Neck manipulation can be a €œpain in the neck€

Key learning objectives: Osteopathic cervical neck manipulation can lead to vertebral artery dissection Following the first episode of dissection of vertebral artery, 2% of patients may experience a subsequent episode within the first month after that annual risk of recurrence is 1% Recurrence is common in younger patients, in those with a family history of dissection and with a diagnosis of Ehlers-Danlos syndrome and fibromuscular dysplasia CPD credits: 0.5. Log them at myCPD   Introduction We report a rare case of a 33-year-old Caucasian male osteopath who developed extracranial vertebral artery dissection post self-manipulation of his cervical spine to treat