Chiropractic Manual Therapy and Neck Pain

Exclusion Criteria

• •Worker's compensation or other medico-legal claim
• •Cervical spine surgery or fracture or dislocation
• •Uncontrolled hypertension (Blood Pressure over 140 over 90)
• •Stroke or Transient Ischemic Attack
• •Upper respiratory infection within 4 weeks
• •Severe degenerative disease of the cervical spine
• •New or significantly altered pattern of headache complaint
• •Connective tissue disease
• •Primary fibromyalgia
• •Metabolic or metaplastic bone disease
• •Whiplash injury within 12 months
• •High cholesterol levels not well-managed medically
• •Cardiovascular surgery in the past 6 months or planned
• •Use of narcotic analgesic, prescription anti-inflammatory, or muscle relaxants, anti-convulsants
• •Angina pectoris
• •Dizziness
• •Tinnitus
• •Blurred vision, vertigo, undiagnosed sensory and motor disturbances
• •Radicular symptoms and signs
• •Current use of anticoagulant therapy
• •Upper respiratory infection
• •Neck pain on provocation greater than 7 out of 10
• •Provocation of radicular pain or sensory disturbance
• •Hypermobility of multiple peripheral joints,
• •Physical or mental impairment precluding following instructions or participating -in supine recumbent postures