Can treatment for neck pain cause a stroke?

1 answer | Last updated: Mar 29, 2012
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An anonymous caregiver asked...
My mom started seeing a chiropractor for neck issues and shortly thereafter, she suffered a stroke. Could it be related? Her neck sat forward on her body as a result of osteoporosis and she thought a chiropractor could help her. She is very petite and thin skinned and I often wonder if the manipulation might have caused a blood vessel to tear. She had a hemorrhagic stroke.
 

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Caring.com User - James Castle, M.D.
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James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.
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In my experience, chiropractic manipulation can cause strokes. There is a particular maneuver where the chiropractor twists the neck that can cause tearing of the vertebral artery as it runs See also:
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through the neck bones. However, to my knowledge, this typically would cause an ischemic stroke from a clot formation in the artery due to a tear. However, if the cause of your mother's hemorrhagic stroke was a subarachnoid hemorrhage from a tear of one of the arteries entering the brain, I think it is certainly possible.

Although I never like to assign blame to someone who is trying to perform a healing act, in the case of chiropractors, I think they need to stop performing this one particular neck manipulation, as I have seen some devastating strokes result from the maneuver. I have had a few patients who suffered devastating strokes as a result of this practice. The website chiropracticstroke.com provides some examples of such events.

 

 
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