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Published online 2012 Feb 21. doi:  10.1186/2045-709X-20-3

Table 1

Return to:   The Role of Chiropractic Care in Older Adults

Treatment considerations for older adults [4]

Patient characteristicTreatment modification
Small body size; increased frailtyDecrease biomechanical force
Severe osteoporosis and/or other bone diseases such as infection or cancer.High-force manipulation is contraindicated
Anticoagulation or corticosteroid medicationSoft tissue or other manual procedures which compress tissues are either contraindicated or should be used with caution and decreased biomechanical force.
Fear or anxiety related to manipulation, or preference for type of procedureAdapt manipulation and soft tissue procedures to optimize patient comfort