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Adverse effects of spinal manipulation.
1Institute for Musculoskeletal Research and Clinical Implementation, Anglo-European College of Chiropractic, Bournemouth, UK.
Spinal manipulation for acute back pain may cause mild adverse effects like temporary pain in over half of patients. These expected reactions are generally minor and should be weighed against potential long-term benefits.
Area of Science:
- Chiropractic
- Orthopedics
- Pain Management
Background:
- Acute back pain guidelines recommend spinal manipulation.
- Concerns exist regarding under-reporting of adverse effects associated with spinal manipulation.
- Understanding patient-reported adverse events is crucial for treatment safety.
Purpose of the Study:
- To investigate the incidence and nature of adverse effects following spinal manipulation for acute back pain.
- To assess patient-reported outcomes regarding discomfort and pain after treatment.
- To provide data on the safety profile of spinal manipulation in a real-world clinical setting.
Main Methods:
- A prospective questionnaire study was conducted with 108 new adult patients undergoing spinal manipulation.
- Patients anonymously reported adverse effects at one hour, one day, and two days post-treatment.
- Data from 68 returned questionnaires were analyzed.
Main Results:
- 53% of patients reported adverse effects, with 28 experiencing them within one hour of treatment.
- Common adverse effects included new or radiating pain.
- No serious adverse effects were reported; reactions were generally mild and transient.
Conclusions:
- Adverse reactions to spinal manipulation are common but typically mild and expected.
- The incidence of reported adverse effects (53%) requires consideration alongside the established long-term benefits of spinal manipulation.
- Further research into patient-reported outcomes can enhance the understanding of spinal manipulation safety.
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