It should be noted that chiropractors can be very different as well depending on where they are educated. In Denmark, for example, chiropractic students study together with medical students and generally distance themselves from "traditional" chiropractic beliefs/philosophy i.e. "subluxation" and "putting bones back into place" which isn't supported by scientific research. While knee pain can be an issue coming from the lower back, it would be very weird for many chiropractors not to do an examination of the hip, knee and ankle as well. Calling a manipulation/adjustment of a joint a "chiropractic adjustment" or an "osteopathic adjustment" is more or less an ego-thing. The techniques can be identical - but the narrative is sometimes different.
Let me conservatively say from my experience that "subluxation" can be misleading to a patient. It depends a lot on where the traing was done and it comes down to an individual practitioner as practitioner him/herself,as in any profession I believe
That is why , we the massage guys love JOHN GIBSON MASTER THERAPUST... .he used what ever techniques to alleviate pain from Muscular Skeletal patients Dysfunction..John is Osteopath ..chiro..PT.. same here...my massage license doesn't allow me to do advances medicals techniques but I do anyway...i love to see the smiles patients at the end sessions...❤
Johnny boy! One of your RockTape buddies here - Chiros in the US often use the term SUB-luxation, not Luxation. Still an awkward word because it indicates medically that something is out of place, rather than just a fixated joint. Schools in US nowadays often will not use either term, and lean towards the diagnosis "segmental and somatic dysfunction." Often our sports chiros look a lot like how you practice, looking past the spine and actually doing orthos and myofascial assessments of extremeties, etc.
Morning - thanks for the comments - yes I realised I said luxation by mistake in the podcast rather than sub-luxation....osteopaths in UK tend to use the term somatic dysfunction as well, regards JG
Chinese and Thai massage always does extensive soft tissue work first before joint manipulation, especially spinal adjustments. The belief is that doing so warms up and relaxed muscles so they are not stiff and resistant during manipulation. The masseur masseuse also uses less force as a result, increasing maniulation safety.
@@Mingmassage They belong to each other, they never should be separated like in the West. In Shiatsu HVLA movements are employed on acupoints as well, I mean, slowly compress in right direction and than HVLA thrust. HVLA is kinda like singular local vibration technique... Joint manipulations really work on soft tissues, not on bones. So, another reason that those techniques should belong to massage.
What about feeling like something is stuck in the upper back region ? Like feeling so uncomfortable there and the constant need to crack my back , this happened to me after a injury in grappling im suffering for 5 years the x ray didnt show nothing
@@JohnGibbons unfortunatly where I live in Tunisia we dont have enough qualified osteopaths. So I have to live with this until I leave the country and by the way I have chronic tendonitis in both my shoulders and Achilles tendons that I think it's related to my back injury. My only wish is to get my back fixed so I can go back to normal life and go back to training . Anyway thanks for the feedback
Great comparison John. My question is would you 1st do soft tissue work to release muscle guarding before doing a mobe or manipulation? I find that some chiropractors go straight to the manipulation b/c that will in turn decrease the muscle guarding.
@@JohnGibbons It was very interesting to hear your explanation of the difference between those two modalities. I was wondering on your thoughts possibly not in public discussion on NHS physios. I have so many clients who are dissatisfied with the hands off and standardised, simplistic exercise sheets which appears to be the defined approach.
