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Although most practitioners undergo lengthy traiining and professional preparation, acupuncture and chiropractic adjustment are not considered part of the standardized instruction for medical degrees in the United States. Those who practice these healing modalities are not M.D.s (and an MD degree cannot be granted for their study) and so some potential patients might consider these practices to be more experimental in nature than standardized approaches to treating spinal alignment and pain issues (such as osteopathy, or physical therapy prescribed by an orthopedic specialist). As well, acupuncture has its origins in Eastern culture, not Western medicine, and to some potential patients this makes it unfamiliar and therefore not as trustworthy. Eastern healing modalities tend to take a holistic view of healing, whereas Western medicine is more allopathic.
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