Case control studies indicate any relationship, in the age group under 45, between manual interventions and cervical arterial stroke, but it is unclear whether this is causal. Older patients are not at increased risk of traumatic injury compared to a physician for neuromusculoskeletal problems, but some underlying conditions may increase the risk. When chiropractors are properly trained and licensed, chiropractic care is generally considered safe under certain circumstances. However, it is not recommended for patients with osteoporosis, spinal malformations, spinal cancer, increased risk of stroke and more serious conditions that may require surgery.
In many of the serious cases, there was a pre-existing pathology with congenital conditions, nervous system disorders and head trauma. Careful detection of signs or symptoms of pre-existing pathology is therefore essential before treating Chiropractor children. In 22 cases, the therapists were chiropractic, 9-28, while in 10 cases they were other health professionals. 13.29-36 In most cases, the problem was related to upper spine manipulations, including rotating movements.
All patients were treated with spinal manipulation for benign conditions such as neck or back pain. A significant amount of literature has been identified and characterized, the main objectives of which are to evaluate the safety and risks of manual treatment in the spine. Summaries of reported findings that may affect clinical practice (p. E.g. obtaining informed consent, evaluating patients for risk factors or indicators of underlying pathology have been compiled.). However, the limitations inherent in the design of adverse reaction studies make it difficult to draw definitive conclusions. Informed estimates of the incidence of serious adverse events vary, with estimates ranging from 1 per 2 million manipulations to 13 per 10,000 patients. A systematic review that grouped and analyzed existing data used a method to estimate the risk of a major adverse reaction, where the confidence interval was greater than 95%.
This was due to the fact that some were not described as systematic reviews, but described systematic approaches to some aspects of their methodology. When this happened, a conservative approach was taken that included all revisions that described at least one systematic search strategy. This measure reduced the likelihood that valid studies would not be included and the risk of relevant information being omitted from the synthesis of findings. • In patients with neck pain, benign side effects may lead to poorer results in the short term, but do not appear to affect the outcome in the longer term. Compared to other treatments, chiropractic manipulation is one of the safest and most natural ways to treat chronic back or neck pain.
In a recent review of medications used for neck pain, the authors noted that the current accepted standard of practice “can rest in a swamp of potentially valid but unproven treatments.” . Although NSAIDs are considered an established treatment for musculoskeletal pain, in a recent Medline search we were unable to find any randomized, controlled study investigating the use of NSAIDs specifically for neck pain. More studies are currently underway comparing the effectiveness of cervical manipulation with other treatments for neck pain, headache and related conditions. In its latest analysis, the Ernst team collected data from 60 randomized controlled chiropractic studies conducted from January 2000 to July 2011. They found that 29 of the studies did not report any adverse effects from the treatment, and of the 31 studies reporting adverse effects, 16 reported that none had occurred during the study.