I have recently gone to my GP, they gave in an appointment with a in-practice Physio who simply checks there is nothing serious wrong and then sends you a generic PDF over email of 15 exercises to do. I assume they do this in the hope this resolves most people's back issues. For me I needed something more specific, an actual diagnosis, an exercise programme that was specific to my injury. If you go back to these physios they then send you to a local hospital for an actual diagnosis. I do not know why they do not give you a specific diagnosis when seeing the in-practice physio, it seems like an unnecessary step and waste of time to me. As for hands-off - I'd prefer it if physios and chiropractors did massage, especially chiropractors - you pay £45 for 15minutes and all they do is adjust you, I honestly think spending £45 on a massage - which will probably get you a 45 minute massage, would be much more beneficial for a lot of people. Chiropractic adjustments did nothing for me other than cause crepitus in my neck and shoulders as well as cause a whiplash injury to my neck.@@neilmarshall2315
@@NUBSAUCETV when I do a wide leg forward bend my left leg comes off the hip at a slight angle, the right does not. This pushes my torso to the left and from behind my right hip is noticeably higher. I have found a diagram that is similar but the cause is an acute scoliosis. I don't believe I have that? I have a leg length discrepancy that seems to be corrected with Chiro SI adjustment. I am not in any pain but I just turned 60 and being a life long runner/triathlete I want to ensure I can remain active and not become injured. Also, the asymmetry drives me crazy. Thanks for listening
@@APBCTechnique when I do a wide leg forward bend my left leg comes off the hip at a slight angle, the right does not. This pushes my torso to the left and from behind my right hip is noticeably higher. I have found a diagram that is similar but the cause is an acute scoliosis. I don't believe I have that? I have a leg length discrepancy that seems to be corrected with Chiro SI adjustment. I am not in any pain but I just turned 60 and being a life long runner/triathlete I want to ensure I can remain active and not become injured. Also, the asymmetry drives me crazy. Thanks for listening
Hi John, thanks for giving your perspective on the two. How do you see the Osteopathy that you practice differ from the Osteopathy practiced in other areas of Europe (France, Belgium, Germany) where the philosophy includes structural techniques, cranio-sacral (e.g. Upledger) and visceral techniques (e.g. Barral)? Kind regards, Ron
Exactly what came into my mind, most osteopaths in Europe use visceral and cranio-sacral techniques, which is a lot different from the classical Chiropractic practice. Surprised he didn't mention it.
Typical attack on chiropractors in the comments section, purely by absolute ignorance and usually by those with zero education or qualifications. They didn’t ask for the Dr title, it’s given to them as they’ve earned it through studying. There are bad practitioners in every profession. It’s laughable about how nasty and disrespectful the comments can get every time a chiropractor is mentioned.
I know what you mean as I wasn't sure if i was going to upload this podcast on the talk as I knew it would generate a lot of negativity towards the Chiropractic profession.....such a shame as I know lots of them and taught many off them around the world and I only have good things to say! Regards JG
Chiropraxy is total pseudoscience, and was invented by a total nutjob. Sorry you spend so much on a scam... Don't be offended though, we are not attacking you, and chiropractors are very talented in convincing us.
Why wouldn’t you if there is potential causation it’s worth investigating. What needs to be addressed is evidence of which there are major concerns in Chiropractic and some concerns in Osteopathy at least as far as the United States goes
in my experience, chiropractor's are awful. I have a lower back issue and they told me 'in 12 weeks we can fix this', they adjusted me at multiple appointments with no improvement, then later on they told me to do 3 stretch/strengthen exercises for just 1 week and I'd be fixed. I did them for 3 weeks - no improvement at all. Why tell me you can fix me within 12 weeks and then claim 3 exercises will fix me within 1 week.... if that isn't true. How can you be so sure and get it wrong. This actually gets worse, for some reason in one session they adjusted my neck, no idea why, as it's my lower back that's injured....they asked me to relax, I could not relax....within seconds of asking me to relax they adjusted my neck without checking I had relaxed...they injured me causing a whiplash injury. On top of this, physios have told me I simply need to fix my sitting and standing posture....time will tell if that's correct, if it is correct, then I have clearly been robbed of £400 by my chiropractor who said nothing about my posture.
Arrive late to Chiropractor appointment. *Ponders over X-ray of lower left leg* - Talus avulsion fracture. Chiro cracks their knuckles, slathers my shoulders and neck in oil. Says "Late arrival? You are-tardy!" Realise he's not talking to me but to a camera held by a cameraman?!? *Winks at me.* Suddenly back to addressing the camera..."KRIK-KRAK-Mutha-Effers!" C5-C6 spinal manipulation... "Demuns-Awut" *Hi-fives cameraman* Explains that he's cured my autism but that as a side effect, I'm gay now and he'll be taking my wife. Gives me a free KRIK-KRAK-KROP-TOP™ Ankle pain is gone aswell as all feeling of sensation and movement below C5/C6. 10/10 definitely recommend over evidence based medicinal practice. Suck it osteopathy...no x-ray having quack practitioners.
Chiropractors aren't anything like a doctor of osteopathy in the US. There are good chiros, but many are more businessmen than medical professionals. They are good at marketing and promoting gimmicks that make people go "oooo, ahhh" but don't really do anything.
