Chiropractic is perhaps one of the most well-known and wide-spread forms of alternative medicine. The practice if primarily concerned with the diagnosis and treatment of mechanical disorders, especially those associated with the spine. The primary chiropractic treatment technique involves manual therapy—spinal manipulation therapy (SMT) and manipulations of other joints and soft tissues.
Several controlled clinical studies or chiropractic treatments have been conducted, but results are often conflicting. Spinal manipulation, though potentially ineffective at treating conditions, may be a cost-effective for sub-acute or chronic lower back pain. However, there is not sufficient data to establish the safety of chiropractic manipulations.
Chiropractic is very established in North America and Australia, often overlapping with other manual-therapy professions like massage therapy, osteopathy, and physical therapy. Most seek chiropractic help for back and neck pain, which are considered to be the specialties of the practice. In the past twenty years, it has gained legitimacy and greater acceptance among conventional physicians and health plans in the United States.
In 2009, a review published in Prev Med stated that spinal manipulation was routinely associated with considerable harm, further reporting that there was no compelling evidence to indicate that it adequately prevented symptoms or diseases. In 2012, a systemic review found that the risk of death from manipulations to the neck outweighed any potential benefits. These statements, though bombastic, should not be disregarded. If you enjoy chiropractic, we recommend that you do so in limited quantities; rather than seeing a chiropractor every week, consider switching your appointments to every month to reduce the risk of injury.