Chiropractors around the world are used to having mainstream newspapers
and magazines demonstrate their ignorance and prejudice by publishing
articles which promote medicine and pharmaceuticals while attacking
chiropractic and other non-medical practices.
When these articles appear, however, it's vital that D.C.s respond
immediately with professionalism and facts. Although publications won't
print all (or even most) of these responses, it's important for their
editors to realize that, when they attack chiropractic, they attack a well
informed and vigilant group of individuals who can wield political and
economic clout.
A case in point was when The Times, the major British daily
newspaper, printed a completely biased article titled, "Can
Chiropractic Maim and Kill?" in its July 10, 2001 issue. Dr. Adrian
Wenban, a member of the World Chiropractic Alliance International Board of
Governors, shot back an eloquent rebuttal, exposing the inaccuracies and
wrong conclusions of the article. Dr. Wenban is also the Associate
Governor of the Australian Spinal Research Foundation.
Dr. Wenban's response stated calmly -- while forcefully -- that the
article "did not accurately reflect what the best scientific evidence
presently tells us concerning the safety of chiropractic care. In
particular one of the studies which The Times article made
reference to was inappropriately represented."
He explained in detail that the study in question, from the University
of Toronto and the Sunnybrook and Women's College Health Sciences Center
and published in the May issue of Stroke, analyzed patient records for all
of Ontario, Canada's hospitals during a six-year period, from 1993 to
1998. Also analyzed were public health insurance billing records to
determine which patients had used chiropractic services.
He pointed out that The Times article was incorrect when it
noted the study had "confirmed" that chiropractic neck
manipulations may increase the risk of a stroke.
"In fact," Wenban argued, "the limits of the Canadian
study, and all others performed to date, mean that researchers are unable
to confirm anything of the sort. The only thing that we can actually
conclude from the latest Canadian study is that over a six-year period, in
all of Ontario, 6 patients under the age of 45 had chiropractic care
within one week of having a stroke. What that study does not rule out is
the possibility that something else -- some other trauma to the neck --
might have caused the pain and the dissection, and that's what sent the
patient to the chiropractor. For example, whiplash from a motor vehicle
accident can cause similar trauma to arteries. It is therefore possible
that the patients sought chiropractic care for neck pain due to trauma and
that they were already well on the way to developing a stroke prior to
receiving chiropractic care."
Continuing in his rational yet firm tone, Wenban added positive
information about chiropractic.
"The findings from another recent study have cast serious doubt on
whether chiropractic care could cause a stroke," he stated.
"That study revealed that the stretching of the vertebral artery
during chiropractic neck adjustments is at most 11% of the stretching
observed at the point where an artery tears, and furthermore, the arterial
stretching that takes place during chiropractic adjustments are
consistently less than that seen during routine range of motion and
diagnostic testing.
Wenban included footnotes to specific references when making each
argument.
Then, in conclusion, he chided The Times for the article,
saying, "Responsible journalism is a must if public health is to be
best served."
"Unfortunately, we could find no record of The Times having
published the excellent letter," stated Terry A. Rondberg, D.C., WCA
president, "but no editor or reporter could possibly read it without
having it at least make some impression. If nothing else, it shows them
that there is a great deal of scientific evidence about chiropractic which
they aren't aware of. Perhaps, in the future, they will consider doing an
article using that evidence, and hopefully they will remember Dr. Wenban's
letter and contact him as a source of information."