HealthSource successfully treats and relieves back and neck pain for thousands of patients everyday
Based on the exam findings a treatment plan is created specifically for the patient.
- The association between neck manipulation and vertebral artery dissection is about 1 in 5.85 million adjustments. (Less than 1 in 1 million.)
- There are risks and benefits to all treatments; however, the chance of experiencing a serious adverse event following neck manipulation is extremely low. DC’s have some of the lowest malpractice insurance premiums in health care because of the low risk associated with the treatments they utilize.
- On the issue of cervical arterial dissection (CAD), the chiropractic profession relies on the largest and most credible research study2 to date, which shows that a patient is as likely to have seen a medical doctor (MD) as a doctor of chiropractic (DC) in the week prior to a vertebral artery dissection. The evidence suggests those experiencing symptoms of a stroke in progress—such as severe headache and/or neck pain—may visit an MD or a DC for treatment.
- Someone in America dies from stroke every four minutes. While many people are familiar with the signs and symptoms of the most common forms of stroke, which tend to disproportionately affect older adults, there has been less public outreach regarding CAD which can lead to a rare form of stroke that affects adults aged 45 or younger. The vast majority of CAD cases are spontaneous, meaning that the underlying cause is unknown.
- Because there are documented cases in which a patient has sought chiropractic care prior to experiencing CAD, some medical physicians have hypothesized that spinal manipulative therapy may result in CAD and stroke. However, neither the clinical or basic-science research available on this issue has established a cause-and-effect relationship.
- The strongest scientific evidence available refutes the assertion that rotation and extension of the neck during cervical manipulation can cause an arterial dissection.3, 4
- As doctors, our diagnostic training and professional standards dictate that if we identify a patient with a stroke in progress, our next step is to make an appropriate referral or, if necessary, call 911.
- Millions of cervical manipulations are performed safely in the United States every year, providing patients relief from common forms of neck pain and headache, and helping them to get back to their normal activities.
- Research shows chiropractic is a safe and effective treatment for musculoskeletal conditions, including neck pain and headaches.
- Haldeman S, Carey P, Townsend M, Papadopoulos C: Arterial dissections following cervical manipulation: the chiropractic experience. CMAJ 2001;165:905.
- Cassidy et al. Risk of Vertebrobasilar Stroke and Chiropractic Care. Spine 2008.
- Herzog, W. et al. Internal Carotid Artery Strains During High-Speed, LowAmplitude Spinal Manipulations of the Neck. Journal of Manipulative and Physiological Therapeutics, November/December 2015.
- Piper SL, Howarth SJ, Triano J. Quantifying strain in the vertebral artery