Introduction:
Upper trunk brachial plexus palsy can result from high-energy trauma and has never been reported following spinal manipulation.
Background:
The case is presented of a patient who developed an acute brachial plexus upper trunk palsy following spinal manipulative therapy.
Discussion:
Discussion is made on the incidence of complications following manipulation and recommendations to prospectively capture all serious complications.
Concluding remarks:
Risks exist with spinal manipulative therapy. Neurological injury can occur. Risk assessment and re-examination should occur at every visit. Large rigorous prospective studies are required to identify the true incidence of serious complications resulting from manipulative therapy and the benefit:risk ratio.