Chiropractic manipulation: Reasons for concern?

Gouveia, Luís F.; Castanho, Pedro; Ferreira, Joaquim J.; Guedes, Miguel Moura; Falcão, Filipa; Melo, Teresa Pinho e

doi:10.1016/j.clineuro.2007.08.004

Cited by 17 publications

(7 citation statements)

References 22 publications

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“…19 Many reports have described epidural hematomas occurring in various parts of the spine following spinal manipulation therapy. [20][21][22][23][24][25][26][27][28] However, the literature lacks reports of spinal intradural hematomas following spinal manipulation therapy. We present here a unique case of a compressive thoracic intradural hematoma in the setting of a hemorrhagic conversion of a thoracic schwannoma after spinal manipulation therapy.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy

et al. 2016

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Hemorrhagic conversion of spinal schwannomas represents a rare occurrence; also rare is the development of a spinal intradural hematoma after spinal manipulation therapy. We report a unique presentation of paraplegia in a patient who underwent spinal manipulation therapy and was found to have a hemorrhagic thoracic schwannoma at time of surgery in the setting of anti-platelet therapy use. In patients with spinal schwannomas, tumor hemorrhage is a rare occasion, which can be considered in the setting of additive effects of spinal manipulation therapy and antiplatelet therapy.keywords: thoracic schwannoma, hemorrhagic schwannoma, spinal schwannoma, intradural spinal hemorrhage volume 10 article 42

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy

et al. 2016

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“…11 • Chiropractic is an intervention which focuses on spinal manipulation therapy, often marketed as a panacea, but numerous serious adverse effects have been reported as a result of chiropractic manipulation, including stroke, neuropraxic injury, epidural hematoma, paraplegia, and fatal posterior circulation cerebrovascular accident. [12][13][14][15] • Acupuncture is a component of some TCM and involves puncturing a patient's skin with needles along so-called meridian lines to achieve therapeutic effect. Numerous systematic reviews, multi-centre trials, and prospective studies have highlighted the dangers of acupuncture, finding that it can cause pneumothorax, hepatitis C, septicemia, endocarditis, local skin infection, perichondritis, arthritis, osteomyelitis, and many less serious side effects such as hematoma, slight hemorrhage, and dizziness.…”

Section: Cause For Concernmentioning

confidence: 99%

A clinical tool for evaluating complementary and alternative medicine utilization and risk

Guidolin¹,

Craig²

2014

UWOMJ

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Complementary and alternative medicine (CAM) is widely used in Canada and throughout the world, making it inevitable that family physicians will encounter CAM use in their patients. CAM therapies are highly variable and are not subject to regulation or oversight, making some such modalities potentially dangerous. Presently, CAM use is discussed during standard history taking, but the information gathered may be of limited utility due to the wide variety of CAM that exists; such diversity makes it practically impossible for one physician to know the risks associated with each CAM. Additionally, some CAM may not identified as such by the patient (eg chiropractic) and may not be reported during a standard patient interview. There currently exists no standardized method of collecting a patient’s history of CAM use, or for assessing risk based on the information collected. Here, we present a clinical tool that helps to screen for use of CAM and stratify patients into risk categories accordingly. It also makes suggestions for management and follow-up of these patients according to their risk category. Included are several quick reference tables to enable physicians to rapidly stratify patients into an appropriate category. This test may help to screen patients for CAM use that puts their health at risk, thereby increasing detection, and enabling timely intervention by the physician to prevent adverse events due to CAM use.

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“…Therefore, many clinicians observing and reporting these vascular accidents deem causality likely or even certain (e.g. 30).…”

Section: Hill’s Criteriamentioning

confidence: 99%

Vascular accidents after neck manipulation: cause or coincidence?

Ernst

2010

International Journal of Clinical Practice

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Chiropractic manipulation: Reasons for concern?

Cited by 17 publications

References 22 publications

Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy

Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy

A clinical tool for evaluating complementary and alternative medicine utilization and risk

Vascular accidents after neck manipulation: cause or coincidence?

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