Patients were usually young and healthy individuals treated for benign and self-limiting conditions, such as neck pain or headache. Dissection of the vertebral arteries was the most common problem; Other complications included dural fracture, edema, nerve damage, hernia, hematoma and bone fracture. Symptoms are often life-threatening, although in most cases the patient has fully recovered. In most cases, manipulation of the spine was considered to be the likely cause of the adverse effect. Thirty-four articles, reporting on 31 observational studies, collected prospective or retrospective patient data regarding incidence, nature or predictive factors for benign or serious adverse reactions after manual spine treatment . These include 8 case control or cross-case analyzes that investigate the relationship between serious adverse reactions and manual spine treatment, all of which investigate cervical strokes .
With this training and experience in the field of practice, they bring with them a level of thinking to exclude those contraindications of chiropractic care. Most indicators so that the chiropractor does not fit are presented Chiropractic in the first interview or consultation. This and the actual safety of chiropractic customization gives you the opportunity to consult a chiropractor to discover how to take advantage of chiropractic adjustments.
On the one hand, we have uncertain advantages; on the other hand, we must take into account the common non-serious side effects and the serious complications that arise at an unknown rate. In view of this situation, a preliminary risk-benefit analysis cannot produce a positive result. Therefore, it must be concluded that manipulation of the chiropractic spine according to evidence has so far done nothing but harm. Given the incompleteness of our current knowledge and the popularity of chiropractic, research in this complex area needs to be intensified.
Despite incidental sensational media reports, the facts show that chiropractic treatments are among the safest and most effective forms of medical care ever offered. In addition, chiropractic treatments have generally been found to be safer than many other common treatment options, completely discrediting any myth surrounding the safety and efficacy of chiropractic treatment. This is because chiropractic care is based on a holistic approach and uses non-invasive methods.
According to a study by the Nordic Institute of Chiropractic and Clinical Biomechanics in Odense, Denmark, the side effects of chiropractic adaptation are small and short-lived, generally disappear within one day of treatment. The most common side effect as reported in the study included minor discomfort in the area where the manipulation occurred (p. E.g. the lumbar spine or neck), followed by pain in other areas, headache, nausea, fatigue and dizziness. Numerous recent studies have shown that spinal manipulation provides superior clinical results compared to conventional care for neck and back problems. Dozens of other studies have shown that chiropractic care is more cost effective and more preferred in various conditions than medical care.
Spinal fusion (p. E.g. Spinning surgery with fusion and / or instrumentation and fusion) is a red flag, where rapid manipulation with low amplitude at joint level is contraindicated. This also applies to patients with an artificial disc replacement or other implant . However, manipulation of soft tissue and other manual techniques may be considered in selected patients who have previously had spine surgery. Nothing demonstrates this better than the extensive research by the Mayo Clinic, which believed that manipulation of the chiropractic spine was safe when it comes to addressing common pain-related problems .
It seems possible that pre-existing pathology may increase the risk of some of these events, therefore detailed detection of known risk factors is essential before manual spine treatment is applied to a patient of any age . The question of the risks of manual treatment of the spine, as normally offered by chiropractors, osteopaths and physiotherapists, is a hot topic. The risk of serious side effects after manual therapy interventions is clearly low, but some argue that the risk of serious harm after some treatment approaches poses an unacceptable risk .
Since serious side effects may result from pre-existing pathologies, the evaluation of their signs or symptoms is important. Doctors can also help increase understanding by using patient safety incident reporting and learning systems where side effects have occurred. Reuter et al. reported 36 cases of vertebral artery dissection observed in 13 neurological centers within three years.
A study published by the American Heart Association in 2014 shows that neck adjustment by a chiropractor may be related to an increased risk of stroke. And several reports of deaths from the chiropractic adjustment of the neck have recently come to light. Additional categorization has been performed to allow greater classification in related study groups. This included the treated spinal cord level, any special age group of patients, and whether the side effect was classified as benign or severe. Observational studies, randomized studies and systematic reviews have also been identified, reporting benign and serious adverse reactions.
Manipulation is used to restore joint mobility that is limited by tissue damage caused by a traumatic event, such as falling or repeated stress, such as sitting without the right backrest. Chiropractors will perform a specific test and test to minimize any risk of adjustment. When these tests are positive for certain conditions, chiropractors are very careful to refer patients if they feel they need medical attention or if they need to be co-administered by another doctor.