I recently received a telephone call from a concerned mother of an 18-year-old white man (from an upper-middle-class family) who had not been seen for medical care in our facility for 3 years. He had been in good health, was about to start college on a basketball scholarship, and believed that he was too old to see his pediatricians of many years. When he had begun to complain of lower back pains 2 months earlier, his parents had taken him to their chiropractor. The chiropractor took x-ray films of the patient's spine and "carefully demonstrated" to him and his parents a spinal malalignment and hip asymmetry. He prescribed an orthotic lift and recommended chiropractic treatment 3 times per week. During the 2-month course of treatment, the back pain aggravated, becoming daily, continuous, and only mildly relieved with regular ibuprofen use. There was no radiation of pain and no perceived weakness.