Tag: vertebrobasilar artery dissection

Chiropractic and Stroke: No Evidence for Causation But Still Reason for Concern

Can neck manipulation (by chiropractors or by other practitioners) cause strokes? Many of us think it can, but definitive proof is lacking. A recently published study looked at the available evidence. A systematic review found a small association between stroke and chiropractic care but concluded that the association was spurious and that there was no evidence for causation. My colleagues and I...

/ April 5, 2016

Chiropractic and Stroke: The question is not answered

I am off to Chicago for 5 days to wow the SMACC crowd with my ID/SBM acumen. I hope. Given that most of my multiple-personalities do not seem to be able to get any work done, I am forced to write a brief post this week, limited by the battery life on my MacBook Air. Whatever I get down on paper? pixels?...

/ June 26, 2015

Bias and Spin: Acupuncture and Chiropractic

We all construct our narrative based on our biases and spin the facts so that the narrative confirms our biases. Among other characteristics, what separates an SBM provider from a SCAM provider is realizing that biases are always active and apply to me as well as everyone else. My biases are simple: I am skeptical that humans can reliably understand reality without...

/ March 6, 2015
Chiropractic neck manipulation

Stroke Death from Chiropractic Neck Manipulation

Chiropractors claim neck manipulation is safe. Evidence suggests otherwise.

/ November 12, 2014
alien autopsy

That’s so Chiropractic

Old bad studies: Fantastical autopsy results I found the following quote at “Chiropractic care can treat more than just bad backs” (FYI. Chiropractic can’t): Luse references a study published in The Medical Times authored by Dr. Henry Windsor [sic], M.D. that showcases the correlation of spinal health to overall wellness. Windsor dissected 75 human cadavers to investigate their causes of death. The...

/ August 22, 2014

A Statement on Cervical Manipulation and Dissections

The American Heart Association and the American Stroke Association recently published in the journal Stroke a thorough analysis of the evidence for an association between cervical manipulative therapy (CMT) and both vertebral artery dissection (VAD) and internal carotid artery dissection (ICAD). The full article is online: “Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the...

/ August 13, 2014

Upper Neck Manipulation: Caveats for Patients and Providers

Chiropractors often deny that neck manipulation can be a primary cause of stroke by injuring vertebral arteries. But according to Jean-Yves Maigne, M.D., head of the Department of Physical Medicine at the Hôtel-Dieu Hospital in Paris, France: It is now a well established fact that cervical thrust manipulation can harm the vertebral artery. This accident was formerly regarded as very rare, although...

/ July 31, 2014
Chiropractic neck manipulation

Whack em hard/Whack em once and Stroke. On chiropractic induced trauma

There is no satisfaction in hanging a man who does not object to it. ~ George Bernard Shaw I work in a 5-hospital system and many of us practice at several hospitals. The residents rotate through at least three of the hospitals and the peripatetic nature of health care allows word of curious cases to percolate through the system.  My current resident...

/ May 17, 2013
Chiropractic neck manipulation

Chiropractic Strokes Again: An Update

It's depressing that we have to keep revisiting the topic of stroke after chiropractic neck manipulation.

/ August 14, 2012
3D_Male_Skeleton_Anatomy

NCCAM manipulates spinal manipulation

“Complementary and alternative medicine,” as pediatrician and fellow blogger John Snyder aptly stated in a recent journal article on CAM and children, is a term used to describe a disparate, poorly defined set of practices and treatment modalities presumed to be distinct from so-called ‘conventional medicine’. As we have discussed here at Science-Based Medicine, this amorphous concept facilitates a convenient fluidity in delineating...

/ July 26, 2012