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Table 1 Treatment considerations for older adults [4]

From: The role of chiropractic care in older adults

Patient characteristic Treatment modification
Small body size; increased frailty Decrease biomechanical force
Severe osteoporosis and/or other bone diseases such as infection or cancer. High-force manipulation is contraindicated
Anticoagulation or corticosteroid medication Soft 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 procedure Adapt manipulation and soft tissue procedures to optimize patient comfort