A canna’ change the laws of physics

Scotty, The Naked Time, stardate 1704.3, Episode 7

Chiropractic: a bogus* treatment for bedwetting?

Posted by apgaylard on May 21, 2009

bigstockphoto_Xray_Spine_488820A wide variety of claims are made for chiropractic treatment.  One that really surprised me is that it can be used to treat bedwetting (nocturnal enuresis) in children.  I really struggle with the basic plausibility of this claim.  I mean, how can spinal manipulation control whether a child pees in their sleep, or not? 

So I decided to see whether this is a bogus* treatment, or not. 

Some Basic Facts

Although this complaint can cause stress** and social isolation for a child, the UK NHS Choices website says that bedwetting is very common in children.  It usually affects those under six or seven years old. Fortunately, it usually stops by the age of seven or slightly later. They estimate that around, “one in seven children aged five, and one in 20 children aged 10, wet the bed.”  Boys are more commonly affected than girls.  Older children can also have this problem. 

The children’s health charity ERIC (Education and Resources for Improving Childhood Continence) identifies three likely causes: 

  1. The child not developing an awareness of the link between having the feeling of a full bladder and the need to wake up;
  2. Not producing enough of the hormone that reduces urine production at night;
  3. An overactive bladder. 

They also identify the false belief that bedwetting is the child’s fault.  This fits in with the NHS’s advice that, “it is very important not to punish the child or make them worried about the bedwetting.” 

[A more comprehensive and technical article can be found on the Patient UK website.]

Chiropractic Claims

There are many who claim that chiropractic can help with bedwetting.  One of these is from my rough geographical area: Walsall Chiropractic Health Clinic.  They are proud members of the British Chiropractic Association (BCA)***.

They claim that:

“[…] countless children have been helped with safe and natural chiropractic care”

 But temper this with:

“[…] Since chiropractic isn’t a treatment for bedwetting, a thorough examination is necessary. If the bedwetting is caused by nerve interference from the spine, many children see great results with chiropractic care.”

And also add:

“Chiropractic has produced tremendous results amongst bedwetters with neurological compromise.”

 This is sending mixed messages.  But I interpret this as a claim that chiropractic is very effective in treating a sub-group of bedwetting children; those with “neurological compromise”, whatever that means.

Evidence

So what evidence is provided to support this claim?  They claim that, “The Journal of Manipulative and Physiological Therapeutics document many studies showing the positive benefits of chiropractic care.” And cite three studies. 

Before discussing these it is important to note that this journal is, “is dedicated to the advancement of chiropractic health care.”  This would seem to call into question whether this is anything approaching a good quality peer-reviewed journal.  It seems to me that it is highly likely to have some bias towards chiropractic.  Also, as a general principle: CAM journals are not to be trusted

The evidence starts with a study by Reed et al (1994).  

“A study of 46 children received chiropractic care for a 10-week period. A quarter of those receiving chiropractic care had 50% or more reduction in the wet night frequency, while none amongst the control group saw a reduction.[…]”

The summary says that, “Forty-six nocturnal enuretic children (31 treatment and 15 control group), from a group of 57 children initially included in the study, participated in the trial.”  This is a 19% attrition rate, not fatal, but not good either.  It’s also a small study

And what was the result?  Although the authors tried to argued that:

“The post-treatment mean wet night frequency [...] significantly less than its baseline mean wet night frequency […]” and, “For the control group, there was practically no change […] The mean pre- to post-treatment change in the wet night frequency for the treatment group compared with the control group did not reach statistical significance (p = 0.067).” 

Everything else is posturing.  The whole point of trial with a control group is the comparison between treatment and control.  This is a negative trial no matter what the authors or chirophiles claim. 

Next, a trial reported by Leboeuf et al (1991): 

“Children with a history of persistent bed-wetting received eight chiropractic adjustments. Number of wet nights fell from seven per week to four.”

 This was a “prospective outcome study”.  As such it had no control group and so cannot be trusted.  The trial looked at, “One hundred and seventy-one enuretic children, aged 4 to 15” who were, “were treated with chiropractic adjustments”.  The outcome measure was the number of “wet nights” which was monitored by their parents. 

