The PulStar Blog

Prone Neck Adjustment

Why PulStar is the Safer, Smarter Chiropractic Solution — For You and Your Patients

In today’s healthcare climate, chiropractors face growing scrutiny over safety and evidence-based care. Patients are becoming more cautious, especially after headlines linking manual neck adjustments to vertebral artery dissection (VAD) and even stroke. This is why PulStar’s computerized, low-force Multiple Impulse Therapy (MIT) is an alternative that prioritizes both results and safety.

A Safer Path: Reducing Risk with Technology

Recent reporting has highlighted several tragic cases where high-velocity manual cervical adjustments were followed by severe adverse events like arterial dissection and stroke. As described in a 2025 article in New York Magazine, cases include:

While these events are rare (estimated at about 1 in 20,000 neck manipulations), their severity cannot be overstated. The vertebral arteries—responsible for delivering blood to the brain—are vulnerable to injury during aggressive neck rotations. This is where PulStar stands apart.

For Chiropractors: Less Risk, More Trust

Chiropractors using PulStar not only offer a higher-tech solution—they also position themselves as safer, more progressive providers. In an age of social media scrutiny and increased malpractice awareness, reducing your risk profile is a smart move.

As Dr. James Lehman, a chiropractic orthopedist, emphasized: “A terrible adverse reaction is not acceptable if it could’ve been avoided”. The PulStar allows you to avoid the risks of manual cervical thrusts while still achieving clinical results your patients can feel.

Dr. Lehman highlighted PulStar’s value in his 2018 article “Don’t Crack My Neck: What Do You Do Next?” He shared a powerful case of a patient referred by a medical doctor who explicitly requested no neck cracking. Lehman reflected:

“Rather than attempt to convince this patient… to permit you to take her life into your hands and perform a chiropractic, cervical manipulation, what are your options? … I recall that one of my colleagues discontinued the use of HVLA spinal manipulation in favor of a technology that measured for joint restrictions and then treated them with a multiple impulse therapy.”

That technology was the PulStar.

Lehman pointed out that fear of cracking is a major reason many people avoid chiropractic care. He cited a study showing that patients treated with the PulStar responded faster than those in three recent trials involving manual manipulation.
 
“Perhaps it is time to consider integrating new technologies and adopting both evidence-based practice and patient-centered care.”
Why PulStar Stands Out

 

Ready to Upgrade Your Practice?

The PulStar allows chiropractors to deliver exceptional results while aligning with the highest standards of patient safety and comfort. Whether you’re treating those fearful of traditional adjustments, dealing with complex cervical cases, or simply looking to modernize your care, PulStar is the clear choice.

Picture of Christian Evans

Christian Evans

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