• Weekly inquest summaries by the Canadian Chiropractic Association - They will have a response to the verdict on Saturday, January 17. Well almost.

• It took them until March 25, 2004 before they issued this wonderful response.

• Ontario Chiropractic Association - no comments at all on their web site about the jury's decision. In fact their discussion about the entire inquest is almost invisible. But, you can entertain yourselves by watching their clever TV ads. Wow, what a great source of useful information! NOT

• SCCA - Student Canadian Chiropractic Association - no mention of the inquest, or of the problems with cervical neck manipulation.

• CAC - Chiropractic Awareness Council hasn't updated their web site and still say that neck manipulation doesn't cause strokes. I don't lose sleep over these folks. Their head once e-mailed me and asked me how many kids I injected with monkey pus today!!

• Gregg Dunn's speech at Palmer Chiropractic University The speech was given by Dr. Gregory Dunn during an appearance at Palmer College of Chiropractic in Davenport, Iowa, on Friday, Jan. 24, 2003. As chief operating officer of the Canadian Chiropractic Protective Association, Dr. Dunn offered his insights into the Canadian government's inquiry (the Lewis Inquest) into the incidence of stroke associated with spinal manipulation.

• Canadian Chiropractic Association and CCPA joint press release in October 1998 re: Laurie Jean Mathiason inquest. She died after chiropractor's neck manipulation caused sudden death. Here is what they had to say: The jury did not make a finding that chiropractic treatment was the cause of this tragedy.

• Chiropractors refute fatal stroke theory - October 22, 2002 Carey testified that reports by neurologists "exaggerating" the danger of strokes caused by chiropractic treatments have scared away so many patients that some practitioners have been forced to leave the profession. Others chiropractors report they are losing from 15 to 30 per cent of their incomes, Carey testified. The impact has cost Canada's 6,000 chiropractors an estimated $100 million in the last 18 months, he said.
• Patient looked `fine' after therapy - Toronto Star - Oct. 4, 2002 Chiropractor who treated Lewis testifies The chiropractor who treated Lana Dale Lewis 17 days before she died of a stroke says no alarm bells went off in his mind as she walked normally from his office after her last treatment.
• Woman heard ringing in the ears - Toronto Star - Sept. 12, 2002 Hospital staff noted repeated complaints after neck treatment Lana Dale Lewis repeatedly complained to hospital staff about headache, neck pain and ringing in the ears following her final chiropractic neck manipulation, an inquest into her death has heard.
• Woman complained of `hurt neck,' inquest hears - Toronto Star - Sept. 10, 2002 Wife mentioned pain just after trip to chiropractor. Six days before Lana Dale Lewis was admitted to hospital with a debilitating stroke, she complained to her husband that her chiropractor had hurt her by reaching over and cracking her neck in an unusual way, an inquest into her death has been told.
• Woman had vision problems after seeing chiropractor - Toronto Star - Sept. 10, 2002 Severe headache also followed manipulation, inquest told. Patient was `distraught' after chiropractor visit. A woman whose family believes she died of a chiropractic neck manipulation wept on the phone about intense neck pain on the day she received the treatment, her sister told an inquest into her death.
• Chiropractic: Risk or relief? - Toronto Star - July 10, 2002 The battle lines are drawn as an inquest into the fatal stroke of Lana Dale Lewis resumes today. Wife mentioned pain just after trip to chiropractor. When the coroner's inquest into Lana Dale Lewis' 1996 death resumes today it will reignite the debate over the risks of chiropractic neck adjustments. The battle lines are clearly drawn. The family has its witnesses ready, and if it's shown that a neck manipulation was to blame for the 45-year-old woman's fatal stroke, it will be demanding public warnings about the practice. Chiropractors are also anxious to call their own experts to prove that adjustments are safe, and that any increased risk of stroke is minute. And for them, this battle is for their livelihood, plain and simple.
• Woman wept in pain, sister tells inquest - Toronto Star - July 3, 2002 Patient was `distraught' after chiropractor visit. A woman whose family believes she died of a chiropractic neck manipulation wept on the phone about intense neck pain on the day she received the treatment, her sister told an inquest into her death. Lana Dale Lewis' sister, Judy Ford was grilled by Tim Danson, and was apparently prevented from reading a prepared statement by the coroner's counsel, Tom Schneider. In tears, she said the six-year wait for the inquest has taken a heavy toll on the family. "The inquest is about money and chiropractics. That's all it's about,"
• MDs want neck manipulation banned - Toronto Star - June 4, 2002 A majority of doctors want to ban chiropractic neck manipulation because they believe the small risk of death is not worth the benefits of its "placebo effect" on patients, a neurologist has told an inquest into the death of an Etobicoke woman.
• Woman on job after treatment - Toronto Star - June 26, 2002 Lana Dale Lewis, whose family believes she died as a result of a chiropractic neck manipulation, was at her job as a production line worker the week after she received the treatment, a former supervisor testified yesterday at the inquest into Lewis' death.

