Which of the following is a contraindication for chiropractic manipulation?

• A. Severe osteoporosis
• B. Minor back pain
• C. General fatigue
• D. Normal age-related changes

Answer: (A)

Severe osteoporosis is a contraindication for chiropractic manipulation because this condition significantly weakens the bones, making them more susceptible to fractures. Chiropractic adjustments involve applying force to the spine and joints, which in individuals with severe osteoporosis could lead to serious injury or exacerbate existing conditions. Chiropractors must always consider the patient's overall bone health and potential risk factors before performing adjustments, and severe osteoporosis clearly places patients at heightened risk.

In contrast, minor back pain, general fatigue, and normal age-related changes do not fundamentally undermine the structural integrity of the spine or suggest an elevated risk of injury from manipulation. While caution should always be exercised and a thorough evaluation conducted, these conditions are typically not absolute contraindications to chiropractic care.