Abstract | OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and effectiveness of nonsteroidal anti-inflammatory drugs ( NSAIDs), which are often used as the "conventional" first-line treatment for similar musculoskeletal conditions. DATA SOURCES: STUDY SELECTION: Studies and literature reviews that provided a numerical estimate of the risk of serious adverse effects or death from cervical manipulation or NSAID use were selected. Also, randomized, controlled studies that evaluated the effectiveness of manipulation or NSAID use for neck pain were included. DATA SYNTHESIS: Although there are a small number of well-performed trials of cervical manipulation for neck pain, we were unable to locate even a single randomized, controlled trial examining NSAID use specifically for neck pain. As for comparative safety, the best available evidence indicates that NSAID use poses a significantly greater risk of serious complications and death than the use of cervical manipulation for comparable conditions. CONCLUSION:
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Authors | V Dabbs, W J Lauretti |
Journal | Journal of manipulative and physiological therapeutics
(J Manipulative Physiol Ther)
Vol. 18
Issue 8
Pg. 530-6
(Oct 1995)
ISSN: 0161-4754 [Print] United States |
PMID | 8583176
(Publication Type: Journal Article, Review)
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Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
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Topics |
- Anti-Inflammatory Agents, Non-Steroidal
(adverse effects)
- Cervical Vertebrae
- Chiropractic
(adverse effects)
- Death
- Humans
- Pain
(drug therapy)
- Pain Management
- Risk
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