contrary to popular belief, “chiropractors don’t ‘crack’ anything,” says dr. debbie wright, chair of the
canadian chiropractic association
. “the noise you sometimes hear that is associated with adjustments is caused by the formation of gas bubbles in spinal joint fluid and when the joint is quickly stretched, you may hear that sound.”
she explains that spinal manipulation, also known as chiropractic adjustments, help to relieve neck and back pain in two primary ways. it improves mobility in the joints of the neck and back thereby improving function, and the adjustment also help decrease pain in the affected tissues by modulating the pain response of the nervous system.
chiropractors also have other tools to relieve neck and back pain, such as stretching and strengthening exercises and advice on how to best manage the problem.
but like all health interventions, chiropractic adjustments have benefits and potential risks associated with them.
the biggest concern is risk of vertebral artery dissection, which is a tear that occurs in the inner lining of an artery that’s located at the back of the neck. this is one of the four major arteries that supply blood to the brain, and if a tear occurs, it can impede blood flow to the brain or allow the blood to enter the arterial wall and form a blood clot, causing a stroke.