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Chiropractic Safety

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Chiropractic safety is one of the most discussed topics, especially when it comes to manipulations in the neck (cervical) region. When performed by a graduated and diplomated professional, the chiropractic techniques are considered safe and low risk, but, like any health intervention, it has contraindications and possible side effects.

How to ensure your safety?

 

To make the experience positive and safe, follow these guidelines:

1.Academic Background: It is important to certify if the professional's training has a higher education degree in Chiropractic (4 to 5 years of graduation). Or complementary training for professionals graduated in other professions with a duration of 2 and a half years with at least 2000 hours of clinical internship.

2.Initial Evaluation: A good chiropractor will never make a "snap" without first performing a complete anamnesis, physical tests and, if necessary, requesting imaging tests (X-ray or MRI).

3.Transparency: Inform your entire medical history, including surgeries, chronic diseases, and medications you take.

 

There are in some countries many professions. who take short courses in manipulative techniques and may falsely identify themselves as chiropractors. These practitioners do not offer a safe practice in chiropractic. In some countries, official training in chiropractic is complementary and professionals must carry out a supervised clinical internship with patients. Supervised practice is critical to ensuring safe clinical practice.

 

Some absolute contraindications

Bone cancer (metastasis), joint and bone infections, presence of instability, metabolic diseases, collagen and bone fragility.

 

Relative contraindications

Osteopenia and mild osteoporosis, controlled rheumatic diseases, herniated disc with neurological lesions.

 

Common (Expected) Reactions

After an adjustment, about 50% of patients may experience mild effects that usually disappear within 24 to 48 hours. They are comparable to tiredness after an intense workout:

1.Slight pain or tenderness at the adjusted site.

2.Tiredness or fatigue.

3.Temporary headache.

2. Serious (Rare) Risks

 

Serious complications are extremely rare, but they do exist. The scientific literature points out:

1.Herniated disc: An adjustment can, in rare cases, aggravate an existing herniation or cause nerve compression if there is no prior evaluation.

2.Cervical Adjustment and Stroke: There is debate about the relationship between neck manipulation and vertebral artery dissection (which can lead to a stroke). Although the risk is estimated at 1 in 1 to 5 million adjustments, good professionals perform specific tests before manipulating this area to ensure safety.

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