Understanding Chiropractic Treatment and Its Benefits for Neck Pain
Chiropractic care or chiropractic treatment involves manual manipulation and specific adjustment of the spine by a licensed chiropractor to help treat back pain, neck pain, and other musculoskeletal issues.
It is generally sought as a treatment for:
- Back pain
- Neck pain
- Headaches
- Whiplash
- Strains and sprains from daily activities
- Overuse injuries
- Work and sports-related injuries
Some potential benefits of chiropractic care include helping to minimize migraines and neck-related headaches, improve posture, and reduce pain. However, more research is still needed on its effectiveness for some conditions.
The Role of a Chiropractor and the Procedure
A chiropractor is a healthcare professional that focuses on diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially the spine.
The most common procedure performed by chiropractors is spinal manipulation, also known as chiropractic adjustment. During a spinal manipulation, the chiropractor uses controlled force with their hands to adjust the joints of the spine. The goal is to improve spinal motion and function.
Chiropractic adjustments are usually done by hand but may also be assisted by devices. The chiropractor may apply gentle pressure to a joint and make a quick thrusting motion to increase range of motion. Adjustments are most often done on the spine but can also be performed on other parts of the body.
Chiropractic care aims to reduce pain and correct misalignments in the body. Regular chiropractic adjustments may help improve physical function and range of motion.
Chiropractors receive extensive training in anatomy, physiology, and spinal biomechanics to properly perform adjustments and diagnose musculoskeletal issues.
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Dealing with Neck Pain After Seeing a Chiropractor
It is possible for chiropractic neck adjustments to potentially exacerbate pain temporarily or in rare cases lead to more serious injury. Here are some important factors to consider:
Chiropractic manipulation requires precise technique and controlled force. If performed incorrectly or too aggressively, it can cause misalignment of the vertebrae and strain muscles and ligaments, increasing pain and soreness.
Mild to moderate increases in neck pain after an adjustment are common and usually temporary as the treatment loosens tight muscles and mobilizes stiff joints. However, severe or radiating pain after manipulation may indicate injury.
In very rare cases, cervical manipulation has been associated with vertebral artery dissections. While a causal link is still debated, early symptoms of a dissection include acute neck pain.
According to one study, around 8% of chiropractic patients reported increased pain after treatment. More serious injuries like herniated discs, ligament tears, or bone fractures are possible but very uncommon.
Individual anatomy, age, injury history, and the skill and technique of the chiropractor can impact results. Choosing an experienced, licensed provider is recommended to minimize risks.
Temporary soreness is often expected, but new or worsening neck pain that persists warrants follow up with the chiropractor. Any sudden or severe pain after an adjustment requires urgent medical care.
Those with pre-existing conditions like arthritis or recent trauma may be at higher risk of pain or injury from manipulation. Caution is urged in these cases.
Multiple treatment sessions may be needed to fully alleviate pain. Rushing the process or overtreating can overload the neck and lead to problems. Following the chiropractor’s recommended treatment plan is advised.
If you experience neck pain after seeing a chiropractor, here are some tips:
- Mild to moderate soreness in the neck area is normal within 24-48 hours after a chiropractic adjustment. This is due to the manipulation and movement of spinal joints.
- Severe pain that lasts more than a couple days is not normal and you should consult your chiropractor.
- Some people may experience temporary increased pain as the spine adjusts to its new alignment. This usually subsides within 1-2 weeks.
- Rarely, chiropractic manipulation of the neck has been associated with vertebral artery dissections leading to stroke. However, the risk is very low.
- Apply ice packs, take over-the-counter pain medication, and avoid strenuous activity if you have soreness. See your chiropractor if pain worsens or does not improve in a few days.
- Chiropractic care may not always provide relief for neck pain issues and other treatment options could be explored. Response varies per individual.
- Seek medical attention immediately if you experience severe or worsening headaches, dizziness, blurred/double vision after a neck adjustment.
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Risk Factors That Can Worsen Neck Pain After Chiropractic Care
There are a few potential factors that could aggravate neck pain after seeing a chiropractor:
| Risk Factor | Description |
| Pre-existing conditions | Poor posture, old injuries, arthritis, osteoporosis, degenerative disc disease may not be fully addressed by chiropractic alone and could continue causing pain. |
| Undiagnosed conditions | Forceful manipulation could worsen undiagnosed vertebral artery dissection, increasing stroke risk. A 2021 study found an association. |
| Normal post-adjustment soreness | Temporary muscle soreness or joint stiffness for 24-48 hours after manipulation is common as the body adjusts. |
| Individual factors | Age, gender, family history, previous injuries/surgeries, anatomy can influence response to adjustments. |
| Excessive treatment | Too much force, frequency, or prolonged treatment can overload the neck muscles and joints. |
| Inadequate rest | Muscles and joints need adequate rest between treatments to benefit fully. |
| Poor technique | Unskilled or overly aggressive technique can cause injury and pain. An experienced chiropractor is key. |
Seeking Relief the Right Way
If you are experiencing neck pain or discomfort after seeing a chiropractor, don’t panic. Minor soreness is common. But you should take action if the pain becomes severe or persistent. Here are some tips:
- Communicate with your chiropractor. Let them know if your pain has increased or changed since your last visit. They can evaluate you and modify your treatment plan.
- Consider alternating chiropractic care with other therapies like massage, physical therapy, or acupuncture. A multi-modal approach may provide better results.
- Improve your posture and ergonomics at home and work. Poor posture is a common cause of neck pain that chiropractors can help correct.
- Apply heat or ice packs to help manage inflammation and soreness after adjustments.
- Stay active and exercise gently to build strength in your neck over time. But avoid activities that aggravate your pain.
- Give your body time to adjust to the spinal manipulations. It can take a few days or weeks to feel the full benefits.
- Discuss medication options if over-the-counter pain relievers don’t provide enough relief. But use them cautiously.
- See your doctor if your condition persists or worsens. You may need imaging tests to identify any underlying problems.
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While chiropractic care offers many benefits, it’s not a cure-all for neck pain. Work closely with your chiropractor and healthcare provider to find the optimal treatment plan for your needs. Relief is possible with a proactive, patient approach.
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