With the children acting as their own ‘controls’ the number of “wet nights” had decreased during a two week period with no treatment from a median of seven per week to 5.6 (p = .01).  By the end of the treatment this was 4.0 per week (p less than .0001).**** 

Was this a success? No – the authors noted that, “This result is less favourable than the therapeutic success of other common types of therapy, which have reported “cure” rates well above 50%.”  And, “In the absence of a control group there appears to be no validity in the claim that chiropractic is a treatment of choice for functional nocturnal enuresis.”  How anyone who has read this can offer this trial as evidence in favour of chiropractic escapes me. 

The final article cited is Blomerth (1994)

“The lumbar spine of an eight-year-old male bed wetter was adjusted once and at a one-month follow-up. There was a complete resolution of enuresis.  This happened in a manner that could not be attributed to time or placebo effect.” 

This is just a single case study.  The author notes that, “The patient had several recurrences of bed-wetting” but opines, “all of which were associated with minor injury to the lower back.”  It is a bit much for the author to have us take this on trust.  

The claim that, “This happened in a manner that could not be attributed to time or placebo effect.” Is odd.  Without a time-machine, how could the author be so sure? 

So, all we are left with from the ‘evidence’ provided by Walsall Chiropractic Health Clinic is the case of a single child published in a journal whose express aim is the, “advancement of chiropractic health care.” 

In my view, this amounts to absolutely no credible evidence.  Also, none of these articles talk about a neurologically compromised sub-group of sufferers. 

Just to make sure that I was being fair, I searched PubMed for relevant studies.  

Most significantly, there is a Cochrane review from 2005 that looked at CAM interventions for nocturnal enuresis in children that included chiropractic. (Glazener et al, 2005).  It concluded that: 

 “[…] chiropractic may help, but the evidence was weak.”

 This conclusion was based on two of the articles cited by the Walsall Chiropractic Health Clinic (Leboeuf et al, 1991; Reed et al, 1994).  Given that both of these were negative trials, this conclusion seems excessively generous.   My unease is exacerbated by the summary of the characteristics of the trials provided by the review.  

Evidently Reed et al (1994) did not provide details of the RCT.  So we are not able to know how patients were assigned to either treatment or control, for instance.  Also, urinary tract infections (UTI) were not excluded as a possible cause.  Only eight out of 31 treated children were deemed to be successfully treated (50% improvement) – 26%.  

Leboeuf et al, (1991) was an RCT with patients randomly divided into the two groups – but only for first two weeks.  It did exclude organic causes and daytime wetting.

There were also two adverse reactions: headache and stiff neck and acute pain in lumbar spine.  This should be a worry. 

The trial was further compromised by the groups not being comparable at baseline (significant difference in initial estimate of severity of wetting).  There was no blinding, no follow up and no comparison with a control group after first 2 weeks.  This is just not credible. 

Taking these two studies together the evidence seems less than weak to me. 

My search did turn up some other articles: a comment on Leboeuf et al (1991) which is on the wrong side of a pay-wall; along with several other articles (Côté and Mierau, 1995; Culbert and Banez, 2008; Keating, 1995). 

However a review by Kreitz and Aker (1994) makes some useful observations.  They made a, “comprehensive review of the literature concerning the etiology, diagnosis, and the natural history of primary nocturnal enuresis”.  They conducted, “a computer-aided search of papers indexed in Medline and the Index to Chiropractic Literature from 1989 to 1993” along with searching the, “Chiropractic Research Abstracts Collection and bibliographies from pertinent articles” manually.  They concluded that:

“The success of each therapeutic option must, in part, be attributed to the natural history of enuresis, as well as any educational or placebo aspects of treatment. Conditioning therapy utilizing the urine pad alarm may be the most reasonable initial mode of intervention. Spinal manipulative therapy has been shown to possess an efficacy comparable to the natural history.” 

I take it that this means that chiropractic works as well as leaving the child alone.

What the chiropractor said

Out of fairness I put my main concerns to the Walsall Chiropractic Health Clinic: 

“I’m a bit confused about whether you think that Chiropractic can help with nocturnal bedwetting in children.  Your quotes from The Journal of Manipulative and Physiological Therapeutics would seem to claim that it can.  Yet you go on to say, “Chiropractic isn’t a treatment for bedwetting” and then “Chiropractic has produced tremendous results amongst bedwetters with neurological compromise.” 

