What is the term when a chiropractic adjustment is contraindicated?

• A. Cautionary Signs
• B. Major Red Flags
• C. Relative Red Flags
• D. Absolute Red Flags

Answer: (D)

Red flags are warning signs that point to serious underlying problems. When a sign is an absolute red flag, it means there is a non-negotiable contraindication to performing a chiropractic adjustment. In those cases, manipulation could cause harm, so the adjustment must not be done and the patient is referred for urgent or appropriate medical evaluation.

Absolute red flags—such as signs suggesting a fracture, spinal infection, or malignancy with new spinal symptoms—indicate the safest course is not to adjust. Other flags, like cautionary signs or relative red flags, indicate extra caution or further assessment is warranted, but they do not categorically prohibit treatment. That distinction is why this term is the correct one for a scenario where adjustment is contraindicated.