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How Safe is Chiropractic

Chiropractic: A Safe Treatment Option

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may sometimes experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.1

In addition to being a safe form of treatment, spinal manipulation is incredibly effective, getting patients back on their feet faster than traditional medical care. A March 2004 study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic care is more effective than medical care at treating chronic low-back pain in patients who have experienced symptoms for one year or less. Similarly, a study published in the July 15, 2003, edition of the medical journal Spine found that manual manipulation provides better short-term relief of chronic spinal pain than a variety of medications. Moreover, a 2012 study in Spine found that only 1.5 percent of workers with back injuries whose first point of treatment was a doctor of chiropractic required surgery, compared to the 42.7 percent of workers whose first contact was a surgeon. 2

Neck Adjustments

Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation—often called a neck adjustment—works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension.

Neck manipulation is a remarkably safe procedure. While some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, the best evidence3 suggests that this type of arterial injury often takes place spontaneously, or following everyday activities such as turning the head while driving, swimming, or having a shampoo 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 evidence indicates that the incidence of artery injuries associated with high-velocity upper neck manipulation is extremely rare – about 1 case in 5.85 million manipulations.4

To put this risk into perspective, if you drive more than a mile to get to your chiropractic appointment, you are at greater risk of serious injury from a car accident than from your chiropractic visit.

It is important for patients to understand the risks associated with some of the most common treatments for neck and back pain—such as prescription nonsteroidal anti-inflammatory drugs (NSAIDS)—as these options may carry risks significantly greater than those of manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.5

Furthermore, surgery for conditions for which manipulation may also be used carries risks many times greater than those of chiropractic treatment. Even prolonged bed rest carries some risks, including muscle atrophy, cardiopulmonary deconditioning, bone mineral loss and thromoembolism.6

If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider. If the issue of stroke concerns you, do not hesitate to discuss it with your doctor of chiropractic. Depending on your clinical condition, he or she can forego manipulation, and instead can recommend joint mobilization, therapeutic exercise, soft-tissue techniques, or other therapies.

Research Ongoing

ACA believes patients have the right to know about the health risks associated with any type of treatment, including chiropractic. Today, chiropractic researchers are involved in studying the benefits and risks of spinal adjustment in the treatment of neck and back pain through clinical trials, literature reviews and publishing papers reviewing the risks and complications of neck adjustment. All available evidence demonstrates that chiropractic treatment holds an extremely small risk. The chiropractic profession takes this issue very seriously and engages in training and postgraduate education courses to recognize the risk factors in patients, and to continue rendering treatment in the most effective and responsible manner.

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Testimonial

  • "I've seen Dr. Mandich on and off over the last 10 years for a variety of physical problems. Dr. Mandich has always been very knowledgeable and professional with my treatments. A BIG Thank-You to Doc and staff for helping to keep me moving at my BEST!"
    Chuck W.
  • "I can’t say enough about how good Dr. Paul is and what he has done for me. I have recommended him to my friends & family. In plain and simple words, he cares about his patients and their well-being. Many thanks, Dr. Paul and Staff."
    Tom G.
  • "I went to PWC on the recommendation of a close friend for an inflamed herniated disc, and was immediately treated to a program of acupuncture and ultrasound (along with spinal adjustments) for my problem, which has completely disappeared. I feel no more pain or discomfort. The staff is the absolute best!"
    Chris M.
  • "Since I began getting regular spinal adjustments, I feel great and have more energy. The staff is wonderful, positive and the best I’ve seen. Dr. Mandich is a miracle worker!!"
    Jessica H.
  • "Chiropractic care has changed my life. Dr. Mandich is the absolute best! The spinal manipulations and therapy done in office have relieved my neck and low back pain. Making it manageable with almost no pain at all. I recommend Dr. Mandich to all my friends and family. Thank you for improving my spine as well as my over all wellness!"
    T.E.