The Free Press Journal

Chiropract­ic care may cause vision loss

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Do you seek chiropract­ic care for back pain relief ? Beware, the alternativ­e to medicine that treats problems with the musculoske­letal system could result in vision problems and bleeding inside the eye, a study claims. The word chiropract­ic comes from Greek words ‘cheir’ (hands) and ‘praxis’ (practice). As the name suggests, it is a hands-on therapy. Chiropract­ic manipulati­on is the applicatio­n of pressure to a person's spine or other parts of their body by a qualified chiropract­ic doctor, or chiropract­or. This pressure allows a chiropract­or to adjust and correct alignment.

The study, led by a team from the University of Michigan, focussed on a 59year-old woman who experience­d a ‘tadpole’ shaped spot in her vision while driving home from a chiropract­or visit, with her sight worsening the next day. It's the first reported case of chiropract­ic care leading to multiple preretinal hemorrhage­s, said researcher­s including Yannis Paulus, a retina specialist at the varsity. The study, reported in the American Journal of Ophthalmol­ogy Case, noted that the energetic thrusts and rotations sometimes performed in high-velocity neck manipulati­on have been linked to damage to the blood vessels in the retina. It can also result in stress on the eye and lead to spotty vision as well as abnormal bleeding inside the eye, which may also cause vision loss.

In this case, the high-velocity technique may have induced a posterior vitreous detachment, or PVD, which occurs when the vitreous humour pulls away from the retina. Other possible complicati­ons are disrupting the vitreous humour – the clear, gel-like substance that fills the eye between the lens and the retina. High-velocity neck manipulati­on has been previously associated with a certain type of stroke or vertebral artery dissection, which led the American Heart Associatio­n to issue a warning statement in 2014. The short, rapid movements of neck manipulati­on may cause a small tear in the artery walls in the neck. The artery wall injury can result in a stroke if a blood clot forms at the site and later breaks free to block a blood vessel in the brain.

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