so today i'm going to react to and discuss random videos from tick tock chiropractors
listen up everybody i have some news hey interns i'm dr chris rainer and i'm not
your everyday ortho i teach you about injuries orthopedic surgery and medical topics in a way
that's easy to understand and entertaining today i decided that i'm going to review some videos from
tiktok chiropractors and give you my thoughts on what i see and what i am concerned about
this is a warning this video will be critical because to be honest i'm feeling a bit salty
after watching this stuff lest some of you get the impression that i hate all chiropractors
let me disabuse you of that notion in fact recently i have interviewed several chiropractors
some of whom i like very much and i am putting together a compilation video of our discussions
so clearly i'm gonna review some chiropractic videos i expect that the cult of chiropractic will
not like that so here are my ground rules so that you can't say that i am part of the illuminati
number one i'm not going to say that these patients should take drugs instead of seeing
a chiropractor number two i'm not going to say that these patients should have surgery instead
of seeing a chiropractor number three i do not think that surgery or drugs are the solution
for all back or leg pain problems and i will not suggest that these patients undergo surgery or
take drugs to fix their problems number four i'm going to speak about the techniques that i observe
and the related medical science number five i don't think that chiropractors are taking patients
from orthopedic surgeons because to be honest i don't think that we treat the same problems
number six i don't hate all chiropractors so you could take those words right out of my mouth and
to make it interesting i'm gonna respond to each one in one minute or less let's go
is the microphone on yeah sure okay like what how is that at all necessary this is a newborn infant
this baby cannot stand crawl or walk their spine sees the lowest amount of load or stress possible
when it is in a supine or prone position the load experienced in this position is three times
less than one side lying and four times less than when standing the muscles of the neck are
not even strong enough to hold the head upright consistently not to mention the bones of a newborn
are largely cartilage in nature so expecting them to give you a huge crack is ridiculous
and chasing after the crack in a newborn is dumb did you know that a subluxation of bone out of
alignment right here in the thoracic spine could lead to acid reflux heartburn and indigestion
by correcting that who's man is this a world of difference come on in first the chiropractic
concept of subluxations is not real even modern chiropractors have discredited this
idea there is no demonstrable link between these supposed subluxations that don't exist
and acid reflux heartburn and indigestion there are no studies that show that you can
treat any of these problems with a chiropractic adjustment if you have one then show that it
backs up what you are saying otherwise this just sounds like a pepto-bismol commercial
took some x-rays we did an exam and he's got weakness on one side and a kind of a shake on
his left hand side so we're going to go in there and unload his spine getting rid of the vertebral
subluxation in his neck and you'll feel that effect all the way down his lumbar spine so you
take a nice deep breath in good keep your tongue in your mouth with your air all the way out good
drop this don't help me good okay we can see he's using the ring dinger table okay good relax your
head good breathe in and once you get all that drop this all right good relax head down good
your photos release again with the subluxations the chiropractic subluxation doesn't exist it
does not refer to the subluxation described in anatomy where the joint is partially dislocated
if this patient truly has objective weakness and neurological findings that are localized like this
then this would be described as a radiculopathy this might be caused by a disc protrusion or
herniation or prolapse on one side of the spine vertebral facet overgrowth or osteophytes on one
side or spondylolisthesis where the vertebrae are no longer appropriately stacked on one another
performing a rotatory manipulation on a patient with a potential radiculopathy is just begging
to make one of those problems that i mentioned worse either the findings that you were describing
here are exaggerated for the purpose of the video or you have big cojones either way it's suss
like what are they thinking okay dogs either hate it or love it sounds like it's 50 50 to
me but seriously like this dog came to you complaining of back or tail pain are you for
real like you could even obtain informed consent and where is the literature that says that this is
valid it's like stealing candy from a baby just because you can do it doesn't make it right a
little more movement here you know a little less resistance from the right trap in tissue
yep
yeah i hope it doesn't come off in his hands as we age it is normal for our joints to show evidence
of degeneration clinically this is evidenced by a reduction in the range of motion of these joints
in the neck this can be demonstrated by a decrease in the cervical range of motion radiographically
or with x-rays this can be demonstrated by a reduction in the joint space between vertebrae
osteophytes or bone overgrowth between vertebrae or loss of the normal relationship
between vertebrae while i am not a fan of cervical manipulation in general i am even
