Chiropractic Care: Is Neck Adjustment Causing My Symptoms? - Neurology

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Spinal adjustment and cervical spine adjustment?


I have had scoliosis since I was in elementary school and have been undergoing rehabilitation.
In my first year of high school, I switched to chiropractic treatment, which also involved adjustments to my neck.
After about 6 or 7 sessions, I started to feel tightness in my neck, along with dizziness and fatigue.
Additionally, my legs feel sore and weak after taking a shower at night.
Could this be related to the neck adjustments, or is it due to my fatigue? (I've been staying up until 1 or 2 AM lately, and as a first-year high school student, I'm really worried.
Please help me.)

Niming, 10~19 year old female. Ask Date: 2018/08/05

Dr. Jiang Junyi reply Neurology


Hello, based on your description, the neck stiffness may suggest cervical myofascial pain syndrome, which commonly presents with localized pain, discomfort, muscle tightness, or a sensation of pressure.
Sometimes, palpable myofascial trigger points can be felt under the skin.
As for the mentioned symptoms of bilateral lower limb weakness, it may be necessary to consider whether there is compression of the lumbar nerve roots.
I am unsure if your chiropractor has national certification.
If chiropractic manipulation is excessive, there is a potential risk of vertebral artery dissection in the neck, although the likelihood is relatively low.
If you experience sudden severe headaches during manipulation, or exhibit mild neurological symptoms such as dizziness, slurred speech, weakness in the limbs, drooping eyelids, or facial paralysis, you must seek emergency medical attention.
I recommend maintaining a regular lifestyle and ensuring adequate intake of B vitamins.
It would be advisable to consult with a rehabilitation specialist or a neurologist for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from the Neurology Department cares about you.

Reply Date: 2018/08/05

More Info


Chiropractic care, particularly neck adjustments, can indeed lead to a variety of symptoms, especially if there are underlying conditions such as scoliosis or other spinal issues. Given your history of scoliosis and the recent neck adjustments you have undergone, it is essential to consider how these factors might be contributing to your current symptoms of neck tightness, dizziness, fatigue, and leg weakness.

Firstly, neck adjustments, also known as cervical manipulations, are intended to improve spinal alignment and relieve tension in the neck and surrounding muscles. However, if not performed correctly or if the patient has pre-existing conditions, these adjustments can sometimes lead to discomfort or exacerbate existing issues. In your case, the tightness in your neck could be a result of muscle strain from the adjustments, especially if your body is not accustomed to such manipulations. Additionally, if the adjustments were too forceful or frequent, they could lead to muscle spasms or irritation of the cervical spine, which might explain the dizziness and fatigue you are experiencing.

Moreover, the timing of your symptoms is crucial. You mentioned that you have been staying up late, which can significantly affect your overall health and well-being. Lack of sleep can lead to increased muscle tension, fatigue, and even exacerbate feelings of dizziness. When you do not get enough rest, your body may struggle to recover from the physical stress of both your scoliosis and the chiropractic adjustments. This combination of factors could easily contribute to the symptoms you are experiencing.

It is also important to consider the possibility of postural issues. If you have been experiencing discomfort in your legs, it may be related to how you are positioning your body during sleep or while studying. Poor posture can lead to muscle imbalances and strain, particularly in the neck and back, which can further contribute to feelings of fatigue and discomfort.

In light of these considerations, it would be advisable to take a few steps to address your symptoms:
1. Consult with a Healthcare Professional: It is essential to discuss your symptoms with a healthcare provider, preferably one who specializes in spinal health or a physical therapist. They can assess your condition more thoroughly and determine whether your symptoms are related to the chiropractic adjustments or other factors.

2. Evaluate Your Sleep Hygiene: Aim for a consistent sleep schedule that allows for adequate rest. Try to establish a calming bedtime routine and limit screen time before bed to improve your sleep quality.

3. Monitor Your Posture: Be mindful of your posture during daily activities, especially when studying or using electronic devices. Consider ergonomic adjustments to your workspace to reduce strain on your neck and back.

4. Gentle Stretching and Strengthening Exercises: Incorporating gentle stretches and strengthening exercises for your neck and back can help alleviate tension and improve overall muscle balance. A physical therapist can guide you in developing a safe and effective exercise routine.

5. Limit Chiropractic Adjustments: If you continue to experience discomfort after adjustments, it may be worth discussing with your chiropractor the frequency and technique of the adjustments. It might be beneficial to take a break from neck adjustments and focus on other forms of therapy, such as physical therapy or massage.

In conclusion, while neck adjustments can provide relief for some individuals, they may also lead to complications, especially in those with pre-existing conditions like scoliosis. Your symptoms of neck tightness, dizziness, and fatigue could be multifactorial, stemming from both the adjustments and lifestyle factors such as sleep deprivation. A comprehensive approach that includes professional evaluation, lifestyle adjustments, and possibly a temporary cessation of chiropractic care may be necessary to address your concerns effectively.

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