Chiropractors offer a unique brand of medicine to millions of people suffering primarily musculoskeletal disorders. For the past twenty years, chiropractors across the US have actively sought to make their knowledge available to pets, too.
Chiropractors have been practicing their trade on animals—unofficially—since their profession’s inception. It seems that the benefits of this branch of medicine are not limited to humans.
In fact, a sizable number of veterinarians are practicing chiropractics after taking courses to gain certification. An association of vets and chiropractors working together launched the AVCA (American Veterinary Chiropractic Association) in 1979 to further the advancement of chiropractics in animals. Some docs even hold both DVM and DC degrees.
Horses, in particular, have received much of the attention of the chiropractic community due to their athletic requirements and frequent musculoskeletal ills.
But dogs and cats? Not so much. Until recently, arthritis and other orthopedic conditions were considered either part of the inevitable process of aging or the realm of veterinary surgeons when severe conditions like hip dysplasia and other bone and joint abnormalities were identified.
Now we know better, don’t we? We use nutraceuticals, drugs, acupuncture, herbs, rehabilitation medicine, massage and other therapeutic modalities to treat our pets. Why not chiropractics? I'm all for it.
Yet predictably, and not without cause, we veterinarians have been leery about allowing chiropractors to join in our reindeer games. We want to be sure they have sufficient training in animal medicine before we’ll consent to have their human-centric training applied to pets without the supervision of a veterinarian.
Sure, there’s some degree of economic protectionism at play here, since chiropractic services are likely to cut into more standard veterinary fare. But I think we can all agree that even chiropractors can generate untoward effects when improperly practiced. Why else would their licenses be as strictly monitored as physicians’?
For safety’s sake, clearly we need to ensure that chiropractors be well versed in animal medicine before they take pets into their care. To that end, chiropractors have been allowed to practice their medicine on pets in most states—as long as they’re under the “direct supervision” of a veterinarian. That means a vet has to be on the premises for the chiropractor to do his or her job.
But chiropractors haven’t been content with such restrictions. They argue that the same safety issues are at play in human medicine and that vets are fighting them over economics alone—not over safety. They posit that more animals could be helped if they were granted greater freedom to practice on animals.
And that may be true—but at what expense? Do we know the full extent of the damage that can be done to pets with intervertebral disc disease when chiropracticaly adjusted? Pets are not smaller humans, after all. These are different species with their own class of anatomic, physiologic and pathologic issues—add in breed differences and the safety issue gets even murkier.
In Minnesota, a bill is currently being considered to allow chiropractors to gain certification in veterinary chiropractics after taking a 210-hour course.
“Minuscule!” most vets argue. And I’d have to agree. That’s a six-week course. Can that possibly be enough?
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My horse greatly benefited from Chiro. He went from a bucking bronco to a nice calm easy going guy. That said - I would still think hard about putting my dogs through it. It just seems with such a reduced space for the joints, ligaments and organs there is a larger chance of something going wrong and causing damage.
My question is, why WOULDN'T they need to be specially certified? Heck, even my hair dresser went to school - and that stuff grows back. Almost every trade a profession has specialized training (truck driver, plumbers, vets, doctors and teachers). The Chiro's should be thankful that this course is being suggested - it can only help legitimizie their profession. For people that want to be treated as serious medical personel, they should be willing and ready to take any courses that are offered.
Calichis April 11th, 2008 12:50:00 PM
But surely 'reduced space' can't be a legitimate argument - as Calichis suggests.
Chiropractors can adjust newborn babies after all (they sometimes have very sore necks & struggle to breastfeed effectively due to the neck trauma....).
The anatomical differences are I think over stated. Chiropractors mostly deal with spinal columns which are startlingly similar among all vertebrates.
hornblower April 11th, 2008 01:02:00 PM
Calichis, the issue with the MN bill is not that chiropractors would have to take extra training, but that after being certified in animal chiropractic, they would be able to treat animals without needing a referral from or supervision of a veterinarian. So many health problems can look like musculoskeletal issues (limping or stiffness), but the underlying cause is infectious, neurological, traumatic, etc. Particularly in Minnesota, where we see a lot of Blastomycosis and Lyme disease (which can both present as limping with no other clinical signs), I get nervous when a pet owner would decide to see a chiropractor before going to their vet.
