Compose a 2000 words essay on Stroke, Arterial Dissection and Neck Manipulations. Needs to be plagiarism free!Download file to see previous pages... The growing number of visits to the chiropractor, w

Compose a 2000 words essay on Stroke, Arterial Dissection and Neck Manipulations. Needs to be plagiarism free!

The growing number of visits to the chiropractor, with the goal of diminishing or eliminating headaches and migraines is alarming. especially taking into account the tremendous risks that involves the procedure. Numerous reasons are behind these numbers, but mainly the ignorance of the public about the procedure as well as the misinformation of the practitioner about the true cause that generates the pain and the lack of following up at the patient condition after each treatment session. Considering Canada, with over 4500 chiropractors, the probability that a chiropractor will be made alerted of arterial dissection following neck manipulation is only 1: 8.06 million office visits, and the equivalent of 1: 5.85 million cervical manipulations (Haldeman et al., 2002).

Although the complication rate of cervical manipulation is small, according to Hurwitz et al. (1997), little is known about its efficacy for neck pain and headache. In addition, it is also ambiguous if cervical manipulation treatment produces any long term positive changes in these conditions (Astin and Ernst, 2002). Simultaneously, Bargman (2005) also pointed out the possibility for undesirable outcomes after spinal manipulation, considering the risk of permanent injury or deficit, psychological trauma, quadriplegia and or death (Cooke et al., 2005. Hurwitz et al., 1996. WebMD medical reference from Healthwise, 2006).

Ernst and Canter (2006) suggested the minimal success of spinal manipulation on the case of acute or chronic back pain, arguable in the case of headache, and missing for any other indications. However, Bronfort et al. (2006) emphasized the lack of analyzed data for this statement, especially considering that their colleges did not reference a systematic review of comparison with other treatments. To argue about its efficacy is even more complicated when taking into account that spinal manipulation and mobilization are terms used for a variety of techniques, making it too complicated to tell the difference about the type, the location and the duration of the treatment under care (Hurwitz et al., 1996).

Precautions when having a Spinal Manipulation

When the patient chooses spinal manipulation treatment, some precautions are necessary in order to avoid future complications. The safety measures include the willing of the practitioner to synchronize the treatment with other health physicians if requested and to organize the appointment in the faster possible way. It is also highly advisable to expect a thorough examination before treatment.

The chiropractor should provide an adequate amount of information and to advise some home exercises to the patient (as postures), diets (when overweight contributes to the back pain), to diagnose musculoskeletal problems with physical examination and interview the patient about all the possible causes that originate the problem, by avoiding as much as possible the use of X-rays. Unnecessary X-rays give gratuitous amount of radiation levels.