Is it that you can help some, but not all, children with this complaint?  How do you tell who is neurologically compromised? 

A 2005 Cochrane review concluded that, for Chiropractic, “the evidence was weak”.  Do you agree or do you have more recent research evidence that you would base your treatment on?”

They replied:

“[…] thank you for enquiry. you appear very well read on matters. I would answer your questions in summary by suggesting that nocturnal eneuresis my be a consequence of a variety of factors. having exhausted all allopathic avenues, and providing that there are no contraindications to chiropractic care, then sometimes the results have been favourable. “

 Which is very nice, and I’m sure sincere, but much weaker than the claims made on their website.  Contrasting these: 

  • “countless children have been helped with safe and natural chiropractic care”
  • “many children see great results with chiropractic care”
  • “tremendous results amongst bedwetters with neurological compromise”

With, “sometimes the results have been favourable”: it doesn’t even seem that this chiropractor has much faith in chiropractic.  

Also, the more I think about this the less impressed I am.  If a child has, “exhausted all allopathic avenues” that means training with alarms (how these can be ‘allopathic’ escapes me) and perhaps even treatment with drugs have not resolved the problem.  It must also mean that infection has been ruled out.  It seems to me that a child in this position has a problem that is difficult to treat.  All the evidence suggests that chiropractic is not effective on children whose care has not exhausted proper medical options.  Given this, how can chiropractic hope to help with the more difficult cases? 

Conclusions

It is clear that chiropractic is a bogus* treatment for bedwetting in children.  There is no good evidence outside of the chiropractic literature and the two trials that made it into the Cochrane review are essentially negative and of poor quality. 

There is a much better evidence base for the use of alarms (Glazener, Evans and Peto, 2005), which apparently help children develop an awareness of the link between having the feeling of a full bladder and the need to wake up: 

[…] The review of trials found 56 studies involving 3257 children. Alarm interventions reduce night-time bed wetting in about two thirds of children during treatment, and about half the children remained dry after stopping using the alarm. […]”

 A success rate of two-thirds with half remaining dry after stopping using the alarm would appear to be vastly superior to the success rate reported by Leboeuf et al (1991): 26% of children improving by 50%. 

Drug treatments are available – to address any hormonal causes – but come with side effects and don’t seem to have the longer term benefit of alarms. (Glazener and Evans, 2002; Glazener et al, 2003). 

Another hint that chiropractic is a bogus* treatment for bedwetting is the explanation of causation given by chiropractors.  The ‘explanation’ offered by the Walsall Chiropractic Health Clinic is typical: 

“Two key muscles control the emptying of the bladder. Their technical names are the detrusor and trigone muscles. Nerves that exit the spinal column in the lower back and sacrum control these muscles. 

During the early years of life, the sacrum has five separate segments. Later, they fuse together to form the triangular-shaped bone that adults have at the base of the spine. If these segments misalign (falling, learning to walk, ride a bike, etc.) they can compromise nerves that are responsible for bladder function.”

 They offer no evidence that the compromise of these nerves is a cause of bedwetting; neither do they offer evidence that misalignment of the sacrum can compromise the nerves, or that chiropractors can detect such compromise.  I could be wrong, but when a reputable health charity like ERIC mentions three likely causes that don’t involve this sort of convenient speculation then I’m on my guard. 

So, why is chiropractic a bogus* treatment for bedwetting, in my opinion? 

  • Not even the (n>1) trials reported in the chiropractic literature I’ve found support it. (Leboeuf et al, 1991; Reed et al, 1994).
  • A Cochrane Review assesses the evidence as “weak”. (Glazener et al, 2005)
  • A review published in the chiropractic literature says it, “[…] possess an efficacy comparable to the natural history.”  (Kreitz and Aker, 1994)
  • The theory of causation looks distinctly convenient and implausible.

