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Adverse events among older adults receiving chiropractic spinal manipulation and related treatments: an updated systematic review.

BACKGROUND: This systematic review updated adverse events (AEs) reporting in persons aged > 55 years who received chiropractic treatment, including spinal manipulation. METHODS: Protocol was registered prospectively with the Prospective Register of Systematic Reviews (PROSPERO)(CRD42024629286). Search strategy was audited with Peer Review of Electronic Search Strategies (PRESS) methodology. We searched PubMed, Cochrane Central Register of Controlled Trials, CINAHL, AMED, and Index to Chiropractic Literature on December 12, 2025. We included AEs attributed to treatment provided by chiropractors…

Cervical radiculopathy management with physical, chiropractic, and acupuncture therapy: Factors associated with different therapy utilization patterns.

BACKGROUND: Cervical radiculopathy (CR) is a common cervical spine pathology. Following diagnosis, patients may seek conservative management including physical therapy (PT), chiropractic therapy (CT), and acupuncture therapy (AT). Literature supporting alternative management strategies remains limited and mixed, however, their utilization continues to rise. METHODS: Patients with a first-time diagnosis of CR were identified from the M165Ortho PearlDiver database. Exclusion criteria included: <18 years of age, concurrent cervical myelopathy, therapy use prior to diagnosis, those with trauma, n…

Pressure pain thresholds in a real-world chiropractic setting: topography, changes after treatment, and clinical relevance?

BackgroundChanges in pain sensitivity are a commonly suggested mechanism for the clinical effect of spinal manipulative therapy (SMT). Most research has examined pressure pain thresholds (PPT) and has primarily been conducted in controlled experimental setups and on asymptomatic populations. Many important factors are likely to differ between research and clinical settings, which may affect PPT changes following SMT. Therefore, we planned to investigate PPT before and after clinical chiropractic care and investigate relationships with various potentially clinically-relevant factors.MethodsWe r…

[Chiropractic plus plum-blossom needling combined with flexibility training on attention deficit in mentally-retarded adolescents].

OBJECTIVE: To observe the clinical efficacy of chiropractic plus plum-blossom needling combined with flexibility training for attention deficit in mentally-retarded adolescents. METHODS: Thirty adolescents with mild mental retardation were randomly divided into a medical rehabilitation plus flexibility training group (10 cases, 2 cases dropped off), a flexibility training group (10 cases, 1 case dropped off) and a control group (10 cases). The patients in the flexibility training group received flexibility training, once every other day, 3 times a week for 12 weeks. The patients in the medica…

Clinical profiles and referral patterns of infants attending Danish chiropractic clinics: a nationwide cross-sectional study.

OBJECTIVE: To describe the primary complaints of infants presenting to Danish chiropractic clinics and explore the secondary complaints, and type of referrals from other healthcare professionals. METHODS: A cross-sectional study based on routinely collected medical records from a national sample of chiropractic clinics in Denmark. Data were collected retrospectively in December 2019 and January 2020, covering infants (0-1 year) seen between November 2018 and October 2019. All 238 chiropractic clinics in the Danish Chiropractors' Association were invited to participate via an electronic survey…

Heart rate variability responses to instrument-assisted atlas (C1) chiropractic manipulation: A randomized placebo-controlled trial.

INTRODUCTION: Musculoskeletal pain is often linked to dysfunctions of the ANS. Instrument-assisted chiropractic manipulation is promising for modulating HRV through the ANS. OBJECTIVE: To assess the impact of chiropractic manipulation on HRV in individuals with musculoskeletal pain compared to a placebo. METHODS: A randomized clinical trial included 64 participants aged 18-60 years (mean age = 32 ± 10.4) with acute or chronic musculoskeletal pain. The intervention group (IG) received a single high-velocity, low-amplitude impulse on the bilateral transverse processes of C1, while the control …

Describing Congruence Between ICD-10 Coding and Medical Record Text in Veterans Health Administration Chiropractic Notes.

OBJECTIVE: The purpose of this study was to describe the congruence between International Classification of Diseases, 10th Ed (ICD-10) codes and documented text diagnoses from chiropractic notes in the Veterans Health Administration (VHA). METHODS: This was a cross-sectional analysis of VHA national administrative data. We randomly sampled 1000 on-station VHA chiropractic visits occurring from October 1, 2017, and September 30, 2018 from patients with no such visits within the prior 12 months. ICD-10 and documented text diagnoses were extracted and mapped to 10 defined categories based on bod…

Post-MVC Cervical Kyphosis Deformity Reduction Using Chiropractic BioPhysics Protocols: 1-Year Follow-Up Case Report.

Background/Objectives: This case represents the successful treatment of cervical spine injury from high-speed rear-impact motor vehicle coll … llision, with neck, upper back, and left arm radiculopathy. Prescription medication and traditional chiropractic care proved ineffective for substantive symptom and quality-of-life improvement. Treatment frequency was three times per week for eight weeks using the Chiropractic Biophysics® protocol of mirror image (MI®) postural exercise, spinal adjustment, and …

Association between chiropractic spinal manipulation for sciatica and opioid-related adverse events: A retrospective cohort study.

