Safety of Chiropractic

Risk of Vertebrobasilar Stroke and Chiropractic Care

    • 10 year study
    • Population:  109,020,875 persons included in study
    • No evidence of excess risk of VBA stroke associated with D.C. vs. PCP care
    • The increased risks of VBA stroke associated with chiropractic and PCP visits is likely explained by patients with VBA related neck pain and headache consulting both chiropractors and PCP’s prior to their VBA stroke
    • Spine. 2008; 33(4S): 176-83


Journal of  Manipulative and Physiologic Therapeutics.
2004 Mar-Apr;27(3):197-210.


Risk of spinal manipulation causing a clinically worsening disk herniation or cauda equina syndrome in a patient is less then 1 in 3.7 million


RAND Study. Appropriateness of Mobilization and Manipulation of the Cervical Spine. 1996.

TREATMENT RISKS IN PERSPECTIVE

Treatment

Complication

Incidence

Cervical spine manipulation

VAD or Neuro

 

Major impairment

 

Death

1.46/1,000,000

 

6.39/10,000,000

 

2.68/10,000,000

Cervical spine surgery

Neuro complication

 

Death

15.6/1000

 

2.6/1000

NSAID’S

Serious GI events

1/1000

 

Eisenburg, D.  Harvard Medical School Dept of Cont. Ed. Alternative Medicine: Implication for Clinical Practice

TREATMENT RISKS IN PERSPECTIVE

Treatment

Complication

Incidence

Lumbar manip.

Cauda equina syn

1 per 100 mil

Cervical manip.

VBD/CVA

1 per 1 mil

Cervical manip.

Death

1 per 4 mil

NSAID GI-bleed

Death

400 per 1 mil

Cervical spine surgery

Death

700 per 1 mil

 

Pennsylvania Malpractice RatesA True Assessment of Risk

  • Chiropractic Malpractice
    • First Year Doctor of Chiropractic
      • $1280/ year
    • 30 year Doctor of Chiropractic
      • $2027/year

  • Medical Malpractice
    • General Surgeon
      • $28,000 to $50,000
    • Internist
      • $6,000 to $11,000
    • Ob/Gyn
      • $35,000 to $64,000

Awards

 

 2016 A-list Award Lancaster

 

2015 Harrisburg Magzine Readers' Poll