From: Cervical epidural hematoma after spinal manipulation therapy: a case report
Contraindications | Precautions |
---|---|
(Acute) fracture | Inflammatory disease |
Relevant recent trauma | Rheumatoid arthritis |
Dislocation | Ankylosing spondylitis |
Ligamentous rupture | History of cancer |
Instability | Long-term steroid use |
Active cancer | Osteoporosis |
Acute myelopathy | Systemically unwell |
Spinal cord damage | Hypermobility syndromes |
Upper motor neuron lesions | Connective tissue disease |
Multi-level nerve root pathology | A first sudden episode before age 18 or after age 55 |
Worsening neurological function | Cervical anomalies |
Recent surgery | Local infection |
Acute soft tissue injury | Throat infection |
Unremitting, severe, non-mechanical pain | Recent manipulation by another health professional |
Unremitting night pain | Vascular disease |
Vertebral / carotid artery abnormalities | Blood clotting disorders / alterations in blood properties |
Vertebrobasilar insufficiency | Anticoagulant therapy |
Absence of a plausible mechanical explanation for the patient’s symptoms | |
Immediately post-partum |