#PTonICE Daily Show
Episode 1837 - Cervical manipulation & stroke risk
Oct 29, 2024
Justin Dunaway, lead faculty at the Institute of Clinical Excellence, dives into the critical conversation around cervical manipulation and its potential stroke risk. He addresses the emotional complexities and misconceptions surrounding these manipulative techniques. Dunaway urges a fact-based approach to enhance clinician training, while highlighting the importance of understanding vascular pathology in head and neck pain treatment. He advocates for an evidence-based method rather than merely shying away from manipulation risks, paving the way for safer patient care.
17:25
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Quick takeaways
- Research indicates that cervical manipulation does not statistically increase stroke risk, challenging common misconceptions about its safety.
- Clinicians should prioritize understanding vascular pathologies over emotional debates, focusing on risk assessment and patient education for improved outcomes.
Deep dives
Understanding Risks of Cervical Manipulation
The discussion centers around the perceived risks associated with cervical thrust manipulation, particularly concerning the fear of dissection stroke. Existing research shows that spontaneous dissections occur at a similar rate whether a patient undergoes manipulation or not, challenging the belief that avoiding manipulation inherently reduces the risk of stroke. For instance, studies comparing chiropractic visits to primary care show no increased risk of stroke due to manipulation. This suggests that the fear may be misguided, as manipulation does not statistically raise the incidence of such events any more than natural occurrences within the population.
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