On the basis of these case reports, physicians may want to reconsider doing elective cervical manipulation
, at least on patients who have cervical vaginal infection or colonization with potential perinatal pathogens.
Specific premanipulative vertebral provocation tests are generally recommended to identify a threatening ischemia preceding a manipulation of the neck, and are an obligatory component of cervical manipulation
Effects of acupuncture, cervical manipulation
and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: a pilot study.
Note that the strains for the cervical manipulation
trials are typically less than 50% of those obtained during normal ROM testing.
Table 3b of the 2005 Chiropractic clinical practice guideline: evidence-based treatment of adult neck pain not due to whiplash (3) lists risk factors that are absolute contraindications to cervical manipulation
(and possibly mobilization).
The condition represents an absolute contraindication for upper cervical manipulation
Injury from cervical manipulations
rarely, if ever, occurs in this part of the VA.
5 serious complications occur from every million cervical manipulations
, compared to 1,000 per million complications from taking over-the-counter pain killers.
13) In the current case, supine upper thoracic and bilateral cervical manipulations
were used, with no adverse effects.
19) The second most common procedure resulting in student injuries was supine cervical manipulations
This study reported drastic upper limb symptom improvement in one patient following a total of three cervical manipulations
and home exercise therapy.