• April the cruellest month for Canada's chiropractors - CMAJ June 11, 2002 - Brad Mackay "..the inquest probably poses the most serious threat to chiropractic's credibility because of the saturation media coverage it has received — in the Toronto area there have been dozens of newspaper and broadcast reports."
• MDs want neck manipulation banned - Toronto Star - June 4, 2002 A majority of doctors want to ban chiropractic neck manipulation because they believe the small risk of death is not worth the benefits of its "placebo effect" on patients, a neurologist has told an inquest into the death of an Etobicoke woman.
• Stroke victim often off sick - Toronto Star - May 29, 2002 A woman whose family believes she died as a result of complications after a chiropractic neck manipulation booked off work for illness so often her employer was threatening to fire her, an inquest has heard.
• Death likely caused by brain swelling - Toronto Star - May 28, 2002 The head of neurosurgery at St. Michael's Hospital says it's likely a woman's death 17 days after a chiropractic neck manipulation was caused by a brain swelling unrelated to that treatment.
• Stroke surprised woman's doctor - Toronto Star - May 23, 2002 The family doctor of a woman who died in 1996 from a stroke 17 days after a chiropractic neck manipulation acknowledged to an inquest jury that he was surprised when he learned she had passed away.
• Stroke victim had long list of ailments - Toronto Star - May 22, 2002 A woman who died from a stroke after chiropractic neck manipulation had experienced chronic pain, headaches and anxiety for years, an inquest jury was told yesterday.
• Stroke specialist testifies at inquest - Globe and Mail - May 17, 2002 One of every 100,000 Canadians suffers a stroke each year as a result of neck manipulation, a coroner's inquest has heard
• Inquest into stroke bogs down - Globe and Mail - May 16, 2002 Strange twists and turns continue to bog down the coroner's inquest that is looking at a possible link between chiropractic manipulation and the fatal stroke of Lana Dale Lewis.
• Doctors differ over chiropractic - Toronto Star - May 16, 2002 Neurologist tells jury patients `feel better` after neck therapy - A Sunnybrook hospital neurologist says he doesn't share the views of a Montreal doctor who helped a family bring a lawsuit in the death of a woman who died 17 days after a chiropractic neck adjustment.
• Clogged artery caused death - Globe and Mail - May 8, 2002 Conclusion that neck manipulation caused fatal stroke was wrong, pathologist. "We were wrong," Michael Pollanen told a coroner's inquest yesterday. "In retrospect, our conclusions were erroneous." However, he was using the royal we. His mentor, John Deck, strongly disagrees. Crown Attorney Schneider took Dr. Pollanen to task for not reviewing literature on neck manipulations and strokes before concluding they were linked.
• We were wrong - Toronto Star - May 8, 2002 In November, 2001, neuropathologist Michael Pollanen wrote a report to the coroner withdrawing his original conclusion and substituting a finding of death by natural cause. Pollanen said Deck's theory of subtle arterial injury inside and outside the skull from chiropractic manipulation remains "a possible explanation." However , when pushed hard by Schneider, he characterized that hypothesis as "improbable."
• Doctor insists chiropractic to blame for death - Toronto Star - May 7, 2002 Dr. John Deck, the seasoned coroner's pathologist who has blamed a chiropractic neck adjustment for the 1996 death of Lana Dale Lewis, has taken days of pounding at a coroner's inquest. Lawyers Tim Danson, Brian Foster and Chris Paliare, acting for various chiropractic interests, have tried hard to paint the retired University of Toronto professor, who has participated in about 10,000 autopsies, as unscientific in his methods and biased against chiropractic.
• Blunders brought to light at inquest - Globe and Mail - May 4, 2002 A heart destroyed. A coroner's file missing. Autopsy evidence discarded. These are among a bizarre series of circumstances uncovered during an inquest into the death of a 45-year-old woman. They suggest that there may have been bungling by officials within the Toronto coroner's office.
• Scott Haldeman takes the stand - Toronto Star - May 2, 2002 Coroner Barry McLellan admitted Haldeman as an expert witness over objections from Lewis family counsel Amani Oakley, who called him an advocate for chiropractic. Haldeman said about 70 per cent of his work as an expert witness is in defence of chiropractors, but he has testified for others against chiropractors.
• CCA says evidence reveals Coroner's office called meeting with chiropractic representatives in 1996 - Press Release by CCA - April 30, 2002
• Pathologist in hot seat at inquest - John Deverell - Toronto Star - April 30, 2002 Chiropractors' lawyers question his authority- Lawyers for chiropractors are mounting a vigorous challenge to the credibility of Dr. John Deck, a forensic pathologist who supervised the autopsy on stroke victim Lana Dale Lewis. (Then Tim Danson, the lawyer for the chiropractors, pulled out his ace in the whole, he went for Murray Katz.)
  "Murray Katz is the most outspoken enemy of chiropractic in this country," Danson challenged. "You are aware of that and you associate with him?"
• Therapy led to trauma, stroke: MD - Vanessa Lu - Toronto Star - April 29, 2002 Stretched blood vessels likely tore victim's artery - John Deck, the pathologist who took part in the autopsy of Lana Dale Lewis firmly maintained his position that he believed her fatal stroke was linked to a chiropractic neck manipulation.
