Sci Rep January 2023 PMID 36690712

A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy.

Eric Chun-Pu Chu, Robert J Trager, Linda Yin-King Lee, Imran Khan Niazi

Mentions

51
Peak: 16 in Sep 2023
across 5 sources since Jan 2023

Extended reach

45,128
potential audience

Total likes

33

Video views

33

Mentions per month

Jan 2023 – Oct 2025

Where it's discussed

  • X / Twitter33 posts
  • Instagram7 posts
  • News5 articles
  • Facebook4 posts
  • YouTube2 videos

AI synopsis

What people are saying

The group shows high interest and moderate engagement by referencing the rarity of severe adverse events and noting accolades like the International Board of Chiropractic Examiners Poster Award, with toned words emphasizing safety and success, pointing to a generally positive outlook on the study's implications for chiropractic practice.

AgreementModerate agreement

Most discussions agree that severe adverse events from chiropractic SMT are extremely rare, reflecting a consensus of reassurance around safety.

InterestHigh interest

The topic sparks high interest due to its relevance for patient safety and chiropractic practice, as evidenced by positive mentions and recognition.

EngagementModerate engagement

Participants actively discuss study details, awards received, and safety implications, indicating moderate to deep engagement.

ImpactModerate impact

The discussions highlight the significance of the study in shaping perceptions of chiropractic safety, suggesting a moderate impact on the field.

Abstract in brief

  • The study analyzed nearly 1 million chiropractic spinal manipulative therapy (SMT) sessions in Hong Kong and found only two severe adverse events (rib fractures) among patients, both involving women over 60 with osteoporosis, indicating a very low incidence rate of 0.021 per 100,000 sessions.
  • No serious events like strokes or cauda equina syndrome were reported, and the overall occurrence of severe adverse events was extremely rare, suggesting chiropractic SMT is generally safe when performed properly.
  • Due to limited data, the study couldn't identify specific risk factors for the rare severe adverse events, but the findings imply that such serious complications are uncommon in routine chiropractic practice.]

Top posts

Most liked on X and Bluesky
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy https://t.co/8gFxlFTe5O

Apr 12, 2024 · 28 likes · 11 shares · 26,481 followers View post →
M.Pirot
@MatPirot · X

A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy | Scientific Reports ⁦@DocAmine_⁩ Fnlmnt, pas si dangereux que ça https://t.co/Tzm4ckzvcZ

Feb 21, 2023 · 2 likes · 4 followers View post →
Matthieu KHL
@Olivenders · X

Source 1 : Chu, E.CP., Trager, R.J., Lee, L.YK. et al. A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. Sci Rep 13, 1254 (2023). https://t.co/bvjbezmc9b

May 6, 2023 · 1 like · 135 followers View post →
Chiropractor HK
@NYMG1 · X

Our study has won International Board of Chiropractic Examiners Poster Award at the 17th World Federation of Chiropractic Congress! https://t.co/kkVo8vQXH3 https://t.co/vy7M143IOE

Oct 17, 2023 · 1 like · 35 followers View post →
Dr Ryland Weum
@Dr_Ryland_Weum · X

A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. See More: https://t.co/Rc1CfYAbcC

Jul 19, 2023 · 1 like · 15 shares · 1 followers View post →
عبدالرحمن البخاري أخصائي علاج طبيعي
@abbdu_PT · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 12, 2024 · 11 shares · 10,900 followers View post →

All mentions

Dr. Giacomo Carta
@giacomocart2014 · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 1,056 followers View post →
ivanpinzon
@ivanpin81236291 · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 59 followers View post →
Arsalan Ghorbanpour
@GhorbanpourApt1 · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 84 followers View post →
112358103Iii
@112358103Iii · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 2,433 followers View post →
Alan Chávez
@AlanOSCM · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 287 followers View post →
Koushik
@koushikphysio · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 13, 2024 · 11 shares · 515 followers View post →
Ammar Suhail, PT
@suhailphysio89 · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 12, 2024 · 11 shares · 668 followers View post →
عبدالرحمن البخاري أخصائي علاج طبيعي
@abbdu_PT · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 12, 2024 · 11 shares · 10,900 followers View post →
Austin Sheldon PT, DPT, DSc, OCS, COMT, FAAOMPT
@OMPTGUY · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 12, 2024 · 11 shares · 461 followers View post →
Kfizz
@KfizzSimon · X

