Summary by Utah Sports and Wellness

Link to Original Article:

  • Journal of stroke and cerebrovascular diseases.
  • April 2017
  • 34 References
  • Nine year study


Neck pain and headache are common symptoms in the general population:

  • Can cause considerable health burdens.
  • There is evidence that manipulation can improve neck pain and certain types of headaches.
  • Patients with carotid artery dissection can present neck pain or headache before a stroke.
  • Some individuals with neck pain or headaches see a Chiropractor for care, however most will see their primary care physician.

Associations between Chiropractic and PCP visits were similar:

  • No excess risk of carotid artery stroke after Chiropractic care.
  • To date, there are no reported cases of stroke as an adverse event in the trials of cervical spine manipulation.
  • Large studies comparing Chiropractic services and PCP services found similar associations for both provider groups.

There are a few conditions that increase the risk for stoke with Chiropractic care:

  • Smoking
  • Physical Inactivity
  • Hypertension
  • Heart Disease
  • Diabetes
  • Addiction
  • Obesity
  • History of stroke

Overall, there are very few cases exposed to Chiropractic care prior to a stroke. The odds of seeing a Chiropractor prior to a stroke remains below one percent.