Articles July 31, 2014

Chiropractic’s Excellent Safety Record

Why We Need to Make Chiropractic’s Excellent Safety Record the Centerpiece of Communications to Consumers.

By Stuart E. Hoffman, DC, FICA

In recent weeks, major media organizations including TIME Magazine (June 7, 2005) and Consumer Reports (August, 2005) have included references to the “risk” of stroke from chiropractic cervical adjustments. The recent appearances of these safety assertions are part of a long litany of claims of risk in the popular media, but the glaring fact of the matter is that there is never any meaningful substantiation provided. These references are clearly designed to impact consumer behavior through fear. What a disservice to the public, and an insult to objective journalism. The overwhelming majority of chiropractic patients ignore such scare tactics, as they should, but who really knows how many others, who have no experience with chiropractic, decide not to seek chiropractic care because of the publicity given to such risk claims?

Any claim to quality and objective journalism by such media organizations becomes suspect when fear factors are employed, but not substantiated. Why do they not offer the evidence to back up their claims? The answer is simple and alarming: It doesn’t exist. Who are the experts on chiropractic risk and injury? The malpractice companies that cover chiropractors, of course. That includes ChiroSecure and myself, and our familiarity with the actuarial record ought to be the first source sought out by any journalist or investigative reporter. My phone has yet to ring, and I have little doubt that the administrators of all of the other chiropractic malpractice insurance carriers would have a similar story to tell.

The matter of consumer safety is just not a legitimate point on which chiropractic’s critics and competitors should be spending their communications efforts, especially in light of the stark, frightening and scandalous scale of the risks associated with allopathic medicine and drugs. Still, with more than a trillion dollars changing hands in the health care marketplace in the US alone each year , we can expect competition to become more and more savage, fear-based and less and less anchored in responsible dialogue and credible information.

The absurd depths to which this anti-chiropractic effort can sink were vividly illustrated by the recent incident of the billboard in Connecticut , that read, “WARNING: Chiropractic Adjustments Can Kill or Permanently Disable You”. Thanks to the swift and effective intervention of the Connecticut Chiropractic Council, ICA ‘s affiliate organization in that state, ICA ‘s national leaders, and others, this offensive sign was covered up. But the fact that it appeared at all is a sign of things to come.

“These scare tactics, based on a grotesquely deceitful and intentionally harmful message, are about as low as chiropractic critics and competitors can go” said ICA Board Member Dr. George Curry from Windsor , Connecticut . “ ICA will respond immediately with whatever means it requires to prevent this jind of lie-based campaign from hurting chiropractors or patients,” he said.

If the perpetuation of groundless fear-based concerns in the media and at the hands of paid public relations operations is likely to be the ongoing reality, how should chiropractic respond? First and foremost, no appearance of any claim about chiropractic risk in the media should go without a strong and authoritative response from the chiropractic profession. ICA ‘s Media Ready Response Team has done an extraordinary job of responding to such misleading copy, and as an example of their effectiveness, I would urge all readers to see ICA ‘s response to the recent TIME story which can be viewed on the ICA website at

But we also need to be positive and proactive. My strong belief is that the chiropractic profession should make its safety record a centerpiece of all consumer communications. Fighting fire with fire is, in this case is both the right and responsible thing to do, and I am pleased to report that the International Chiropractor Association has adopted this approach as a major element in its efforts to educate the consumer.

It is an exciting prospect to contemplate, using the vast and immediate resources of the Internet in particular, to showcase the remarkable safety and clinical effectiveness record of chiropractic. Starting with consumer satisfaction data, and ending perhaps with relating medical risks with the unprecedented safety record of chiropractic, we have the opportunity to speak up and correct the negative effect on consumer choice the recent media safety barrage is clearly intended to have on choosing chiropractic.

ICA is a unique and highly credible agency in this endeavor, with pride and confidence in the founding principles of our profession it has defended in an articulate and compelling manner for nearly 80 years. These efforts deserve the support and participation of every doctor of chiropractic in the world. Tell the truth about chiropractic! That is all we need to do. Leave the lies to our competitors. I have every confidence that in the final analysis, consumers will know where to go for safe, effective and high quality health care.

STUART HOFFMAN, DC, FICA , is the president of ChiroSecure, the only malpractice insurance program endorsed and approved by the International Chiropractors Association. To find out how you can get liability protection at the best rates call Dr. Hoffman at 1-866-802-4476 or visit