Are Chiropractors Safe? A Patient’s Guide to Chiropractic Safety
What Is Chiropractic Care?
Chiropractic care is a form of alternative medicine that focuses on diagnosing and treating conditions related to the musculoskeletal system, particularly the spine. It’s centered around the belief that proper spinal alignment helps the body heal itself without medication or surgery.
Chiropractors are trained professionals who use manual therapy, often spinal manipulation, to restore mobility, reduce pain, and improve the function of the nervous system.
This hands-on approach is commonly used to address issues like neck pain, low back pain, and joint discomfort, often providing relief for patients seeking non-invasive alternatives to traditional medical care.
How Safe Are Chiropractic Adjustments?
The safety of chiropractic adjustments is one of the most commonly debated topics in healthcare, but let’s set the record straight: chiropractic treatment is generally safe when performed by a licensed chiropractor.
Mild side effects such as soreness, fatigue, or temporary stiffness may occur after a session. These symptoms usually resolve within 24 to 48 hours. Serious complications are rare, but as with any medical treatment, they are possible.
Rare but Possible Risks
Although complications are uncommon, patients should be informed of the potential risks, especially when treating specific areas like the cervical spine.
- Herniated discs or nerve compression: Very rare, but can occur during spinal adjustments.
- Vascular accidents or stroke: There have been isolated reports of vertebral artery dissection following cervical manipulation, although a causal link has not been definitively established.
- Increased pain or stiffness: Most often temporary and minor.
A review published in the Journal of Manipulative and Physiological Therapeutics found that the risk of serious adverse events is less than one per million chiropractic visits.
Licensed professionals undergo extensive training to recognize red flags, assess medical history, and customize care for each individual. When performed by qualified hands, chiropractic manipulation is widely considered a safe and effective form of treatment for many musculoskeletal conditions.
What to Expect During a Chiropractic Visit
Before any spinal manipulation or manual therapy begins, chiropractors perform a thorough patient evaluation. This includes a medical history review, physical exam, and sometimes imaging tests like X-rays, CT scans, or MRIs to understand the structure and alignment of your spine and joints.
From there, your chiropractor will develop a personalized treatment plan that might include:
- Spinal adjustments to restore alignment and mobility.
- Soft tissue therapy to relieve tension in muscles and ligaments.
- Strengthening exercises to improve posture and long-term outcomes.
- Lifestyle advice to support overall well-being and function.
The process is collaborative and often includes informed consent to ensure you fully understand the approach and potential outcomes.
Who Can Benefit from Chiropractic Care?
Chiropractic care isn’t just for people with chronic back problems. It’s used to address a wide variety of specific conditions and common issues affecting the musculoskeletal system.
Conditions Commonly Treated:
- Low back pain
- Neck pain
- Tension headaches and migraines
- Sciatica
- Carpal tunnel syndrome
- Joint pain (e.g., knees, shoulders)
- Postural dysfunction
It can also be a complementary solution for people recovering from injuries or looking to avoid surgery or long-term medications.
Compared to traditional medical care, chiropractic therapy can offer a holistic approach, addressing not just the symptoms but the underlying causes of pain and dysfunction.
Who Should Avoid Chiropractic Adjustments?
While chiropractic care is generally safe, it’s not suitable for everyone. A licensed practitioner will screen for these conditions before starting any treatment.
You may need to avoid spinal adjustments if you have:
- Severe osteoporosis
- Spinal cancer or tumors
- Increased risk of stroke or vascular accidents
- Bone abnormalities or instability
- Recent spinal surgery or fractures
When in doubt, it’s always wise to consult with both your chiropractor and a medical doctor, especially if you have pre-existing health concerns or are on multiple medications.
What Makes Chiropractic Treatment Safe?
A combination of training, regulation, and clinical protocols helps ensure the safety of chiropractic therapy in the U.S.
- Education: Chiropractors complete a 4-year doctoral program, including over 4,000 hours of classroom, lab, and clinical training.
- Licensing: State licensure requires passing national board exams and adhering to professional standards.
- Continuous Learning: Many chiropractors pursue post-graduate training in specialties like neurology, sports medicine, and pediatrics.
Unlike some self-proclaimed “bodyworkers,” licensed chiropractors follow evidence-based guidelines and emphasize patient safety, making them highly qualified to deliver care that restores physical function and reduces musculoskeletal discomfort.
Comparing Chiropractic Care to Traditional Medical Treatments
One of the most compelling reasons patients choose chiropractic care is its emphasis on natural healing and low risk of complications, especially when compared to pain medications or surgery.
| Treatment Type | Invasiveness | Risk of Complications | Cost | Long-Term Relief |
|---|---|---|---|---|
| Chiropractic Adjustment | Low | Very Low | $$ | Often Yes |
| Prescription Medications | None | Moderate (side effects) | $$ | Temporary |
| Surgery | High | High | $$$$ | Varies |
Chiropractic care doesn’t rely on small instruments, prescriptions, or cutting-edge tech, but rather, it uses proven manual techniques and patient-centered treatment strategies to improve motion, reduce pain, and support long-term well-being.
Conclusion
Chiropractic care is widely considered a safe and effective option for managing musculoskeletal pain, especially when provided by a licensed and well-trained professional. While mild soreness or fatigue may occur after treatment, serious complications are rare. With a focus on spinal alignment, mobility, and overall physical function, chiropractic adjustments offer a non-invasive alternative to traditional medical care, helping many individuals find relief from discomfort and improve their quality of life.
If you’re unsure about the safety of chiropractic care and want trusted, personalized guidance, Dr. Sirota and our team at Sirota Chiropractic are here to help. We provide evidence-based, non-invasive treatment plans designed to relieve pain, restore spinal health, and support your long-term well-being. Reach out today to schedule your initial consultation and discover if chiropractic care is right for you.
FAQs
What are the risks of chiropractors?
While chiropractic adjustments are generally safe, risks can include mild soreness or stiffness. Serious complications like nerve damage or stroke are extremely rare, especially when care is provided by a licensed chiropractor. A full health screening and medical history review help minimize any risks.
Who should not see a chiropractor?
People with severe osteoporosis, bone cancer, a risk of stroke, or recent spinal injuries should consult a medical doctor before seeing a chiropractor. Those with bleeding disorders or who take blood thinners may also need to avoid spinal manipulation.
Should you ever go to a chiropractor?
Yes, chiropractic care can be beneficial for many people dealing with musculoskeletal pain, poor posture, or limited mobility. It’s especially helpful for those seeking non-invasive, drug-free treatment alternatives. Always consult your healthcare provider if you’re unsure.
What are the red flags of a chiropractor?
Red flags include pushing excessive visits without clear justification, discouraging communication with your primary care provider, ignoring diagnostic imaging when needed, or making extreme health claims unrelated to spinal health. Look for licensed, transparent professionals with a patient-first approach.