@@jasontyger1730 lol they call themselves Dr. because they have to earn a doctorate to practice, same as PT's. The problem is chiros seem to treat the symptoms and not the underlying problem which is bound to reoccur. People these days want instant gratification so they are drawn to the idea of getting "snapped" back into place and think they're good as new, so their own ignorance is to blame for this boom in chiro popularity.
The training has changed for chiro, my chiro based in Australia did his training in America in the 70's as there were no chiro courses here. But like all industries, there are good and bad.
Can't say I disagree, lots are stuck in a chiro business model rather than a treatment model. Insurance also promotes that kind of business model for chiros, which doesn't really benefit the patient as much.
They need to know about marketing and sales, most chiros aren't employed and they run their own business. They somehow need to tell the people that they exist and that they can help them....
It should be noted that chiropractors can be very different as well depending on where they are educated.
In Denmark, for example, chiropractic students study together with medical students and generally distance themselves from "traditional" chiropractic beliefs/philosophy i.e. "subluxation" and "putting bones back into place" which isn't supported by scientific research. While knee pain can be an issue coming from the lower back, it would be very weird for many chiropractors not to do an examination of the hip, knee and ankle as well. Calling a manipulation/adjustment of a joint a "chiropractic adjustment" or an "osteopathic adjustment" is more or less an ego-thing. The techniques can be identical - but the narrative is sometimes different.
Thanks for the comments and it does depend on where you do your training - regards JG
Let me conservatively say from my experience that "subluxation" can be misleading to a patient. It depends a lot on where the traing was done and it comes down to an individual practitioner as practitioner him/herself,as in any profession I believe
Excellent response
That is why , we the massage guys love JOHN GIBSON MASTER THERAPUST... .he used what ever techniques to alleviate pain from Muscular Skeletal patients Dysfunction..John is Osteopath ..chiro..PT.. same here...my massage license doesn't allow me to do advances medicals techniques but I do anyway...i love to see the smiles patients at the end sessions...❤
What a lovely message - thanks a million - regards JG
Johnny boy! One of your RockTape buddies here - Chiros in the US often use the term SUB-luxation, not Luxation. Still an awkward word because it indicates medically that something is out of place, rather than just a fixated joint. Schools in US nowadays often will not use either term, and lean towards the diagnosis "segmental and somatic dysfunction." Often our sports chiros look a lot like how you practice, looking past the spine and actually doing orthos and myofascial assessments of extremeties, etc.
Morning - thanks for the comments - yes I realised I said luxation by mistake in the podcast rather than sub-luxation....osteopaths in UK tend to use the term somatic dysfunction as well, regards JG
Chinese and Thai massage always does extensive soft tissue work first before joint manipulation, especially spinal adjustments. The belief is that doing so warms up and relaxed muscles so they are not stiff and resistant during manipulation. The masseur masseuse also uses less force as a result, increasing maniulation
safety.
Thanks for the comments, regard's JG
So true. We do cracking techniques like part of a massage.
We work the soft tissues first.
@@Mingmassage They belong to each other, they never should be separated like in the West. In Shiatsu HVLA movements are employed on acupoints as well, I mean, slowly compress in right direction and than HVLA thrust. HVLA is kinda like singular local vibration technique... Joint manipulations really work on soft tissues, not on bones. So, another reason that those techniques should belong to massage.
What about feeling like something is stuck in the upper back region ? Like feeling so uncomfortable there and the constant need to crack my back , this happened to me after a injury in grappling im suffering for 5 years the x ray didnt show nothing
X-ray typically wont show anything in the upper back - see someone like me where you live as sure they can help, regards JG
@@JohnGibbons unfortunatly where I live in Tunisia we dont have enough qualified osteopaths. So I have to live with this until I leave the country and by the way I have chronic tendonitis in both my shoulders and Achilles tendons that I think it's related to my back injury. My only wish is to get my back fixed so I can go back to normal life and go back to training . Anyway thanks for the feedback
Come on John, I remember at one of your workshops you distinctly saying the main difference was that the Chiropractor would drive a Porsche 😉
Yes I have said that in the past.....regards JG
Great comparison John. My question is would you 1st do soft tissue work to release muscle guarding before doing a mobe or manipulation? I find that some chiropractors go straight to the manipulation b/c that will in turn decrease the muscle guarding.
