Chiropractic Care: Risks and Benefits for Spinal Health

Spinal and cervical adjustment?

Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school.
When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anything about my cervical spine.
Later, I switched to chiropractic treatment, where they also adjusted my cervical spine.
Every time I get adjusted, there are many popping sounds, and while the lateral pressure doesn't hurt, they ask me to hold my head, and then they insert their hands through the gap of my arms holding my head, and when they pull back or upward, it makes popping sounds and can be painful.
At first, I thought it was fine, but by the sixth or seventh session, I returned home, and a few days later, my neck felt tight, I experienced dizziness, and I felt fatigued (although I usually sleep late, around midnight or 1-2 AM).
Is this caused by the chiropractic treatment? What kind of injury is this? Should I continue with chiropractic treatment?

He Xiang Wen, 10~19 year old female. Ask Date: 2018/08/05

Dr. Zhang Junwei reply Neurosurgery

The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.

Reply Date: 2018/08/05

More Info

Chiropractic care is a popular alternative treatment for various musculoskeletal issues, particularly those related to spinal health. However, it is essential to understand both the potential benefits and risks associated with this form of therapy, especially for individuals with pre-existing conditions such as scoliosis or previous neck issues.

Benefits of Chiropractic Care
1. Pain Relief: Many patients seek chiropractic care for relief from back pain, neck pain, and headaches. Chiropractic adjustments can help realign the spine, which may alleviate pressure on nerves and reduce pain.

2. Improved Mobility: Regular chiropractic adjustments can enhance flexibility and range of motion in the spine and other joints, which can be particularly beneficial for individuals with conditions like scoliosis.

3. Holistic Approach: Chiropractors often take a holistic approach to health, emphasizing the importance of lifestyle, nutrition, and exercise in maintaining overall well-being.

4. Non-Invasive Treatment: Chiropractic care is generally non-invasive and does not involve medications, making it an appealing option for those looking to avoid surgery or pharmaceuticals.

Risks of Chiropractic Care
1. Potential for Injury: While chiropractic adjustments are generally safe, there is a risk of injury, particularly if the practitioner is inexperienced or if the patient has underlying health issues. In your case, the discomfort and tightness you experienced after adjustments could indicate that the treatment was not suitable for your specific condition.

2. Worsening Symptoms: Some patients may experience increased pain or discomfort following chiropractic adjustments. This can be due to various factors, including the body’s response to realignment or the specific techniques used by the chiropractor.

3. Nerve Damage: Although rare, there is a potential risk of nerve damage or injury during spinal manipulation, especially in individuals with pre-existing conditions like scoliosis or degenerative disc disease.

4. Cervical Manipulation Risks: Manipulation of the neck (cervical spine) carries a higher risk of complications, including vertebral artery dissection, which can lead to stroke. Given your history of neck discomfort and the symptoms you described (tightness, dizziness, fatigue), it is crucial to approach cervical adjustments with caution.

Recommendations
1. Consult a Healthcare Professional: Before continuing chiropractic care, it is advisable to consult with a healthcare provider, such as a neurologist or orthopedic specialist, who can assess your condition and determine whether chiropractic adjustments are appropriate for you.

2. Communicate with Your Chiropractor: If you choose to continue chiropractic care, communicate openly with your chiropractor about your symptoms. They should adjust their techniques based on your feedback and any discomfort you experience.

3. Consider Alternative Therapies: If chiropractic adjustments are not providing the desired relief or are causing discomfort, consider exploring other treatment options, such as physical therapy, acupuncture, or massage therapy, which may be more suitable for your condition.

4. Monitor Your Symptoms: Keep track of any changes in your symptoms, including pain levels, mobility, and any new symptoms that arise. This information will be valuable for your healthcare provider in determining the best course of action.

In conclusion, while chiropractic care can offer benefits for spinal health, it is essential to weigh these against the potential risks, especially in individuals with existing spinal conditions. A thorough evaluation by a qualified healthcare professional can help ensure that you receive the most appropriate and safe treatment for your specific needs.

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