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Spinal manipulation, particularly of the upper spine, can cause complications in adults and children that can cause permanent disability or death. [ 9 ] [ 10 ] [ 11 ] Scientific studies have generally found limited evidence for chiropractic efficacy beyond back pain, and concerns about patient safety, particularly with neck manipulations, have ...
There are associated risks that come with cervical manipulation including spinal disc herniation, stroke and vertebral artery dissection.Chances of stroke may be increased due to possible tears in neck arteries, known as cervical dissection, and is among the most common causes of stroke for young and middle-aged adults. [5]
A neck, or cervical, manipulation is a procedure done at a chiropractor’s office that involves “adjusting” the upper vertebrae of the spine to alleviate muscle tension, pain, or headaches.
Lumbar, cervical and thoracic chiropractic spinal manipulation. In the late 19th century in North America, therapies including osteopathy and chiropractic became popular. [8] Spinal manipulation gained mainstream recognition during the 1980s. [1] In this system, hands are used to manipulate, massage or otherwise influence the spine and related ...
A 1996 Danish chiropractic study confirmed the risk of stroke to be low, and determined that the greatest risk is with manipulation of the first two vertebra of the cervical spine, particularly passive rotation of the neck, known as the "master cervical" or "rotary break."
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. [83] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. [84]
The degree of serious risks associated with manipulation of the cervical spine is uncertain, with little evidence of risk of harm but also little evidence of safety either. [ 25 ] [ 26 ] There is controversy regarding the degree of risk of vertebral artery dissection , which can lead to stroke and death, from cervical manipulation . [ 25 ]
Edzard Ernst has stated that the "core concepts of chiropractic, subluxation and spinal manipulation, are not based on sound science." [33] An area of debate among chiropractors is whether "vertebral subluxation" is a metaphysical concept (as posited in B. J. Palmer's philosophy of chiropractic) or a real phenomenon.