AAA is a contraindication for HVLA chiropractic adjustment.

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An abdominal aortic aneurysm weakens the wall of a major artery. High-velocity, low-amplitude thrusts used in HVLA deliver rapid, high-force loads to the spine and surrounding structures. In someone with an aneurysm, those forces can translate into stress on the arterial wall and raise the risk of rupture or dissection, which can be life-threatening. For that reason, a known AAA is a contraindication to HVLA adjustments. Safer alternatives and medical evaluation are recommended, with HVLA considered only after appropriate clearance.