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Research PubMed / Chiropr Man Therap clinical-researchmanual-therapypatient-safety

Association between spinal manipulative therapy and cervical artery dissection in patients with neck pain or headache: a retrospective cohort study.

PubMed / Chiropr Man Therap · 2026-09-14 · By Trager RJ, Baumann AN, Labak CM, et al. · Chiropractic & manual therapies

A retrospective cohort study published in Chiropractic & Manual Therapies examined whether spinal manipulative therapy (SMT) is associated with cervical artery dissection (CeAD) in patients presenting with neck pain or headache. The research addresses a longstanding clinical safety question relevant to manual therapists, including physical therapists who perform cervical manipulation. Findings from this study contribute to the evidence base guiding risk-benefit discussions around SMT in patients with these common presenting complaints.

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