less of a fan of it in the elderly in a hospital setting we exercise extreme caution
in this population when handling the neck during other procedures because of the increased risk
of adverse events with these patients medically speaking this is not deemed extremely cautious
there's a hook yep i see it we're right
yeah that's awesome ready i see a tooth that's perfect hey you're not supposed to be looking at
me right they're moving now she's pulling a little to her left there we go oh this was excellent
really oh that's perfect you're not supposed to be looking at me
to comment on the curvature of the spine in a child that is squirming from side to side
while you examine them upside down is what i would call eyeballing it
it is not objective or reproducible then you are commenting on something that will change randomly
from moment to moment as the child moves and is likely to return to its baseline the moment you
stand a child back up and expose them to gravity doing a manipulation to correct this nebulous
problem that changes randomly with the child's movement is a waste of time i could punch you
in the stomach and change the alignment of your spine but this wouldn't technically qualify as
a mobilization however it would demonstrate that you can achieve the same results without
cracking someone's back and for the record this ain't some manual labor you are adjusting it's a
child what is it that they are doing that has them so malaligned that they require an adjustment what
did this guy just adjust the horse
come on this is this is pure lunacy man all right absolutely ridiculous and for sensational
purposes only otherwise every jockey equestrian ranch hand or horse rider in general should get
their chiropractic qualification this is even of less value than it is in humans
if this is a thing then it shows that chasing the crack is a freaking circus show if you look
at all these bones they're individual and then you get right here and they ended up
fusing together into a block vertebra is what they call it bring your left ear to my hand
so that's going to limit his mobility create more stress and load on the joints
and that's going to drive inflammation so we're going to start to put some movement
in and we're specifically going to adjust above and below that area
okay we call this adjustment the money shot adjustment okay all
right major decompression on your spine no doubt
money shot anyone with a congenital fusion of the cervical spine does in fact have altered
forces at either end of the fused vertebrae it is these altered forces which lead to the rapid
progression of osteoarthritis that is associated with fused segments after spinal fusion surgery
spinal mobility is important in these patients to allow normal function and minimize degeneration
that may occur as a result of range of motion restrictions however for these very reasons
rotatory manipulations of the spine are worrisome and are not recommended
you can see my thoughts on cervical decompression in my video about the
bing swinger and i challenged this chiropractor to explain to me the physiologic process behind
the resolution of inflammation by you twisting somebody's neck go
good jesus man
yeah the two halves of the pelvis are joined in the front at the synthesis pubis connective tissue
crosses this joint to secure it and allow both halves of the joint to maintain their relationship
with one another the connective tissue can accommodate a very small amount of stretch
and movement for the most part it is a relatively rigid structure since the pelvis supports the
spine above and the legs below what reason there could be for adjusting the pelvis in this manner
really i don't know most forces that are going through the pelvis are doing so in a
top to bottom fashion and not a side to side fashion to be honest a sudden impulse against a
contracted muscle is a fantastic way to overload the muscle and its tendon in eccentric fashion
this is the manner in which superior labral injuries of the shoulder or slap tears happen
this technique will put you at risk of an evulsion of the adductor tendons from the pelvis where the
adductor is pulled off the bone where it attaches at the pelvis entirely unnecessary better and
safer results with simple stretching you certainly won't have to see an orthopedic surgeon afterwards
scoliosis that's been cooking up for lots and lots of years oh beautiful last time i looked at
that x-ray i remember seeing 18 fractures at a 24 vertebra in this mine they were all fractures up
up and down up and down up and down good oh yes ma'am oh yeah good movement there huh yeah wow
all right mr ring relax that head for me he needs some milk
we gotta charged up now
that all healing takes time no doubt man apparently he witnessed 18 of 24 vertebrae
were fractured on a previous x-ray this is not surprising in an elderly female these
are known as fragility fractures that occur with osteoporosis that result from sex and age-related
loss of bone density these are the types of fractures that occur just from existing not
from any sort of trauma and these are certainly not the patients that you want to be doing massive
reductions or compressive techniques on cervical reductions in those with osteoporosis of the
spine whether they are rotatory decompressive or extension oriented is just shall we say
cavalier
enough said those are my thoughts on random tick-tock chiropractors stay tuned for my
compilation on chiropractors coming here soon thanks for watching and subscribing i will
see you for rounds next week and as always that's been a word from dr chris not your everyday ortho