Describe one potential risk associated with spinal manipulation.

Temporary soreness or increased pain is a commonly recognized risk associated with spinal manipulation. After a chiropractic adjustment, patients may experience some level of discomfort or soreness in the treated area, similar to what one might feel after participating in physical exercise or undergoing physical therapy. This response is typically due to the body's adjustment to the newly realigned structures and is often short-lived, resolving within a few days.

While the other mentioned risks, such as permanent paralysis, fractures, or infections, are potential concerns with any form of manual therapy, they are generally rare and occur under specific and often extreme circumstances. Temporary soreness, on the other hand, is a more frequent and benign effect, making it an important consideration for patients when evaluating the immediate outcomes of chiropractic treatment.