BACKGROUND: Patients receiving chiropractic spinal manipulation (CSM) for spinal pain are less likely to be prescribed opioids, and some evidence suggests that these patients have a lower risk of any type of adverse drug event. We hypothesize that adults receiving CSM for sciatica will have a reduced risk of opioid-related adverse drug events (ORADEs) over a one-year follow-up compared to matched controls not receiving CSM. METHODS: We searched a United States (US) claims-based data resource (Diamond Network, TriNetX, Inc.) of more than 216 million patients, yielding data ranging from 2009 to…

Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.

OBJECTIVES: Post-traumatic stress disorder (PTSD) is thought to complicate pain management outcomes, which is consistent with the impact of other psychosocial factors in the biopsychosocial model of pain. This study aimed to identify patient sociodemographic and clinical characteristics associated with PTSD prevalence among veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who received Veterans Affairs (VA) chiropractic care. METHODS: A cross-sectional analysis of electronic health record data from a national cohort study of OEF/OIF/OND veterans with at least 1 visi…

Diagnostic Accuracy of Lumbosacral Spine Magnetic Resonance Image Reading by Chiropractors, Chiropractic Radiologists, and Medical Radiologists.

STUDY DESIGN: A cross-sectional diagnostic accuracy study was conducted in 2 sessions. OBJECTIVE: It is important to know whether it is pos … toms. METHODS: A set of 300 blinded MR images was read by medical radiologists, chiropractors, and chiropractic radiologists in 2 sessions. Each assessor read 100 scans in round 1 and 50 scans in round 2. The reference test was an expert panel.For all analyses, the magnetic resonance imaging findings were dichotomized into "specific findings" or "no specific …

[Clinical observation on cervical type cervical spondylosis treated with sword-like needle and chiropractic spinal manipulation].

OBJECTIVE: To compare the difference in the efficacy on cervical type of cervical spondylosis (CS) between the combined treatment of sword-like needle and chiropractic spinal manipulation (the combined therapy) and the simple chiropractic spinal manipulation. METHODS: One hundred and thirty-eight cases of cervical type of CS were randomized into a combined therapy group (76 cases) and a simple chiropractic spinal manipulation group (62 cases). In the combined therapy group, the sword-like needle therapy was applied at Fengchi (GB 20), Tianzhu (BL 10) and Jiaji (EX-B 2) C3-C5. The chiropractic…

Chiropractic management of work-related upper limb disorder complicated by intraosseous ganglion cysts: a case report.

OBJECTIVE: Work-related upper limb disorder (WRULD) encompasses a broad array of occupational upper limb injuries, the most common being carpal tunnel syndrome (CTS). Carpal tunnel syndrome occasionally presents with concomitant ganglion cysts. The purpose of this case report is to describe the chiropractic management of a patient with bilateral WRULD complicated by ganglion cysts. CLINICAL FEATURES: The patient was diagnosed previously with bilateral CTS and presented with common CTS symptoms that were nonresponsive to several previous courses of care. Magnetic resonance imaging revealed bil…

Acute spinal epidural haematoma causing cord compression after chiropractic neck manipulation: an under-recognised serious hazard?

Spinal manipulative therapy performed by chiropractors is increasingly common in the United Kingdom. Spinal epidural haematoma is a rare complication of such physical therapy but when identified represents a neurological emergency. We describe the case of a 64 year-old man who presented with a dense hemiplegia due to a spinal epidural haematoma following cervical spine manipulation performed for acute neck pain. The clinical features and surgical management of the case are discussed and we stress the importance of recognition of chiropractic manipulation as a potential cause of neurological se…

[Acupuncture-moxibustion combined with chiropractic therapy for adolescent psychogenic vomiting with Mallory-Weiss syndrome: a case report].

This paper reports 1 case of adolescent with psychogenic vomiting accompanied by Mallory-Weiss syndrome and antral gastritis treated with acupuncture-moxibustion combined with chiropractic therapy. The case was differentiated as disharmony of liver and stomach, and treated according to the therapeutic principle for unblocking the governor vessel, directing qi, smoothing the liver and harmonizing the stomach. The treatment was composed of acupuncture for "unblocking the governor vessel and conducting qi" and chiropractic therapy. Acupoints in acupuncture included the positive reaction points al…

From scepticism to integration: adoption of mobile health apps in Danish chiropractic practice-a mixed methods study.

BACKGROUND: Musculoskeletal (MSK) pain affects quality of life and burdens healthcare systems, increasing the need for effective self-manage … y study was conducted, comprising a quantitative survey distributed to active members of the Danish Chiropractic Association in June 2022 followed by 11 qualitative semi-structured interviews with a purposively sampled subset of respondents, conducted from November 2022 to May 2023. The quantitative data were analysed for frequencies and proportions, while qua …

Presumptive Prostate Cancer Presenting as Low Back Pain in the Chiropractic Office: Two Cases and Literature Review.

Prostate cancer is a common type of cancer in men and may metastasize to the spine and pelvis, causing back and/or radicular pain that appears to be musculoskeletal. This presents a diagnostic challenge and can be complicated by a lack of routine screening for prostate cancer. In two similar cases, elderly males (ages 78 and 82) with no known history of cancer and no previous prostate-specific antigen screening presented to a chiropractor with chronic, worsening radiating low back pain. In each case, a previous provider obtained radiographs and ascribed symptoms to a non-cancerous etiology (i.

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… Is there a role for chiropractic? … of Chiropractic National Board of Chiropractic Examiners: Practice Analysis of Chiropractic Himelfarb I Hyland J Ouzts N Russell M Sterling T Johnson C Green B Greeley, CO NBCE 2020 …