Chiropractic Adjustment-Related Stroke Symptoms and Precautions
Cervical manipulation, a common practice in chiropractic care, has been associated with a rare but potential risk of stroke. This connection is primarily linked to vertebral artery dissection, a tear in the artery that supplies blood to the brain.
While the risk is considered extremely low, there is some evidence suggesting that cervical chiropractic adjustments may increase the risk of stroke in certain individuals. This risk is often associated with unhealthy vertebral arteries, improper or forceful techniques by chiropractors, pre-existing stroke symptoms, and a lack of informed consent about the known, albeit rare, risks.
The incidence of vertebral artery dissection related to chiropractic adjustment is estimated to be between 1 in 5.85 million to 1 in 10 million cervical manipulations. The American Heart Association and related neurological organizations have stated that the association between chiropractic manipulation and stroke is not well-established and probably low. Many cases may be strokes in progress before the chiropractic visit.
If dissection is suspected, referral for advanced imaging like magnetic resonance angiography (MRA) is the standard.
It's important to note that spinal manipulation can carry risks, including stroke and slipped disc, but these risks are generally low when performed by a trained and registered chiropractor. In the event of any signs or symptoms of stroke following chiropractic adjustment, seeking emergency medical assistance as quickly as possible is crucial.
To mitigate risks, it's advisable to discuss any potential health risks of chiropractic adjustment with a doctor who is aware of your medical history before undergoing adjustment. Additionally, when finding a chiropractor, it's essential to be careful and properly research competent professionals. Warning signs of an unreliable chiropractor may include a lack of accreditation and testimonials, attempts to push excessive and expensive supplements and products, unwillingness to work with medical professionals, and rushed appointments and lack of care.
While the risk of stroke following chiropractic adjustments is low, it's always a good idea to be aware of the potential signs of a stroke. The F.A.S.T. warning signs are recommended: Face drooping, Arm weakness, Speech difficulty, Time to call 911. A severe thunderclap headache that occurs and peaks quickly may also indicate a stroke, and if someone experiences a sudden, severe headache after a chiropractic adjustment, they should contact a doctor immediately.
In the United Kingdom, the National Health Service (NHS) has stated that spinal manipulation can carry a risk of stroke. However, the risk appears to be low, and fast treatment can help reduce the amount of damage stroke can cause to the brain.
In conclusion, while the evidence suggests a possible but very rare link between vertebral artery dissection from neck manipulation and stroke, this risk is mostly linked to vulnerable arterial health and technique, with ongoing debate about causation versus coincidence or underlying pre-existing pathology. It's essential to prioritise safety and informed consent in chiropractic care.
- Some individuals with a medical history of colitis may want to exercise caution when considering cervical chiropractic adjustments due to the potential risk of stroke.
- Depression and other mental health conditions can increase the sensitivity of individuals to the discomfort and stress caused by chiropractic therapies and treatments.
- The science behind the connection between chiropractic care and the onset of migraines is not yet fully understood, but some studies suggest a possible correlation.
- In addition to cervical chiropractic adjustments and stroke, other chronic diseases like ulcerative colitis and psoriatic arthritis can potentially affect the vertebral artery.
- Multiple sclerosis, a neurological disorder, can impact a person's suitability for spinal manipulation and increase the risk of adverse effects during chiropractic treatments.
- A predictive model derived from science can help determine the potential risks for a patient with chronic kidney disease or type-2 diabetes undergoing chiropractic care for conditions like chronic low back pain.
- In some cases, cancer patients may benefit from chiropractic care for pain management and improved quality of life, but patients should consult with their oncologists beforehand to discuss potential interactions with their current therapies and treatments.
- Health and wellness aficionados interested in adopting a holistic approach to their fitness and exercise routine might find value in seeking the advice of a chiropractor to improve overall spinal alignment and function.
- Proper nutrition plays a vital role in managing inflammatory conditions such as rheumatoid arthritis, and working with a chiropractor can provide additional support in tackling symptoms like joint pain and stiffness.
- Along with conventional medical treatments, therapies like chiropractic care and nutrition may help in the management of neurological disorders such as migraines and neurological-disorders.
- Maintaining awareness of one's mental health is crucial, especially if individual is considering chiropractic care for managing stress or promoting overall well-being.
- When dealing with chronic conditions like arthritis or multiple sclerosis, implementing a consistent exercise and nutrition regimen, along with professional chiropractic care, can contribute to overall disease management and improved symptoms.
- It is worth noting that sclerosis, whether multiple or psoriatic, can cause symptoms that mimic those associated with stroke, and seeking the expertise of a healthcare professional is essential for proper diagnosis and treatment.