Pets don't have the benefit of being able to tell us their symptoms, so we are left with clinical signs (like limping) and diagnostics (bloodwork, radiographs, etc). I worry that chiropractors, who wouldn't have the additional information provided by diagnostics, could waste time treating what appears to be a musculoskeletal disease but is actually an infection or worse. I don't think that you need to be a vet to perform chiropractic on animals, but I do think chiropractors need to work with vets to ensure that chiropractic is a valid treatment plan for the animals' problems.
The Senate version of the Minnesota bill now has an amendment requiring a veterinary referral in order to see a non-vet chiropractor. The House version goes up as soon as next Monday, and they are working on getting an amendment added to that version as well.
Besides, it's not like there aren't vets who are also trained in chiropractic- you can visit http://www.animalchiropractic.org/ to find someone in your area.
Megan April 11th, 2008 01:47:00 PM
D'oh, I missed that you already linked to the AVCA :)
Megan April 11th, 2008 01:49:00 PM
Chiropractic care must have its benefits, just as in human care. I would be extra cautious with treatment of animals though. It was hugely stressed ( at the referral hospital w/Pearl) that only an MRI or myleogram could distinguish a herniated disc with spinal cord damage, no routine "x-ray" could pick that up.
And actually, my human "other" went for x-rays with a painful spinal issue and was declared "ok" by his GP, after a week or so of progressive symptoms--he -went back and insisted on a MRI. Sure enough, he was in BAD shape requiring surgery: disk removal & vertebrae fusion.
I shudder to think of what "could" have happened if he chose to try chiropractic care.
Barbara A. Albright/New Hampshire April 11th, 2008 02:18:00 PM
My dog's chiro *IS* a vet, which I feel like is the best of both worlds. :) He did wonders for Mal when Mal was going through an awkward stage and I got worried about what looked like a gait abnormality. (x-rays showed nothing, crate rest did nothing but get me a crazy dog, and it resolved itself when he grew another half inch.)
Cait April 11th, 2008 03:03:00 PM
I think figuring out appropriate supervision and training for DC's to provide chiropractic is a difficult problem. In Oregon, to take your animals to a DC, you have to have a veterinarian decide that it is an appropriate treatment. My vet has given me a referral, but she also says that she's not a fan. Her associate would not give me a referral when I got a new dog while she was out of town (and he really needed chiropractic.) Sure, I could vet shop, but I've got a vet I trust who while only using allopathic veterinary medicine, takes a more holistic view than most human or animal "holistic" medical practitioners I've met. Any veterinarian or chiropractor will tell you six weeks is not enough time and training to become proficient in veterinary chiropractic. But it is the basic training that has been available for quite a while and I think experience has shown that it is enough to lay the groundwork for a DMV, VMD, or DC to be able to become an excellent practitioner. And given that (at least in my area), a veterinary chiropractic appointment costs slightly less than human chiropractic or the equivalent time in regular veterinary appointments; I worry that if we require too much further training beyond the DVM/VMD/DC, doctors aren't going to be able to afford the time off to get the training - they are certainly already taking a pay hit just by practicing veterinary chiropractic. Any type of medical professional who doesn't know the limits of their profession and skills is dangerous. But if a doctor got their degree and passed whatever state requirements there are to practice animal or human medicine and don't know that, I don't think any amount of training in veterinary chiropractic is going to fix that. I would never take any of my animals to any alternative practitioner who didn't want to work with my vet, because it's a sure sign to me that they _don't_ know the limits of their abilities.
In my experience, veterinary training doesn't provide a veterinarian with enough information to know when chiropractic _is_ an appropriate choice for an animal (only some contraindications.) I think requiring vets to supervise or refer an animal to chiropractic care puts an unfair burden of risk on the vet.
Juli April 12th, 2008 01:03:00 AM
My dog has been going to a DC for over 10 years now. My vets know my dogs go there, but they did not directly refer me there, nor do they oversee the treatment. I see no need for them to do so. Heck, my DC has taught some chiro courses given to vets.
Personally I fear the vets who have gone to a weekend course and feel they can do chiropractic adjustments (with no supervision) more than I fear my DC's level of vet knowledge.
kabbage April 12th, 2008 09:39:00 AM
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