Is manipulation safe?
Yes, spinal manipulation is very safe. In a 2004 study in the Journal of Manual Therapies, the most common post-adjustment reactions were are follows: headache (19.8%), stiffness (19.5%), local discomfort (15.2%), radiating discomfort (12.1%) and fatigue (12.1%). These reactions began within 4 hours and generally disappeared within the next 24 hours. Infrequent but potentially serious side effects include: vertebrobasilar accidents (VBA), strokes, spinal disc herniation, vertebral and rib fractures, and cauda equina syndrome. [8]These side effects only occur in a small percentage of patients and Dr. Buncke will perform a through history and exam to rule out the possibility of these side effects. Patients in our office will also be informed of these risks before treatment starts through a written informed-consent form.