Some reports have associated high-velocity upper neck manipulation with a certain rare kind of stroke, or vertebral artery dissection. However, evidence suggests that this type of arterial injury often takes place spontaneously in patients who have pre-existing arterial disease. These dissections have been associated with everyday activities such as turning one’s head while driving, swimming, or getting your hair shampooed in a hair salon. Patients with this condition may experience neck pain and headache that leads them to seek professional care—often at the office of a doctor of chiropractic or family physician—but that care is not the cause of the injury.

The best evidence indicates that the incidence of artery injuries associated with high- velocity upper neck manipulation is extremely rare—about one in 3,000,000 patients who get treated with a course of chiropractic care. This is similar to the incidence of this type of stroke among the general population not being treated with chiropractic care.

When discussing the risks of any health care procedure, it is important to look at that risk in comparison to other treatments available for the same condition. In this regard, the risks of serious complications from spinal manipulation for conditions such as neck pain and headache compare most favorably with even the most conservative care options.

Presented as a service to the community by: Union County Chiropractic Clinic, 110 Skyline Drive, Maynardville, TN (865) 992-7000 www.unioncountychiropractic.com.