CynRN  Lets revisit this topic in Feb when the Spine publication comes out  Its clear that you do not understand or appreciate the positive impact of the manual medicine including joint manipulation  But I can tell you from my experience thus far many intractable neurological and orthopaedic conditions that have been referred for surgery are simply neuromuscular imbalances that are very treatable by chiropractic care and manual therapies  Maybe its time to revisit the notion that DCs just crack backs  Regarding your comment on the possible side effects headaches dizziness numbness pale in comparison to the side effects of many medications used to treat pain syndromes  Now to clarify Im not against medications at all however to fear manual therapy including manipulation is not supported by the research  To call my profession a pseudoscience shows either a lack of awareness of chiropractic in  or ignorance take your pick  In an evidencebased era no health profession can escape the responsibility to demonstrate  clinical efficacy and costeffectiveness through research  I suggest you start reading manual medicine journals so that you can better inform your colleagues of contemporary physicalmanual medicine practice