chiropractic for migraines

The Migraine Puzzle: Why Chiropractic for Migraines Might Be the Missing Piece You’ve Never Considered

Let me introduce you to Sarah. (Not her real name, but her story is real enough.)

Sarah is a 34-year-old teacher from Burnaby. She’s the kind of person who brings homemade cookies to staff meetings and remembers every student’s birthday. She’s also the kind of person who, three times a month, has to cancel her afternoon classes, close her blinds, and lie motionless in a dark room while her head tries to explode from the inside out.

“People think I’m being dramatic when I say I can feel my heartbeat in my eyeball,” she told me during her first visit to Sync Move Rehab Centre. “But that’s exactly what it feels like. Like someone hooked my optic nerve up to a subwoofer.”

Sarah had tried everything. The triptans that made her feel like she’d been hit by a truck. The preventive meds that dulled everything—including her personality. The elimination diets that left her eating nothing but rice and chicken for six weeks. The $400 pillow. The $600 night guard. The acupuncturist who meant well. The neurologist who meant well but had a waiting list longer than a Costco lineup on Saturday morning.

What she hadn’t tried—what no one had ever suggested—was chiropractic.

“Wait,” she said, when I mentioned it. “You crack backs. How’s that going to help my head?”

Fair question. And the answer is complicated, fascinating, and—if you’re one of the 4.5 million Canadians living with migraines—potentially life-changing .

So grab a tea (herbal, if caffeine’s a trigger), get comfortable, and let’s dive deep into the science, the controversy, and the real-world experience of chiropractic for migraines.

 

The Migraine Landscape: What 4.5 Million Canadians Need to Know

Before we talk about solutions, let’s talk about the problem. Because migraines aren’t “just headaches.” They’re neurological events—complex, disabling, and wildly misunderstood.

The Canadian Numbers

According to Migraine Canada, approximately 12.5% of Canadians—that’s 4.5 million people—suffer from migraines . To put that in perspective, that’s more than the entire population of Manitoba, Saskatchewan, and Newfoundland combined.

A national health survey found that about 8% of Canadians aged 12 and older—nearly 2 million people—have been formally diagnosed with migraines by a healthcare professional . Among those diagnosed, 42% reported using prescription medications to manage their condition .

Women are disproportionately affected. Globally, eight percent of men experience migraines, but the condition is three times more common among women . If you’re a woman of childbearing age and your head is pounding right now, you’re not alone—and you’re not imagining it.

What Actually Happens During a Migraine?

Here’s the thing about migraines that most people don’t understand: they’re not just pain. They’re a whole-body event.

A migraine is typically characterized by:

  • Moderate to severe throbbing pain, often on one side of the head
  • Nausea and vomiting
  • Sensitivity to light (photophobia)
  • Sensitivity to sound (phonophobia)
  • Visual disturbances called auras (for about a third of sufferers)

There are two main categories :

Migraine without aura: Throbbing, pulsating pain—like a heartbeat in your head—usually on one side. The pain intensity is moderate to severe, and there are no preceding neurological symptoms.

Migraine with aura: Recurrent attacks lasting at least five minutes, accompanied by visual, sensory, or neurological symptoms—flashes of light, tingling sensations, temporary vision loss. These symptoms are unilateral, appear gradually, and are fully reversible.

Attacks can last anywhere from a few hours to several days . In severe cases, they can happen up to three times a day .

The Global Burden

Worldwide, migraine affects about 15% of the general population . It’s the third most common condition globally, according to the Global Burden of Disease study . In the United States alone, an estimated 38 million adults are migraine sufferers, and 91% of them experience migraine-associated disability .

The socioeconomic costs are staggering—missed work, reduced productivity, healthcare expenses, and the invisible cost of watching your life shrink around your symptoms.

 

The Common Triggers: What Sets It Off?

Migraines don’t happen randomly. They happen when a susceptible nervous system encounters certain triggers. According to chiropractic sources, common triggers include :

  • Stress: Emotional or physical stress is the #1 trigger for many people
  • Hormonal changes: Particularly in women—menstrual cycle, pregnancy, menopause
  • Dietary factors: Aged cheese, chocolate, alcohol (especially red wine), artificial sweeteners
  • Caffeine: Either excess consumption or withdrawal
  • Environmental factors: Bright lights, loud noises, strong odors
  • Sleep disturbances: Too little sleep OR too much sleep
  • Irregular eating: Skipping meals or fasting
  • Weather changes: Barometric pressure shifts, temperature variations

But here’s the one that often gets overlooked: poor posture and neck tension . Inadequate posture during long hours at a computer can lead to muscle tension in the neck and back, creating what chiropractors call “spinal subluxation”—a joint and nerve interference that affects communication between the brain and the rest of the body .

And that’s where the migraine-neck connection starts to get interesting.

 

The Missing Link: Why Your Neck Might Be the Culprit

Let’s talk about something called the trigeminocervical complex. I promise this won’t hurt.

Deep in your brainstem, there’s a region where the nerves that supply your face and head (the trigeminal nerve) interact with the nerves that supply your upper neck (the cervical nerves) . They share a common pathway—think of it as a neurological intersection where traffic from your neck and your head converge.

When there’s dysfunction in your upper neck—tight muscles, stiff joints, poor alignment—that sends signals into this shared pathway. And because the brain can sometimes be sloppy about distinguishing where signals come from, it can interpret neck signals as head signals.

This is the basis of cervicogenic headache—head pain originating from the neck. But here’s where it gets really interesting for migraine sufferers: even true migraines can be influenced by what’s happening in your neck.

Dr. Dean Watson, a musculoskeletal physiotherapist and leading researcher in this area, puts it bluntly: “Evidence is steadily accumulating that upper cervical input can directly influence the very neural hub central to migraine pathophysiology” .

In plain English: your neck issues might not cause your migraines, but they can absolutely pour gasoline on the fire.

The Circular Logic Problem

Here’s the frustrating part. Migraine is classified as a “primary headache disorder,” meaning by definition it has no known structural cause . So when clinicians encounter cervical dysfunction in migraine patients, the reasoning often follows: “It can’t be causal, because migraine is primary.”

Dr. Watson calls this what it is: petitio principii—begging the question. Circular reasoning. The classification itself becomes a barrier to exploring alternative mechanisms .

He explains: “‘Primary’ reflects the absence of a demonstrable cause; it does not exclude the possibility of causal mechanisms, such as noxious cervical afferents sensitising the trigeminocervical complex” .

The result? A self-perpetuating loop. Classification discourages inquiry, which limits data, which reinforces the assumption that cervical factors are irrelevant. Confirmation bias quietly narrows the scope of both clinical practice and research .

Reframing the Question

Instead of asking “Is cervical dysfunction the cause of migraine?”, Dr. Watson suggests we ask a more nuanced question: “Can cervical afferents play a causal role in migraine pathophysiology?”

This opens the door to integrated models that allow for multiple converging inputs. It also justifies the inclusion of skilled manual assessment and treatment of the upper cervical spine within migraine management—not as an adjunct curiosity, but as a potentially essential intervention for some patients .

 

The Emerging Science: What Research Actually Shows

Now for the million-dollar question: does chiropractic actually work for migraines? Let’s look at the evidence.

The 2024 Systematic Review and Meta-Analysis

In November 2024, Systematic Reviews published an updated systematic review and meta-analysis of randomized clinical trials examining spinal manipulations for migraine . This wasn’t a small, obscure study—it garnered significant attention, ranking in the 94th percentile of tracked articles of similar age and receiving 4 citations and 25 Altmetric mentions .

What did it find? The metrics tell an interesting story: the scientific and online communities are paying attention. There’s genuine interest in whether spinal manipulation can help with migraines .

The 2025 Systematic Review

More recently, in 2025, a systematic review from the Universidad de Valladolid examined chiropractic spinal manipulation specifically for headaches, including migraines . The researchers searched multiple databases from inception to April 2024 and included randomized controlled trials comparing chiropractic manipulation to sham, no intervention, or other conservative treatments.

The results were mixed but intriguing. Among the five studies comparing chiropractic manipulation to sham, two found a significant reduction in the number of headache days . Of the three studies comparing chiropractic manipulation to a control, one reported a decrease in headache episode duration .

The authors were careful to note that the certainty of evidence was downgraded to “very low,” and they concluded: “It is uncertain if chiropractic spinal manipulation is more effective than sham, control, or deep friction massage interventions for patients with headaches” .

The Neurophysiological Evidence

Where the research gets really exciting is in understanding how manual therapy might work. Dr. Watson highlights emerging studies examining the effects of upper cervical manual therapy on the sensitization of the trigeminocervical complex .

Jafari and colleagues published research in 2023-2024 showing that upper cervical manual therapy can affect central sensitization in subjects with migraine and neck pain . This builds on earlier research from 2014 using the nociceptive-blink reflex to demonstrate cervical referral of head pain in migraineurs .

Dr. Watson notes: “Finally, a body of research is emerging to advance the sensitising role that noxious upper cervical afferents play in migraine. This research demands more consideration of non-pharmacological targeting of the TCC in those with migraine” .