• Doctor resists lawyer's attack on stroke theory - Shannon Kari - National Post - April 27, 2002 Dr. John Deck, a neuropathologist, strongly disagreed with suggestions by Tim Danson, lawyer for the Canadian Chiropractic Association and the Canadian Memorial Chiropractic College, that the 45-year-old Toronto woman died of natural causes. "Migraines are not relevant to this case, nor whether she took her high-blood-pressure medication," he said. "I don't believe [Lewis's health problems] put her at greater risk at any one moment, but it put her more at risk over her life."
• Inquest hears of missing heart due to transplant - Gay Abbate - Globe and Mail - April 27, 2002 A discarded heart may forever be the missing part of the puzzle into what caused a stroke that killed Lana Dale Lewis in 1996. A coroner's jury looking into the 45-year-old's death heard yesterday that her heart was removed for organ transplant following her death. While the valves may have been donated, nothing was done with the rest of the heart for almost 90 days following her death, at which point it was destroyed.
• MD challenged at chiropractic inquest - Gay Abbate - Globe and Mail - April 26, 2002 A pathologist was repeatedly badgered at an inquest yesterday in an attempt to get him to retract his conclusion that a chiropractic neck manipulation most likely caused the stroke that killed Lana Dale Lewis. Tom Schneider, the coroner's lawyer, treated his own expert, Dr. John Deck, as a hostile witness. He asked questions that challenged the retired doctor's opinions, and often interrupted him with theories of other possible causes for the 45-year-old woman's stroke.
• Chiropractic immediately suspected in death - Vanessa Lu - Toronto Star - Aril 26, 2002 The pathologist who conducted the autopsy on Lana Lewis admitted yesterday that he had formed the opinion that her death was linked to chiropractic neck manipulation before reviewing all of the pathological evidence. "I had a definitive date for chiropractic neck manipulation. I had a definitive date for a stroke. I had a definitive date for a death. It was highly probable that it would turn out this way."
• Pathologists at odds over stroke death Christie Blatchford - National Post - April 25, 2002 Disagree on chiropractic role in woman's demise - It is one hot potato of an inquest that is taking shape at the coroner's court in central Toronto. It frankly has everything -- immense stakes; duelling pathologists; a dollop of intrigue; powerful interest groups and a veritable rack of suits, which is to say lawyers -- but at its heart, of course, is Lana Dale Lewis. So suspicious was Dr. Dhanini that there was a link between Ms. Lewis's visit to her chiropractor and the arterial dissection that after she died, he notified the coroner's office. Dr. Deck, the leading neuropathologist in the case, is also expected to testify today that he felt pressured -- by the so-called chiropractic community and even allegedly by officials from the coroner's office -- to soften his findings.
• Christie Blatchford - CFRB - Randy Taylor Show - April 25, 2002 The interview with columnist and commentator Christie Blatchford was a head to head duel between an award winner and a real loser. Christie tried to present today's testimony in an accurate manner, and Randy chimed in with his usual one-sided comments. It's really unfortunate that Randy Taylor just doesn't get it. He parroted the allegations made by chiropractic spokespeople that Lana Dale Lewis must have stroked out because of her habits. His comments were uncalled for, and entirely mean and ugly. Oh, did I mention that he's in love with himself and with alternative practices.
• Chiropractic facts - Globe and Mail - April 25, 2002 Mireille Duranleau, the head of the Canadian Chiropractic Association, the chiropractor who authored a letter that threatened a group of 60 neurologists in February 2002, didn't like Margaret Wente's column. This is her answer for what it's worth.
• Horrible Chiropractic Hazards - Globe and Mail - April 23, 2002 Margaret Wente attacked the chiropractic industry with a vengeance. Not only did she address the dangers of chiro neck manipulation, but she reminded the readers of how much chiropractors in Ontario bill for treating newborns, infants, and children. "In 2000, taxpayers forked over roughly $15-million for pediatric chiropractic treatment."
• Stan Gorchynski, D.C. on Andy Barry's CBC - Metro Morning - April 23, 2002 Andy Barrie took no prisoners. He allowed Gorchynski to stick his foot in his mouth over and over again. The interview started with a defense of subluxation theory by Gorchynski, and he then went directly to a tirade against the 60 neurologists who published a letter aimed at stopping chiros from doing cervical neck manipulation. Pay attention to Gorchynski's attempt to step around the issues of the Laurie Jean Mathiason inquest back in 1998. Andy didn't have time to ask him who peer-reviewed the chiropractic world.
• Chiropractic treatment at centre of inquest - Francine Dube National Post - April 23, 2002 In his opening statement to the five-person jury, Tom Schneider, the Crown attorney, said they will hear that two neuro-pathologists who examined the autopsy findings at first concluded that the death was a result of chiropractic manipulation, but that one of them later changed his mind, instead attributing the death to natural causes.

