The new ostoepaths are not taught manipulation. I was told that by the residents I worked with in the OR> There is a need for both. I have had to use both. I love my chiroprater where we were raised. He is the first person I see when we go back. However I have not found one in FL that is any where near what he is. A good chriopractor would not have hurt her arm as he would have xrayed and done some investigating before he tried to move anything. I also, have seen neuro surgeons for many years. They are most as neurotic as you will ever get but they suit a purpose too. Like I said I have used both and both were successful in what they did. I would use both again.