Log in with your email address username.


Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

The need for a chiropractic adverse events reporting system in Australia

- Featured Image

To the Editor: Following media reports of a complaint to the Australian Health Practitioner Regulation Agency regarding a 4-month-old baby’s neck fracture following chiropractic treatment for apparent torticollis,1 the president of the Chiropractors’ Association of Australia stated that “not a single serious adverse event has been recorded in the literature (worldwide) involving a qualified chiropractor treating a child since 1992”.2 However, an examination of the medical literature on adverse events related to chiropractic reveals an interesting story. A PubMed search for “chiropractic adverse event(s)” identifies 18 primary research papers since 1992 that could be classified as examining adverse events, none of which were Australian.

Why are there no Australian reports of adverse events associated with chiropractic manipulation? The answer is strikingly simple — there is currently no adverse events reporting system for chiropractic in Australia. This lack of local data means we have to look internationally to gauge the likelihood of chiropractic adverse events. A 2002 Canadian study3 describes 23 cases of vertebral artery dissection associated with chiropractic manipulation over a 10-year…