1/17/03 Unprecedented Case: Arkansas Chiropractic Board Fines PT LITTLE ROCK, AR (Chiro Wire) Until recently, Arkansas had never had a case in which a physical therapist appeared before the state chiropractic board in a disciplinary hearing. But last month Michael Teston, a physical therapist who allegedly performed „spinal manipulation¾ on a patient and a private investigator, incurred $10,000 in fines ordered by the Arkansas State Board of Chiropractic Examiners, The Arkansas Democrat- Gazette reports. One of Teston¼s patients claims Teston „popped¾ her back, and that sound usually indicates spinal manipulation, the board executive director explained. Under state law, physical therapists can only manipulate joints and not the spine, so they can perform „spinal mobilization¾ but not „spinal manipulation.¾ The state Board of Physical Therapy, however, backs Teston. The PT board¼s chairman states that Teston¼s case will have „some huge ramifications,¾ such as pressuring therapists to treat patients more conservatively, the Democrat-Gazette reports. Teston plans to appeal the chiropractic board¼s order in circuit court.