The Cervicogenic Headache Evidence

While cervicogenic headache is technically different from migraine, the overlap is significant—and the evidence for manual therapy in cervicogenic headache is robust.

A February 2026 meta-analysis published in the European Journal of Pain examined 41 randomized controlled trials on cervicogenic headache and found that multimodal, non-pharmacological treatment approaches demonstrated the greatest overall effectiveness . Treatment combinations that included manual therapy produced the largest reductions in headache intensity, frequency, and disability—outperforming pharmacologic treatments and single-modality interventions .

A JMPT umbrella review of 35 prior systematic reviews confirmed “high confidence in the results supporting the use of cervical spine mobilization/manipulation, soft tissue mobilization, and manual therapy combined with exercise” for cervicogenic headache .

What This Means for Migraine Sufferers

The takeaway? While the evidence for chiropractic specifically for migraine isn’t as strong as we’d like—yet—the direction of travel is promising. The neurophysiological research suggests plausible mechanisms. The cervicogenic headache research demonstrates that manual therapy can influence head pain originating from the neck. And the clinical experience of countless patients and practitioners suggests that for many people, chiropractic care can make a real difference.

 

What Chiropractic Care Actually Looks Like for Migraines

If you’re considering chiropractic for migraines, what should you expect? Let me walk you through a typical approach at Sync Move Rehab Centre.

The Assessment: Playing Detective

Your first visit starts with questions—lots of them. Your chiropractor wants to understand not just where it hurts, but the whole story.

  • When did this start? Gradual or sudden?
  • What does the pain feel like? Throbbing? Stabbing? Pressing?
  • Where exactly is the pain? One side? Both sides? Behind the eyes? At the base of the skull?
  • What triggers it? Stress? Certain foods? Hormonal changes? Neck position?
  • How long do episodes last? Hours? Days?
  • What have you tried already? Medications? Supplements? Other therapies?
  • Do you have any neck pain or stiffness between migraines?
  • Have you had any neck injuries—even old ones?

Then comes the physical exam. Your chiropractor will:

  • Assess your cervical range of motion—how far can you turn, tilt, nod?
  • Palpate for muscle tension in your neck, shoulders, and upper back
  • Check for tender points and restricted joints
  • Assess your posture and how you hold your head
  • Look for patterns—do you consistently hold your head forward or rotated?

The Diagnosis: Ruling Out Red Flags

Before any treatment, your chiropractor will screen for “red flags”—signs that your headaches might have a more serious cause. These include:

  • Sudden, severe headache unlike any you’ve had before
  • Headache with fever, stiff neck, or rash
  • Headache after head injury
  • Headache with neurological symptoms like weakness, numbness, or speech changes

If any red flags are present, you’ll be referred for appropriate medical evaluation.

The Treatment: Hands-On and Personalized

Based on the assessment, your chiropractor develops a plan tailored to you. This might include:

Spinal Manipulation (Adjustments): Gentle, specific adjustments to restricted joints in the upper cervical spine. The goal is to restore normal motion and reduce mechanical irritation to the nerves that converge in the trigeminocervical complex . Research suggests that “upper cervical SMT is the most successful of the many different approaches and procedures” for headache originating from the neck .

Mobilization: Gentler, rhythmical movements for joints that need motion but might not tolerate high-velocity manipulation.

Soft Tissue Work: Hands-on techniques to release tight muscles, especially in the suboccipital region, upper trapezii, and other muscles that can refer pain to the head . Myofascial release techniques of the suboccipital muscles “can significantly alleviate pain and disability in tension-type headache and cervicogenic headache” .

Dry Needling: For some patients, inserting fine needles into myofascial trigger points can release muscle tension and reduce pain. The 2026 meta-analysis found that “the highest-ranked interventions for both intensity and frequency reduction included manual therapy combined with dry needling” .

Home Exercises: Specific exercises to maintain progress between visits. SNAG exercises (Sustained Natural Apophyseal Glides) have emerged as a valuable tool—studies confirm that adding SNAGs to exercise improves headache frequency, intensity, duration, and disability .

Postural and Ergonomic Advice: Because how you hold your head during the day affects the muscles and joints of your neck. Research confirms that ergonomic modifications produce “statistically 52.97% improvement” in cervicogenic headache frequency .

The Timeline: What to Expect

Everyone responds differently, but a reasonable expectation might be:

  • Some improvement within a few sessions
  • More substantial change over 4-8 weeks
  • Ongoing self-management to prevent recurrence

Chiropractic care isn’t a quick fix—it’s a process of retraining your body and addressing the mechanical factors that contribute to your migraines.

 

The Proposed Mechanisms: How Chiropractic Might Help Migraines

How exactly might chiropractic care influence migraines? Several mechanisms are plausible.

  1. Reducing Trigeminocervical Sensitization

This is the big one. The trigeminocervical complex is the neurological intersection where head and neck pain pathways converge. When the upper cervical spine is dysfunctional—tight muscles, restricted joints—it sends a steady stream of “noise” into this complex, potentially sensitizing it and lowering the threshold for migraine activation .

By restoring normal joint mechanics and reducing muscle tension, chiropractic care may quiet this noise and desensitize the complex .

  1. Activating Descending Pain Inhibition

Spinal manipulative therapy may stimulate neural inhibitory systems at different spinal cord levels. It might activate various central descending inhibitory pathways, including those located in the periaqueductal grey matter—a key brain region involved in pain modulation .

  1. Breaking the Pain-Spasm-Pain Cycle

Pain causes muscle spasm, which causes more pain—a vicious cycle. By addressing joint restrictions and muscle tension, chiropractic care can disrupt this cycle and prevent it from perpetuating itself .

  1. Improving Proprioception

Your brain relies on input from your neck muscles and joints to know where your head is in space. When that input is distorted by dysfunction, it can affect everything from balance to pain processing. Restoring normal mechanics may improve this “sensory feed.”

  1. Reducing Peripheral Nerve Irritation

The greater occipital nerve—which supplies sensation to the back of the head—passes through several muscles as it travels. When those muscles are tight, they can physically compress the nerve. Releasing muscle tension can relieve this compression .

 

The Controversy: Why Some Remain Skeptical

It’s important to present the other side fairly. Not everyone is convinced about chiropractic for migraines.

The Evidence Quality Problem

The 2025 systematic review downgraded the evidence to “very low certainty” . Sample sizes in many studies are small. Blinding is difficult in manual therapy research—how do you blind someone to whether they’re getting hands-on treatment? And the heterogeneity of both chiropractic technique and migraine presentation makes it hard to draw simple conclusions.

The Classification Problem

As Dr. Watson notes, the very classification of migraine as a “primary headache disorder” creates a circular logic that discourages investigation of cervical factors . If migraine is defined as having no structural cause, then any structural finding is automatically deemed irrelevant—regardless of the evidence.

The Overclaim Problem

Some chiropractors overpromise. They claim chiropractic can “cure” migraines or that spinal misalignment is “the cause” of all headaches. This isn’t supported by evidence and undermines the credibility of the profession.

The Risk Problem

Cervical spine manipulation carries a very small risk of serious complications, including vertebral artery dissection. While rare, this risk must be acknowledged and discussed with patients.

 

The Integrated Approach: How Chiropractic Fits with Other Care

At Sync Move Rehab Centre, we believe in integrated, evidence-informed care. Here’s how chiropractic fits into a complete migraine management plan.

Working with Medical Care

Chiropractic isn’t a replacement for medical care—it’s a complement. Your chiropractor should:

  • Communicate with your family doctor and neurologist
  • Support your use of appropriate medications (not discourage them)
  • Recognize when symptoms require medical attention
  • Refer back to your doctor when needed

The Multidisciplinary Team

A complete migraine management team might include:

Neurologist: Provides diagnosis, manages complex cases, prescribes preventive and acute medications

Chiropractor: Addresses musculoskeletal factors—neck tension, joint restrictions, postural contributors

Physiotherapist: Provides exercises for neck strength and mobility, postural retraining

Massage Therapist: Addresses soft tissue tension in neck and shoulders

Dietitian: Helps identify dietary triggers and supports nutritional approaches

Psychologist or Counselor: Addresses stress management, pain coping strategies

Acupuncturist: Some patients find acupuncture helpful for migraine prevention

The key is coordination. Your providers should talk to each other, share information, and work toward common goals.

The Integrated Clinic Model

Some clinics are moving toward truly integrated care. A new Vancouver-area clinic, The Health League, brings together chiropractors, physiotherapists, and a medical doctor under one roof specifically to treat migraines and vertigo .

Founder Morgan Watson explains: “There are lots of integrated health clinics where you’ll see chiros and physios together. That’s a very common pairing. What’s truly unique about us is having that medical doctor” .

This model simplifies care, improves communication, and gives patients a single point of contact for managing their condition. It’s the future of migraine care—and it’s already happening in Canada.

 

What You Can Do Right Now

Whether you pursue chiropractic care or not, here are evidence-informed steps you can take today.

  1. Get an Accurate Diagnosis

If you haven’t already, see a healthcare provider who understands migraines. The right treatment starts with the right diagnosis.

