Manipulation is all wrong for necks

Associate Professor Benedict Wand, of the School of Physiotherapy at the University of Notre Dame Australia, and colleagues say the technique is unnecessary and inadvisable in an opinion piece in the British Medical Journal. They argue it may carry potential for serious neurovascular complications, such as vertebral artery dissection and subsequent vertebrobasilar stroke.

In the interest of patient safety, regulatory and professional bodies associated with professions that use manual therapy should consider abandoning it as a formal policy, they said.

“We’re not sure if it causes stroke but we