Tag: neck manipulation
Chiropractic Neck Manipulations in the News
Caitlin Jensen's chiropractor called 911 when she developed alarming symptoms after neck manipulation. She had a heart attack, was pulseless for 10 minutes, and suffered traumatic brain injury. Surgeons found dissections of 4 arteries in the neck. A month later, she remains paralyzed and is still in the ICU.
American Academy of Family Physicians Supports Integrative Medicine
The American Academy of Family Physicians supports integrative medicine and makes recommendations based on less-than-rigorous evidence.
When Headaches Are a Pain in the Neck: Spinal Manipulation vs. Mobilization for Cervicogenic Headache
NOTE: Today we offer a double feature on the treatment of cervicogenic headache. My article is about a study that compared manipulation to mobilization; it is followed by retired chiropractor Sam Homola’s guest article on manipulation for cervicogenic headache. The two posts complement each other and also complement my post from last week on the possible risk of stroke with neck manipulation....
Chiropractic and Stroke: No Evidence for Causation But Still Reason for Concern
Can neck manipulation (by chiropractors or by other practitioners) cause strokes? Many of us think it can, but definitive proof is lacking. A recently published study looked at the available evidence. A systematic review found a small association between stroke and chiropractic care but concluded that the association was spurious and that there was no evidence for causation. My colleagues and I...
October is National Chiropractic Health Month!
October is National Chiropractic Health Month (NCHM) and chiropractors can’t resist the opportunity to overstate, obfuscate, and prevaricate in celebration. They do this in the face of some unfortunate (for them) statistics revealed by a recent Gallup Poll. The Poll was paid for by Palmer College of Chiropractic as part of an effort to increase the chiropractic share of the health care...
A Statement on Cervical Manipulation and Dissections
The American Heart Association and the American Stroke Association recently published in the journal Stroke a thorough analysis of the evidence for an association between cervical manipulative therapy (CMT) and both vertebral artery dissection (VAD) and internal carotid artery dissection (ICAD). The full article is online: “Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the...
Chiropractic Strokes Again: An Update
It's depressing that we have to keep revisiting the topic of stroke after chiropractic neck manipulation.
Blind-Spot Mapping, Cortical Function, and Chiropractic Manipulation
Steven Novella recently wrote about so-called “chiropractic neurology” and its most outspoken proponent, Ted Carrick. In 2005 I published an article in The Scientific Review of Alternative Medicine (Vol 9, No 1, p. 11-15) entitled “Blind-Spot Mapping, Cortical Function, and Chiropractic Manipulation.” It was an analysis of a study Carrick had published. Carrick read a shorter, popularized version of my critique in Skeptical...
Kaiser Rejects Neck Manipulation
Despite quackademia, anti-vaccine propaganda, and other discouraging trends, the news is not all bad. A major HMO has taken a decisive action in support of science-based medicine. Kaiser Permanente Mid Atlantic States and Mid-Atlantic Permanente Group recently announced the elimination of neck manipulation from their chiropractic coverage. The revised policy states, Given the paucity of data related to beneficial effects of chiropractic...
Neck Manipulation: Risk vs. Benefit
While manipulation of any kind has the potential to cause injury, stroke caused by neck manipulation is of greatest concern. Risk must always be weighed against benefit when upper neck manipulation is considered. Risk of stroke caused by neck manipulation is statistically low, but the risk is serious enough to outweigh benefit in all but a few rare, carefully selected cases. When...