Chiropractic Spinal Manipulation Therapy: Risks and Adverse Events

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: June 14, 2019
Number of Pages: 153

According to the American Chiropractic Association, chiropractors treat more than 35 million Americans each year. Chiropractors are health care practitioners who focus on treating disorders of the musculoskeletal and nervous systems that most commonly include back and neck pain, joint pain, pain in the arms or legs, and headaches. There are more than 70,000 licensed chiropractors in the United States whose scope of practice includes patient evaluation, diagnosis, and treatment and who are also trained to provide nutritional, lifestyle, and dietary counseling.

Although chiropractors are trained in the use of over 100 types of adjustment techniques, the most frequently used chiropractic maneuver is spinal manipulation, also known as the traditional high-velocity low-amplitude (HVLA) thrust. Chiropractors perform spinal manipulation by using their hands or a device to apply a controlled force to an area of the spine. The amount of force applied depends on the form of manipulation used. The goal of spinal manipulation therapy is to relieve pain and improve physical functioning.

The safety and efficacy of spinal manipulation therapy has been evaluated by many published studies in the literature. Although, in general, reviews have concluded that spinal manipulation therapy is a relatively safe and effective technique when performed by a trained and licensed practitioner, nevertheless, it carries the risk for serious and potentially life-threatening adverse events. The most feared complications of spinal manipulation therapy are vertebral artery dissection and stroke. Other serious adverse events associated with this technique include cauda equina syndrome, disc herniation, spinal cord injury, diaphramatic paralysis, epidural hematoma, and intracranial hypotention.

The MediFocus Literature Guide to Chiropractic Spinal Manipulation Therapy: Risks and Adverse Events is a comprehensive Guide to the medical literature for personal injury attorneys who may be called upon to litigate cases involving a serious injury resulting from chiropractic spinal manipulation. The Guide captures the salient literature that has been published about serious adverse events of spinal manipulation in well respected, peer-reviewed medical journals over the past 20 years. This unique Guide includes over 175 hand-selected references to with links to the article abstracts and also includes a valuable Author Directory that enables attorneys to quickly identify and locate experts in the subject matter.

Chiropractic Spinal Manipulation Therapy: Risks and Adverse Events is a one-of-a-kind literature reference Guide that includes:

  • A comprehensive bibliography of 175 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
  • Online access to the abstracts (summaries) of the articles.
  • A unique “Author Directory” consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Chiropractic Spinal Manipulation Therapy: Risks and Adverse Events. The “Author Directory” is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

  • The risk associated with spinal manipulation: an overview of reviews.
  • Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study.
  • Cervical Intradural Disc Herniation Causing Progressive Quadriparesis After Spinal Manipulation Therapy
  • Bilateral diaphragmatic paralysis due to cervical chiropractic manipulation.
  • Risk of stroke after chiropractic spinal manipulation in medicare B beneficiaries aged 66 to 99 years with neck pain.
  • The Association Between Cervical Spine Manipulation and Carotid Artery Dissection: A Systematic Review of the Literature.
  • Serious Adverse Events and Spinal Manipulative Therapy of the Low Back Region: A Systematic Review of Cases.
  • Lumbar disc herniation and cauda equina syndrome following spinal manipulative therapy.
  • A systematic literature review of intracranial hypotension following chiropractic.
  • Assessing the risk of stroke from neck manipulation: a systematic review.
  • Spinal cord injury following chiropractic manipulation to the neck.
  • Acute thoracic epidural hematoma following spinal manipulative therapy: case report and review of the literature.
  • The biomechanics of spinal manipulation.
  • Cerebrovascular complications of neck manipulation.
  • Risk of vertebrobasilar stroke and chiropractic care.
  • Acute paraplegia following chiropractic therapy.
  • Vertebral artery dissection and cerebellar infarction following chiropractic manipulation.
  • Complications of cervical spine manipulation therapy: 5-year retrospective study in a singlegroup practice.
  • Cervical manipulation–how might informed consent be obtained before treatment?
  • Stroke, cerebral artery dissection, and cervical spine manipulation therapy.
The MediFocus Literature Guide on Chiropractic Spinal Manipulation Therapy: Risks and Adverse Events
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