Caitlin Jensen, 28, walked into a Georgia chiropractor in June 2022. She came out with four dissected arteries, a stroke, cardiac arrest, and a traumatic brain injury. It took her nine months to say "Mom" again.
She had come in for lower back pain.
Your brain runs on four arteries. Two carotids in front, two vertebrals in back. The vertebrals don't run free. They thread up through narrow bone tunnels inside each cervical vertebra, C6 to C1, then loop around the top vertebra in a tight horizontal curve called the V3 segment.
When a chiropractor performs a high-velocity rotational thrust on the upper neck, V3 gets stretched and snapped against bone. The inner artery wall tears. Blood seeps between the layers. A flap forms. Flow blocks, or clots break off and travel to the brainstem.
In Caitlin's case all four vessels tore. Paramedics worked 12 minutes restoring her pulse. Surgeons placed a stent in one artery and repaired what they could in the rest. The brain injury came from the bleed that followed the stroke that followed the dissection.
One in 20,000 spinal manipulations triggers this. Arterial dissection causes 2% of strokes overall but 8 to 25% of strokes in patients under 45. In 55% of cases symptoms start within 12 hours of the adjustment. No screening test identifies who's at risk beforehand.
The American Chiropractic Association's own spokesman told the New York Times patients should get vascular scans before neck manipulation. Almost none do. Informed consent matching a surgical risk disclosure isn't standard. The average victim is 40.
Caitlin's back pain lived four vertebrae below the artery the thrust tore.
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