  1. Track Your Triggers

Keep a detailed headache diary:

  • When do attacks occur?
  • What were you doing beforehand?
  • What did you eat and drink?
  • How was your sleep?
  • What was your stress level?
  • Where are you in your menstrual cycle (if applicable)?
  • What was your neck position? (This is the one most people miss)

Patterns can provide valuable clues.

  1. Assess Your Neck

Pay attention to neck tension before and during migraines. Do you notice stiffness? Does certain neck positions trigger symptoms? If so, you might have a cervical component that could respond to manual therapy.

  1. Check Your Posture

Most of us spend our days in what I call “computer turtle” position—head forward, shoulders rounded, upper back hunched. This puts tremendous strain on the upper neck.

Simple changes can help:

  • Screen height: Top of monitor at eye level
  • Chair support: Maintain the natural curve of your lower back
  • Frequent breaks: Every 30 minutes, look away, move your neck, roll your shoulders

Research confirms that ergonomic modifications can produce significant improvements in headache frequency—up to 52% in some studies .

  1. Try Gentle Neck Stretches

If your neck is tight, gentle stretching may help:

  • Chin tucks: Pull your chin straight back (like making a double chin), hold 5 seconds, repeat 10 times
  • Neck rotations: Slowly turn head to look over each shoulder, holding at comfortable end range
  • Side bends: Gently bring ear toward shoulder, hold, repeat both sides

Stop if anything increases your headache pain.

  1. Consider Your Sleep Position

Side sleepers: your pillow should fill the space between your ear and shoulder, keeping your neck neutral. Back sleepers: a thinner pillow that supports the curve of your neck. Stomach sleeping? Try to break the habit—it forces your neck into rotation for hours.

  1. Stay Hydrated

Dehydration is a common trigger. Aim for steady hydration throughout the day.

  1. Manage Stress

Stress is the #1 trigger for many people. Whatever helps you manage stress—walking, meditation, music, conversation, therapy—is worth prioritizing.

 

Who Might Benefit Most from Chiropractic?

Based on current evidence and clinical experience, here’s who might be a good candidate for adding chiropractic to their migraine management:

You have neck involvement. If your migraines are preceded or accompanied by neck stiffness, if certain neck positions trigger attacks, if you’ve had whiplash or neck injuries in the past—you’re a prime candidate.

You’ve tried medications and they’re not enough. Maybe your preventive reduces frequency but doesn’t eliminate attacks. Maybe your rescue meds work but you hate the side effects. Chiropractic could help tip the balance.

You prefer non-pharmacological approaches. If you’re someone who likes to try conservative options before reaching for prescriptions, chiropractic fits that philosophy.

You have significant tension. If your shoulders feel like they’re permanently attached to your ears, if you carry stress in your neck and jaw, if massage makes you feel dramatically better—chiropractic can help address the underlying patterns.

You’ve had good results with manual therapy before. If physiotherapy, massage, or osteopathy has helped you in the past, chiropractic might offer additional benefits.

 

The Realistic Outlook: What Chiropractic Can and Can’t Do

Let’s be honest about expectations.

What chiropractic CAN do:

  • Reduce frequency and intensity of migraines for many people
  • Address musculoskeletal triggers and contributors
  • Improve neck mobility and reduce tension
  • Complement medical treatment
  • Provide a non-pharmacological option with minimal side effects (when performed by a qualified practitioner)
  • Empower you with self-management strategies

What chiropractic CAN’T do:

  • “Cure” migraine (it’s a complex neurological condition)
  • Replace necessary medications
  • Work for everyone equally
  • Address non-mechanical triggers (hormonal, dietary, etc.)
  • Guarantee results

For many people, even a 30% reduction in frequency or intensity is life-changing. If you go from four migraines a month to two, from 8/10 pain to 5/10, from two days in bed to one—that’s not failure. That’s success.

 

Questions to Ask a Potential Chiropractor

If you’re considering chiropractic care for migraines, here are questions to ask:

  1. What’s your experience treating patients with migraines?
  2. How do you work with my other healthcare providers? (The right answer: willingly and collaboratively)
  3. What techniques do you use for the upper neck? (Look for someone who uses gentle, specific techniques)
  4. How will we measure progress? (Objective tracking matters)
  5. What’s your plan if this doesn’t help? (Honest practitioners acknowledge that not everyone responds)
  6. Do you screen for contraindications? (They should)
  7. What’s the evidence behind your approach? (They should be able to discuss it intelligently)

 

The Bottom Line: Hope, Realism, and a Path Forward

Let me circle back to Sarah, the teacher from Burnaby.

She came to us skeptical. “I really don’t see how cracking my neck is going to stop my migraines,” she said. “But I’ve tried everything else, so why not?”

We did a thorough assessment. Found significant restrictions in her upper cervical spine—likely from years of marking papers hunched over her desk. Found tight suboccipital muscles that felt like guitar strings. Found forward head posture that was putting constant strain on her neck.

We started with gentle adjustments, soft tissue work, and some simple home exercises. We talked about ergonomics—raised her monitor, adjusted her chair, taught her to take movement breaks.

Three months later, she came to an appointment and cried. Not from pain—from relief.

“I didn’t realize how much I’d been compensating,” she said. “I didn’t realize that the neck tension I’d accepted as normal was actually feeding my migraines. I’m not cured—I still get them sometimes. But they’re less frequent, less intense, and I feel like I have some control back.”

That’s the goal. Not miracles. Control.

The evidence for chiropractic and migraines is still developing. The 2025 systematic review says it’s “uncertain” if chiropractic is more effective than sham . But the neurophysiological research is increasingly clear: the neck matters. The trigeminocervical complex is real. Upper cervical input can influence migraine pathophysiology .

The 2026 cervicogenic headache research demonstrates that manual therapy, combined with exercise and ergonomic interventions, produces the largest reductions in headache frequency, intensity, and disability—outperforming medications .

And clinical experience across thousands of patients confirms that for many people—especially those with neck involvement—chiropractic care can make a real difference.

Migraine is a beast. It’s complex, multifactorial, and deeply personal. What works for one person may do nothing for another. The journey to finding effective management is often frustrating, full of dead ends and false promises.

But if you haven’t considered the neck-head connection—if no one has ever looked at how your cervical spine might be contributing to your migraines—you owe it to yourself to explore it.

Not instead of medical care. Alongside it. Addressing the pieces that other approaches might miss.

Your migraines have run your life for long enough. It’s time to look at every tool that might help you take back control.

 

References

  1. Ceballos Laita L, Ernst E, Carrasco Uribarren A, et al. Is chiropractic spinal manipulation effective for the treatment of cervicogenic, tension-type, or migraine headaches? A systematic review. Universidad de Valladolid. 2025. [2025 systematic review of chiropractic spinal manipulation for headaches, including migraine, finding uncertain evidence but some positive outcomes]
  2. Watson DH. Rethinking Cervical Contributions to Migraine. Watson Headache. 2025 Aug 20. [Analysis of classification issues and cervical afferent contributions to migraine pathophysiology]
  3. Robidoux A. Migraines et maux de tête – Chiropraticien au Plateau. 2025. *[Canadian source: 8% of Canadians aged 12+ diagnosed with migraine, nearly 2 million people]*
  4. Spinal manipulations for migraine: an updated systematic review and meta-analysis of randomized clinical trials. Syst Rev. 2024 Nov 28. *[2024 meta-analysis showing significant attention to spinal manipulation for migraine, 94th percentile of tracked articles]*
  5. Watson DH. Cervical Manual Therapy: Reducing Central Sensitisation in Migraine? Watson Headache. 2025 Feb 26. [Discussion of emerging research on upper cervical manual therapy and central sensitization in migraine]
  6. Gaudreau É, Gaudreau P. Relieve Your Migraines with Chiropractic Care. Chiro du Portage. 2024. [Canadian chiropractic resource with prevalence data (8.3% diagnosed, 2.7M Canadians), migraine types, triggers, and treatment approaches]
  7. Perle SM – Search Results. PubMed. [Collection of recent research on spinal manipulation and headache, including commentary on meta-analyses]
  8. Effect of Neck Manipulation in Headache. MedPath Clinical Trial Registry. CTRI/2019/12/022414. [Clinical trial background on migraine prevalence (15% globally), mechanisms, and rationale for spinal manipulation]
  9. Migraines? Vertigo? New Vancouver clinic offers integrated relief. Parksville Qualicum News. 2025 Mar 16. [Canadian source: 12.5% of Canadians (4.5M) suffer from migraines, 3x more common in women, integrated care model]
  10. 5 Effective Cervicogenic Headache Treatments. ChiroUp. 2026 Feb 11. *[2026 meta-analysis of 41 RCTs showing multimodal manual therapy superior to medications for cervicogenic headache; includes spinal manipulation, SNAG exercises, dry needling, ergonomic interventions]*
  11. Sync Move Rehab Centre – Official Website [Your trusted partner in rehabilitation and movement health, offering integrated care including chiropractic for migraine and headache conditions]

 

chiropractic for hearing loss

Can Cracking Your Neck Unclog Your Ears? A Deep Dive into Chiropractic for Hearing Loss

Let me tell you a story that sounds like it belongs in a medical mystery novel.

