Chiropractic
Chiropractic is a form of alternative medicine mostly concerned with the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine.[1][2] Some proponents, especially those in the field’s early history, have claimed that such disorders affect general health via the nervous system,[2] through vertebral subluxation, claims which are not based on scientific evidence. The main chiropractic treatment technique involves manual therapy, especially spinal manipulation therapy (SMT), manipulations of other joints and soft tissues.[3] Its foundation is at odds with mainstream medicine, and chiropractic is sustained by pseudoscientific ideas such as subluxation and “innate intelligence” that reject science.[4][5][6][7][8] Chiropractors are not medical doctors.[9]
Numerous controlled clinical studies of treatments used by chiropractors have been conducted, with conflicting results.[4] Systematic reviews of this research have not found evidence that chiropractic manipulation is effective, with the possible exception of treatment for back pain.[4] A critical evaluation found that collectively, spinal manipulation was ineffective at treating any condition.[10] Spinal manipulation may be cost-effective for sub-acute or chronic low back pain but the results for acute low back pain were insufficient.[11] The efficacy and cost-effectiveness of maintenance chiropractic care are unknown.[12] There is not sufficient data to establish the safety of chiropractic manipulations.[13] It is frequently associated with mild to moderate adverse effects, with serious or fatal complications in rare cases.[14] There is controversy regarding the degree of risk of vertebral artery dissection, which can lead to stroke and death, from cervical manipulation.[15] Several deaths have been associated with this technique[14] and it has been suggested that the relationship is causative,[16][17] a claim which is disputed by many chiropractors.[17]
Chiropractic is well established in the United States, Canada, and Australia.[18] It overlaps with other manual-therapy professions such as osteopathy and physical therapy.[19] Most who seek chiropractic care do so for low back pain.[20] Back and neck pain are considered the specialties of chiropractic, but many chiropractors treat ailments other than musculoskeletal issues.[4] Many chiropractors describe themselves as primary careproviders,[4][21] but the chiropractic clinical training does not support the requirements to be considered primary care providers,[2] so their role on primary care is limited and disputed.[2][21] Chiropractic has two main groups: “straights”, now the minority, emphasize vitalism, “innate intelligence”, and consider vertebral subluxations to be the cause of all disease; “mixers”, the majority, are more open to mainstream views and conventional medical techniques, such as exercise, massage, and ice therapy.[22]
D. D. Palmer founded chiropractic in the 1890s,[23] after saying he received it from “the other world”,[24] and his son B. J. Palmer helped to expand it in the early 20th century.[23] Throughout its history, chiropractic has been controversial.[25][26] Despite the overwhelming evidence that vaccination is an effective public health intervention, among chiropractors there are significant disagreements over the subject,[27] which has led to negative impacts on both public vaccination and mainstream acceptance of chiropractic.[28] The American Medical Association called chiropractic an “unscientific cult” in 1966[29] and boycotted it until losing an antitrust case in 1987.[21] Chiropractic has had a strong political base and sustained demand for services; in recent decades, it has gained more legitimacy and greater acceptance among conventional physicians and health plans in the United States.[21]
Edmonds
Edmonds is a city in Snohomish County, Washington, United States, and is a Northern Suburb of Seattle located 11 miles (18 km) north of the city. Edmonds has a view of Puget Sound and both the Olympic Mountains and Cascade Range. The third most populous city in Snohomish County after Everett and Marysville, the population was 39,709 according to the 2010 census and the estimated population in 2015 was 40,490.[3] Based on per capita income, one of the more reliable measures of affluence, Edmonds ranks 20th of 281 areas in the state of Washington.[5]
Edmonds is a port in the Washington State Ferries system. Currently, the only ferry from Edmonds is a run to Kingston, Washington; in the past, there have been much longer routes from Edmonds to Port Townsend, Washington.[6]
Edmonds is the oldest incorporated city in Snohomish County. Logger George Brackett founded Edmonds in 1890, naming the city either for Vermont Sen. George Franklin Edmunds[7] or in association with the nearby Point Edmund, named by Charles Wilkes in 1841 and later changed to Point Edwards.[8] Brackett came to the future site of Edmonds while paddling a canoe north of Seattle, searching for timber. When a gust of wind hit his canoe, Brackett beached in a location later called “Brackett’s Landing”.[9]
The town was named Edmonds in 1884, but was not incorporated until 1890 as an official “village fourth class” of Snohomish County. In that same year, Brackett sold 455 acres (1.84 km2) to the Minneapolis Realty and Investment Company. The town was plotted and a wharf was added along the waterfront. Modest houses and commercial structures sprouted up with a row of shingle mills dominating the cityscape.