There is a standard of care to be followed that dictates the caution that must be exercised when administering medical spinal manipulation treatments.
The medical spinal manipulation can be chiropractic, osteopathic or rendered by other medical or non-medical persons all potentially ending in disastrous results. A definitive diagnosis and prognosis must be reached prior to treatment through a comprehensive history evaluation and examination. There is a systematic medical protocol that must be adhered to. This may even lead to radiological or imaging studies (MRI) prior to spinal manipulative treatment (SMT).
Most important in this discovery procedure is to determine if this patient is a candidate for spinal manipulative treatment (SMT). There symptoms may not be coming from spinal or pelvic misalignments. There spinal and or pelvic structures may not be in good structural condition to accept a manipulation procedure. There can be so many co-morbidity factors, such as congenital abnormalities, prior accidents, family histories and or cardiovascular susceptibilities that could end in death or stroke. These all must be ruled out prior to any treatment.
Please understand that this list is not meant to decrease the scope of what spinal manipulation treats, but to minimize injuries caused by spinal manipulative treatment (SMT).