RT @Retlouping: https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropracti…

Apr 12, 2024 · 11 shares · 325 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

https://t.co/NQ31XkyyOT A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy https://t.co/8gFxlFTe5O

Apr 12, 2024 · 28 likes · 11 shares · 26,481 followers View post →
Chiropractor HK
@NYMG1 · X

Our study has won International Board of Chiropractic Examiners Poster Award at the 17th World Federation of Chiropractic Congress! https://t.co/kkVo8vQXH3 https://t.co/vy7M143IOE

Oct 17, 2023 · 1 like · 35 followers View post →
Shelia Leonard
@barbara164732 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 2 followers View post →
Matt
@MargaretJa46916 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 2 followers View post →
BrassMonkey-(goat)
@h_fw327250 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Alex Gardner
@AlexGardne1180 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares View post →
Mister #bitcoin
@JC20k96111 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Lupin
@JennyNorri34869 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares View post →
Damian Kisch
@DeniseWesl18979 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Анюта Шишмин
@CoreyAlfre88311 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Jack
@qa1_s42896 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 5 followers View post →
caro
@HermosaHun31142 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Thiago Sacaro Vieira
@SacaroViei37513 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 1 followers View post →
Danieru sensei
@SenseiDani15941 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 3 followers View post →
Across The White Water Tower
@ingram643206 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 2 followers View post →
Coinboole
@Coinboole231298 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 2 followers View post →
Sadut
@NicoleAdam42008 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares View post →
CrYptO_Lo VeR_SaikaT
@CryptoLo2038 · X

RT @Dr_Ryland_Weum: A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative…

Sep 28, 2023 · 15 shares · 3 followers View post →
Dr Ryland Weum
@Dr_Ryland_Weum · X

A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. See More: https://t.co/Rc1CfYAbcC

Jul 19, 2023 · 1 like · 15 shares · 1 followers View post →
MarkCroucher2
@MarkCroucher2 · X

In this study, severe SMT-related AEs were reassuringly very rare. A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy - PMC https://t.co/7C9yPYBjOC

Jun 3, 2023 · 632 followers View post →
Matthieu KHL
@Olivenders · X

Source 1 : Chu, E.CP., Trager, R.J., Lee, L.YK. et al. A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. Sci Rep 13, 1254 (2023). https://t.co/bvjbezmc9b

May 6, 2023 · 1 like · 135 followers View post →
M.Pirot
@MatPirot · X

A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy | Scientific Reports ⁦@DocAmine_⁩ Fnlmnt, pas si dangereux que ça https://t.co/Tzm4ckzvcZ

Feb 21, 2023 · 2 likes · 4 followers View post →
日本カイロプラクターズ協会
@JACChiropractic · X

参考文献: Chu, E.CP., Trager, R.J., Lee, L.YK. et al. A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. Sci Rep 13, 1254 (2023).

Feb 6, 2023 · 82 followers View post →
Emanuele Ciardi Osteopata | Naples - Facebook
Facebook

org/10.1038/s41598-023-28520-4. May be an image of 1 person and text that says 'Le manipolazioni ti fanno · May be an image of text that says 'Le manipolazioni ...

Jan 10, 2026 View →
Emanuele Ciardi Osteopata | Naples
Facebook

org/10.1038/s41598-023-28520-4. No photo description available. Matteo Ronga ·

Jan 10, 2026 View →
JMedLife 16 957 | PDF | Vertebra | Chiropractic
News

https://doi.org/10.1038/s41598-023-28520-4. 32. Kim SJ, Lee JH. Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle ...

