Chiropractic Neck Adjustments & Stroke: What Sioux Falls Residents Should Know
- Dr. Lucas Marchand
- Aug 13
- 3 min read
Introduction: The Controversy Behind the Crack
In Sioux Falls, chiropractic care is more than a treatment—it’s a trusted ritual for many seeking relief from neck pain, tension headaches, or lingering stiffness. But along with the promise of better spinal health comes a lingering question: can a neck adjustment trigger a stroke?
For decades, a small but persistent body of research has tried to answer this question, and the answers aren’t as simple as a yes or no. While catastrophic events are rare, the concern has sparked debates in the medical community and among patients alike. Our goal here is to separate myth from evidence, arming Sioux Falls residents with information they can trust.
What the Research Says: Stroke Risks and Chiropractic Care
Systematic Reviews and Meta-Analyses
Over the years, several systematic reviews—studies that combine all available research—have explored the link between cervical manipulation (neck adjustments) and cervical artery dissection (CAD), a tear in the artery lining that can lead to stroke.
Some reviews suggest a small association, but the evidence is often classified as very low quality, meaning that biases, reporting gaps, and confounding factors—like patients already experiencing neck pain—make it difficult to draw firm conclusions. In plain language: the research hints at a risk, but it doesn’t prove a direct cause.
Case-Control and Population-Based Studies
Larger studies paint a nuanced picture. A Medicare claims analysis, for instance, found no significant difference in CAD risk between patients who received cervical manipulation and those who did not. On the other hand, population-based studies have reported a slight uptick in vertebrobasilar artery (VBA) dissections among people under 45 who recently visited a chiropractor.
The takeaway? For most adults, the odds of a stroke following a neck adjustment are extremely low—estimates range from 0.05 to 1.46 per 10 million manipulations.
Understanding the Risks: What Sioux Falls Residents Should Know
Why is it so hard to establish a clear link? Many strokes associated with neck pain may have already been in progress before the patient even saw a chiropractor. Neck pain or headache is often the first symptom of CAD, which can make causality confusing.
That said, while risk is minuscule, it isn’t zero. Being aware—and seeking care from a licensed, experienced chiropractor—remains the safest approach.
Stroke Warning Signs Every Sioux Falls Resident Should Know
Recognizing a stroke quickly can save your life or someone else’s. For Sioux Falls residents, knowing the warning signs is critical.
FAST Symptoms
Face: drooping or uneven smile
Arms: weakness or numbness on one side
Speech: slurred, garbled, or trouble finding words
Time: call 911 immediately
Other Warning Signs
Sudden, severe headache unlike anything experienced before
Dizziness, loss of balance, or trouble walking
Vision changes in one or both eyes
Nausea, confusion, or difficulty swallowing
What to Do
If any of these signs appear, call 911 immediately. Do not attempt to drive yourself. Inform EMS about any recent neck pain or headaches —this information can guide urgent medical decisions.
Making Informed Decisions: Tips for Sioux Falls Residents
Chiropractic care remains a safe and effective treatment for millions, but safety starts with informed choices:
Consult your healthcare provider about the risks and benefits of neck adjustments
Seek LICENSED and experienced chiropractors in Sioux Falls
Be vigilant about reporting unusual symptoms to your provider or local health authorities
Local Resources in Sioux Falls
Licensed Chiropractors: A directory of Sioux Falls practitioners can be found through the South Dakota Board of Chiropractic Examiners.
Emergency Care: Sanford Health (911 if acute), Avera McKennan Hospital
Local Health Reporting: Sioux Falls Public Health Department
Conclusion: Prioritize Safety Without Panic
The research on chiropractic neck adjustments and stroke is complex but largely reassuring. Serious events are exceedingly rare, and most patients benefit safely from care. Still, awareness matters. Recognizing stroke signs, seeking licensed care, and consulting your healthcare providers can make all the difference.
If you’re considering chiropractic care in Sioux Falls, consult a licensed professional and educate yourself on stroke warning signs. Your health—and peace of mind—are worth it.
Of course you can always schedule a consult with me by texting or calling (605)201-4862 or Schedule Online!
Have a wonderful week!
Dr. Lucas Marchand
