Contraindications to cervical manual therapy






















Manual therapy (MT) is a commonly used intervention for the management of cervico-cranial pain 1. Despite evidence demonstrating potential efficacy of this intervention 2, 3, there are known risks that have been associated with some aspects of cervical MT 4. Although numerous types of adverse events have been documented, e.g., injury to the intervertebral disc, Cited by:  · Other Contraindications of Cervical Traction Includes but not Limited to: Old age Diskitis Ligamentous instability Clinical signs of myelopathy Severe anxiety Uncontrolled hypertension Presence of vertebral artery insufficiency (increased susceptibility to cerebrovascular complications) Midline. 1. Contraindications Worsening neurological function • Upper motor neuron lesion • Spinal cord damage • Multi-level nerve root pathology • Unremitting night pain • Relevant recent trauma • Unremitting, severe non-mechanical pain • Patient refuses to give consent • Evidence of suspected cervical artery dissection. 2.


Other Contraindications of Cervical Traction Includes but not Limited to: Old age Diskitis Ligamentous instability Clinical signs of myelopathy Severe anxiety Uncontrolled hypertension Presence of vertebral artery insufficiency (increased susceptibility to cerebrovascular complications) Midline. Subjects will be excluded if they have previous history of surgery, whiplash in the last 6 weeks, nerve root compression, red flags, or contraindications to dry needling or manual therapy. Manual therapy (MT) is a commonly used intervention for the management of cervico-cranial pain 1. Despite evidence demonstrating potential efficacy of this intervention 2, 3, there are known risks that have been associated with some aspects of cervical MT 4. Although numerous types of adverse events have been documented, e.g., injury to the intervertebral disc, ligaments, nerves etc., the cause for most concern is arguably cerebro-vascular events related to stresses on the arterial vessels.


Manual therapy procedures have proven efficacy in relieving neck pain and can high velocity manipulative thrust (HVT) techniques are contraindicated. २०१७ डिसेम्बर ७ Predictive factors for risk are unclear, but for neck pain patients might include higher levels of neck disability or cervical manipulation. In. Gatterman ML Complications of and contraindications to spinal manipulative therapy. In: Gatterman MI, ed. Chiropractic treat ment of spine-related disorders.

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