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Chiropractic Adjustment for Back Pain
What Is a Chiropractic Adjustment?
A chiropractic adjustment is a treatment to improve movement and relieve pain in your spine. A chiropractor uses their hands or instruments to apply quick thrusts of pressure to joints in your spine. The goal is to fix your alignment. Spinal manipulation is another name for chiropractic adjustment.
What to Expect From a Chiropractic Adjustme
You don’t need to do anything to prepare for a chiropractic appointment. At the first visit, your chiropractor will ask about your medical history and examine you, focusing on your spine. They may do imaging tests like X-ray, computed tomography (CT), or magnetic resonance imaging (MRI) to look at your bones and joints. Then they’ll create a treatment plan for you.
During your appointment
Your chiropractor will position you according to your adjustment needs. Often, you’ll lie face down on a padded table. Your chiropractor will focus on one area of your spine at a time. They’ll apply quick, controlled pressure to a joint or move a joint beyond its normal range of motion. The purpose is to put your joints into better alignment.
You may hear a popping or cracking sound during the adjustment. It’s nothing to worry about. What you hear is the sound of gasses like oxygen and carbon dioxide releasing from your joints. You shouldn’t feel any pain during the adjustment.
After your chiropractic adjustment
You might feel some mild soreness in your joints after an adjustment. It’s also normal to have a slight headache or to be tired. You should feel better in about a day. Your chiropractor may suggest that you hold ice or heat to your joints to relieve the soreness. They may also recommend doing stretches at home to keep your joints flexible.
Chiropractic Adjustment Benefits
The most common uses for chiropractic adjustments are to treat:
- Low back pain
- Neck pain
- Headache
- Sciatica
Yet there is very little research to confirm whether adjustments work for any of these conditions.
Low back pain. Chiropractic adjustment may slightly improve low back pain, and it might be a safer alternative to opioids and other pain relievers. Guidelines from the American College of Physicians recommend spinal manipulation for acute (short-term) and chronic (long-term) low back pain, even though the evidence on its benefits is limited.
Neck pain. The evidence isn’t clear, but adjustments may help reduce the pain of acute and chronic neck pain.
Headache. Adjustments may lead to fewer and less intense headaches caused by a problem in the neck. But for migraine there’s not enough evidence to show that chiropractic works.
Sciatica. Pressure on the sciatic nerve in the lower back causes pain, numbness, and tingling in the leg. One research review found that spinal manipulation may help relieve sciatica pain, but the evidence isn’t strong.
There’s even less evidence that chiropractic adjustment works for other types of conditions, like high blood pressure or period cramps.
Chiropractic Adjustment Risks
Chiropractic adjustment is safe when you go to a licensed and trained chiropractor. Most side effects that happen are mild, such as:
- Soreness or increased pain
- Stiffness
- Headache
These problems usually improve in about a day.
There have been reports of people having a herniated disk, stroke, or nervous system problems after an adjustment, but serious side effects like these are very rare.
It may not be safe to get an adjustment if you have:
- Numbness, tingling, or weakness in an arm or leg
- Very weak bones from osteoporosis
- Cancer in your spine
- An increased risk for stroke
- A problem with the bones in your neck
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