Finally, it’s unnecessary: the use of alarm interventions appears to be way more effective. (Glazener, Evans and Peto, 2005).  The evident sincerity of the practitioners and their representative bodies is not a counter-argument: the treatment itself is simply bogus*

So, my advice, for what it’s worth is: consult a real medical doctor and, if you live in the UK, talk to ERIC (or at least watch their video, below).  

Disclaimer

This does not constitute medical advice.  If you need that please consult a medical doctor.

Notes

* Deliberate deception not implied.  I use the word in its contemporary sense of something that is false in itself, but may be taken in good faith as true by the unwary or uninformed. (See “Knowing bogosity” at the Language Log)

**And, of course, can be very stressful and upsetting for parents.

***I am neither stating nor implying that the views discussed here are shared by the British Chiropractic Association.

****After 2 weeks without treatment the median rate of “wet nights” had fallen by 1.4 per week.  It would appear that the treatment phase lasted a further 2 weeks, during which time the median rate of “wet nights” fell by a further 1.6.  The further reduction of 0.2 “wet nights” per week, compared to the initial rate, seems deeply unimpressive for a condition that generally tends to improve with time.

References

Blomerth PR. Functional nocturnal enuresis. Journal Of Manipulative And Physiological Therapeutics. 1994 June;17(5):335–338. Available from: http://view.ncbi.nlm.nih.gov/pubmed/7930968.

Chiropractic care of children with nocturnal enuresis: a prospective outcome study. Journal Of Manipulative And Physiological Therapeutics. 1991 October; 14(8):485–487. Available from: http://view.ncbi.nlm.nih.gov/pubmed/1796964.

Côté P, Mierau D. Chiropractic management of primary nocturnal enuresis. Journal Of Manipulative And Physiological Therapeutics. 1995;18(3):184–185. Available from: http://view.ncbi.nlm.nih.gov/pubmed/7790801.

Culbert TP, Banez GA. Wetting the bed: integrative approaches to nocturnal enuresis. Explore (New York, NY). 2008;4(3):215–220. Available from: http://dx.doi.org/10.1016/j.explore.2008.02.014.

Glazener CM, Evans JH. Desmopressin for nocturnal enuresis in children. Cochrane Database Of Systematic Reviews (Online). 2002;(3). Available from: http://dx.doi.org/10.1002/14651858.CD002112.

Glazener CM, Evans JH, Peto RE. Tricyclic and related drugs for nocturnal enuresis in children. Cochrane Database Of Systematic Reviews (Online). 2003;(3). Available from: http://dx.doi.org/10.1002/14651858.CD002117.

Glazener CM, Evans JH, Cheuk DK. Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane Database Of Systematic Reviews (Online). 2005;(2). Available from: http://dx.doi.org/10.1002/14651858.CD005230.

Glazener CM, Evans JH, Peto RE. Alarm interventions for nocturnal enuresis in children. Cochrane Database Of Systematic Reviews (Online). 2005;(2). Available from: http://dx.doi.org/10.1002/14651858.CD002911.pub2.

Keating JC. Chiropractic management of primary nocturnal enuresis. Journal Of Manipulative And Physiological Therapeutics. 1995;18(9):638–641. Available from: http://view.ncbi.nlm.nih.gov/pubmed/8775030.

Kreitz BG, Aker PD. Nocturnal enuresis: treatment implications for the chiropractor. Journal Of Manipulative And Physiological Therapeutics. 1994 September;17(7):465–473. Available from: http://view.ncbi.nlm.nih.gov/pubmed/7989880.

Leboeuf C, Brown P, Herman A, Leembruggen K, Walton D, Crisp TC. Chiropractic care of children with nocturnal enuresis: a prospective outcome study. Journal Of Manipulative And Physiological Therapeutics. 1991 February;14(2):110–115. Available from: http://view.ncbi.nlm.nih.gov/pubmed/2019820.

Reed WR, Beavers S, Reddy SK, Kern G. Chiropractic management of primary nocturnal enuresis. Journal Of Manipulative And Physiological Therapeutics. 1994;17(9):596–600. Available from: http://view.ncbi.nlm.nih.gov/pubmed/7884329.

Edits

5th June 2009. Reference to the article “Nocturnal Enuresis in Children” on the Patient UK website added.

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19 Responses to “Chiropractic: a bogus* treatment for bedwetting?”

