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