• Reports changed, inquest hears - Globe and Mail - April 23, 2002 GAY ABBATE - MD in case of chiropractic patient felt pressed to soften findings, jury told. One of the pathologists who concluded that Lana Dale Lewis's fatal stroke was likely the result of a chiropractic neck adjustment has recanted his autopsy findings and the other is saying he was pressed into watering down his report. The inquest, expected to last at least eight weeks, is expected to be bitter, with the chiropractic community defending the practice of neck manipulation by shifting the focus to the health conditions that put Ms. Lewis at risk of a stroke, including migraines, hypertension, smoking, high cholesterol and a family history of heart attacks.
• Inquest to examine link between chiropractic procedure and strokes - CBC radio TORONTO - A coroner's inquest starting Monday will examine whether chiropractic treatments may cause strokes and even death. After more than two years of delays, the inquest into the death of Lana Dale Lewis is finally set to begin. The Lewis family lawyer Amani Oakley believes the inquest will reveal the true risks of chiropractic neck manipulations.
• Lana Dale Lewis inquest set to begin - CANOE.CA TORONTO (CP) -- A long-awaited inquest into the death of Lana Lewis, a woman who suffered two strokes following a neck manipulation by her chiropractor, is expected to begin Monday. Lewis, 45, died in 1996, 17 days after receiving the adjustment by Toronto chiropractor Philip Emanuale as treatment for her migraine headaches. Critics of the practice have warned that it can trigger strokes by damaging the lining of an artery supplying blood to the brain.
• Neck adjustment under microscope - Globe and Mail By GAY ABBATE TORONTO - April 22, 2002 - It was a killer migraine that drove Lana Dale Lewis to a chiropractor for relief. Seventeen days later, she suffered a fatal stroke.
• Inquest to probe chiropractic link in death - Toronto Star April 22, 2002 - Family of Lana Lewis believes neck manipulation killed 45-year-old. The inquest is expected to explore the relationship between the chiropractic neck manipulation Lewis received and the stroke that killed her, said Dr. Bonita Porter, deputy chief coroner. The probe is also sure to bring to light the often antagonistic relationship between chiropractors and the traditional medical community.