In the US, unless you went to a sports-forward school, most chiros will not be fluent in soft tissue work. It's all adjusting and philosophy.
Personally I like to do a lot of soft tissue work prior to any spinal adjustments as I find the joints cavitate easier - regards JG
Thank you for your clear description.
You're welcome 😊 Regards JG
Hi John where can I find your manipulation course for uk?
Look on my website www.johngibbonsbodymaster.co.uk
How about a discussion about NHS physios?
The talk was in Thailand so he had no idea about Physios working in the NHS - regards JG
@@JohnGibbons It was very interesting to hear your explanation of the difference between those two modalities. I was wondering on your thoughts possibly not in public discussion on NHS physios. I have so many clients who are dissatisfied with the hands off and standardised, simplistic exercise sheets which appears to be the defined approach.
I have recently gone to my GP, they gave in an appointment with a in-practice Physio who simply checks there is nothing serious wrong and then sends you a generic PDF over email of 15 exercises to do. I assume they do this in the hope this resolves most people's back issues. For me I needed something more specific, an actual diagnosis, an exercise programme that was specific to my injury. If you go back to these physios they then send you to a local hospital for an actual diagnosis. I do not know why they do not give you a specific diagnosis when seeing the in-practice physio, it seems like an unnecessary step and waste of time to me. As for hands-off - I'd prefer it if physios and chiropractors did massage, especially chiropractors - you pay £45 for 15minutes and all they do is adjust you, I honestly think spending £45 on a massage - which will probably get you a 45 minute massage, would be much more beneficial for a lot of people. Chiropractic adjustments did nothing for me other than cause crepitus in my neck and shoulders as well as cause a whiplash injury to my neck.@@neilmarshall2315
jhon Gibbeson j adore votre approche je vous suis..continuez vos videos vous etes le meilleur et un prof. magistral merci you are the best
Thanks Linda - regards JG
I am still yet to find either that will actually answer my questions and diagnose what is going on with my body. They just want to treat you.
Diagnosis should be key to formulate a treatment plan & prognosis
I'm right here, bud. Talk to me.
@@NUBSAUCETV when I do a wide leg forward bend my left leg comes off the hip at a slight angle, the right does not. This pushes my torso to the left and from behind my right hip is noticeably higher. I have found a diagram that is similar but the cause is an acute scoliosis. I don't believe I have that? I have a leg length discrepancy that seems to be corrected with Chiro SI adjustment. I am not in any pain but I just turned 60 and being a life long runner/triathlete I want to ensure I can remain active and not become injured. Also, the asymmetry drives me crazy. Thanks for listening
@@APBCTechnique when I do a wide leg forward bend my left leg comes off the hip at a slight angle, the right does not. This pushes my torso to the left and from behind my right hip is noticeably higher. I have found a diagram that is similar but the cause is an acute scoliosis. I don't believe I have that? I have a leg length discrepancy that seems to be corrected with Chiro SI adjustment. I am not in any pain but I just turned 60 and being a life long runner/triathlete I want to ensure I can remain active and not become injured. Also, the asymmetry drives me crazy. Thanks for listening
I am sure there is someone out there that can help - regards JG
Great interview
It's a debatable subject and tends to draw in a few negative comments though....regards JG
How can I learn something as close to OMM without having a medical degree in the US? Is is myofacial and lymph drainage massage?
I recommend you youtube channel: Osteopathic Clinical Skills.
Hi John,
thanks for giving your perspective on the two. How do you see the Osteopathy that you practice differ from the Osteopathy practiced in other areas of Europe (France, Belgium, Germany) where the philosophy includes structural techniques, cranio-sacral (e.g. Upledger) and visceral techniques (e.g. Barral)? Kind regards, Ron
Exactly what came into my mind, most osteopaths in Europe use visceral and cranio-sacral techniques, which is a lot different from the classical Chiropractic practice. Surprised he didn't mention it.
I am not trained in those techniques - hence why I didnt mention them as I am a structural osteopath - regards jG
I know a lot of European osteopaths use those techniques - I am not trained in them - hence why i didnt comment on it, regards JG
Typical attack on chiropractors in the comments section, purely by absolute ignorance and usually by those with zero education or qualifications. They didn’t ask for the Dr title, it’s given to them as they’ve earned it through studying. There are bad practitioners in every profession. It’s laughable about how nasty and disrespectful the comments can get every time a chiropractor is mentioned.
