Is Cervical Spine Manipulation Safe?
The answer is "yes" and "no." According to tons of research noted in this study, generally it is fairly safe. And manipulation is equal to or slightly superior to mobilization. However, there are risks that are real. I did not know that the normal incidence of stroke, in the general population is 1-3 per 200,000 people! And, the average person is 44 years old and in good health! So, although manipulation is considered fairly safe, my bias now is to be even more careful and to use very gentle mobilization. SUMMARY: Cervical manipulation is generally safe, but stroke is common so you need to be really, really careful. Medical Musculoskeletal Science and Practice, v. 33, Feb. 2018, p. 31-45