Lana Dale Lewis Inquest Delays

CANOE EXCLUSIVES
By Paul Benedetti and Wayne MacPhail -- Special to CANOE

• Missing slides key to inquest - October 18, 2001
  When asked for comment by CANOE about where the tissue slides were, the Chiropractic College of Ontario had their lawyer Chris Paliare respond. He refused to comment on the tissue samples. The refusal to comment raises serious questions about the college's stated mandate for openness to, and protection of, the public.
• Chiro inquest delayed until next year - October 11, 2001

Chiropractic Flyer "Common Questions About Neck Adjustment" Feb. 2002

Mireille Duranleau threatens neurologists Feb. 2002

Pre-inquest battle to win the hearts and minds

• Chiropractic twists and turns - Michele Mandel - Toronto Sun - April 22, 2001 It has been a shameful search fraught with coroner reversals, Deep Throat envelopes and stolen e-mails as the chiropractic profession assembles its heaviest artillery to fight an inquest it fears will place chiropractic on trial.

  Meanwhile a lone, patient family is pummelled at every turn.

• Stroke expert demands to know how private e-mail was leaked - CANOE.CA - April 20, 2001 - Wayne MacPhail A Sunnybrook Hospital neurologist wants to know how his private e-mail became evidence in a hearing prior to the inquest into the death of a Toronto woman. Dr. John Norris is demanding an answer about how a private e-mail sent he sent to Dr. Murray Katz, a Montreal-based pediatric practitioner, got into the hands of a lawyer representing chiropractic organizations at the inquest.

• Tim Danson's little brown envelope - Murray Katz, M.D. - April 18, 2001 This is an open letter from Dr. Murray Katz, a pediatrician from Montreal who was asked to be the agent for the family of Lana Dale Lewis, a woman who died in 1996 after she visited a chiropractor. On April 18, 2001 he was removed from Lewis family's team of medical experts. The chilling effect on the case may come back to haunt the chiropractors and their legal experts.

• Doctor dismissed in chiropractic inquest - C-Health April 18, 2001 For possibly the first time in Canada, a coroner has removed a legal agent from an inquest. Dr. Murray Katz was dismissed yesterday as the legal representative for the family at the inquest of Lana Dale Lewis. The inquest is being held into the 1996 death of the 45-year-old Toronto woman who died from complications of a stroke after having her neck manipulated by a chiropractor.

  Dr. Katz, a Montreal pediatric practitioner, has been acting as the family's legal agent free-of-charge since early Feb

• Dr. Katz removed - Globe and Mail - April 19, 2001 In a rare if not unprecedented move, a coroner has removed a legal agent from an inquest for inappropriate behaviour before the inquest has even begun. Coroner Barry McLellan told Montreal pediatric practitioner Murray Katz yesterday that he could no longer represent the family of Lana Dale Lewis at the inquest looking into her death.

• Search Globe and Mail for Lana Dale Lewis

• Missing heart - arrows thrown at Dr. Katz - Globe and Mail - April 18, 2001Defendent's lawyer wants to know what happened to heart that used to beat inside the body of stroke victim Lana Dale Lewis. They also want to know why Dr. Katz is in the room.

  They all had harsh words about Dr. Katz, who sat quietly in his chair, often shaking his head, as the attacks on him heated up.

  They called him a liar, a fraud, questioned his credentials, and accused him of being a zealot on a mission to destroy the chiropractic profession. Dr. McLellan reserved judgment on the motion.

Inquest or Whitewash?

• Ads will aim to draw women to chiropractors - GAY ABBATE - Globe and Mail
  April 9, 2001 Just as a coroner's inquest is set to explore a possible connection between chiropractic neck adjustments and strokes in women, an association representing chiropractors is preparing an advertising campaign geared to attracting more women patients.

Dr. Norris banned from Lewis Inquest

• Wayne McPhail's C-Health - April 4, 2001

Les Limage - Waterloo victim of neck manipulation

• I know neck manipulations cause strokes - Heather Aube - K-W Record - May 7, 2002 I had the two vertebral arteries torn in my neck by a chiropractor on Aug. 16, 1990. My appointment with him was at 9 a.m. By 1 p.m., I was in the hospital, paralysed on one side and numb on the other. I was 29, not overweight, didn't smoke and I wasn't on the pill.
• Stop neck manipulation - Letter from another victim? - K-W Record - May 2, 2002
• Blame stroke on lifestyle, not a chiropractor - K-W Record - May 2, 2002
  Peter Smith practices chiropractic in Waterloo. By calling the patient to task for causing his own stroke is outrageous. You decide if you agree with me or not. If a chiropractic patient is injured by a chiropractor, why didn't the chiropractor who is trained with the utmost of innate intelligence, give Peter Smith the other half of his brain to think this one through?
• Lawsuit filed against Waterloo chiropractor - Francine Dube - National Post - April 29, 2002
• Stroke victim blames chiropractic neck adjustment for his condition Lianne Elliott - The Record - April 27, 2002
• Watch the CTV News promo on chiropractic neck. There are two segments. I suggest you use IE and broadband for this site.
  Click here for text of Les Limage segment

Sharon Stone admits chiropractic neck manipulation could have caused her stroke

• "Really nice to be alive," Stone says - By Ann Oldenburg - USA TODAY Sharon Stone says she almost died last year when she was hospitalized for what physicians thought was a brain aneurysm. "We think it's possible that it was an injury from a horseback riding accident, made worse by chiropractic adjustments," she says.

