Worried about your neck getting adjusted by a Chiropractor?

December 4, 2014

I’m worried about my neck getting adjusted, I’ve read and heard some really scary things about it, what techniques does your Chiropractor in Albuquerque use, especially for neck adjustments?

A Spinal Health and Movement Center Chiropractors utilize a variety of traditional techniques that are taught in Chiropractic College, as well as techniques taught in Post Graduate Courses in Manual Medicine, and we use a combination of methods that are appropriate for each individual. In addition, we also utilize Myofascial Techniques, coupled together with our adjustments, and have developed our own unique and specific style of technique.

With regards to the upper cervical spine (C1,C2) we acknowledge that is the area of the spine that is most vulnerable for Vertebral Artery Dissection. This area is especially potentially vulnerable to forceful manipulative techniques that utilize excessive over rotation and excessive lateral bending. This vulnerability of the upper cervical area of the spine (C1,C2), combined with overaggressive manipulative techniques, is possibly implicated in a very small and very rare number of cases of Vertebral Artery Dissection, (leading to Stroke), that has been reported in the medical literature. We take your health very seriously, and understand the risk/reward of intervention of pain vs. techniques used to relieve that pain. Furthermore, the risk of Vertebral Artery Dissection, however small and rare, is a concern for us and we are committed to minimize any risk, no matter how small and rare, as much as possible.

Therefore, our approach is to manually adjust the lower cervical segments (C3, C4, C5) in a modified manual technique that reduces excessive rotation and excessive lateral bending of the neck as much as possible, thereby potentially reducing risk of Vertebral Artery Dissection. The upper cervical spine (C1, C2) and occiput is adjusted with a mechanical adjusting instrument and myofascial release techniques of occipital and upper cervical musculature. We find this approach is safer, and equally effective in reducing upper cervical neck pain, and headaches, without the extreme rotation and lateral bending of the neck that is used in some adjusting techniques. We also recommend our patients seek medical attention first for any headaches, dizziness, or upper cervical pain, prior to seeking chiropractic care to rule out medical conditions that may be a source of these symptoms.

Dr. Ramirez

A Spinal Health and Movement Center

Albuquerque-Chiropractors.com

505-247-2373

Below is the anatomy of the cervical spine and vasculature.

Source:  Journal of Neurologic Physical Therapy. (JNPT)

VAD

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