Shayan Safar Shayan Safar

Should you get your neck adjusted?

Neck “Adjustments” have risks and but can also be very effective if used at the right time. Let’s talk about those times when it’s a good idea.

There definitely is a risk with getting neck adjustments. Sadly some people have been paralyzed after or even passed away. However, they can also be very effective. In order to minimize the risk of a neck adjustment it should really be done if there’s no red flags in the medical exam and if the patient presents with the following signs and symptoms.

  1. positive expectation manip will help

  2. duration of symptoms <38 days

  3. cervical range of motion difference >/= 10 deg (strongest predictive value)

  4. Pain with PA spring test of mid cervical spine 

greater than 3/4 items on this brought the success from 38%-90%

If present with the signs and symptoms they’re usually a good candidate for manipulation and will benefit from the treatment. In my opinion, only when there’s no red flags and they fit that category then is a neck manipulation warranted. 

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