Jan 10, 2026 View →
Non sempre il dolore è segno di un danno fisico. A volte, è il risultato ...
Instagram

https://doi.org/10.1038/s41598-023-28520-4. more. July 14 · Sign up • Instagram · Meta · About · Blog · Jobs · Help · API · Privacy · Consumer ...

Oct 24, 2025 View →
So che ti sei chiesto almeno una volta se una manipolazione può ...
Instagram

... chiropractic spinal manipulative therapy. Sci Rep 13, 1254 (2023). https://doi.org/10.1038/s41598-023-28520-4".

Jul 14, 2025 View →
Il dolore cronico può limitare i tuoi movimenti e la qualità della tua ...
Instagram

https://doi.org/10.1038/s41598-023-28520-4. more. July 14 · emanueleciardi_osteopata's profile picture · emanueleciardi_osteopata. •. Follow.

Jul 7, 2025 View →
Ciao! Mi chiamo Emanuele Ciardi, sono un osteopata laureato con ...
Facebook

org/10.1038/s41598-023-28520-4. May be an image of 1 person and text that says 'Le manipolazioni ti fanno · May be an image of text that says ...

Jun 13, 2025 View →
Seguimi per scoprire i benefici dell'osteopatia. Prenota la tua visita e ...
Instagram

https://doi.org/10.1038/s41598-023-28520-4. more. July 14 · Sign up • Instagram · Meta · About · Blog · Jobs · Help · API · Privacy · Consumer ...

Oct 6, 2024 View →
The... - The Chiropractic Association (Singapore) - Facebook
Facebook

com/articles/s41598-025-85655-2 SLE linked ... 10.1038/s41598-025-85655-2 · NATURE.COM ... com/articles/s41598-023-28520-4 4. Church EW ...

Jul 4, 2024 View →
Dr. Eric Chu Honored with International Board of Chiropractic ...
News

doi: 10.1038/s41598-023-28520-4. Related Link: http://www.cda.org.hk. This press release was issued through 24-7PressRelease.com. For further ...

Oct 19, 2023 View →
Dr. Eric Chu Becomes First Chinese Chiropractor to Win Lifetime ...
News

doi: 10.1038/s41598-023-28520-4. Related Link: http://www.cda.org.hk. This press release was issued through 24-7PressRelease.com. For further ...

Oct 16, 2023 View →
‍♂️ En moins de 2 minutes, le sujet du jour : les risques des ...
Instagram

... 10.1038/s41598-023-28520-4. 3. Décret n° 2007-435 du 25 mars 2007 relatif aux actes et aux conditions d'exercice de l'ostéopathie ...

May 6, 2023 View →
New Nature Study Concludes Rarity of Severe Chiropractic-related ...
News

doi: 10.1038/s41598-023-28520-4. 2. Chu EC, Trager RJ. Prevalence of Serious Pathology Among Adults with Low Back Pain Presenting for ...

Feb 6, 2023 View →
New CDAHK Study Finds Severe Adverse Events Associated with ...
News

https://doi.org/10.1038/s41598-023-28520-4. Media Contact Company Name: Chiropractic Doctors Association of Hong Kong Contact: Jacky Yeung

Jan 27, 2023 View →
‍♂️ En moins de 2 minutes, le sujet du jour : Harold Ives Magoun Sr ...
Instagram

https://doi.org/10.1038/s41598-023-28520-4. 3. Décret n° 2007-435 du 25 mars 2007 relatif aux actes et aux conditions d'exercice de l ...

May 19, 2021 View →
Le Kinesio-Taping ou K-Tape est une approche de tape ... - Instagram
Instagram

https://doi.org/10.1038/s41598-023-28520-4. 3. Décret n° 2007-435 du 25 mars 2007 relatif aux actes et aux conditions d'exercice de l ...

Feb 24, 2021 View →