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What about quick manipulative thrust techniques of the neck?

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Manipulative thrust techniques involve gapping joint surfaces to effectively reduce joint stiffness, muscle spasm and pain1. There are very rare cases of patients having serious adverse events, including stroke and death, following these techniques.6 These events are associated with damage to the arteries running through the neck. The ‘average’ risk of such events is estimated to be approximately 1.3 in 100,000 patients.6,7 Although it is difficult to be absolutely certain about your personal risk of a serious adverse event, your Registered Physiotherapist is able to use current evidence as a guide to make the best possible judgement for you, given your presenting features.8,9

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