Any experience with chiari malformation ?

I have no experience with chiari malformation and a woman with chiari malformation came in with acute sacral burning pain with occasional left leg radiation. She also has migraines, headaches and recurrent dizziness episodes. She has had decompression for chiari malformation and a brain shunt. She has been advised against chiropractic due the the chiari malformation. Any tips ? Thank you!

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