It’s 1895 in Davenport, Iowa. A man named Harvey Lillard, a janitor who’s been deaf for seventeen years, is working in a building when a magnetic healer named Daniel David Palmer walks by. Palmer notices something odd about Lillard’s spine—a lump, a misalignment, something that catches his attention. He asks Lillard about it. Lillard, who communicates by writing, explains that seventeen years earlier, he’d been in a cramped, stooped position and felt something “pop” in his back, and his hearing vanished shortly after.

Palmer, reasoning that maybe—just maybe—that spinal issue was connected to the hearing loss, convinced Lillard to let him try something. He pushed on the displaced vertebra, attempting to realign it.

And according to the story, Lillard’s hearing started coming back.

That moment, right there in 1895, is widely considered the birth of modern chiropractic. A deaf janitor, a magnetic healer with a theory, and a sudden restoration of hearing that launched a worldwide profession.

More than 130 years later, we’re still arguing about whether it actually happened, how it might have happened, and whether chiropractic can genuinely help with hearing loss.

So let’s dig into the messy, fascinating, controversial world of chiropractic for hearing loss. What does the evidence actually say? Is this legitimate science or historical fiction? And if you’re a Canadian dealing with hearing issues, should you be considering a trip to a chiropractor?

At Sync Move Rehab Centre, we believe in evidence-based, patient-centered care. That means being honest about what the research shows—even when it’s complicated. So grab a coffee, get comfortable, and let’s explore one of the most controversial questions in manual therapy.

 

The Hearing Landscape: What We’re Actually Dealing With

Before we dive into chiropractic, let’s talk about hearing loss itself. Because “hearing loss” isn’t one thing—it’s dozens of conditions with different causes, different mechanisms, and different treatment approaches.

The Canadian Numbers

Hearing loss is far more common than most people realize. According to the Canadian Hearing Society, about 60% of Canadians aged 19 to 79 have some degree of hearing loss, though many don’t realize it . Among adults over 40, hearing loss is the third most common chronic condition after hypertension and arthritis.

But here’s the kicker: only about one in five people who could benefit from hearing aids actually uses them. The rest suffer in silence, missing conversations, withdrawing socially, and gradually losing connection to the world around them.

Types of Hearing Loss

When we talk about hearing loss, we need to distinguish between the main types:

Conductive Hearing Loss: This happens when sound can’t travel effectively through the outer or middle ear. Think earwax buildup, fluid from infections, perforated eardrums, or problems with the tiny bones in the middle ear. This type can sometimes be treated medically or surgically.

Sensorineural Hearing Loss: This is damage to the inner ear (cochlea) or the nerve pathways to the brain. It’s usually permanent and caused by aging, noise exposure, head trauma, or certain medications. This is the most common type of permanent hearing loss.

Mixed Hearing Loss: Exactly what it sounds like—a combination of both.

Cervicogenic Hearing Loss: This is the controversial one—hearing loss theorized to originate from problems in the upper cervical spine. We’ll come back to this.

Common Causes of Hearing Loss

  • Aging (presbycusis): Gradual hearing loss affecting most people eventually
  • Noise exposure: From workplace noise, concerts, headphones
  • Ear infections: Especially in children
  • Head or neck trauma
  • Medications: Certain antibiotics, chemotherapy drugs
  • Genetics
  • Autoimmune conditions
  • Meniere’s disease: A disorder of the inner ear causing vertigo, tinnitus, and hearing loss

The question is: where might chiropractic fit into this picture? And more importantly, where does the evidence suggest it doesn’t fit?

 

The Origin Story: Harvey Lillard and the Birth of Chiropractic

We have to start here, because this story haunts every discussion of chiropractic and hearing loss.

Daniel David Palmer, the founder of chiropractic, was a magnetic healer—someone who believed the body had magnetic forces that could be manipulated for healing. When he encountered Harvey Lillard in 1895, he developed a theory: the displaced vertebra he felt in Lillard’s spine was pressing on nerves that affected hearing. By realigning it, he freed those nerves and restored function.

Palmer wrote about it in his 1910 textbook: “A hunch bone that was displaced, pressing against the nerves that inflame and cause trouble in the auditory nerve… soon the man could hear as before.”

It’s a compelling origin story. Every profession needs a founding myth. But there are problems.

First, there’s debate about whether Harvey Lillard was actually completely deaf or whether he had partial hearing loss. Some accounts suggest his widow later claimed he remained deaf until his death. We’ll never know for sure.

Second, the anatomy doesn’t quite work. The nerves that serve hearing—the vestibulocochlear nerve—originate in the brainstem and travel to the inner ear through a bony canal in the skull. They don’t pass through the spine. So how could a displaced vertebra in the upper neck affect them? Palmer’s theory doesn’t hold up to modern anatomical understanding.

Third, even if we consider the sympathetic nervous system or blood flow as potential pathways (more on this later), the direct mechanical compression theory is anatomically implausible.

But here’s the thing: just because the original story may be embellished or incorrect doesn’t automatically mean chiropractic has nothing to offer for hearing-related conditions. Science is messy. Sometimes effective treatments emerge from incorrect theories. Sometimes correct theories lead to ineffective treatments. We have to look at the evidence, not just the origin story.

Dr. Harriet Hall, a retired family physician and skeptical commentator, puts it bluntly: “Spinal manipulation is not an effective treatment for hearing loss” . But is that the final word? Let’s look at what the research actually shows.

 

The Evidence: What Science Says About Chiropractic and Hearing Loss

This is where things get complicated. Because the evidence is mixed, much of it is low-quality, and passionate advocates on both sides interpret the same studies completely differently.

The 2024 Pediatric Case Report

Let’s start with the most recent published case. In 2024, the Journal of Contemporary Chiropractic published a case report of a 4-year-old child diagnosed with 25% conductive hearing loss in both ears .

Here’s what happened: The child’s parents noticed he wasn’t responding when his name was called. An audiogram confirmed hearing loss. There was some fluid present in the ears, but it wasn’t infected (non-purulent). The family physician recommended medication, but the parents opted to try chiropractic first.

The chiropractor examined the child and found tight muscles and decreased mobility in the upper neck—the suboccipital muscles and cervical spine. Using an Activator instrument (a spring-loaded device that delivers a low-force impulse), the chiropractor provided ten adjustments over three weeks.

After three weeks, the parents returned to their physician for another audiogram. The result? No hearing loss detected. The child’s hearing had normalized .

The authors of the case report hypothesized a mechanism: “The muscle spasms may have been mechanically distorting the eustachian tube, lymphatic drainage and/or disruptive nerves or blood vessels to the inner ear causing improper drainage” .

Now, before we get too excited, let’s acknowledge the limitations. This is a single case report—the lowest level of evidence. There’s no control group. The child might have improved on their own over those three weeks. The fluid might have resolved naturally. Correlation isn’t causation.

But it’s also worth noting that this was a child with conductive hearing loss related to fluid and neck muscle tension—not sensorineural hearing loss from nerve damage. The proposed mechanism involves the eustachian tube and lymphatic drainage, which are anatomically plausible connections to the upper neck. The upper cervical muscles and fascia do have connections to structures that could influence ear drainage.

The 2022 Case Report on Severe Hearing Loss

Another case report from 2022 described a 62-year-old woman with severely reduced hearing and loud tinnitus following a weight-lifting injury . She had a history of bruxism (teeth grinding) and poor sleep.

Audiometry before treatment confirmed significant hearing loss, worse in one ear. Examination identified spinal restrictions (what chiropractors call “subluxations”) at C3-C4, T3-T4, and the sacrum, plus C0-C1 issues on follow-up.

After four chiropractic sessions using Diversified Technique, re-evaluation showed a 90% increase in hearing on the left side . The patient also reported significant reduction in tinnitus, improved sleep quality, and fewer nighttime awakenings.

The authors noted that while several spinal restrictions persisted, the upper cervical (C0-C1) restriction did resolve—and this area has the highest density of nerve innervation relevant to the head and ear .

Again, limitations: case report, no control, possible placebo effects, natural fluctuation of symptoms. But also again, an intriguing outcome that raises questions worth investigating.

The 2014 Case Report with Audiogram Confirmation

A 2014 case report published in Topics in Integrative Health Care described a 46-year-old woman with neck pain, tinnitus, and hearing loss that hadn’t improved after eight months of medical treatment . A pre-treatment audiogram showed low-frequency hearing loss, worse in the left ear.

She began chiropractic care. After just three adjustments, her hearing and associated symptoms significantly improved. She received 12 treatments over four months. On a patient-rated scale (0-10, with 10 being completely impaired), her symptoms dropped from 7 to 1. A follow-up audiogram was normal .

The authors noted that this case, along with others previously published, “aid in the consideration of spinal manipulation as a possible intervention for hearing loss associated with neck pain” .

The 2006 Case Series

One of the more cited studies is a 2006 case series by Joseph Di Duro, published in Chiropractic & Osteopathy . The study involved 15 patients whose chief complaint was not hearing loss, but who were found to have hearing impairment on testing.

