Change the name of chiropractic? Dr. Michael Reuben, thinks so, in the headline article he wrote for DC (August 2017). His premise boils down to "rebranding," and the public and professional perception improvements that would result. He argues that the word chiropractor sounds more like a tradesperson, such as contractor or carpenter. Dr. Reuben favors a new name that would "sound better" ... perhaps a word ending in "ist," similar to orthopedist or optometrist.
The "Problem" With "Chiropractic"
I happen to agree with him, and wrote a similar article many years ago, when I was the contributing editor of the Colorado Chiropractor, the journal of the Colorado Chiropractic Association. Chiropractic has too many consonants, I pointed out, making it have a harsher sound compared to a word with more warm and friendly vowels, like osteopath.
Another issue is that most medical jargon has come from Latin, not Greek. The person who influenced chiropractic's founder, D.D. Palmer, was Rev. Samuel Weed, one of his first patients. Since Rev. Weed was a student of the Greek language, he suggested "hand practice," and so it began.
And thus, the profession was named after a word that sounds like an adjective, leading people to ask, "Chiropractic ... what?" (By the way, if Rev. Weed had been studying Portuguese, we would be called "Quiropraxista," which is also cursed with spittle-flying consonants.)
Dr. Reuben also did not like the possible name of "orthopractor," since it "reeks of wrack, crack, quack," in his words. He may remember the orthopractic scare of the 1990s, when there was a serious, although feeble, attempt to change not only the name, but also the actual chiropractic scope of practice. Not only did it stir up emotional debate among DCs, but one could just feel the orthopedists getting lawyered up to combat "public confusion."
The Power of a Name
Names can evoke a smorgasbord of perceptions, emotions and "links." In marketing and branding, new names can be crucial to success in business, or sully the business with bad connotations. What happened to the name "Enron"? I bet it's a cheap domain name now. Interestingly enough, my mortgage company, Nationstar, just changed its name to "Mr. Cooper." (No kidding; go figure!)
What about people changing their name? Years ago, National Lampoon magazine did a parody on a fictitious pro basketball player called Ali Maumood Alishami who changed his name to Bobby Jones. (?) Then there is Prince Rogers Nelson, who went just by "Prince," changed his name to a symbol and then back to "Prince" again.
Where Will the Conversation Lead?
The search for a new name for the profession would not be easy. We DCs have had enough disagreements over words like chiropractic physician or chiropractic medicine. Dr. Reuben suggests new names such as Doctor of Vertebral Therapeutics, or Doctor of Vertebral Science. He also likes arthropedist, vertebratrist and vertebrologist.
I admire his guts in starting this conversation. However, I can't help but imagine patients getting vertebratrists confused with ventriloquists. One might wonder, "Why should I go to a doctor who 'throws their voice' in order to treat my neck pain?"
Who should lead the quest for a new moniker? A committee, of course! But if I get the call to serve, I will politely decline. I will quote Civil War General Sherman, who said, "If nominated, I will not run; if elected, I will not serve." A committee of three DCs will always have four opinions.
With all that said, and having had my fun with this topic, I do hope there is sober and thoughtful dialogue about what can attract more people to the enormous value of chiropractic care.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
Some pundits say that the upcoming presidential and congressional races, and many local races, might be the most consequential in our country’s history. We do not have the choice of sitting on the sidelines and hoping our patients will carry our water. Unlike other medical professions such as physical therapists, podiatrists, nurses, etc., the health care class (AMA) will not protect us. We must be in the game.
The most common condition affecting the shoulder is rotator-cuff disease. From acute tears to chronic tendinopathy, it’s common and needs a thorough workup. In fact, even asymptomatic shoulders can have full-thickness rotator-cuff rears in up to 40% of instances. Let’s look at additional conditions that can present to the office with weakness, loss of motion and pain in the shoulder beyond rotator-cuff tears.