  1. jdc325 said

    Excellent work.

    The response of the Walsall Chiropractic Health Clinic to your question (“Do you agree [with the Cochrane review's conclusions] or do you have more recent research evidence that you would base your treatment on?”) was extremely disappointing. It just reads like waffle to me.
    How does this: “[H]aving exhausted all allopathic avenues, and providing that there are no contraindications to chiropractic care, then sometimes the results have been favourable” support the claims on their website?

    • apgaylard said

      Thanks. I’ll be getting in touch with them to give them some help, jdc325 style, with the studies they are citing and point out those they have missed.

      As for your second point, I’m as mystified as you are.

  2. dvnutrix said

    As ever – excellent work, well-expressed in an admirably clear manner.

    I sometimes have profound misgivings about my understanding of the English language: I join you and jdc in mystification about the clarification of the stance and how it can support the website.

    • apgaylard said

      dvnutrix: I appreciate the kind comment. I always try to write clearly, though I am aware that I don’t manage to achieve that goal as often as I may think I do.

      On the chiropractor’s reply – I think I’ll do a follow-up. I’ll probably look at other outfits that make similar claims.

  3. drbinder said

    You have a great talent for research and articulation…why waste it with trivial arguments and over exhausted explanations that denounce something you have no concept, experience or knowledge about. Use your education for something positive, try and see what other perspectives from the non-medical paradigm are saying, instead of using fear mongering and hate tactics like pharma and big corp like to do. Or is that to challenging for a narrow mind to accomplish? Everything works, in it’s own way or it’s own time, and though I am not particularly found of expensive side effect causing medications, I don’t waste the breath to smear biased propaganda over the internet about their efficacy. Hey, its your blog, and you can choose to post my response if you want, but at least you have read it, and the words will hopefully effect some part of your awareness to stop being so pessimistic about things you don’t understand.

    • apgaylard said

      Drbinder Thank you for your evidence and argument free diatribe. I am not going to descend to your level, but I’d like to take the opportunity to make some observations.

      It is demonstrably untrue that, “Everything works, in its own way or it’s own time”; unless “its own way” includes not actually helping with an ailment and “it’s own time” is the time taken for something to get better on its own. I’m afraid that this anything-goes relativism has no place in the real world. It’s a disreputable argument that serves the needs of charlatans and quacks selling ‘snake oil’ remedies. A real doctor who offers treatments that actually work has no need of it.

      I do think that it’s extremely positive for people to look at the evidence for themselves and make informed choices. Only people with vested interests get upset when the evidence goes the ‘wrong’ way. Now, I am a private individual who has no vested interests in any medical intervention (save that it works!). Can you say the same? It would appear that you are a chiropractor and therefore have a financial interest in promoting chiropractic. Are you sure that this is not clouding your judgement in this matter? Do you really believe that chiropractic is effective for treating nocturnal enuresis in children? If so, what evidence would you cite?

      I am at a loss as to where I have indulged in, “fear mongering and hate tactics” or “smear[ed] biased propaganda over the internet”; though I fear you are referring to my citation of research published in the chiropractic literature and the Cochrane review?

      If you have some credible evidence that would show me the error of my ways, I’d be happy to see it and correct what I have written.

      As for whether I have an open mind or not, I would say that I try to follow the advice, “Keep an open mind, but not so open that your brains fall out.”

    • dvnutrix said

      AP Gaylard has a superb understanding of the matters that he writes about with great clarity and enviable analysis of sources and meticulous citations.

      Dr Binder, your criticism is inappropriate and does not reflect well on your standard of argument. As Gaylard points out, it would be an unusual interpretation of “fear mongering and hate tactics” that frames a discussion of evidence in a dispassionate manner, using the best available resources, in such a way.

      • apgaylard said

        dvnutrix. Thanks for the support. I don’t think that ‘Dr’ Binder is listening though. It just seems he wanted to have a bit of a rant. I’d hope that he’d be too embarassed to reappear. If he is the owner of the askdrb.wordpress.com blog, this gent has a typical chiropractic approach to evidence.

  4. [...] the evidence for chiropractic treatment of nocturnal enuresis and concluded that this was a case of bedwetting bogosity (”There is no good evidence outside of the chiropractic literature and the two [...]

