traction, massage therapy, etc. may overstretch some muscles or ligament fibers. The result is a temporary increase in pain and necessary treatment for resolution, but there are no long-term effects for the patient. These problems occur so rarely that there are no available statistics that quantify their incidence." A study that I like on this, for any that are listening, is the [inaudible 00:37:48] Canadian Family Physician, March of 1985. If you remember that study, he took 283 people with chronic, disabling, treatment-failed low back pain, they gave the entire group of 283 people to a chiropractor. If you look at the statistics, the chiropractor literally fixed 81% of the people in that study doing mono-therapy joint adjusting alone. Comments that are made in the texts of the study is that nearly 100% of the patients had a temporary increase in symptomatology as the consequence of the chiropractic adjusting, but in the long-run, no patients, not even one, was made worse and 81% were essentially fixed. I'm thinking, "Yeah," so because people can get some soreness from what we're doing, I want to make sure that this is covered. I don't think that it's a big deal. I don't think that it's a big malpractice. I just think it's an information deal, so we want to make sure that we're talking to people about it. By the way, going back to [inaudible 00:38:48], he says, "You should, therefore, tell patients before you start their adjustment to expect some increase soreness as a consequence of doing what you're doing." Then he says, "Tell them to control the pain with the local application of ice." It's right out of the article by [inaudible 00:39:04]. For those that are unfamiliar with them, Canadian orthopedic surgeon. Deceased about a decade ago, 93 when he died, but he was quite an advocate, even though he practiced as an orthopedic surgeon, for literally chiropractic inclusion into the practice of orthopedic medicine because of the enhanced outcome, patient safety, benefits all around particularly in that study, of 283 people that are completely disabled before they got chiropractic, and they did so incredibly well. The last couple section I have is I have a section on rib and other fractions. I, myself, have had broken ribs. I broke all the ribs ... I broke three. I broke them in my first five years of practice. I think I was just less intuitive, less smart than I am now. I think that the greatest thing about becoming an older chiropractor is you become more intuitive as to basically how to deal with people and different problems because of our longevity, but we should tell people about the potential of a rib fracture. I've had none of the other problems. I've never seen a stroke problem. I've never had a cauda equina. I've never had a disc problem, but I have broken three ribs. I don't think it's a serious problem, but it's a high probability problem. Lots of chiropractors have done it. If you go to almost any rheumo chiropractor and say, "How many of you guys have broken a rib?" and it's the majority of the room. What I wrote in the informed consent, "The ribs are found only in the thoracic spine, or middle back. They extend from your back to your front chest area. Rarely a chiropractic adjustment will crack a rib bone and this is referred to as a fracture. This occurs only when patients have weakened bones from such things as
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