I know what you mean as I wasn't sure if i was going to upload this podcast on the talk as I knew it would generate a lot of negativity towards the Chiropractic profession.....such a shame as I know lots of them and taught many off them around the world and I only have good things to say! Regards JG
Chiropraxy is total pseudoscience, and was invented by a total nutjob. Sorry you spend so much on a scam... Don't be offended though, we are not attacking you, and chiropractors are very talented in convincing us.
Why would any practitioner not look at the surrounding joints as a source of causation to a painful joint? The body is a kinetic chain
It all depends on the training programme - and of course I agree with you - regards jG
Why wouldn’t you if there is potential causation it’s worth investigating. What needs to be addressed is evidence of which there are major concerns in Chiropractic and some concerns in Osteopathy at least as far as the United States goes
Suprising most of you commenting are ignorant to chiropractic education and what we treat.
in my experience, chiropractor's are awful. I have a lower back issue and they told me 'in 12 weeks we can fix this', they adjusted me at multiple appointments with no improvement, then later on they told me to do 3 stretch/strengthen exercises for just 1 week and I'd be fixed. I did them for 3 weeks - no improvement at all. Why tell me you can fix me within 12 weeks and then claim 3 exercises will fix me within 1 week.... if that isn't true. How can you be so sure and get it wrong. This actually gets worse, for some reason in one session they adjusted my neck, no idea why, as it's my lower back that's injured....they asked me to relax, I could not relax....within seconds of asking me to relax they adjusted my neck without checking I had relaxed...they injured me causing a whiplash injury. On top of this, physios have told me I simply need to fix my sitting and standing posture....time will tell if that's correct, if it is correct, then I have clearly been robbed of £400 by my chiropractor who said nothing about my posture.
Thanks for the negativity message - I am an Osteopath by the way and maybe try one of them in the future - no need to reply, regards JG
Osteos dont utilize the gonstead model. Theres alot of overlap
I know they dont, regards JG
@@JohnGibbons what's the osteopath model based under in terms of joint manipulation
Arrive late to Chiropractor appointment.
*Ponders over X-ray of lower left leg*
- Talus avulsion fracture.
Chiro cracks their knuckles, slathers my shoulders and neck in oil.
Says "Late arrival?
You are-tardy!"
Realise he's not talking to me but to a camera held by a cameraman?!?
*Winks at me.*
Suddenly back to addressing the camera..."KRIK-KRAK-Mutha-Effers!"
C5-C6 spinal manipulation...
"Demuns-Awut"
*Hi-fives cameraman*
Explains that he's cured my autism but that as a side effect, I'm gay now and he'll be taking my wife. Gives me a free KRIK-KRAK-KROP-TOP™
Ankle pain is gone aswell as all feeling of sensation and movement below C5/C6.
10/10 definitely recommend over evidence based medicinal practice.
Suck it osteopathy...no x-ray having quack practitioners.
Chiropractors aren't anything like a doctor of osteopathy in the US. There are good chiros, but many are more businessmen than medical professionals. They are good at marketing and promoting gimmicks that make people go "oooo, ahhh" but don't really do anything.
yeah you get a car salesman vibe from alot of chiros, they also call themselves Dr. which is really annoying
@@jasontyger1730 lol they call themselves Dr. because they have to earn a doctorate to practice, same as PT's. The problem is chiros seem to treat the symptoms and not the underlying problem which is bound to reoccur. People these days want instant gratification so they are drawn to the idea of getting "snapped" back into place and think they're good as new, so their own ignorance is to blame for this boom in chiro popularity.
The training has changed for chiro, my chiro based in Australia did his training in America in the 70's as there were no chiro courses here. But like all industries, there are good and bad.
Can't say I disagree, lots are stuck in a chiro business model rather than a treatment model. Insurance also promotes that kind of business model for chiros, which doesn't really benefit the patient as much.
They need to know about marketing and sales, most chiros aren't employed and they run their own business. They somehow need to tell the people that they exist and that they can help them....
One's a religion and the other's a cult 😂
I am sure some think that way, regards JG
@JohnGibbons What would you call wilfuling believing in something without any evidence?
@@slizzardshroomer9666im sure you have gone to a hospital and got treated by a DO before, religion or cult? Lol