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J Manipulative Physiol Ther. 2008 Jul-Aug;31(6):461-4. doi: 10.1016/j.jmpt.2008.06.001.

Adverse events following chiropractic care for subjects with neck or low-back pain: do the benefits outweigh the risks?

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  • 1Institute for Research in Extramural Medicine, EMGO-Institute, VU University Medical Center, 1081 BT Amsterdam, The Netherlands.


This synopsis provides an overview of the benign and serious risks associated with chiropractic care for subjects with neck or low-back pain. Most adverse events associated with spinal manipulation are benign and self-limiting. The incidence of severe complications following chiropractic care and manipulation is extremely low. The best evidence suggests that chiropractic care is a useful therapy for subjects with neck or low-back pain for which the risks of serious adverse events should be considered negligible.

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