Texas Orders Chiropractors to Stop Practicing Outside Their Legal Scope


Stephen Barrett, M.D.
December 25, 2015

During the past few years, the Texas Board of Chiropractic Examiners has disciplined more than a dozen chiropractors for advertising or practicing outside the proper scope of chiropractic, which it defines, in part, this way:

§ 75.17. SCOPE OF PRACTICE.

(a) Aspects of Practice.

(1) A person practices chiropractic if they: (A) use objective or subjective means to analyze, examine, or evaluate the biomechanical condition of the spine and musculoskeletal system of the human body; or (B) perform nonsurgical, nonincisive procedures, including adjustment and manipulation, to improve the subluxation complex or the biomechanics of the musculoskeletal system.

(2) The practice of chiropractic does not include: (A) incisive or surgical procedures; (B) the prescription of controlled substances, dangerous drugs, or any other drug that requires a prescription; or (C) the use of x-ray therapy or therapy that exposes the body to radioactive materials.

All of the cases were settled with an agreed final order.

  • Sal Altakali, DC (8/21/14): Fined $3,000 and ordered to stop doing trigger-point injections.
  • Homero Cavazos, DC (11/13/14): Fined $500 for advertising and practicing outside the scope of chiropractic. The order noted that had treated patients with AD/HD, dyslexia, autism and other neuro-developmental disorders that were not within a DC’s scope of practice and that he had advertised treatment for these conditions through his “BrainworX” Web site.
  • Thomas Culleton, DC (8/15/15): Fined $500 for an advertisement “not related to the biomechanics of the spine or musculoskeletal system.”
  • Kaled Jawhari, DC (8/20/15): Fined $2,500 for using deceptive advertising with superiority claims. He also entered into an agreement with the Texas Medical Board in which he pledged not to practice outside of the scope of chiropractic. The content of his advertising was not specified, but I found that he is still advertising help for diabetes, hypothyroidism, and weight loss related to “body types.”
  • John Madden, DC (5/22/14): Fined $500 for advertising a free dinner and seminar on stress, hormones, and health related to belly fat. The advertisement included a claim of superiority.
  • Peter Osborne, DC (8/20/15): Fined $1,750 for advertising on his Web site that he was a “functional medicine physician” and offering manipulation under anesthesia as a service.
  • Gerald Parker, DC (5/22/14): Fined $1,500 for advertising “laser like lipo therapy” with “guaranteed” results.
  • R. Brett Payne, DC (8/21/14): Fined $1,500 for advertising and administering chelation therapy and other intravenous infusions.
  • Mary Perry, DC (8/20/15): Reprimanded and fined $1,000 for “adjusting” a dog and advertising that “you can help your beloved dog, cat, or horse regain and maintain its heath with adjustment care.”
  • Genene Prado, DC (11/13/14): Fined $1,500 for placing a newspaper ad for services outside of a chiropractor’s scope of practice. This was the third time she has been disciplined.
  • Matthew Rayner, DC (8/20/15): Fined $750 for promoting a free dinner seminar titled, “Why Do I Still Have Thyroid Symptoms?” and failing to properly identify himself as a chiropractor.
  • Yersenia Sepulveda, DC (8/20/15): Fined $1,000 for administering a needle electromyelography (EMG) test.
  • Amber Watson, DC (8/20/15): Reprimanded for advertising that she could treat diabetes and referring to herself as a doctor without mentioning that she is a chiropractor.

This article was posted on December 25, 2015.