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Webinar: Assessment Strategies Prior to Cervical Spine Manipulation
Wednesday, December 11, 2019, 1:00 PM - 2:00 PM EDT
Category: Events

Presented by David B. Kartzman, DC

Wednesday, Dec 11, 2019 | 1pm-2pm (1CE)

This one hour class will present an overview of the article “A risk-benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review. (Chaibi and Russell, in the journal Annals of Medicine, 2019).” The authors offer the opinion that there is NOT “strong evidence in the literature that manual therapy provokes CAD.”

Doctors of chiropractic, as a regular part of their practice, will see patients presenting with neck pain and headaches. Spinal manipulative therapy can be part of an effective regimen for reducing symptoms and disability. Some case studies reported in peer reviewed literature have presented cervical artery dissection (CAD) as an adverse event related to this form of care.

The class will describe the levels of scientific medical evidence, including where case studies exist within this hierarchy. There will be review of the pertinent anatomy of the cervical spine and its arteries. While CAD is rare in the general population, the article proposes to inform practitioners in ways to better understand, assess, and most importantly exclude CAD from the differential diagnosis. The authors’ assessment algorithm, allowing providers to recognize potential red flags will be presented.

At the end of the class, the attendees will have a better understanding of the different levels and validity of medical evidence. They will improve their assessment skills for including CAD within the differential, and they will develop tools for creating an appropriate care plan.

Register online at

License Renewal: Continuing education credit (CE) is provided by New York Chiropractic College (NYCC). CE requested only in states listed. If CE is needed a state that is not listed, please contact the NYSCA administrative office.

While applications relating to credit hours for license renewal in selected states have been executed for these programs, it remains attendees' responsibility to contact the state board(s) from whom they seek continuing education credits for purposes of ensuring said board(s) approve both venue and content as they relate to any event. Neither a speaker's or exhibitor's presence at said event, nor product mention or display, shall in any way constitute NYCC endorsement. NYCC's role is strictly limited to processing, submitting, and archiving program documents on behalf of course sponsors. These courses are valid for CE credits in "pre-approved" states, so long as it falls within the scope of practice as outlined by the corresponding state board.

Contact: [email protected] or 800-434-3955