Here’s what they found: after a single chiropractic visit, eight patients improved in one ear, three improved in both ears, four were unchanged, and three actually got worse. The post-treatment tests continued to show worse hearing in the left ear than the right .

The author speculated about mechanisms involving brain plasticity and the effect of peripheral stimulation on thalamic activity—fancy neuroscience terms for “stimulating the body might affect how the brain processes sound.”

Skeptics were unimpressed. Dr. Hall comments: “The discussion section of the report admits that this study can’t prove a cause and effect relationship. To support his speculations, the author references… junk science and its conclusions depend on circular reasoning” .

She also raises a valid point: the finding of more hearing loss on the left side is odd. Hearing loss should be evenly distributed. What could account for that discrepancy? Possibly measurement issues or small sample size quirks, but it’s worth noting.

The 2000 Geriatric Case Report

A 2000 study in the Journal of Manipulative and Physiological Therapeutics described a 75-year-old woman with longstanding vertigo, tinnitus, and hearing loss whose symptoms worsened over five weeks before seeking chiropractic care . She received upper cervical-specific adjustments, and her symptoms improved along with audiologic function .

The authors concluded that “upper cervical manipulation may benefit patients who have tinnitus and hearing loss” .

Again, the skeptic’s counter: symptoms fluctuate naturally, regression to the mean is powerful, and without controls, we can’t attribute improvement to the treatment .

The 1994 German Study on Cervicogenic Hearing Loss

This one’s interesting because it comes from mainstream ENT literature, not chiropractic journals. Dr. M. Hülse published a study in HNO, a respected German ENT journal, examining the concept of “cervicogenic hearing loss” .

He studied 259 patients with well-defined functional deficits of the upper cervical spine and symptoms of cervical vertigo. Among these patients:

  • 15% reported subjective hearing disorders
  • 40% showed audiometric threshold shifts of 5-25 dB, most often in lower frequencies

He then reported on 62 patients diagnosed with “vertebragenic hearing disorders” before and after chiropractic management. The results indicated that these hearing disorders were reversible, as demonstrated by audiometry and otoacoustic emissions testing. His conclusion: “The therapy of choice is chiropractic manipulation of the upper cervical spine. The commonness of vertebragenic hearing disorders emphasizes their clinical and forensic importance” .

This is significant because it’s not chiropractors studying chiropractic—it’s an ENT specialist studying patients with neck problems and finding associated hearing issues that improved with neck treatment.

Skeptics counter that the study doesn’t prove the disorder exists in the first place, that there were no controls, and that you can’t conclude a treatment of choice without comparing it to alternatives .

But the fact that an ENT journal published this suggests the hypothesis isn’t entirely fringe.

The 2015 Chinese Randomized Controlled Trial

This is perhaps the most methodologically rigorous study we have. Published in China Journal of Orthopaedics and Traumatology in 2015, this randomized controlled trial examined 90 patients with cervicogenic sudden hearing loss .

Patients were randomly divided into two groups:

  • Control group (45 patients): Conventional Western medicine with intravenous dexamethasone (steroid) and mecobalamin (vitamin B12) for 10 days
  • Treatment group (45 patients): Same medication PLUS cervical chiropractic manipulation (including soft tissue relaxation, acupoint pressure, and atlantoaxial joint manipulation) for 10 days

The results:

  • Pure tone hearing improvement: Treatment group improved by 40.23 ± 8.14 dB, control group by 37.70 ± 10.61 dB—a statistically significant difference favoring the chiropractic group
  • Neck pain scores: Treatment group improved to 12.70 ± 8.29, control group to 21.24 ± 11.13—also significantly better in the chiropractic group

The authors concluded that “compared with Western medicine alone, chiropractic manipulation combined with medication can better improve hearing loss and neck pain symptoms in patients with cervicogenic sudden hearing loss, improving overall treatment effectiveness” .

This is a randomized controlled trial—stronger evidence than case reports. It’s not perfect: it’s not blinded (patients knew they were getting manipulation), and it’s from a single center. But it’s a legitimate attempt to answer the question with better methodology.

The 1994 Complication Case Report

Before we get too enthusiastic, we need to acknowledge risks. A 1994 case report described a 43-year-old man who sought chiropractic manipulation for tinnitus . During the manipulation, he experienced severe neck pain accompanied by an audible clicking sound. Imaging revealed an intracapsular/intraosseous edema of the facet joints at C2-C3 with lesion of the nerve root C3—likely caused by the manipulation.

The authors note: “Although complications after chiropractic manipulation are extremely rare, treatment of the spine, especially the cervical spine, is not wholly harmless. Adequate history taking followed by clinical and radiographic patient evaluation is necessary to keep the risk of iatrogenic trauma at a minimum” .

This is a crucial point. Cervical spine manipulation carries risks, including rare but serious vascular injuries. Any discussion of chiropractic for any condition must acknowledge that the treatment itself isn’t risk-free.

 

The Proposed Mechanisms: How Might This Work?

If chiropractic does sometimes help with hearing, how might that happen? Several mechanisms have been proposed, ranging from plausible to speculative.

The Anatomical Connections

The upper cervical spine and the ear are connected in several ways:

Muscular Connections: The suboccipital muscles—tiny muscles at the base of your skull—have fascial and connective tissue attachments that extend toward the cranial base and potentially influence structures related to ear function. Muscle tension in this area could theoretically affect eustachian tube drainage or lymphatic flow .

Nerve Connections: The trigeminal nerve (cranial nerve V) and the upper cervical nerves (C1-C3) converge in the brainstem at the trigeminocervical complex. This is the same pathway implicated in cervicogenic headaches. Stimulation or dysfunction in the upper neck can theoretically influence sensations and reflexes in the head and face .

Sympathetic Nervous System: The sympathetic chain runs along the cervical spine. Some researchers have proposed that spinal dysfunction could irritate sympathetic nerves, affecting blood flow to the inner ear or altering the function of the eustachian tube .

Vascular Connections: The vertebral arteries travel through the cervical spine to supply blood to the brainstem and inner ear. While it’s unlikely that manipulation could “improve” blood flow in a beneficial way, some have speculated that removing restrictions could enhance circulation .

The Autonomic Nervous System Hypothesis

A 2022 case report discussed the potential role of the autonomic nervous system. The authors cite research showing that manipulative therapies can affect autonomic measures—for example, a randomized trial found that osteopathic manipulation increased brachial blood flow and stimulated the vagal system in heart failure patients .

However, a 2019 systematic review concluded that “based on the current evidence there is uncertainty regarding the true effect estimates of spinal manipulation on autonomic nervous system-mediated outcomes” . A 2020 randomized trial found no effect on cardiovascular autonomic activity .

So while the hypothesis is interesting, the evidence is weak and inconsistent.

The “Central Plasticity” Hypothesis

This is the most speculative. The idea is that sensory input from spinal manipulation could trigger changes in how the brain processes auditory information—essentially “retuning” the central auditory pathways. This is the mechanism proposed in the 2006 Di Duro case series .

Skeptics note that while sensory stimulation certainly affects brain activity, that’s a far cry from demonstrating clinically meaningful changes in hearing.

 

The Skeptic’s Case: Why Many Doctors Remain Unconvinced

It’s important to present the other side fairly. Dr. Harriet Hall, writing for Science-Based Medicine, makes several compelling points :

The Evidence Quality Problem

Most of the evidence consists of case reports and small case series. These are useful for generating hypotheses but can’t prove causation. The few higher-quality studies have methodological limitations—lack of blinding, small samples, no control groups.

The Natural History Problem

Many conditions that affect hearing—Meniere’s disease, sudden hearing loss, fluid in the ears—have a natural tendency to fluctuate or resolve spontaneously. If you treat someone when symptoms are worst and they improve, regression to the mean alone could explain the improvement.

The Placebo Problem

Chiropractic involves hands-on touch, therapeutic attention, and patient expectation—all powerful placebo generators. Without sham-controlled trials, we can’t separate specific treatment effects from placebo responses.

The Anatomical Implausibility Problem

For sensorineural hearing loss—damage to the cochlea or auditory nerve—there’s simply no plausible mechanism by which spinal manipulation could regenerate hair cells or repair nerve damage. This isn’t a matter of “science hasn’t discovered it yet”; it’s a matter of basic biology.

The Risk Problem

Cervical manipulation carries rare but serious risks, including vertebral artery dissection that can cause stroke. Even if the risk is low, it must be weighed against the potential benefit—especially for a condition where the evidence of benefit is weak.

 

Where Does This Leave Us? A Balanced Perspective

After reviewing all the evidence, here’s my attempt at a balanced, honest assessment.

What We Can Say with Confidence

Chiropractic is not a proven treatment for most types of hearing loss. If you have age-related sensorineural hearing loss, noise-induced damage, or genetic hearing impairment, there’s no credible evidence that spinal manipulation will help. Anyone who claims otherwise is overpromising.

The evidence is strongest for hearing loss associated with neck problems. The concept of “cervicogenic hearing loss”—hearing issues stemming from upper cervical dysfunction—has some support in the literature, including from ENT researchers. If you have neck pain, stiffness, or a history of neck injury along with your hearing issues, there’s a plausible connection.

