this post was submitted on 05 Dec 2023
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"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]"

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[–] yenahmik@lemmy.world 327 points 11 months ago (34 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.

[–] Shadywack@lemmy.world 150 points 11 months ago (3 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.

[–] shootwhatsmyname@lemm.ee 65 points 11 months ago (3 children)

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

[–] Gregorech@lemmy.world 17 points 11 months ago (3 children)

A massage therapist tends not to provide the "extras" that you can get from a strip mall masseuse.

[–] ski11erboi@lemm.ee 17 points 11 months ago (3 children)
[–] betterdeadthanreddit@lemmy.world 6 points 11 months ago (3 children)

Just make sure they're not a cop first.

[–] deadsenator@lemmy.ca 9 points 11 months ago (1 children)

That would not be a happy ending to the story.

[–] betterdeadthanreddit@lemmy.world 5 points 11 months ago (1 children)

Depends on for whom. A good bust makes nearly everybody happy.

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[–] TheFriar@lemm.ee 5 points 11 months ago* (last edited 11 months ago) (1 children)

I don’t care, I’ll come on a cop.

[–] betterdeadthanreddit@lemmy.world 2 points 11 months ago (1 children)

In some places and depending on the specific details, the punishment for that offense wouldn't include jail time. Instead of a crime, it's just a penile code violation.

[–] deafboy@lemmy.world 2 points 11 months ago (1 children)
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[–] SacrificedBeans@lemmy.world 5 points 11 months ago

Or after the extras.

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[–] Socsa@sh.itjust.works 4 points 11 months ago* (last edited 11 months ago) (1 children)

My wife, bless her innocent heart, still doesn't get this. She's been to every strip mall, Groupon massage studio in the area and is constantly like "wow, I can't figure out why these $75/hr massages are so hit or miss."

I have tried explaining to her that it's because she doesn't have a penis, but she still doesn't get it.

[–] frokie@lemmy.world 2 points 11 months ago (1 children)

How prevalent are these? I’ve always wanted to try but can never tell which is a safe place to approach

[–] SomeRandomWords@lemmy.blahaj.zone 3 points 11 months ago

I can't believe I know this, but RubMaps used to (might still be?) a thing. If you looked at the outside of them on Google Maps you could very quickly start to pick up on the patterns among the listed locations.

[–] KneeTitts@lemmy.world 2 points 11 months ago

do you want happy ending?

yes, heck you know what, lets have a happy middle too.. and a happy beginning.. ok make the whole thing happy please!

[–] Duranie@midwest.social 14 points 11 months ago (1 children)

As a massage therapist that used to work in education (director of education at a massage school and taught anatomy/pathology) results will vary wildly across the States. The majority of states only started licensing in the last 10-15 years, and of course requirements for licensing and supervision varies. Some schools teach enough anatomy to get their students to pass the tests, then focus their time teaching spa type massage (aromatherapy, wraps, hot stones, etc.) or energy work. Not saying there's anything wrong with that, but it serves a different purpose.

There are definitely schools that exist that focus more on therapeutic/rehabilitative work, but even then the challenge is finding a therapist with an up to date approach who doesn't buy the old school "no pain no gain" who kicks the shit out of you. Massage shouldn't hurt. But if your find the right therapist for you, they're worth their weight in gold.

[–] EatYouWell@lemmy.world 1 points 11 months ago

Massages should hurt if your body is full of deep tissue knots like mine is. My rhomboids and forearms are basically just knots most of the time.

But that's largely on me for not stretching.

[–] EatYouWell@lemmy.world 1 points 11 months ago

Yup. At my first massage appointment, before I even got on the table, she told me where I hurt and why I was hurting that way. And she was 100% correct.

[–] DrMango@lemmy.world 20 points 11 months ago* (last edited 11 months ago) (2 children)

Just FYI, the generally preferred term these days is "massage therapist." Last I heard "masseuse" and "masseur" (the masculine version) have an implicit sexual connotation that "massage therapist" does not. Unless that's what you were recommending instead of chiropractic, in which case carry on!

[–] Moneo@lemmy.world 10 points 11 months ago

Also it has a more professional connotation. RMTs go to school and work hard to be qualified and capable of their jobs.

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[–] rdyoung@lemmy.world 18 points 11 months ago (1 children)

This. I'm seriously considering finding the money for an at home sauna. Get my muscles nice and warm and relaxed and then stretch the shit out of them.

[–] logi@lemmy.world 24 points 11 months ago (3 children)

then stretch the shit out of them.

Just be careful. There is such a thing as over stretching. I fucked up my knees stretching after a hot yoga session and could barely walk for a couple of years.

Everything in moderation.

[–] SocialMediaRefugee@lemmy.world 4 points 11 months ago

One of the worst overstretches I did was in a pool. With my body weight canceled out I could get into deeper stretches, like by putting my leg up on the edge of the pool. Afterwards I realized I'd overdone it. lol

[–] Zevlen@lemm.ee 1 points 11 months ago* (last edited 11 months ago)

That must have sucked/hurt 🤕 ... But it sounded like a real funny story for some reason...

Mi bad...

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[–] KneeTitts@lemmy.world 12 points 11 months ago

I would also point out that any pro quackocracker post you see here is the one time they might have helped someone just out of random chance, those people are loud and tell everyone how great their quackocracker is. Its simple confirmation bias, they have a sample size of one, themselves, this is not how data works.

[–] Dvixen@lemmy.world 7 points 11 months ago

I go to a sports physiotherapy group. Much better results when the goal is to help me recover so I don't need to come to them.

[–] JaymesRS 5 points 11 months ago (1 children)

You can also search out a GP that is a DO Instead of an MD in the US.

They still learn osteopathic manipulation, which is a broader form of manipulation not limited to the spine that helps with stretching-type exercises. But they are certified (often with the same board exams even) and licensed on par with MDs. Many clinics have DOs among their providers.

[–] evasive_chimpanzee@lemmy.world 14 points 11 months ago (3 children)

Important caveat of "in the US". In most countries, osteopaths are basically the same as chiropractors. In the US, DO licensing is the same as MD licensing, so they do have to learn real science and medicine in addition to the fake science and medicine of osteopathy. Personally, I wouldn't aim for a DO as my Dr., but if I already had one that I liked, I wouldn't worry about it too much. Osteopathic schools are easier to get into than medical schools, cause we have more people that want to get their MD than we have schools to teach them, so plenty of those people become DO's.

[–] JaymesRS 4 points 11 months ago

That’s why I specifically said in the US. You have to be careful, though, some DO schools are easier to get into than some MD schools but there are also DO schools that are harder to get into than some MD schools (MD schools in the Caribbean for example) so unless you are being hyper vigilant about which school your GP went to, you’re still just relying on the fact that they all passed the same or equivalent boards anyway.

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[–] Telorand@reddthat.com 2 points 11 months ago

This is a great point. My MiL is a chiropractor (a non-quacky one), and she incorporated a lot of PT into her practice. Additionally, I read a couple years ago that PTs are beginning to incorporate the good things from chiro (whatever they are. I'm not a doctor) into their own practice.

A roundabout way of saying that we learned some things from chiro, but PT was always the future.

[–] CarlCook@feddit.de 2 points 11 months ago

In my corner of the world, most CPs are also PTs. Or rather the other way around: they use chiropractic as one of many therapeutic means in their portfolio. I have to say, I very much appreciate this approach, as it relives the initial pain/discomfort but also addresses the underlying problem.

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