Daily Mail

Read this – and you’ll never go to a chiropract­or for that aching back again

- THE DOMINIC LAWSON COLUMN

Surprising as it may seem, there is a widely practised treatment, available on the nHs in some parts of this country, which involves an action banned on the rugby field.

it’s called chiropract­ic, and last week the Mail reported on a casualty of its patented remedy for all manner of ailments: spinal manipulati­on.

Dr Arleen scholten — a chiropract­ic doctor, that is — had been arrested for manslaught­er following the death of a healthy 80-year- old grandfathe­r and former bank manager, John Lawler. He lost consciousn­ess during chiropract­ic treatment and expired a day later as a result of what Leeds general infirmary called ‘traumatic spinal cord injury’.

Mr Lawler had, not for the first time, visited scholten’s firm, Chiropract­ic 1st — accompanie­d by his wife of 55 years, Joan — to get treatment for ‘lower back ache’. in fact, the Lawler family had not made a complaint following his sudden death: it was after being alerted by Leeds general infirmary that the police arrested scholten ‘on suspicion of manslaught­er’.

Dangerous

The doctors had perhaps understood better than Mr Lawler’s grieving family just how direct can be the possible link between chiropract­ic and sudden paralysis from the shoulders down (which is how they found the dying man).

Forceful twisting of the neck and rotation of the head is something that on the rugby field is viewed as so dangerous that any player responsibl­e for such actions is given an immediate red card. But this, more or less, is what chiropract­ors do.

it has been a frequent cause of strokes among patients who were perfectly healthy before submitting themselves to this not-so-tender embrace. in her book suckers: How Alternativ­e Medicine Makes Fools Of us All, rose shapiro describes how the mother of a 20-year-old victim of chiropract­ic, whose death was attributed to ‘traumatic rupture of the left vertebral artery’, had been told by the (real) doctor as her child was rushed through A&E: ‘never let those buggers touch you above the shoulders.’ Too late.

i don’t question the sincerity of many of the men and women responsibl­e for chiropract­ic: those practition­ers genuinely believe that they are offering a form of treatment that can alleviate symptoms in a way no other medicine could — and that does not require the use of drugs which have their own side-effects.

indeed, nHs Choices, while pointing out that ‘it isn’t generally available on the nHs’, describes chiropract­ic as ‘generally very safe when performed correctly by a trained and registered chiropract­or’.

And it reassures the public that while ‘there is a risk of more serious problems, such as stroke, from spinal manipulati­on, the risk is extremely small’. At least, i think that is meant to be reassuring.

But it’s worth going back to the origins of it all, just to understand why many doctors regard the whole business as dangerous quackery.

Chiropract­ic was founded in the late 19th century by an American called Daniel David palmer. He claimed to have found the cause of all medical problems in an invented condition called ‘subluxatio­n’, a supposed dislocatio­n of the joints which no X-ray has ever detected.

palmer claimed to have received this insight ‘ from another world’ and that what he called Chiropract­ic ‘must have a religious head, such as Christ, Mohammed . . . and others who have founded religions. i am the fountainhe­ad’.

Crippled

My fellow journalist­s of the time seem to have had his number. palmer’s local newspaper in 1894 declared: ‘A crank has a crazy notion that he can cure the sick and crippled by his magnetic hands. His victims are the weak-minded, ignorant and superstiti­ous . . . he has certainly profited by the ignorance of his victims.’

That newspaper editoriali­st would have been astounded to learn that there are now around 20 ‘colleges of chiropract­ic’ in the u.s. (and, indeed, a couple in the uK) offering accredited ‘degrees’. Actually, the most devastatin­g account of this so-called profession comes from within it. A few years ago preston Long, who performed more than 10,000 chiropract­ic care evaluation­s, published Chiropract­ic Abuse: An insider’s Lament.

He wrote: ‘The fact that patients swear by us does not mean that we are actually helping them. Many who believe they have been helped had conditions that would have resolved without treatment. some have had treatment for dangers that did not exist, but were said by the chiropract­or to be imminent. Many chiropract­ors actually take courses on how to trick patients to believe in them.’

Adjustment

it’s a money thing. Or, as preston Long puts it: ‘Many chiropract­ors, particular­ly those who find “subluxatio­ns” in everyone, advise patients to come for months, years, and even for their lifetime.’

On her company website, Arleen scholten declares: ‘Chiropract­ic is a lifestyle for our family. Yes, all five of us are adjusted regularly. Our children were all adjusted the day they were born . . . and i continue to check their spines regularly.’

i find this talk of ‘ adjustment’ quite spooky, though it is stock chiropract­ic jargon. And as for doing it to her newborn infants, the mind boggles.

But the general Chiropract­ic Council met on september 28 to discuss the arrest for manslaught­er of Arleen scholten and decided not to suspend her. she was allowed to continue to practise.

i must confess to having once attended the clinic of a ‘cranial osteopath’ — a distantly related form of pseudo- scientific manipulati­on for all ailments. The patient was my then one-year- old daughter, Domenica, whose acid reflux seemed resistant to convention­al treatment.

Her godmother, who happened to be Diana, princess of Wales, a firm believer in ‘alternativ­e remedies’, insisted this form of skull manipulati­on might offer a cure and arranged for an appointmen­t in her favourite cranial osteopath’s Harley street clinic.

i shed tears as this man put on agonised expression­s while massaging Domenica’s tiny skull: they were tears of suppressed laughter, at the absurdity of his performanc­e. But at least it was — while expensive — entirely harmless.

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