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Let's face it, chiropractors most often get their way because of their lobbying power. If legislators bothered to take the time to examine what the science says, or even cared actually, than chiropractors wouldn't be able to do a lot of what they do today. There are certainly some reasonable chiropractors, but to this day the profession is loaded with religious followers who believe based upon anecdote and have little interest in 'real' physiology or science. Manipulations are often used as a 1st approach, most of the time they are not needed for even spinal pain. Too much to write here about it. You can't adjust a spine that is made to be naturally asymmetrical. What is palpated as a rotation could simply be the shape of the vertebra itself; intertester reliability (findings from one examiner to the next) are always poor in the study's. You can't treat disease processes with spinal manips or adjustments. It's not part of real anatomy and physiology, but the religion of chiropractic will insist is does. Chiropractors are not extremity experts. There are a host of problems that accrue in extremities which take a long time to learn how to treat, yet with the strike of a pen, they are automatically granted rights to treat areas beyond their scope of practice. Unfortunately, our society makes decisions based upon the number of votes an elected official can acquire; hence, science has little to do with anything. I would suggest the reader 'google' chirotalk. it's a discussion site for chiropractors who have come to learn that their profession is sadly lacking in the world of science and is functioning mostly off of religious belief. Also see Quackwatch.com. When a web site becomes notorious for exposing health fraud, it is automatically condemned by those who consider it one-sided or the authors become 'known' as antagonists.' Little weight is even by detractors to the actual information, so when you tell others you are reviewing quackwatch.com, you are surely going to be told what a whacko Dr. Barrett is when the opposite is actually true.