load more comments (2 replies)
[–] [email protected] 26 points 11 months ago (1 children)
load more comments (1 replies)
load more comments
view more: next ›