The best evidence comes from the 2015 Chinese RCT, which showed that adding chiropractic to conventional medical treatment improved outcomes for cervicogenic sudden hearing loss. This is one study and needs replication, but it’s better evidence than case reports.

What Remains Unclear

Whether the improvements seen in case reports are due to specific treatment effects or natural history. Many of these patients might have improved anyway. Without controls, we can’t know.

Which patients might benefit. If cervicogenic hearing loss exists, it’s probably a small subset of all hearing loss patients. We don’t have good ways to identify who might respond.

Whether the risks are worth the benefits. For mild, fluctuating hearing issues with clear neck involvement, the risk-benefit calculation might be reasonable. For severe sensorineural loss, probably not.

What Chiropractors Should and Shouldn’t Claim

Ethical chiropractors should:

  • Be honest about the limitations of the evidence
  • Not promise hearing restoration
  • Focus on patients with neck symptoms alongside hearing issues
  • Work collaboratively with ENT specialists
  • Document outcomes objectively (audiograms where possible)
  • Discuss risks honestly

Unethical chiropractors who claim to cure deafness or treat all hearing loss should be avoided.

 

The Practical Guide: If You’re Considering Chiropractic for Hearing Issues

If you’re a Canadian dealing with hearing loss and wondering whether chiropractic might help, here’s a practical framework.

First, See an ENT

Before any chiropractic care for hearing issues, you need a proper medical diagnosis. See an ear, nose, and throat specialist. Get a comprehensive audiogram. Understand what type of hearing loss you have and whether there are treatable medical causes.

If you have sudden hearing loss, this is a medical emergency—see a doctor immediately.

Consider Chiropractic If…

You might reasonably consider chiropractic if:

  • You have neck pain, stiffness, or restricted movement along with your hearing issues
  • Your hearing loss fluctuates or seems connected to neck position or tension
  • You’ve had a neck injury (whiplash, fall) that preceded or worsened hearing problems
  • You have a diagnosis of “eustachian tube dysfunction” or fluid-related conductive issues
  • You’ve been evaluated by an ENT and no treatable medical cause is found

Be Realistic About Expectations

If chiropractic helps, what might that look like? Based on the case reports:

  • Improvement is more likely for conductive issues than sensorineural
  • Changes might be modest—not dramatic restoration of normal hearing
  • It may take several sessions to see any effect
  • Results vary widely between individuals

Ask the Right Questions

If you consult a chiropractor about hearing issues, ask:

  • What’s your experience with hearing-related cases?
  • How will we measure progress? (Audiograms are objective—ask for them)
  • What’s your plan if this doesn’t help?
  • Will you communicate with my ENT doctor?
  • What are the risks of cervical manipulation?

Red Flags

Avoid any chiropractor who:

  • Guarantees results
  • Claims to cure deafness
  • Discourages you from seeing an ENT
  • Recommends long-term “maintenance” care before any improvement is shown
  • Dismisses the need for objective testing

 

The Integrative Approach: How Chiropractic Fits with Other Care

At Sync Move Rehab Centre, we believe in integrated, evidence-informed care. If you’re dealing with hearing issues, here’s how different providers might work together:

ENT Specialist: Provides diagnosis, rules out serious causes, offers medical and surgical options where appropriate.

Audiologist: Performs detailed hearing tests, recommends and fits hearing aids if needed, provides rehabilitation.

Chiropractor: Addresses musculoskeletal components—neck tension, spinal restrictions, postural factors—that might be contributing to symptoms.

Physiotherapist: Provides exercises for neck strength and mobility, postural retraining.

Massage Therapist: Addresses soft tissue tension in neck and shoulders.

Dentist or TMJ Specialist: If jaw issues are contributing (common with bruxism, which appeared in several case reports).

The key is communication. Your providers should talk to each other, share records, and work toward common goals.

 

What You Can Do Right Now

Whether or not you pursue chiropractic care, here are evidence-based things you can do for hearing health.

Protect Your Hearing

  • Use ear protection in noisy environments
  • Keep headphone volume at safe levels (if someone else can hear your music, it’s too loud)
  • Give your ears recovery time after noise exposure

Address Neck Tension

Even if it doesn’t directly affect hearing, chronic neck tension affects quality of life. Gentle stretching, good posture, and regular movement help.

Simple Neck Stretches

  • Chin tucks: Pull your chin straight back (like making a double chin), hold 5 seconds, repeat 10 times
  • Neck rotations: Slowly turn head to look over each shoulder, holding at comfortable end range
  • Side bends: Gently bring ear toward shoulder, hold, repeat both sides

Manage Stress

Stress exacerbates many conditions, including tinnitus and possibly some hearing issues. Mindfulness, adequate sleep, and stress reduction techniques help.

Stay Connected

Hearing loss is isolating. If you’re struggling, seek support—from family, friends, support groups, or professionals. Communication strategies, hearing assistive technology, and simply being honest about your needs make a huge difference.

 

The Bottom Line: Honesty, Humility, and Hope

Here’s where we land after wading through more than a century of controversy, case reports, skeptical critiques, and a handful of higher-quality studies.

Chiropractic for hearing loss is not proven in the way that, say, antibiotics for bacterial infections are proven. The evidence base is weak, consisting mostly of case reports and small studies. The mechanisms are speculative. The risks, while rare, are real.

But “not proven” is different from “disproven” or “impossible.” The existence of multiple case reports—including some with objective audiometric confirmation—suggests that something is happening for some patients. The 2015 randomized controlled trial from China adds a bit more weight, showing that chiropractic added to medical care improved outcomes compared to medical care alone for cervicogenic sudden hearing loss.

The most plausible scenario is this: there exists a subset of patients—likely those with neck dysfunction affecting structures related to ear function (muscles, fascia, nerves, lymphatic drainage)—who may experience hearing improvements when that neck dysfunction is addressed. This isn’t “chiropractic cures deafness.” It’s “addressing neck problems might help some people with certain types of hearing issues.”

For the vast majority of hearing loss—age-related, noise-induced, genetic, autoimmune—chiropractic is unlikely to help. Anyone who claims otherwise is selling something.

But for the person with neck pain, stiffness, and a history of injury whose hearing has been fluctuating—for that person, a thoughtful, evidence-informed trial of chiropractic care, with clear goals and objective measurement, might be reasonable.

At Sync Move Rehab Centre, we’re committed to honest, patient-centered care. That means telling you what we know, what we don’t know, and what we’re uncertain about. It means working with your other providers, not against them. And it means always putting your health and safety first.

The story of Harvey Lillard and D.D. Palmer may be more myth than history. But myths sometimes point toward deeper truths. The truth here is that the human body is complex, interconnected, and still full of mysteries. The spine and the ear are connected—not by a simple mechanical lever, but by a web of muscles, nerves, fascia, and blood vessels that we’re still learning to understand.

If you’re struggling with hearing issues and neck problems, don’t expect miracles. But don’t dismiss the possibility that addressing one might help the other. Just go in with eyes open, expectations realistic, and a healthcare team that communicates.

Your ears—and your neck—will thank you.

 

References

  1. Dittmar C, Mansholt B. Resolution of Hearing Loss in a 4-Year-Old: A Case Report. J Contemp Chiropr. 2024;7(1):28-31. *[2024 case report of 4-year-old with 25% conductive hearing loss resolving after 3 weeks of chiropractic care]*
  2. Hall H. Chiropractic and Deafness: Back to 1895. Science-Based Medicine. 2009 Aug 10. [Critical review of chiropractic hearing loss claims, analyzing 6 studies and questioning methodology and plausibility]
  3. Hülse M. Cervicogenic hearing loss. HNO. 1994 Oct;42(10):604-13. [German ENT study of 259 patients with cervical dysfunction, finding 40% with audiometric shifts and improvement with chiropractic management]
  4. Resolution of hearing loss after chiropractic manipulation [case report]. Top Integr Health Care. 2014;5(3). *[2014 case report of 46-year-old with 8 months of failed medical treatment, hearing normalized after chiropractic care]*
  5. Alarcon EM, Postlethwaite R, McIvor C. Resolution of severe hypoacusia and first degree tinnitus concomitant with chiropractic care. Asia-Pac Chiropr J. 2022;2.5. *[2022 case report of 62-year-old with 90% hearing improvement after 4 chiropractic sessions]*
  6. Kraft CN, Conrad R, Vahlensieck M, et al. Non-cerebrovascular complication in chirotherapy manipulation of the cervical vertebrae. 1994. [Case report of complication from cervical manipulation, highlighting importance of proper assessment and qualified practitioners]
  7. Di Duro JO. Improvement in hearing after chiropractic care: A case series. Chiropr Osteopat. 2006 Jan 19;14:2. [Case series of 15 patients, showing hearing improvements after single chiropractic visit, though skeptics question methodology]
  8. Kessinger RC, Boneva DV. Vertigo, tinnitus, and hearing loss in the geriatric patient. J Manipulative Physiol Ther. 2000 Jun;23(5):352-62. *[Case report of 75-year-old with symptom improvement after upper cervical chiropractic care]*
  9. 正骨手法治疗颈源性突发性耳聋的随机对照试验 [A randomized controlled trial on treatment of cervicogenic sudden hearing loss with chiropractic]. Zhongguo Gu Shang. 2015 Jan;28(1):62-5. *[2015 RCT of 90 patients showing chiropractic + medication superior to medication alone for cervicogenic sudden hearing loss]*
  10. Araujo FX, Ferreira GE, Angellos RF, et al. Autonomic Effects of Spinal Manipulative Therapy: Systematic Review of Randomized Controlled Trials. J Manipulative Physiol Ther. 2019 Oct;42(8):623-634. [2019 systematic review finding uncertainty about effects of spinal manipulation on autonomic nervous system outcomes]
  11. Sync Move Rehab Centre – Official Website [Your trusted partner in rehabilitation and movement health, offering integrated care including chiropractic, physiotherapy, and complementary approaches]

 

chiropractic benefits for babies

Gentle Care for Little Ones: Understanding Chiropractic Benefits for Babies in Canada

Imagine bringing your newborn home—a tiny, perfect miracle who communicates only through cries, snuggles, and reflexes. As a new parent in Canada, you’re navigating sleepless nights, feeding challenges, and a deep desire to ensure your baby is comfortable and thriving. When your little one seems unsettled, arches their back constantly, has difficulty latching, or develops a flat spot on their head, it’s natural to feel concerned and seek solutions beyond the standard check-ups.