  5. irenewhite said

    Chiropractic treatment has been proven safe and effective by numerous scientific and medical studies including the RAND group in the US. I suggest you should try or visit this site arizona chiropractors.
    It has many health benefits beyond relieving back and neck pain – chronic migraines, digestive problems, skin problems, concentration/ADHD, and many other conditions regularly improve with patients that I treat.

    • apgaylard said

      Irene,

      Thanks for your comment. I’d appreciate it if you could provide citations for the “numerous scientific and medical studies” you mention. Otherwise all I have is the opinion of a chiropractor who may have an obvious conflict of interest.

      This piece looks specifically at the evidence for bedwetting and finds it wanting. If you have any other evidence I’ll gladly look at it.

  6. wilsonann said

    Chiropractic care is a profession that treats musculoskeletal problems trough manual therapy and spine manipulation. I like Chiropractic Care!!! =)
    Looking for Chiropractors in Adelaide? Visit us at Chiropractor Adelaide and know about what you have to know about Chiropractic Care.

    • apgaylard said

      @Wilsonann
      Since when are asthma, indigestion and dysmenorrhea (listed on your website), “musculoskeletal problems”? These sorts of claims are the kind that have got chiropractic into a real mess in the UK. (see the links for critiques of the evidence, or lack there of).

      To be honest, if chiropractors actually limited their claims to musculoskeletal problems, I don’t think that they would have caught my eye. Given the wild claims made on sites like yours, it has piqued my interest. Now I find that the evidence for musculoskeletal problems is pretty thin as well, except, perhaps for uncomplicated lower-back strain (a good review here). If people like chiropractic and want to spend their money on it, then fair enough, but don’t you think that they should have the best evidence available to them to make their choice truly an informed one? Perhaps you should consider making your website a more honest reflection of what there is decent evidence for where chiropractic can actually help?

  7. drbinder said

    One year later…

    Ahh, what passion will do to a young mind full of education and no experience… Looking back at previous comments, this and others, I can still feel the emotion present when i wrote it (very powerful). I stand by these words firmly, however I denounce the format which I choose to present said words. Internet Life is a beautiful thing and can be used for both the ultimate good, or ultimate evil with infinite shades of grey in between.

    And as I read through your blog I can still find our unique difference of opinions. But i have come to realize that neither is better or worse. Interestingly, I am strongly attracted to the blogs you frequent, which are precisely aligned with what I read…

    Because within the “real world” that I live in, I have found insurmountable anecdotal evidence of chiropractic efficacy in both clinical and personal data…

    Sure… Ill use your language here… my evidence, that i have personally experienced (because i have not published any scientific papers… Have you?) with a highly educated perspective (2 graduate degrees) is not only statistically significant (very love P value), but emotionally significant in that people have literally thanked me, in tears, for giving them back the health they had lost.

    In only 2 years of practice, I have facilitated hundreds of critical health transitions for people just like you, your parents, your friends, your children….

    I co-manage patients with MD’s, we monitor medication levels, and we find safe alternatives… but only when the patients goals include “getting off their meds”

    I am completely integrated with my patients MD’s, DO’s, PT’s, Surgeons….

    If they dont want to take blood pressure meds, I monitor their BP, adjust the cervical spine, and make recommendations from dietary, fitness and herbal perspectives… If their BP goes down, the MD takes away the meds…

    http://www.google.com/search?client=safari&rls=en&q=chiropractic%20blood%20pressure&oe=UTF-8&um=1&ie=UTF-8&tbo=u&tbs=vid:1&source=og&sa=N&hl=en&tab=wv

    Maybe thats not a double blind randomized clinical trial with ten thousand people over the last 10 years… but don’t tell that to my patient who was getting skin rashes and ED side effects from his meds!

    If people want to take meds, get adjusted, use homeopathy, do research, blog about research, etc, etc etc… that is their choice…

    I choose to practice medicine… alternative, safe, effective, judgment free medicine…

    Post Script- I also treated a case of nocturnal enuresis in the last 2 years, unfortunately the chiropractic care was unsuccessful in amelioration of symptoms after 6 visits. I have also recently recommended herbal treatments that are currently in progress.

