Abstract
Summary Objective : Given the widespread use of chiropractors, the recent interest in alternative medical practices, and our experience with osteoporosis referrals from a chiropractor in the community, we investigated the interaction of conventional medicine and chiropractic in the evaluation, prevention, and treatment of osteoporosis. Design : Review of the chiropractic and medical literature. Methods : Multiple chiropractic data bases and MEDLINE were searched for references to chiropractic and osteoporosis. Results : Review of the chiropractic literature revealed numerous references to osteoporosis, with emphasis on the use of nutrition and exercise for the prevention and treatment of osteoporosis, warnings regarding the dangers of manipulative therapy, and limited mention of modern diagnostic techniques. Little reference to the chiropractic role in the prevention, diagnosis or treatment of osteoporosis was found in the standard medical literature. Conclusions : Chiropractors may evaluate and treat patients with osteoporosis. Although there is some awareness of osteoporosis in the chiropractic literature, there has been little communication between chiropractic practitioners and physicians and little discussion of the potential value of increased collaboration in the medical literature. Chiropractic participation in osteoporosis diagnosis, prevention, and treatment might serve as a model for the collaboration of physicians and practitioners of alternative medicine.
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