What Is Chiropractic Care?

Chiropractic care focuses on the diagnosis and treatment of musculoskeletal disorders, particularly the spine. Chiropractors use hands-on spinal manipulation and other techniques to align the body's structure, particularly the spine, to enable the body to heal.1

Common Techniques

  • High-velocity, low-amplitude (HVLA) - Traditional adjustment with "pop"
  • Mobilization - Gentle, low-velocity movement
  • Flexion-distraction - Gentle stretching of spine
  • Activator method - Instrument-assisted
  • Drop table technique - Special table segments

Conditions Commonly Treated2

  • Low back pain
  • Neck pain
  • Headaches (tension, cervicogenic)
  • Sacroiliac joint dysfunction
  • Some extremity conditions

What the Evidence Shows

  • Effective for acute low back pain
  • May help chronic low back pain
  • Comparable to other treatments for neck pain
  • May reduce headache frequency
  • Best as part of multimodal care

What to Expect3

  • History and examination
  • May include X-rays
  • Treatment plan discussed
  • Adjustment sessions (15-30 minutes)
  • May include exercises, advice

Safety Considerations

  • Generally safe for most people
  • Mild soreness common after treatment
  • Serious complications rare
  • Discuss with doctor if: osteoporosis, cancer, inflammatory arthritis
  • Cervical manipulation: discuss risks with provider

References

  1. Bronfort G, Haas M, Evans R, et al. Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat. 2010;18:3.
  2. Chou R, Deyo R, Friedly J, et al. Nonpharmacologic therapies for low back pain: a systematic review. Ann Intern Med. 2017;166(7):493-505.
  3. Paige NM, Miake-Lye IM, Booth MS, et al. Association of spinal manipulative therapy with clinical benefit and harm for acute low back pain. JAMA. 2017;317(14):1451-1460.