Jeff Langmaid discusses a downward shift in the proportion of chiropractors performing manual adjustments — from nearly 90% to about 75% — attributing the change to wider adoption of adjunct modalities (shockwave, spinal decompression, laser) and advances in exercise science. He notes the 15 percentage-point decrease but mentions the original survey did not ask follow-up about alternative treatments.
Another very, very interesting component is adjustments decreased with chiropractors. So it dropped from almost 90% of chiropractors saying that they would adjust the patient to 75%. Now, clearly, there's been a massive amount of shift, I'll say, in the chiropractic profession in terms of utilizing things like modalities, right? We look at shockwave, we can look at things like spinal decompression. We look at laser. We look at really the great advances that have been made in exercise science. So I'm not particularly surprised that we see a decrease in 90% of chiropractors adjusting to 75%. But that's still a 15%. That's a pretty good shift down. So to me, I can look at that and understand why because of the additional modalities. Now, they don't get into the second questions, which are, well, what else would you do? But we can highlight some of the other things that they specifically responded to.
