What is a relative contraindication for cervical manipulation?

• A. Severe spondylosis without radicular symptoms
• B. Fragile bone conditions
• C. Recent cervical surgery
• D. History of stroke

Answer: (A)

Severe spondylosis without radicular symptoms is considered a relative contraindication for cervical manipulation due to the potential risks involved. While spondylosis itself may not present immediate issues without radicular signs, additional factors such as degeneration and instability in the cervical spine could pose risks during manipulation. Practitioners must assess the severity and stability of the condition, as manipulating a spine that displays significant degenerative changes can lead to increased risk of injury or exacerbation of symptoms.

In contrast, fragile bone conditions, recent cervical surgery, and a history of stroke are more definitive contraindications that can lead to serious complications if manipulation were to occur. These conditions inherently indicate a higher risk profile for adverse events, making careful consideration of manipulation in these cases essential.