Is there an increased risk for Vertebrobasilar Insufficiency (VBI) in chiropractic care versus primary care physician (PCP) treatment?

• A. Yes, there is a significantly higher risk
• B. No, there is no increased risk
• C. It depends on the patient’s history
• D. Chiropractic care carries lower risk

Answer: (B)

Vertebrobasilar Insufficiency (VBI) is a condition that occurs when there is inadequate blood flow to the posterior circulation of the brain, which can lead to serious neurological deficits. The question regarding the risk associated with chiropractic care as compared to treatment by a primary care physician is an important consideration in evaluating the safety of both approaches.

The determination that there is no increased risk from chiropractic care compared to primary care treatments is supported by various studies, which have suggested that while concerns exist about the manipulative techniques utilized in chiropractic treatment, the overall incidence of adverse events, including VBI, remains low. Systematic reviews have indicated that the risk of VBI occurring coincidently with chiropractic manipulation is not significantly higher than that which may occur with other forms of healthcare interaction, such as during routine activities.

Consequently, when considering the broader evidence and the mechanisms by which VBI might occur, one can conclude that the risk associated with chiropractic care does not exceed that of comprehensive medical assessments and treatments administered by primary care physicians. Therefore, it is reasonable to assert that there is no significant increase in risk for VBI when comparing these two types of care.