Why is vertebral artery safety important during cervical adjustments?

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Vertebral artery safety is crucial because these arteries travel up the neck through the transverse foramina of the cervical vertebrae and can be stressed or kinked by certain neck movements. Aggressive rotation or extension, especially in the upper cervical region, can injure a vertebral artery and potentially lead to vertebrobasilar insufficiency or stroke. The vertebral arteries supply the posterior part of the brain, so disrupting them has serious consequences. During cervical adjustments, clinicians should use cautious, controlled techniques and avoid end-range rotations or extensions that could place the arteries at risk, while also considering patient vascular risk factors. The arteries are not located in the anterior neck, they are indeed a concern during adjustments, and they do not supply only the lower limbs.