The Science of Chiropractic and Stroke: What You Need to Know
The Science of Chiropractic and Stroke: What You Need to Know
By Dr. Aaron Corley, D.C. | 941-539-3412
Chiropractic care has long been recognized for its benefits in pain relief, spinal health, and overall wellness. However, in recent years, discussions around chiropractic adjustments and their relationship to stroke have gained attention. As a chiropractor, my goal is to provide clarity on the science behind chiropractic care, its safety, and the myths and facts regarding stroke risk.
Understanding Chiropractic Care
Chiropractic care is based on the principle that the spine plays a crucial role in overall health. The nervous system controls every function in the body, and the spine houses the spinal cord, which transmits signals between the brain and the body. When misalignments (subluxations) occur, they can interfere with nerve communication, leading to pain, dysfunction, and even long-term health issues.
Chiropractic adjustments involve precise, controlled movements applied to the spine to restore proper alignment, improve joint function, and alleviate nerve interference. This natural approach to healthcare has been shown to help with conditions such as back pain, neck pain, headaches, and even posture-related issues like "text neck."
Chiropractic Adjustments and the Vertebral Artery
One of the primary concerns related to chiropractic care and stroke is the vertebral artery, which runs through the cervical spine and supplies blood to the brain. Some critics suggest that cervical spine adjustments could cause damage to this artery, potentially leading to a vertebral artery dissection (VAD) and an ischemic stroke. However, the latest research provides a more nuanced and reassuring perspective.
What the Research Says
Numerous studies have investigated the relationship between chiropractic adjustments and stroke, and the consensus among experts is that the risk is extremely low. Here are some key findings:
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Association vs. Causation – Research published in medical journals, including Spine and Stroke, has shown that individuals who seek chiropractic care for neck pain are no more likely to experience a stroke than those who visit a medical doctor for the same symptoms. This suggests that neck pain itself may be an early symptom of a developing stroke rather than the cause being an adjustment.
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Low Risk of Arterial Injury – A study in European Spine Journal analyzed thousands of chiropractic treatments and found no significant evidence that spinal adjustments cause vertebral artery dissection. The study concluded that the forces applied during an adjustment are not sufficient to damage a healthy vertebral artery.
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Comparing Risks with Everyday Movements – Routine activities such as turning the head while driving, getting hair washed at a salon, or even looking up quickly can exert similar forces on the vertebral artery as a chiropractic adjustment. If spinal manipulation were a common cause of stroke, we would see a much higher incidence in daily life activities.
Who Is at Risk for Stroke?
It’s important to recognize that strokes are caused by a variety of factors, many of which are unrelated to chiropractic care. Risk factors for stroke include:
- Hypertension (high blood pressure)
- Smoking
- Diabetes
- High cholesterol
- Obesity and sedentary lifestyle
- Genetics and family history
- Certain blood clotting disorders
If you have any of these risk factors, it's essential to manage them through a healthy lifestyle, regular check-ups, and medical guidance. Chiropractic care can be a valuable part of a wellness plan by helping to reduce pain, improve mobility, and support nervous system function.
Chiropractic Safety and Patient Screening
At Suncoast Health Center in Nokomis, Florida, patient safety is my top priority. Before performing any adjustments, I conduct a thorough assessment, including:
- Detailed medical history review – Understanding past health issues and risk factors.
- Orthopedic and neurological examinations – Assessing signs of nerve involvement or circulatory issues.
- Posture and range of motion analysis – Identifying biomechanical dysfunctions.
- Referral when necessary – If a patient presents with red flags for stroke or another medical condition, I coordinate with medical professionals for further evaluation.
By taking a cautious and evidence-based approach, chiropractic care remains a safe and effective treatment option.
The Benefits of Chiropractic Care
Despite the misconceptions, the reality is that chiropractic adjustments provide numerous benefits that contribute to overall health, including:
1. Pain Relief Without Medication
Chiropractic care offers a drug-free approach to managing pain, reducing reliance on opioids and NSAIDs, which carry significant risks of addiction and side effects.
2. Improved Blood Flow and Circulation
Proper spinal alignment helps optimize nervous system function, which can improve circulation and reduce tension that may contribute to headaches and migraines.
3. Reduced Stress and Tension
Misalignments in the spine can lead to increased muscle tension, stress, and poor posture. Chiropractic adjustments help relieve tension, promoting relaxation and improved well-being.
4. Support for Neurological Function
Research suggests that spinal adjustments may enhance brain-body communication, potentially benefiting individuals with conditions such as vertigo, balance issues, and even cognitive function.
5. Prevention of Text Neck and Postural Strain
With the rise of digital device use, “text neck” has become a major health concern. Chiropractic care can help counteract the effects of poor posture and prevent long-term spinal degeneration.
Myth vs. Fact: Chiropractic and Stroke
Let’s address some common myths:
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Myth: "Chiropractic adjustments cause strokes."
Fact: There is no conclusive evidence proving that adjustments cause strokes. Studies indicate that those experiencing stroke symptoms may already be seeking care for neck pain, making it a correlation rather than causation. -
Myth: "Chiropractors apply excessive force to the neck."
Fact: Chiropractic adjustments are precise and controlled. The amount of force used is minimal and tailored to the patient’s needs. -
Myth: "Medical doctors warn against chiropractic care for the neck."
Fact: Many healthcare professionals, including neurologists, recognize the benefits of chiropractic care for musculoskeletal health when performed by a licensed and trained chiropractor.
Conclusion: Chiropractic Care Is Safe and Effective
As a chiropractor, my mission is to help people achieve optimal health through safe, natural, and evidence-based care. The idea that chiropractic adjustments cause strokes is a misconception not supported by strong scientific evidence. In reality, chiropractic care offers a range of health benefits, from pain relief to better posture and neurological function.
If you have concerns about neck pain, headaches, or spinal health, I encourage you to reach out. Let's work together to develop a care plan that suits your needs and keeps you moving toward better health.
Contact Dr. Aaron Corley, D.C.
Suncoast Health Center – Nokomis, FL
📞 941-539-3412
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