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EDITOR--Ernst and Assendelft's editorial on chiropractic for low back pain seems to have been written more in a spirit of professional aversion than in one of critical doubt.[1] This impression is conditioned by previous commentaries by these authors in the popular press and the biomedical literature.
The question is, why? There is substantial scientific evidence that the manipulation that chiropractors (and indeed osteopaths and some physiotherapists) do for back pain is both effective and safe. This evidence has been reviewed by multidisciplinary panels of experts in both the United Kingdom and the United States, which has resulted in the production of two national …