Understanding the Risks of Neck Adjustments
Neck adjustments are a key component of chiropractic care, which has long been a go-to solution for people seeking relief from back and neck pain, headaches, muscle tension, and more. For many, the quick pop or “crack” of a neck adjustment brings instant relief and improved mobility. But occasionally, headlines surface raising concerns—specifically about the safety of neck adjustments and their possible link to strokes.
Chiropractic care has long been a go-to solution for people seeking relief from back and neck pain, headaches, muscle tension, and more. For many, the quick pop or “crack” of an adjustment brings instant relief and improved mobility. But occasionally, headlines surface raising concerns—specifically about the safety of neck adjustments and their possible link to strokes.
It’s a serious topic, and while the risk is extremely rare, it’s one that deserves honest discussion.
The Connection Between Neck Adjustments and Stroke
Some chiropractic neck adjustments—particularly those involving rapid, high-velocity manipulation of the upper spine—have been associated with a rare type of stroke known as vertebral artery dissection (VAD). This condition occurs when a small tear forms in the inner lining of one of the arteries that runs through the neck and supplies blood to the brain.
If that tear disrupts blood flow or causes a clot to form, it can potentially lead to a stroke. These types of strokes are not common, but when they happen, they’re often severe and can be life-altering.
So, does this mean chiropractic adjustments are dangerous? Not quite. Let’s take a closer look.
What the Research Says
Several studies have examined the link between chiropractic neck adjustments and stroke risk. The good news is that most experts agree the likelihood is incredibly low. Some researchers have even suggested that people experiencing the early symptoms of a stroke—like neck pain or dizziness—might visit a chiropractor seeking relief, and the stroke progresses afterward, unrelated to the treatment.
According to data, the risk of stroke following a chiropractic neck adjustment is estimated at around 1 in several million treatments. That’s far less likely than being struck by lightning, yet the possibility—no matter how small—is still worth acknowledging, especially if you’re already at higher risk.
Warning Signs to Watch For
Regardless of whether you’re receiving chiropractic care, knowing the signs of a potential stroke could save your life or someone else’s. Symptoms can appear suddenly and may include:
- Severe headache that comes out of nowhere
- Dizziness, loss of balance or coordination
- Blurred or double vision
- Slurred speech or trouble understanding speech
- Numbness or weakness, especially on one side of the body
- Difficulty walking or confusion
If you experience any of these symptoms—before, during, or after any kind of treatment—seek emergency medical help right away.
Should You Still See a Chiropractor?
For most people, chiropractic adjustments are safe and effective when performed by a licensed, well-trained professional. Many chiropractors take detailed health histories and adjust their treatment plans based on a patient’s individual risk factors.
That said, it’s always okay to ask questions. A good provider will welcome your curiosity and prioritize your comfort and safety. If you’re ever unsure about a procedure, especially a neck adjustment, speak up. You can always request alternative treatments like soft tissue therapy, mobilization techniques, or targeted exercises.
Making Informed Choices
This isn’t about causing fear—it’s about encouraging thoughtful, informed decisions. Chiropractic care offers real benefits for many people, but like any health intervention, it’s important to understand both the rewards and the risks.
If you have a history of vascular conditions, high blood pressure, migraines with aura, or other stroke-related risk factors, talk to your primary care doctor or neurologist before pursuing neck manipulations.
Your health journey should be guided by both professional advice and your own comfort level. And remember—when it comes to your body, it’s always okay to advocate for yourself.
Final Thoughts
Chiropractic care can be a valuable part of a wellness routine, offering relief and improved mobility for countless individuals. But as with any healthcare decision, it’s essential to weigh the benefits alongside the potential risks—even if those risks are rare.
Neck adjustments, in particular, warrant careful consideration. While the chance of a stroke occurring after such a procedure is extremely low, being informed empowers you to make the best choice for your body and your health history.
At Revival Health and Wellness, we’re here to support your journey to feeling your best—from spine health to overall well-being. Your body is talking. Let’s help it heal.