    I’ll let you know how it turns out… although, i don’t blog very often due to the high demand of my 100% word of mouth practice, filled with people who have incredible stories to tell and knowledge to share.

    I wake up happy to be alive every single day! I have hope for humanity! I strive for both personal and global peace consciousness!

    What do you think?

    I continue…

  8. bedwetting solving…

    [...]Chiropractic: a bogus* treatment for bedwetting? « A canna’ change the laws of physics[...]…

  9. I’m from Australia and was healthy 19 year old girl I started taking Yasmin about a year ago, a skin specialist put me on it to help my blemishes clear up.. About 3 weeks ago I was driving home from work when I experienced numbness of my left face and loss of vision and counciousness. I got home and called the after hour doctor by then my left eyebrow had dropped and I was very confused and weak I went to the ER and stayed in hospital for three days had multiple tests and cat scans and MRIs nothing was found but it was put down to a possible TIA also known as a mini stroke. I am now experiencing lots of coughing up fluid which the doctor has put me on antibiotics for.. I am also getting lots of rib pain and more frequent urination with my periods all over the place. I use ADULT DIAPERS to be safer.

  10. People are so skeptical of chiropractic… heck I was until I started going. It has helped my migraines a lot. My son has wet the bed all his life – he’s now 7. I mean A LOT of wetting – we stopped wasting money on pull ups because he was leaking through them. He was wetting every night – it’d be a miracle if he went one night without wetting. We stopped drinks an hour before bed, he’d goto potty right at bed time… I even tried waking him up twice a night!!! He still wet. Finally my husband brought home a pamplet from our chiro about bed wetting, and I figured what the heck… it was worth a shot. After his first adjustment he went THREE NIGHTS no wetting. It takes more than one visit to get the sacrum back into place on a more permanent basis, but it is not abnormal for it to be out of place in children because it is not fused into place yet. I took him back the next visit, and same thing, no wetting after his adjustment.

  11. aremster said

    I am only posting from personal experience on this topic, not scientific studies, journals or “everything must fit neatly into one type of box” reasoning. My 10 year-old has suffered with enuresis her entire life. She is also diagnosed adhd. The two diagnoses sometimes go hand-in-hand, as other studies have shown. We tried bed alarms when she was 6-7, with minimal effectiveness that “wore off” after stopping use. So, we waited for the 10-year age, when traditional medicine will usually begin with various medications. The ADHD medication did not affect the enuresis, although it was only supposed to target focus ability during school. So, short of putting her on hormonal medications, we decided to try chiropractic. I had heard claims that it could treat enuresis, as sometimes children have not had complete nerve function (underdeveloped), which I thought may be one of the symptoms of the ADHD. Her typical enuresis episodes were 3-4 times per week. So far, she has been adjusted/treated 4 times over 2 weeks and has not had a bedwetting in this time period. She isn’t being “woken up” by the urge still, but her bladder is able to hold it until morning. On her x-ray, the lowest vertebrae still has a gap. Whether that affects this or not, not sure, but chiropractic seems to have worked for us. Chiropractic is about restoring the body to full functioning so it can heal itself… Not a miracle pill to treat symptoms. If you go into it with that understanding, somehow all the journal research and studies seem arbitrary. ;)

  12. I am a chiropractor in the US who adheres to the original 33 principles of chiropractic (http://www.therscproject.com/33-principles-of-chiropractic).
    I don’t claim to treat anything. We have been lead to believe that doctors cure things. We don’t. Only you can cure you. We are one of nature’s greatest accomplishments, and nature doesn’t need help – just no interference. That is what I do as a chiropractor – I remove the interference in the nervous system by using my hands to align the spine and remove pressure on your spinal cord.
    That’s it!
    You are not having health issues because you lack a medication in your body, or because you have to many organs.
    Here’s a great from our profession. Dr. Gold, like myself, became a chiropractor later in life after his health was changed by chiropractic. He was British soldier in WWII and had a successful business before giving it up and changing his life. http://nardichiropractic.com/?p=394
    Listen to his patient lecture, and laugh at the 1970′s sideburns too! I hope you enjoy it.

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