Image for  Chiropractic
Chiropractic

Synonyms/Common Names/Related Substances:

  • Chiropractic adjustment, chiropractic care, chiropractic manipulation, chiropractic manipulative therapy, chiropractic medicine, chiropractic profession, chiropractic spinal manipulation, chiropractic spinal manipulative therapy, manual physiotherapy, manual therapy, spinal manipulation.
  • Not included in this review: Cranial osteopathy, craniopathy, cranio-sacral therapy, osteopathic manipulation, osteopathic manipulative medicine, osteopathic medicine, osteopathy.
  • Note: The manipulative and manual methods applied by osteopaths, chiropractors and some other disciplines overlap considerably and the literature on each is highly related to the other. However, this review is intended to focus primarily on evidence from studies conducted in the context of chiropractic care.

Clinical Bottom Line/Effectiveness

Brief Background:

  • Chiropractic is a discipline that focuses on the relationship between spinal structure and body function mediated by the nervous system. It originated in 1895 with D.D. Palmer, a popular hands-on healer practicing in Davenport, Iowa. Palmer's formulation of "chiropractic" combined the Greek cheir (hand) and praxis (practice).
  • Sufficient evidence exists from randomized controlled trials to support the use of chiropractic manipulative therapy in the treatment of low back pain and tension-type headache. Promising preliminary evidence exists to encourage further research for vision problems, shoulder pain, thoracic pain, and whiplash injuries, but more evidence is needed before definitive recommendations for treatment of these conditions can be made.
  • Case reports of adverse events following adjustments of the cervical spine indicate that this procedure may not be completely safe for individuals with vascular instability.
  • Designing clinical trials of efficacy is complicated by difficulties in developing an accepted placebo for control and blinding procedures.

Dosing/Toxicology

  • Content available for subscribers only.

Precautions/Contraindications

  • Content available for subscribers only.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

  • Content available for subscribers only.

Mechanism of Action

  • Content available for subscribers only.

History

  • Content available for subscribers only.

Evidence Table

  • Content available for subscribers only.

Evidence Discussion

  • Content available for subscribers only.

Products Studied

  • Content available for subscribers only.

Author Information

  • Content available for subscribers only.

References

Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.

  • Content available for subscribers only.
The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.