Quote:
Originally Posted by Cali Panthers Fan
My point was that it’s not a common diagnosis to look at VAS first, so many clinicians of ANY discipline are likely to miss it in the absence of obvious clinical signs and symptoms, which is extremely common with VAS. Without tinnitus or vertigo there is nothing to distinguish it from normal neck pain and headaches.
I don’t think your assertion that MDs are better at recognizing VAS than chiropractors is accurate. It’s the highest risk condition that could walk into a chiropractic office other than obvious stroke or heart attack, so chiropractors have been expertly trained at looking for those specific signs and symptoms should they even slightly suspect it to be the case. In any profession there are better doctors than others, so it’s always possible for someone to not remember their training and miss something.
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Physiotherapists also perform manipulation. The difference is we don't use aggressive rotational techniques that theoretically stress both the vascular and ligamentous systems and we do it far more specifically. We aren't just looking for a crack.
The other, probably more important difference is assessment. To be able to manipulate as a physiotherapist in Alberta you must obtain significant post graduate training that focuses not only on technique but screening. It is our responsibility to know when a patient is having a medical event, our responsibility to not treat it, and our responsibility to triage. When that patient walks in your door with red flags that their neck pain may be vascular in nature, YOU need to be the one that finds it.
There has never been a significant adverse event due to a manipulation by a physiotherapist in Canada. Every year there are a few events related to chiropractic manipulation.
I know a lot about the industry. The vast majority of chiropractors are extremely aggressive, maintenance focused, and have NO assessment techniques.