Do Chiropractors Cause Strokes?

There’s a stigma in the Chiropractic profession that may cause hesitation when considering seeing one: does getting neck your adjusted or “cracked” cause strokes?

It is every chiropractor’s professional & legal obligation to have this discussion with patients whose neck they will be adjusting. This video was made to address any concerns brought up by potential patients seeking care for their neck pain, headache & discomfort.

Here, we will be going through multiple studies that examine chiropractic usage and rate of stroke occurrence, comparing it to primary care physician visits and rate of stroke occurrence, and answering the question “Do Chiropractors Cause Strokes?” with data and evidence.

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References:

Chiropractic Manipulation and Stroke
Rothwell, D. M., Bondy, S. J., & Williams, J. I. (2001). Chiropractic manipulation and stroke: a population-based case-control study. Stroke, 32(5), 1054-1060.

Risk of Vertebrobasilar Stroke and Chiropractic Care + PCP visits
Cassidy, J. D., Boyle, E., Côté, P., He, Y., Hogg-Johnson, S., Silver, F. L., & Bondy, S. J. (2008). Risk of Vertebrobasilar Stroke and Chiropractic Care: Results of a Population-Based Case-Control and Case-Crossover Study. European Spine Journal, 17(Suppl 1), 176–183. https://doi.org/10.1007/s00586-008-06...

Risk of Carotid Stroke After Chiropractic Care
Cassidy, J. D., Boyle, E., Côté, P., Hogg-Johnson, S., Bondy, S. J., & Haldeman, S. (2017). Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 26(4), 842–850. https://doi.org/10.1016/j.jstrokecere...

THE MATH
Haldeman, S., Carey, P., Townsend, M., & Papadopoulos, C. (2001). Arterial dissections following cervical manipulation: the chiropractic experience. Cmaj, 165(7), 905-906.

Strokes may be aggravated by ANY neck movement
Haldeman, S., Kohlbeck, F. J., & McGregor, M. (2002). Stroke, cerebral artery dissection, and cervical spine manipulation therapy. Journal of neurology, 249(8), 1098-1104.

Neck Manipulation forces on Vertebral Artery vs pROM
Herzog, W. (2010). The biomechanics of spinal manipulation. Journal of bodywork and movement therapies, 14(3), 280-286.

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