CynRN With all due respect as a 2006 graduate from CMCC and a certfied kinesiologist BScKin I know a thing or two about the neurosciences and applied neurology Since when is 19 000 patients and 50 K manipulations a small sample size Also please make sure to read the study that will appear in Spine in Feb 2008 as it provides more evidence that suggests the cervical manipulation and the link to strokes is at the very least overblown As a contemporary DC who is practicing in Canada I m acutely aware of the stroke debate and am confident that the literature will validate the clinical successes that many DCs have experienced for over 100 years I m a DC who works closely with MDs in a family health care team in Ontario and I can tell you confidently that once conventional medicine begins to understand manual physical medicine approaches and as the wellness paradigm replaces the current illness model these historical turf wars and misundestandings will begin to cease So while I respect fully your right to pop some ibuprofen and NSAIDS there are significant benefits to choosing a holistic and manual approach for neuromusculoskeletal pain including cervical SMT 208 101 89 150