Chiropractic neck crack can cause strokes:

• Chiropractors spark feud with neurologists - Medical Post - March 26, 2002 The Canadian Chiropractic Association (CCA) has fuelled an existing controversy by sending a letter to 63 Canadian neurologists criticizing a press release the neurologists sent out in February. CCA president Dr. Mireille Duranleau (DC), who signed the letter, said the primary concern was the press release's reliance on data from the Canadian Stroke Consortium. The letter sent to the neurologists threatens legal action if the neurologists do not respond.

• 60 Neurologists threatened by chiros The Canadian Chiropractic Association is threatening legal action against a group of neurologists in Canada if they do not retract a statement outlining the dangers of chiropractic neck manipulation.
• Back Off Chiropractors!! - Time Magazine - Leon Jaroff Chiropractors have been taking their lumps lately. And not all of the criticism has come from their usual critics in the medical profession. Indeed, some chiropractors themselves are cautiously calling for reforms.

  Jerry Grod, and his associates, all leading Canadian chiropractic educators reviewed brochures in chiropractic offices and came to this conclusion, "All of the brochures, they wrote, made claims "that are not currently justified by available scientific evidence or that are intrinsically un-testable."

• Chiropractic pundit Matt McCoy reacts to Jaroff article in JVSR So, another negative article about our profession has been published. Once more it is our own members that hand them the gun, the ammunition and help them pull the trigger. The question remains: What will YOU do about it? Will YOU write a letter to Time?

• CBC News Reports - listen to audio and watch video More than 60 neurologists have signed a letter warning that chiropractic neck treatment can lead to strokes. They say if the neck is rotated improperly, a blood vessel can tear, causing a clot to form.

• Chiropractic strokes tied to young - HealthScout A trip to the chiropractor might relieve that pain in your neck, but it could lead to something much worse.

• Stroke linked to neck work - Aaron Derfel - Montreal Gazette - 60 neurologists speak out against manipulation by chiropractors Dr. Murray Katz is often asked by parents whether they should send their children to a chiropractor. Chiropractors are increasingly marketing their services to children. A brochure by the Ontario Chiropractic Association recommends that parents send their infants to a chiropractor "as soon as possible after birth. Chiropractic care at an early stage could prevent many common childhood disorders from developing."

• s warn of chiropractic peril 60 neurologists say neck manipulations are often hazardous; chiropractors reject charge - Brad Evenson - National Post

• 1999 Canadian stroke study

  College of Chiropractors of Ontario Newsletter

  This recent CCO newsletter, distributed to all Ontario chiropractors, addresses several pressing and important concerns for the chiropractic profession and the public. There are serious problems that are not addressed, and serious errors that suggest that it would be o.k. for chiropractors to practice quackery and endanger the public, as long as they tell their clients that their malpractice insurance does not cover things like iridology or ear candling. The fact that one of these is fraudulent, and the other illegal and dangerous must have gone right by Dr. Allan Gotlib, the apparent author of the newsletter.
• More ChiroWatch coverage of neck manipulation

Chiropractor sued after child paralyzed

CMAJ articles on cervical stroke risk

• Arterial dissections following cervical manipulation: the chiropractic experience - Scott Haldeman, Paul Carey, Murray Townsend, Costa Papadopoulos The only manner in which the real incidence of dissection following cervical manipulation can be established and the feasibility of screening patients determined is to carry out research in which both chiropractors and neurologists participate. Failure to cooperate in such research will result in confusing and conflicting information being given to patients and will reduce the likelihood that these complications can be avoided.
• Canadian Stroke Consortium update from CMAJ Collaboration with our chiropractic colleagues is crucial to understanding and resolving the association between sudden neck movement and stroke. Blanket denial or distortion of our data from various quarters can only delay discovery of the necessary facts at the expense of the well-being of patients.
• Cervical manipulation and risk of stroke by Drs. Kapral and Bondy about cervical manipulation with comments on the Haldeman article: The study by Haldeman and colleagues provides important data about the association between stroke and specific chiropractic interventions. However, the use of malpractice claims data is unlikely to lead to an accurate estimation of the risk of stroke. Not all stroke events will lead to claims, and the same biases in documentation of exposure may be operating as in the Norris paper. In addition, this study relies on an estimate of the denominator of cervical manipulations performed by chiropractors.