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Dr Goodley raises some interesting points in his letter, but I have several bones to pick with him. Despite formidable contributions to the diagnostic and therapeutic armamentarium, chiropractors are not content to portray their activity as a variety of physiotherapy; rather, they tell the public that malalignments of the spine cause pain through neural pathways and that manipulation can improve these as well as some systemic diseases. No less an authority than Judge Getzendanner had to acknowledge that these claims might be invalid. She nevertheless reasons that because some clients feel better after manipulation that chiropractic is therapeutically effective. However, much of this amelioration is likely to be due to suggestion and placebo effect.A surgical procedure is successful because it corrects distortions in anatomy and physiology that usually have been discerned preoperatively. But success does not depend on the artfulness of the surgeon, it hinges on his
Needles CF. Chiropractic and Judge Getzendanner's Injunction-Reply. JAMA. 1988;260(12):1717. doi:10.1001/jama.1988.03410120063024