Safety

Benefits and harms of Spinal Manipulative Therapy for treating recent and persistent nonspecific neck pain: a systematic review with meta-analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 10, 2023Volume0IssuejaPages1-53 https://www.jospt.org/doi/10.2519/jospt.2023.11708 Abstract OBJECTIVE: To estimate the benefits and harms of cervical spinal manipulative therapy (SMT) for treating neck pain. DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). LITERATURE SEARCH: We searched the MEDLINE, Cochrane CENTRAL, EMBASE, CINAHL, PEDro, Chiropractic Literature […]

Reporting of adverse events associated with spinal manipulation in randomised clinical trials: an updated systematic review

BMJ Open. 2023 May 4;13(5):e067526. doi: 10.1136/bmjopen-2022-067526. Lindsay M Gorrell 1, Benjamin T Brown 2, Roger Engel 2, Reidar P Lystad 3 PMID: 37142321 PMCID: PMC10163511 DOI: 10.1136/bmjopen-2022-067526 Abstract Objectives: To describe if there has been a change in the reporting of adverse events associated with spinal manipulation in randomised clinical trials (RCTs) since 2016. […]

A Case Report of Life-Threatening Hemopneumothorax as a Result of Spinal Manipulation Performed by Chiropractor

Cureus. 2021 Sep 16;13(9):e18031. doi: 10.7759/cureus.18031. eCollection 2021 Sep. Sohaib Khatib PMID: 34692274 PMCID: PMC8523197 DOI: 10.7759/cureus.18031 Abstract Chiropractic is a very popular alternative medicine practice in the United States. Despite that, this practice has been associated with several complications raising concerns for its safety. We report the case of an otherwise healthy 36-years-old, tall […]

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 310

Clinical Neurology and Neurosurgery Available online 24 April 2021, 106665 Akash Mitra Highlights •  Chiropractic manipulations are a risk factor for vertebral artery dissections •  Patients with chiropractor-associated injuries were relatively young and healthy •  Chiropractic-associated injuries were milder compared to other causes of dissection •  Spinal fracture was the only predictor of worse outcome […]

Malpractice Litigation Involving Chiropractic Spinal Manipulation

World Neurosurgery Available online 23 February 2021 Original article Davis A.Hartnett BS Structured Abstract Objective The objective of this investigation is to evaluate the relationship between chiropractic spinal manipulation and medical malpractice utilizing a legal database. Methods The legal database VerdictSearch was queried using the terms “chiropractor” OR “spinal manipulation” under the classification of “Medical […]

The safety of spinal manipulative therapy in children under 10 years: a rapid review – Full Text Article

Melissa Corso, Carol Cancelliere, Silvano Mior, Anne Taylor-Vaisey & Pierre Côté Chiropractic & Manual Therapies volume 28, Article number: 12 (2020) Abstract Introduction The safety of spinal manipulative therapy (SMT) in children is controversial. We were mandated by the College of Chiropractors of British Columbia to review the evidence on this issue. Objectives We conducted […]

Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:10 Pages:688–697 DOI: 10.2519/jospt.2019.8578 Background Manual therapy interventions targeting the neck include various positions and movements of the craniocervical region. The hemodynamic changes in various spinal positions potentially have clinical relevance. Objectives To investigate the effects of craniocervical positions and movements on hemodynamic parameters (blood flow velocity and/or volume) of cervical […]

Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis

Pain Medicine, pnz219, https://doi.org/10.1093/pm/pnz219 Kelsey L Corcoran, DC Published:  27 September 2019 Abstract Objective To investigate the current evidence to determine if there is an association between chiropractic use and opioid receipt. Design Systematic review and meta-analysis. Methods The protocol for this review was registered on PROSPERO (CRD42018095128). The MEDLINE, PubMed, EMBASE, AMED, CINAHL, and Web of […]

Effect of cervical manipulation on vertebral artery and cerebral haemodynamics in patients with chronic neck pain: a crossover randomised controlled trial

Nicholas Moser BMJ Open 2019;9:e025219. doi: 10.1136/bmjopen-2018-025219 Abstract Objective It is hypothesised that cervical manipulation may increase the risk of cerebrovascular accidents. We aimed to determine whether cervical spine manipulation is associated with changes in vertebral artery and cerebrovascular haemodynamics measured with MRI compared with neutral neck position and maximum neck rotation in patients with chronic neck pain. […]

Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study

Eur Spine J. 2018 Jul;27(7):1526-1537. doi: 10.1007/s00586-017-5325-y. Epub 2017 Oct 16. Hincapié CA, Tomlinson GA, Côté P5, Rampersaud YR, Jadad AR, Cassidy JD. Abstract PURPOSE: Chiropractic care is popular for low back pain, but may increase the risk for acute lumbar disc herniation (LDH). Low back pain is a common early (prodromal) symptom of LDH […]

Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study

By Shawn Neff Editorial Review Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study J. David Cassidy, DC, PhD, DrMedSc, Eleanor Boyle, PhD, Pierre Côté, DC, PhD, Sheilah Hogg-Johnson, PhD, Susan J. Bondy, PhD, and Scott Haldeman, MD, PhD Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 4 (April), 2017: pp 842–850 […]

Association Between Utilization of Chiropractic Services for Treatment of Low Back Pain and Risk of Adverse Drug Events

Journal of Manipulative and Physiological Therapeutics Available online 26 May 2018 James M.WhedonDC, MS Abstract Objectives Mortality rates due to adverse drug events (ADEs) are escalating in the United States. Analgesics are among the drug classes most often associated with occurrence of an ADE. Utilization of nonpharmacologic chiropractic services for treatment of low back pain […]

Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis – Full Text

The Spine Journal Ian D. Coulter, Ph.D Background Context Mobilization and manipulation therapies are widely used to benefit patients with chronic low back pain. However, questions remain about their efficacy, dosing, safety, as well as how these approaches compare to other therapies. Purpose To determine the efficacy, effectiveness, and safety of various mobilization and manipulation […]

Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study

Hincapié, C.A., Tomlinson, G.A., Côté, P. et al. Eur Spine J (2017). https://doi.org/10.1007/s00586-017-5325-y First Online: 16 October 2017 Abstract Purpose Chiropractic care is popular for low back pain, but may increase the risk for acute lumbar disc herniation (LDH). Low back pain is a common early (prodromal) symptom of LDH and commonly precedes LDH diagnosis. […]

Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study

Cassidy JD, et al. J Stroke Cerebrovasc Dis. 2017. Abstract BACKGROUND: Chiropractic manipulation is a popular treatment for neck pain and headache, but may increase the riskc of cervical artery dissection and stroke. Patients with carotid artery dissection can present with neck pain and/or headache before experiencing a stroke. These are common symptoms seen by […]

Adverse events in a chiropractic spinal manipulative therapy single-blinded, placebo, randomized controlled trial for migraineurs – Fulll Text Article

Musculoskeletal Science & Practice June 2017  Volume 29, Pages 66–71 Aleksander Chaibi, PhD (student) Highlights Manual-therapy RCTs do not always report adverse events (AEs) in contrast to pharmacological RCTs. This is the first prospective manual-therapy 3-armed single-blinded placebo RCT reporting all AEs for migraineurs. Local tenderness, tiredness and neck pain were the most common AEs. […]

Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review

H.A. Kranenburg Musculoskeletal Science and Practice April 2017 Volume 28, Pages 32–38 Highlights Vertebral Artery Dissection (VAD) is the most frequent described Major Adverse Event (MAE). The most frequent inventoried treatment technique was a non-specified manipulative technique. Patient characteristics are poorly described in case reports. No pre-manipulative risk profile could be composed based on the […]

Tissue loading created during spinal manipulation in comparison to loading created by passive spinal movements – Full Text Article

Sci Rep. 2016; 6: 38107. Published online 2016 Dec 1. doi: 10.1038/srep38107 PMCID: PMC5131487 PMID: 27905508 Martha Funabashi Abstract Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created […]

Chiropractic Cervical Adjustment and Stroke Risk: Proper Perspective and Context – Video

Jeff Williams, DC Published on Feb 18, 2016 Chiropractor Amarillo – Best Chiropractor Amarillo TX http://www.creekstonecare.com http://www.amarillochiropractor.com YouTube Link

Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation

Cureus. 2016 Feb; 8(2): e498. Published online 2016 Feb 16. doi: 10.7759/cureus.498 PMCID: PMC4794386 PMID: 27014532 Monitoring Editor: Alexander Muacevic and John R Adler Ephraim W Church Abstract Background Case reports and case control studies have suggested an association between chiropractic neck manipulation and cervical artery dissection (CAD), but a causal relationship has not been […]