You may have had one of these experiences. A family member or friend may have told you about their awful experience at the chiropractor’s office. Maybe they were told they need to be seen three times a week for a year. Perhaps a treatment plan was offered but they would need to pay for the care all in advance. Or maybe the doctor advised them that they had a terrible condition that would need multiple x-rays and only that chiropractor’s secret/special/unique/proprietary technique was able to fix what was wrong.
Unfortunately in chiropractic, as well as the other healthcare fields, there are some bad actors. Furthermore, these practitioners may not even be aware that their actions are harmful, or without evidence, and essentially scamming people. No one wants to be duped, or the recipient of unethical practices. Evidence based doctors also don’t want patients exposed to bad actors, who then come away with the impression that all of chiropractic is a scam. If you receive a bad haircut, you don’t swear off all barbers and stylists. But if you have a bad experience at the chiropractor’s office, you may say “I tried chiropractic, what a joke”. To be clear, most chiropractors are ethical and do take their responsibilities to their patients very seriously. But no profession is without some bad apples.
Below I will list five signs your chiropractor may not be acting in your best interest. This list is by no means exhaustive, and context is important as well. Because some practices listed below may be reasonable depending on individual circumstances.
5 Signs You Need A New Chiropractor
- No Diagnosis or Treatment Plan is Given
- Excessive Number of Visits are Recommended
- The Doctor Refuses to Work with Other Providers
- The Doctor has Secret Treatment Knowledge Only They Possess
- Payment Must be Made Before Care is Delivered
Treatment Plans and Diagnosis
First sign, no diagnosis is given and no treatment plan is prescribed. Be wary of any health care provider who does not explain what diagnosis or hypothesis they are thinking of with regards to your symptoms. Also, clinicians should be able to lay out a treatment plan to address your concerns. If no diagnosis is offered or no treatment plan is laid out, that could be a sign your chiropractor doesn’t actually know what is going on with your symptoms or concerns. Generic non-specific statements like “sciatica” or “neck pain” are not diagnoses, they are symptoms. Likewise, your chiropractor should have some idea of how long it will take to improve or relieve your presenting symptoms.
Second, and this goes along with the first sign, chiropractic care should be individualized to each patient. Blanket plans of care where everyone is told to come in three times a week for two months is not patient centered. You may indeed need two months of care at that frequency, but most people who respond to chiropractic treatment feel better much sooner than that, especially if your symptoms have not been caused by trauma. Treatment plans where the doctor prescribes six months of visits at a time, and may ask you to pay up front, are especially dubious.
Working as a Team
Beware of any health care provider in the 21st Century who refuses to collaborate with your other providers. There is a history of animosity between the medical and chiropractic professions dating back to the 20th Century. This mistrust is still prevalent to a lesser degree, with some chiropractors skeptical of medicine and surgery. Also, some medical doctors, physical therapists, and surgeons view chiropractors with distrust and skepticism. Neither of these outlooks serve you, the patient, very well. Inter-professional cooperation improves health outcomes. Doctors refusing to deal with one another leads to worse outcomes, confusion, and mistakes being made. Find a healthcare team willing to collaborate on your behalf and cut loose any member of that team who refuses to deal with other members of YOUR team.
Secret Knowledge
In the chiropractic profession there are many named techniques. Of course, this is also true with the other manual therapy practitioners, such as massage therapists and physical therapy. Diversified adjusting, ART, Cox, Gonstead, Graston, McKenzie, and the list goes on.
However, claims that one technique is superior to another or a cure-all are unfounded and not backed by science. Be cautious of any provider who tells you they have secret knowledge. All of these techniques can be learned, but an unscrupulous provider may twist or re-brand a common technique, slap a label or their name on it, and all of a sudden they are out practicing like a guru who possesses the secret wisdom to heal what ails you. They’re also probably marketing themselves to other providers with $999 courses to spread their new superior methods. Don’t be conned by these charlatans.
By and large, we know what works to get people out of pain. Patient education, therapeutic exercise, return to activity, lifestyle advice…mix in some first aid care such as heat, stretching, or adjustments to bring pain levels down, and reassurance. None of this is secret knowledge.
Payment is Expected in Advance of Care
As a patient with a health concern you should expect your chiropractor to provide excellent care. A thorough history and exam, diagnosis, plan of care, and any treatments delivered should be appropriate and well explained. This is pretty standard stuff. What is also unfortunately encountered are excessive cookie cutter treatment plans that go on for months, with an expectation that you pay up front.
This is wrong for a couple of reasons. First, every patient should be treated as an individual. When an unscrupulous chiropractor hands you a piece of paper outlining the next six months of visits with a 20% discount if you pre-pay in one lump sum, they are more focused on their office’s cash flow than your health. Don’t believe for a second that you’re the only person in that office being given such a great “deal” on their care.
Second, pre-payment contracts can be illegal in some jurisdictions. They also often contain clauses which violate your rights to receive a refund if you don’t utilize all the visits. Furthermore, many of these arrangements are entered into under the rationale that such a long plan with so many visits is required to avoid catastrophic health conditions. Terms such as disc degeneration, arthritis, or spinal decay are used, and of course you had better pay all at once. This is called “scare care” and it’s a bunch of malarkey.
Don’t Get Scammed
There are many great chiropractors in the world. There are some shady ones out there too. Hopefully this article makes clear some of the actions a few chiropractors, and even some other healthcare providers, might take to inflate their bank account, or their egos. These doctors and practices rarely have the patient’s best interests in mind, as the patient is secondary to increasing revenue. The American healthcare system is a disaster which puts profits far ahead of people, and hopefully this post gives you some insight on practices to avoid when seeing a chiropractor or other health care provider.
About the Author:
Dr. Erik Reich is a chiropractor in Meriden, CT. He practices at Omni Physical & Aquatic Therapy Center, Inc. located at 303 South Broad Street. Where he treats all types of patients from high school athletes, seniors, victims of trauma such as auto accidents, laborers, and desk jockeys. Spending time with his wife and son, and their Boston terrier, is something Dr. Reich also enjoys.
