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Home Wellness Research Anti-Inflamatory Drugs Which is Safer: Cervical Manipulation or Anti-Inflammatory Drugs?

Which is Safer: Cervical Manipulation or Anti-Inflammatory Drugs?

Wednesday, 22 October 2008 15:42

A review of the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain was performed. Another review of the literature to assess the risks and effectiveness of nonsteroidal anti-inflammatory drugs (NSAIDs), which are often used as the "conventional" first-line treatment for similar musculoskeletal conditions

As for comparative safety, the best available evidence indicates that NSAID use poses a significantly greater risk of serious complications and death than the use of cervical manipulation for comparable conditions. In conclusion, the best evidence indicates that cervical manipulation for neck pain is much safer than the use of NSAIDs, by as much as a factor of several hundred times. There is no evidence tha indicates NSAID use is any more effective than cervical manipulation for neck pain.

Dabbs V, Lauretti WJ // A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain // J Manipulative Physiol Ther 1995 (Oct);   18 (8):   530-536