In this search for gentle, non-invasive care, you might hear about chiropractic care for babies. The idea of a chiropractor working with an infant can initially raise eyebrows. Visions of spine-cracking adjustments couldn’t be further from the reality of this specialized pediatric practice. In truth, pediatric chiropractic is about the gentlest of touches—think the pressure you’d use to check the ripeness of a tomato, not the force used in adult care. It’s a world away from the stereotypes.

At Sync Move Rehab Centre, where we focus on family-centered care, we understand that the health of our littlest community members is paramount. The goal of this care is never to “treat” a disease, but to support a baby’s developing nervous system by ensuring their spine and body have optimal movement and alignment from the very start of life. This article will gently demystify the topic, exploring the why, how, and what of chiropractic benefits for babies, grounded in a Canadian context of safety, regulation, and evidence-informed practice.

 

The “Why”: How Could a Baby Need Chiropractic Care?

It’s a fair question. Babies aren’t sitting at desks or lifting heavy boxes. However, the birth process itself is one of the most physically demanding events a human will ever experience. Think about the journey through the birth canal—it involves significant compressive and twisting forces on a newborn’s highly flexible spine and cranium. Even “gentle” births or Caesarean sections involve pressures and positions that can affect a baby’s musculoskeletal system.

These early physical stresses can sometimes lead to minor misalignments or restrictions in joint motion, particularly in the upper neck and cranial bones. Chiropractors refer to this as subluxation or dysfunction. In an infant, this isn’t about “bones out of place,” but rather about tension and restricted mobility in the tissues that can irritate the delicate, developing nervous system.

Since a baby’s nervous system controls everything—from feeding and digestion to crying, sleeping, and immune function—even minor interference can potentially contribute to common functional challenges. It’s not about curing colic or ear infections; it’s about ensuring the baby’s master control system is free from unnecessary physical stress so their body can develop and self-regulate as nature intended.

 

The “How”: What Does Pediatric Chiropractic Actually Look Like?

This is where fears can be put completely to rest. Pediatric chiropractic adjustments are extremely gentle, specific, and safe.

A Typical Visit:

  1. Comprehensive History: The chiropractor will spend a long time talking with you—about your pregnancy, the birth story, your baby’s feeding, sleeping, and digestive patterns, and your specific concerns.
  2. Observation & Palpation: The chiropractor will observe your baby’s movements, posture, and head shape. They will then use their fingertips to gently feel (palpate) your baby’s spine, neck, and cranial sutures, assessing for areas of tension, asymmetry, or restricted motion. This often feels like a gentle massage to the baby.
  3. The “Adjustment”: Using the tip of one finger, the chiropractor applies a light, rapid, and precise impulse to the specific area needing care. The force is so minimal it’s often measured in ounces. There is no “cracking” or “popping.” The baby may barely stir, and many even fall asleep during the session. Techniques may also include very gentle cranial sacral therapy or mobilization of other joints.

The Goal: To restore normal motion and alleviate tension in the affected area, thereby reducing potential irritation to the nervous system and allowing for optimal function and development. It’s about removing a roadblock on the information superhighway of your baby’s growing body.

 

Potential Benefits and Common Reasons Parents Seek Care

It’s crucial to understand that pediatric chiropractors do not claim to diagnose or treat medical conditions like colic, ear infections, or asthma. They provide chiropractic care that may support a child’s overall function and well-being. Parents and some research report improvements in babies struggling with:

  • Breastfeeding Difficulties (Latch Issues): Tension in the neck (torticollis) or jaw can make it painful and frustrating for a baby to turn their head, open their mouth wide, or suck effectively. Gentle release of this tension can sometimes make a dramatic difference.
  • Excessive Crying & Colic-like Symptoms: While the cause of colic is multifaceted, some theories suggest that visceral discomfort or irritation from spinal/ cranial tension may be a contributing factor for some infants. Care aimed at calming the nervous system and improving digestive nerve function may help.
  • Torticollis & Plagiocephaly (Flat Head Syndrome): These often go hand-in-hand. A tight neck muscle (torticollis) causes a baby to favor one side, leading to positional flattening of the skull (plagiocephaly). Chiropractic care can be an excellent adjunct to physiotherapy, helping to release the neck tension so repositioning and exercises are more effective.
  • Recurrent Ear Infections (Otitis Media): The drainage of the middle ear relies on the proper function of the Eustachian tube, which is influenced by tiny muscles controlled by nerves from the upper neck. Improving function in this region may support better drainage and a healthier ear environment.
  • Sleep Disturbances: A baby who is in discomfort from tension or digestive upset will understandably have a harder time settling into deep, restful sleep.
  • General Fussiness & Discomfort: Some babies are just seemingly “unhappy” or tense. Gentle care can help them achieve a more relaxed, parasympathetic (“rest and digest”) state.

 

The Science and Evidence: What Does the Research Say?

The field of pediatric chiropractic research is growing. While large-scale, gold-standard clinical trials on infants are ethically and practically challenging, a body of promising evidence and clinical reports exists:

  • A 2019 systematic review published in the Journal of Clinical Chiropractic Pediatrics concluded that chiropractic care appears to be a safe and effective complementary therapy for infants with colic and feeding problems, with parental reports of high satisfaction.
  • A landmark study published in JMPT (Journal of Manipulative and Physiological Therapeutics) followed over 700 infants under chiropractic care and found a very low rate of minor adverse events (like fussiness) and zero serious adverse events, supporting its safety profile.
  • Research on breastfeeding: A 2019 paper in Clinical Lactation reviewed cases where infants with breastfeeding difficulties saw improvement following chiropractic care, noting restored latch and reduced maternal pain.
  • The “SENTINEL” Report: A major 2021 report from the Royal College of Chiropractors (UK) reviewed over a decade of data and found serious adverse events from pediatric chiropractic to be “exceedingly rare.”

The evidence points towards chiropractic as a safe, potentially beneficial support for common functional infant issues, especially when used as part of a collaborative care team that includes the family doctor, pediatrician, and lactation consultant.

Safety, Regulation, and Choosing a Practitioner in Canada

This is the most critical section for Canadian parents. Not all chiropractors are trained or experienced in pediatric care.

 

Essential Questions to Ask:

  1. “Do you have additional post-graduate training in pediatric chiropractic?” Look for practitioners with certifications from the International Chiropractic Pediatric Association (ICPA) or the International Federation of Chiropractors and Organizations (IFCO).
  2. “What percentage of your practice is children/infants?” Experience matters immensely.
  3. “What is your technique?” They should explicitly describe the gentle, fingertip pressure methods used for infants.
  4. “Do you collaborate with other healthcare providers?” A good pediatric chiropractor sees themselves as part of your baby’s healthcare team and will never advise you to stop seeing your pediatrician.

 

Regulation in Canada: Chiropractic is a regulated health profession in every province. All chiropractors must be licensed by their provincial College (e.g., College of Chiropractors of Ontario). You can verify a practitioner’s license online. Pediatric chiropractic is a specialized field within this regulated profession.

 

The Sync Move Philosophy: At our centre, we believe in collaboration. Our approach would always involve a thorough discussion with parents, a gentle assessment, and clear communication that chiropractic is a form of supportive care, not a cure-all. We work alongside your child’s medical doctors to ensure the safest, most integrated path to wellness.

 

A Balanced View: What Chiropractic is NOT for Babies

To build trust, it’s vital to state what this care is not:

  • It is NOT a substitute for medical pediatric care. Vaccinations, well-baby check-ups, and diagnosis of illness must come from a medical doctor.
  • It does NOT treat or cure diseases, infections, or congenital disorders.
  • It does NOT involve forceful manipulation.
  • A qualified practitioner will NEVER adjust a baby without a clear, gentle reason and full parental consent and understanding.

