Patients everywhere are beginning to question the necessity of a chiropractic manipulation...HERE'S WHAT YOU NEED TO KNOW.
It's all over the news: Model Katie May passed away at the age of 34. Here is just 1 article of many describing the situation:
This type of story tends to circulate around the media every time a similar situation occurs in our field. Unfortunately, it perpetuates the general public's fear of chiropractors. There is NO DIRECT CAUSE-EFFECT RELATIONSHIP BETWEEN STROKES AND CHIROPRACTIC MANIPULATIONS. HOWEVER, IT IS A VERY REAL RISK FACTOR THAT ALL CLINICIANS AS WELL AS THEIR PATIENTS NEED TO BE AWARE OF.
The trauma she experienced on a photo shoot that led her to believe she was experiencing a pinched nerve, was likely the injury that resulted in a tearing of her carotid artery. Check out the image below for the anatomical and pathological significance of this condition.
Essentially, a tear occurs within the artery itself, leading to a blood clot (which is your body's attempt to repair the damaged structure). This blood clot, or fragments, may then become dislodged and travel downstream to important structures in the face and brain. Once the clot (or fragments) reach a small enough blood vessel that is impassable, nutrient deprivation occurs to that area. Certain signs and symptoms should be evident at this point. Unfortunately, prior to this stage of the condition, signs and symptoms may be relatively vague...such as neck pain.
FAST is the acronym regularly advertised by the American Stroke Association now and is a great tool for the general public's recognition of a medical emergency.
More specifically, look for:
Face-drooping or face numbness
Arm weakness or arm numbess
Speech difficulty or slurred speech
Time to call 9-1-1 as these symptoms indicate a medical emergency.
HOWEVER...when a patient presents to a doctors office with vague neck pain induced by trauma that is not improving, a more thorough clinical investigation should follow. While nothing is 100% accurate, there is a significant likelihood that if your neck pain resulted from an arterial dissection, the following will assist the clinician in determining the cause. If a carotid dissection is expected, the patient should have a doppler ultrasound of the carotid artery to determine the severity of the clot or plaque build-up.
So here are the steps I take in my office to rule out the possibility of stroke.
Ask the 5 Ds And 3 Ns in the office for anyone with neck pain or headaches as well as auscultation of carotid arteries to detect a bruit (an abnormal whooshing sound).
Diplopia (double vision)
Dysphagia (trouble swallowing)
Dysarthria (trouble speaking)
Dizziness (vertigo-like symptoms)
Drop attacks (spontaneous falls)
Ataxia (loss of controlled bodily movements)
Numbness (abnormal sensations)
Nystagmus (repetitive, uncontrolled eye movements)
Nausea (uneasiness of stomach)
Auscultation of carotid artery below:
There are risk factors associated with any and every medical procedure...from a basic blood draw TO chiropractic manipulations TO medications TO surgical interventions.
I hope that you realize that the media has portrayed this inappropriate connection between chiropractors and stroke. If you seek care from ANY MEDICAL PROFESSIONAL: ASK ABOUT POSSIBLE RISKS ASSOCIATED WITH THE PROCEDURE.
As always, I look value feedback and look forward to hearing from you.