A member asked:

Had gentle cervical manipulation by pt 3 days ago. worried about vad. since it's been 3 days post, am i probably safe from worrying about that?

4 doctors weighed in across 2 answers

VAD: Are you speaking of vertebral artery dissection? Do you have any other symptoms? Double vision, dysequilibrium, sensory changes on one side of your body, vertigo or difficulty swallowing? Gentle manipulation should never cause this complication. Be careful when you choose to have cervical manipulation - it may help but the unexpected complications can be devastating.

Answered 7/29/2014

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Dr. Gloria Lopez answered

Specializes in Pediatrics

OK if no symptoms.: The typical pt with VAD is a young person who experiences severe occipital headache and posterior nuchal pain following a head or neck injury and subsequently develops focal neurologic signs attributable to ischemia of the brainstem or cerebellum. The focal signs may not appear until after a latent period lasting as long as 3 days, however, and delays of weeks and years have also been reported.

Answered 5/6/2016

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