Patients often present themselves for  chiropractic treatment with conditions that may include  contraindications for manipulative therapy. This report describes  successful chiropractic treatment of acute shoulder pain involving a  patient who presented with mixed metastatic carcinoma affecting the  humerus, scapula, and clavicle using an Activator Adjusting Instrument.

The successful outcome of the case demonstrates the possible value of  instrumental chiropractic adjustment in treating neuromusculoskeletal  cases where a forceful, high-velocity adjustment or manipulation would  be contraindicated because of the underlying osseous pathology involved.  Further study into this possibility should be provided to help train  those physicians who are called upon to treat these cases and to help  further define risk management protocols for the chiropractic  profession.

Chiropr Tech 1995; 7(3):98-102.

Author information: Polkinghorn BS. Private practice of chiropractic. Santa Monica, CA, USA.