An acute fracture in the region to be adjusted is a contraindication.

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An acute fracture in the area you plan to adjust is a red flag because the bone and surrounding tissues are in a delicate healing state and can be easily disturbed by manual forces. The thrusts and pressures used in adjustments can displace fracture fragments, worsen the injury, increase pain and swelling, and slow or complicate healing. Even if imaging shows the bones appear aligned, the acute phase still carries risks to stability and tissue integrity; imaging cannot guarantee safety for manipulation during this early stage. The prudent approach is to avoid adjusting the region until healing has progressed and stability is restored, using immobilization and non-manipulative therapies instead. This is why the statement is correct.