Mississippi Group American Chiropractic Assn

10/03/2026

More evidence for safety of chiropractic…

Cervical artery dissection (CeAD) and cervical manipulation is an important topic, and one that deserves more nuance than “safe” versus “dangerous.”

A new multidisciplinary study examined 862,984 adults with a new episode of neck pain or headache, comparing those receiving chiropractor-administered cervical manipulation with matched patients receiving outpatient medical care with an ibuprofen prescription.

Within 30 days, 31 patients in the manipulation group and 58 in the ibuprofen group were diagnosed with CeAD. Researchers found no evidence of increased CeAD risk following cervical manipulation compared with the medical-care group.

But this does not mean the risk is zero or prove that manipulation can never cause a dissection. This was an observational study, and the authors acknowledge limitations including residual confounding and reliance on health-record and claims data.

An especially important piece of this conversation:

Neck pain and headache can themselves be early symptoms of an evolving dissection.

A patient may therefore seek care because a dissection is already developing. If CeAD is diagnosed after treatment, timing alone cannot tell us whether treatment caused it or whether it was already underway, an issue known as reverse causation (or protopathic bias).

And that is exactly why these findings should not make us less vigilant.

A careful history and appropriate examination still matter. Acute, sudden, unusual or unfamiliar symptoms, relevant recent trauma or infection, neurological findings, and other concerning features should increase our suspicion for a vascular cause and change our approach accordingly.

The takeaway shouldn’t be “there is no risk.”

It’s that in this very large matched cohort, cervical manipulation was not associated with increased CeAD risk compared with another group seeking care for the same complaints, while CeAD remains a rare but potentially serious condition clinicians need to recognize.

Both can be true.

Good evidence should refine our clinical reasoning, not replace it.

07/25/2026

Amazing to have HHS Secretary in support of Chiropractic Modernization Act!!!

02/24/2026

CHEERS GO OUT to Representative Congressman Mike Ezell who is now a co-sponsor of the Chiropractic Medicare Coverage Modernization Act! We are one step closer to having regular coverage for evidence-based chiropractic services including for example exercise instruction when needed by Medicare recipients! Patients of chiropractors please feel free to email and thank Congressman Mike Ezell!

02/19/2026

For shoulders despite imaging findings of aging, consider a trial of conservative care first!!!

02/11/2026

A HUGE SHOUT OUT to Representative Trent Kelly who is now a co-sponsor of the Chiropractic Medicare Coverage Modernization Act! We are one step closer to having regular coverage for evidence-based chiropractic services when needed by Medicare recipients! Patients of chiropractors please feel free to email and thank Congressman Kelly!

01/24/2026

https://www.facebook.com/share/p/189woV1rXu/?mibextid=WC7FNe

Research following patients with small vs. large cervical disc herniations found something important for patients and providers:

🔹 Herniation size did not predict how much pain or disability someone had
🔹 People improved over time with both surgical and conservative care
🔹 At one year, pain, function, and quality of life were similar regardless of disc size

Translation for public health & clinical care:
An alarming MRI doesn’t automatically mean worse symptoms, or worse outcomes.

This reinforces the importance of patient-centered, evidence-informed decision-making, avoiding unnecessary fear, overtreatment, and imaging-driven care.

Treat the person, not just the picture.

Open access: https://www.mdpi.com/2077-0383/14/24/8900

12/16/2025

https://www.linkedin.com/posts/apha-chiropractic-health-care_a-recent-prospective-cohort-study-published-activity-7404881312144142336-M_eK?utm_source=share&utm_medium=member_desktop&rcm=ACoAAAZe2TwBo5rmfmVG5rvVEldOCccdvqmUaf4

A recent prospective cohort study published in the Journal of Sport and Health Science has important implications for public health and conservative care practitioners. Researchers analyzed data from 14,288 adults in Spain followed for nearly 13 years, examining how adherence to the 24-Hour Movement...

12/04/2025

Reimagining care for older adults with lumbar spinal stenosis: a public health priority

Lumbar spinal stenosis (LSS) is one of the leading causes of pain, limited mobility, and loss of independence in older adults. As our population ages, the burden of LSS has become not just a clinical issue, but a public health concern tied to falls, social isolation, inactivity, and avoidable healthcare costs.

A new review in Chiropractic & Manual Therapies highlights a key message:
Conservative, non-operative care should be the first-line approach for most older adults with LSS.

Why conservative care matters:

• Preserves mobility and prevents disability.
Movement-based care helps older adults walk farther, stay active, and maintain independence.

• Reduces reliance on high-risk, high-cost interventions.
Many patients are offered surgery or long-term medications despite limited evidence for long-term benefit. Conservative care offers a safer, more sustainable path.

• Addresses contributors beyond anatomy.
A biopsychosocial approach recognizes the roles of fear, confidence, mood, and unmet social needs, factors that shape disability as much as imaging findings.

A call for systems-level change:
To make real progress, we need to:
– Integrate conservative musculoskeletal care into community and aging services
– Strengthen interprofessional pathways across chiropractic, PT, primary care, and public health
– Expand access for older adults facing financial or geographic barriers
– Educate patients and caregivers early about non-operative options
– Use functional outcomes that reflect what matters most: walking, standing, daily life

LSS may begin as a clinical diagnosis, but its ripple effects touch disability, mental health, social connection, and quality of life. This review reinforces the importance of evidence-based, person-centered conservative care as a foundation for healthy aging.

Aging equity depends on mobility and this new evidence gives us direction for moving forward.