Chiropractic Neck Manipulation and Cervical Artery Dissections / Strokes: The Evidence

Taylor Nichols, MD
2 min readJan 24, 2023

Cervical artery neck dissections are a known though uncommon complication of neck manipulation or rapid rotational force applied to the neck, particularly in an extended position.

Cervical artery dissections occur in an estimated 1:20,000 neck manipulations but there are LOTS of manipulations performed each day .

Yet despite this evidence, chiropractors continue to practice rapid neck manipulation for the “neck cracking” effect.

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Taylor Nichols, MD

Humanist. Emergency Medicine and AddictiEmergency + Addiction Medicine | Health policy and advocacy | Health tech and innovation