Can a chiropractic adjustment cause a stroke?
How do chiropractors identify stroke symptoms?
Chiropractors are trained to determine the origin of headache pain and triage patients to appropriate care facilities, especially when symptoms of an impending stroke are present. In such cases, chiropractic care would not be indicated, and the patient would be referred for appropriate medical attention.
Study: Chiropractic Does Not Increase Risk of Stroke
A new study finds there is no evidence of excess risk of stroke following chiropractic spinal manipulation, according to a February 2008 report in the journal Spine. In the study, researchers noted that patients are no more likely to suffer a stroke following chiropractic treatment than they would after visiting their family doctor’s office (MD). The study goes on to say that any observed association between a vertebrobasilar artery (VBA) stroke and chiropractic manipulation is likely due to patients with an undiagnosed vertebral artery dissection seeking care for neck pain and headache before their stroke. “This may prove to be one of the most important and significant studies in the profession’s history,” said ACA President Glenn Manceaux, DC. “The results of this study confirm that chiropractic manipulation is a safe and appropriate course of treatment.” The issue of stroke being associated with a chiropractic neck adjustment focuses on the rare occurrence of a tear to the vertebral artery as it passes through the sides of the upper cervical vertebrae and into the base of the skull. An injury to the arterial wall may lead to the formation of a blood clot, which can break free and travel upward until it lodges in one of the smaller blood vessels in the base of the brain, blocking circulation.
What is the risk of stroke from a chiropractic neck adjustment?
There are many reports in the [research] literature of cervical artery dissections (CADs) occurring after everyday activities that most people would consider non-traumatic, such as turning the head when driving, having your hair washed at a beauty salon, or sleeping on your stomach. A research paper published in 2001 in the Canadian Medical Association Journal found there is only a one-in-5.85-million risk that a chiropractic neck adjustment will be associated with a subsequent CAD and stroke. In this new study, the Canadian team looked at nine years of data in Ontario and found that only 818 patients with a VBA stroke were reported among a population of some 11.5 million people. Unlike a previous study in 2001 that investigated the relationship between chiropractic visits and vertebral artery stroke, researchers in this study also studied visits to family doctors that preceded this kind of stroke. According to the study’s authors, “Because the association between chiropractic visits and VBA stroke is not greater than the association between PCP (primary care physician) visits and VBA stroke, there is no excess risk of VBA stroke from chiropractic care.” Click here to access a full-text copy of the study: NO RISK
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A favorite adjusting technique of our patients is called the Activator Adjusting Technique. Although other adjusting techniques we use are completely safe and effective, this technique requires no manual handling of the neck in a manner that makes some people feel nervous. Please share your concerns with our doctors who will do their best to accommodate your wishes. To learn more about Activator Technique, go to Activator Methods International
Stroke Warning Signs
While there are no standard screening procedures to identify patients with neck pain who are also at risk of a VBA stroke, healthcare providers should be aware of the following stroke warnings:
- Sudden difficulty speaking (slurred speech)
- Sudden difficulty understanding what people are saying
- Sudden onset of confusion or altered mental status, such as loss of consciousness, or recognizing people who should be familiar
- Sudden numbness or tingling on one side the face or body, or both
- Sudden onset of dizziness or unsteadiness, loss of balance or coordination, or both
- Sudden difficulty walking or standing upright
- Sudden severe headache
- Sudden severe unexplained upper neck pain. Sudden trouble with vision or sight
If you or someone close by you develops these symptoms, call 911 immediately. Have the person lie still until help arrives.
“I see Dr. Chellen and he is so amazing. My daughter is never scared to go in there and he’s extremely gentle for children as well as grown-ups.”
Kristi, Minnetonka
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