Stroke has been a long standing point of contention over the years between chiropractors and medical physicians. In 2007 one of our most compelling papers was published in Spine and JMPT (Cassidy et al) indicating that there was no increased risk of stroke with manipulation and rather that patients were likely seeking care for the symptoms prior to their stroke. Further studies would go on to illustrate that blood flow and injury to the arterial wall were also not caused by the head positions during SMT setup. Today we have a new study that not only states that "Manual therapy does not result in an increased risk of CAD" but one which is also relevant and important for screening patients, understanding the typical pain distribution associated with stroke and a step-by-step risk benefit assessment. This is an absolute must read for all chiropractic practitioners, but also one to be shared with healthcare practitioners who still influence their patients treatment options based on erroneous and outdated opinions. For patients who may be nervous and influenced by headlines this paper would also be reassuring.
The full text can be found here: https://www.tandfonline.com/doi/full/10.1080/07853890.2019.1590627