neck manipulation
Image:Gray 111 - Vertebral column-coloured.png
Cervical manipulation, commonly known as neck manipulation, is a procedure involving adjustment of the upper seven vertebrae of the spinal column. This procedure is most often utilized by chiropractors, as well as osteopathic physicians who practice osteopathic manipulation.{{cite book|last1=Vincent|first1=Dr. Charles|last2=Furnham|first2=Adrian|title=Complementary Medicine: A Research Perspective|date=July 7, 1997|publisher=John Wiley & Sons|isbn=978-0-471-96645-6|pages=15–16|url=https://books.google.com/books?id=Q_UnQNQPJ60C&pg=PA15|accessdate=16 May 2017}} This type of manipulation may increase the risk of stroke and other issues, with studies suggesting the relationship is causative.{{Cite news| title = Really? - Can Manipulating Your Neck Lead to a Stroke?| author = Anahad O'Connor| newspaper = New York Times| date = August 25, 2008| accessdate = January 7, 2015| url = https://www.nytimes.com/2008/08/26/health/26real.html}}{{Cite news| title = How safe are the vigorous neck manipulations done by chiropractors?| author = Susan Berger| newspaper = Washington Post| date = January 6, 2014| accessdate = January 7, 2015| url = https://www.washingtonpost.com/national/health-science/how-safe-are-the-vigorous-neck-manipulations-done-by-chiropractors/2014/01/06/26870726-5cf7-11e3-bc56-c6ca94801fac_story.html}}{{Cite web| title = Chiropractic care and the risk of vertebrobasilar stroke| author = Stephen Perle| work = On Health| date = June 19, 2015| accessdate = July 1, 2015| url = http://blogs.biomedcentral.com/on-health/2015/06/19/chiropractic-care-and-the-risk-of-vertebrobasilar-stroke/}}
Location
{{Main|Vertebral column}}
The cervical areas is located in the upper neck region of the spine from C1 to C7 .
Methods
Many types of practitioners use various techniques to adjust the position of the cervical bones. They include bonesetters, physical therapists, chiropractors, non-physician osteopaths, and osteopathic physicians. The various techniques range from high velocity low amplitude thrusts to gentle positional release techniques such as Brett's Procedure.
Risks
There are associated risks that come with cervical manipulation including spinal disc herniation, stroke and vertebral artery dissection. Chances of stroke may be increased due to possible tears in neck arteries, known as cervical dissection, and is among the most common causes of stroke for young and middle-aged adults.{{Cite web| title = Could Chiropractic Manipulation of Your Neck Trigger a Stroke?| author = Dennis Thompson| work = WebMD| date = August 7, 2014| accessdate = July 1, 2015| url = http://www.webmd.com/stroke/news/20140807/could-chiropractic-manipulation-of-your-neck-trigger-a-stroke}} However, it is difficult to quantify this risk, with a 2012 meta analysis of previous studies stating that a significant risk "can not be ruled out", but noted that the true risk is possibly drastically underestimated, owing to the lack of a reporting requirement for private chiropractic practitioners.{{Cite journal|last1=Haynes|first1=M. J.|last2=Vincent|first2=K.|last3=Fischhoff|first3=C.|last4=Bremner|first4=A. P.|last5=Lanlo|first5=O.|last6=Hankey|first6=G. J.|date=October 2012|title=Assessing the risk of stroke from neck manipulation: a systematic review|journal=International Journal of Clinical Practice|volume=66|issue=10|pages=940–947|doi=10.1111/j.1742-1241.2012.03004.x|issn=1742-1241|pmc=3506737|pmid=22994328}}
See also
References
{{reflist}}
External links
- MSNBC.com - [https://www.nbcnews.com/health/health-news/deadly-twist-neck-adjustments-can-be-risky-flna1c9472897 "Deadly twist: Neck adjustments can be risky"]
{{Chiropractic}}