35 Chesswood Road
Tel 01903 230066
Cervical Spine Manipulation -
Over the years various people and organisations have voiced concerns over the safety and effectiveness of neck manipulation for the most common neck pains and headaches. Most of it has been anecdotal and of no scientific value.
A study reviewing cases in which a total of 24 VASs were blamed on a chiropractic adjustment it was later found that none of the treating therapists were chiropractors!
In a 2007 study over 50,000 chiropractic manipulations did not cause a single serious
adverse event. Temporary side effects, such as an increase in symptoms, headaches,
dizzyness or light-
So, why does a stroke happen after manipulation? The main emphasis has nearly always been the vertebral artery being damaged by the treatment, however there is no evidence to suggest that this is possible.
Firstly, it has been found that a neck adjustment only introduces 20% of the stretch required to damage the vertebral artery. This is much less than commonly happens doing day to day activities. Secondly, using sophisticated measuring equipment no changes in blood flow or turbulence in the vertebral arteries have been identified during or after manipulation
Is manipulation effective in treating neck pain and headaches?
When done by a skilled practitioner, such as a chiropractor, the answer is a resounding, YES. It is both better and more safe than medication and because the cause of the pain has been removed, the effect lasts.
This will be covered in more detail another time but for now the research references are here:
Bronfort G, Evans R, Anderson A, et al. (2012) Spinal Manipulation, Medication, or
Home Exercise With Advice for Acute and Sub-
Adrian B Wenban; Inappropriate use of the title 'chiropractor' and term 'chiropractic
manipulation' in the peer-
Thiel H W, Bolton J E, Docherty S, et al. Safety of chiropractic manipulation of
the cervical spine. Spine 2007;32:2375-
Quesnele J, Triano J et al. (2014) Changes in Vertebral Artery Blood Flow Following
Various Head Positions and Cervical Spine Manipulation j Manipulative physiol Ther
Cassidy dj, Boyle e, cote et al. (2008) Risk of Vertebrobasilar Stroke and Chi-
Rubinstein SM, Haldeman S, van Tulder MW (2006) An Etiologic Model to Help Explain
the Pathogenesis of Cervical Artery Dissection: Implications for Cer-