Musculoskeletal Medicine

Spinal manipulation

“…3,4 It is the awareness of the contraindications to manipulation and their meticulous observance that in fact make it so remarkably safe a therapy. …”

“…In this case, we have to concede that HRT reduces cardiovascular and cancer risks (as shown by observational studies) and ignore that it does, in fact, achieve the opposite (as demonstrated in randomised controlled trials). The 'paradigm pioneer' is thus disclosed as what he really is: a misguided evangelist preaching a gospel that leads us straight back into the dark ages of medicine, 3 to the indisputable detriment of our patients. In our first book, 1 critically guided by the one-time Director of Neurology of the Royal College of Surgeons, Burn and I included references to 20-odd papers detailing injury due to manipulation.…”

Death of Mozart

“…A study by Anderson et al 1 on the potential and benefits of advanced prehospital care, showed only limited benefit of advanced prehospital care for medical patients and even less so for trauma victims in an urban setting.…”

Adverse effects of spinal manipulation

“…The contraindications to vertebral manipulation are clearly set out and are of greater importance than manual skills. 4,5…”