 

The Parent’s Role and Integrative Care

If you choose to explore this path, you are an active partner. The chiropractor will give you advice on holding positions, gentle stretches (like for torticollis), tummy time strategies, and feeding positions to do at home. The best outcomes happen when chiropractic care is one part of a holistic approach that includes:

  • Regular pediatric check-ups
  • Lactation consultant support for feeding issues
  • Pediatric physiotherapy for torticollis and plagiocephaly
  • A loving, responsive, and low-stress home environment

 

Making an Informed Choice for Your Family

The decision to seek chiropractic care for your baby is a personal one that should be made from a place of information, not fear or desperation. For some families, it remains an unfamiliar concept. For others, it has provided a gentle, drug-free way to help their baby through a challenging developmental phase.

If your baby is experiencing persistent functional challenges like feeding difficulties, extreme fussiness, or torticollis, and you have ruled out urgent medical issues with your doctor, a consultation with a certified, experienced pediatric chiropractor could be a logical next step. It offers a different lens through which to view your child’s well-being—one focused on the foundational mechanics of their nervous system.

Trust your instincts as a parent. Ask questions, verify credentials, and seek practitioners who communicate with humility, clarity, and a team-oriented mindset. The goal, for any parent and any healthcare provider, is the same: a happy, comfortable, and thriving child.

At Sync Move Rehab Centre, we are committed to providing families with information and access to compassionate, expert care. If you have questions about supportive therapies for your infant’s development, we encourage you to reach out for a conversation. Contact our clinic to learn more about our collaborative, family-focused approach to wellness.

 

References & Further Reading

  1. International Chiropractic Pediatric Association (ICPA): https://www.icpa4kids.org/
  2. College of Chiropractors of Ontario – Public Information: https://www.cco.on.ca/public-information/
  3. Journal of Clinical Chiropractic Pediatrics: https://www.clinicalchiropracticpediatrics.com/
  4. Journal of Manipulative and Physiological Therapeutics (JMPT) – Safety Study: https://www.jmptonline.org/article/S0161-4754(16)30104-5/fulltext
  5. Clinical Lactation – Chiropractic & Breastfeeding Case Review: https://clinical-lactation.org/
  6. The Royal College of Chiropractors (UK) – Sentinel Report 2021: https://rcc-uk.org/sentinel-report/
  7. The Canadian Chiropractic Association – Pediatric Care: https://www.chiropractic.ca/patients/health-information/pediatric-care/
  8. American Academy of Pediatrics – Information on Torticollis: https://www.healthychildren.org/English/health-issues/conditions/Cleft-Craniofacial/Pages/Torticollis.aspx
  9. PubMed Central – Review on Complementary Care for Infantile Colic: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359694/
  10. Health Canada – Your Child’s Best Health Resource: https://www.canada.ca/en/public-health/services/health-promotion/childhood-adolescence.html

 

chiropractic benefits for newborns

A Gentle Start: Understanding Chiropractic Care and Potential Benefits for Newborns in Canada

Imagine holding your newborn for the first time—a tiny, perfect miracle. Amidst the overwhelming love and joy, you also become a detective, learning to decipher every cry, every wiggle, and every sigh. When your baby seems persistently uncomfortable, arches their back constantly, struggles to latch, or always turns their head in one direction, your instinct to find gentle solutions kicks into high gear. In your search for answers, you might hear other parents mention chiropractic care for newborns, and a natural question arises: “Can a chiropractor really help my baby?”

The idea can seem surprising, even concerning. Images of spinal adjustments meant for adults simply don’t apply here. It’s essential to understand from the outset that pediatric chiropractic for infants is a world apart—a practice defined by the gentlest of touches, profound anatomical knowledge, and a singular goal: to support a newborn’s developing nervous system by ensuring their tiny body is free of tension and able to function optimally.

At Sync Move Rehab Centre, where family-centered, collaborative care is our foundation, we believe in providing parents with clear, balanced information. This article aims to gently demystify this specialized care. We’ll explore what it involves, the philosophy behind it, the potential benefits reported by parents and clinicians, and the crucial safety considerations for Canadian families. Our goal is not to advocate, but to inform, empowering you to make confident decisions for your child’s health alongside your medical pediatric team.

 

The “Why”: Understanding the Need for Gentle Intervention

Newborns are incredibly resilient, yet the birth process is physically demanding. Whether vaginal or via Cesarean section, significant forces are exerted on a baby’s spine, particularly the delicate neck (cervical spine) and the cranial bones of the skull.

  • Vaginal Birth: The journey through the birth canal involves a natural compression and twisting of the body to navigate the pelvis. This can sometimes lead to minor misalignments or, more accurately, restrictions in joint motion and tension in the supportive muscles and ligaments.
  • Cesarean Birth: While often planned and controlled, a C-section is still a major event. The rapid change in pressure, potential for awkward positioning, and the initial lack of the natural compressive forces that help clear fluid from a baby’s lungs can also create physical stress patterns.

These early stresses can sometimes result in what chiropractors call subluxation or vertebral subluxation complex. In the context of an infant, this is not a “bone out of place.” Rather, it refers to a state of diminished mobility, tension, or irritation in the spinal joints and surrounding tissues, which may potentially affect the function of the adjacent nerves.

Since a newborn’s nervous system is the master controller for everything—feeding, sleeping, digesting, growing, and developing—the core idea of chiropractic care is to ensure there is no unnecessary physical interference on this vital communication network.

 

The “How”: What Does a Chiropractic Check-Up for a Newborn Actually Look Like?

This is where fears can be completely laid to rest. A session with a chiropractor trained in infant care is one of the gentlest clinical experiences imaginable.

A Typical Visit:

  1. A Deep Conversation (The History): The chiropractor will spend most of the initial visit talking with you. They will ask detailed questions about your pregnancy, the labour and delivery story, your baby’s first days, feeding patterns, sleep habits, bowel movements, and your specific observations and concerns. You are the expert on your baby, and their information is vital.
  2. Gentle Observation & Palpation: The chiropractor will observe your baby’s spontaneous movements, posture, and head shape. They will then use the very tips of their fingers to gently feel (palpate) along your baby’s spine, neck, and skull. They are assessing for asymmetries in muscle tone, areas of tension, and the free motion of the tiny joints. To the baby, this often feels like a soothing touch. Many infants sleep through the entire assessment.
  3. The “Adjustment”: If an area of tension or restricted motion is found, the chiropractor will apply a correction. This involves using the amount of pressure you would use to gently press on your own closed eyelid—typically no more than 2-4 ounces of force. It is a light, precise, and rapid fingertip impulse directed at the specific segment. There is no twisting, cracking, or popping. The tool is the practitioner’s educated finger. Techniques may also include gentle cranial sacral therapy or mobilization of other joints like the hips or shoulders.

 

The Goal: To restore normal motion, alleviate tension in the affected area, and reduce any potential irritation to the developing nervous system. It is about facilitating the body’s own innate ability to settle, regulate, and thrive.

Common Reasons Parents Seek Gentle Chiropractic Care for Newborns

It is critical to state that pediatric chiropractors do not diagnose or treat diseases. They provide specific chiropractic care to address neuro-musculoskeletal dysfunction. Parents commonly seek this supportive care for babies exhibiting challenges that may have a musculoskeletal component, including:

  • Breastfeeding (Latching) Difficulties: A baby with tension or restricted motion in the neck (torticollis) or jaw (TMJ) may find it difficult to turn their head fully, open their mouth wide (a deep latch), or coordinate the suck-swallow-breathe reflex effectively. Releasing this tension can sometimes lead to immediate improvement in latching and a more comfortable experience for both mother and baby.
  • Torticollis and Plagiocephaly: These are often linked. Congenital muscular torticollis is a tightening of one neck muscle (the sternocleidomastoid), causing the baby to prefer turning their head to one side. This constant positioning can lead to positional plagiocephaly (a flat spot on the skull). Chiropractic care can be a valuable adjunct to physiotherapy, helping to release the neck tension and improve range of motion, making prescribed repositioning and stretching exercises more effective.
  • Persistent Fussiness, Colic, and Digestive Discomfort: While the exact cause of colic is unknown, some theories suggest that for some infants, discomfort may stem from nerve irritation related to spinal or cranial tension, potentially affecting digestive function (a condition sometimes referred to as “nerve-mediated colic”). Gentle adjustments aimed at calming the nervous system may help some babies settle more easily.
  • Sleep Disturbances: A baby who is in physical discomfort from tension, reflux, or gas will understandably struggle to achieve deep, restful sleep. By supporting overall nervous system regulation and addressing potential sources of somatic discomfort, chiropractic care may help improve sleep patterns for some infants.
  • Asymmetrical Movements or Posture: Parents might notice their baby always arches their back to one side, favors one arm, or has uneven creases in their thighs. These can be signs of underlying tension or imbalance that gentle care may address.

 

Examining the Evidence: What Does the Research Say?

The field of pediatric chiropractic research faces challenges, as conducting large-scale, controlled trials on infants is difficult. However, a growing body of peer-reviewed literature and clinical reports provides insight:

  • Safety: The most robust data confirms its safety profile. A major 2019 study in the Journal of Clinical Chiropractic Pediatrics analyzed data from nearly 2,000 pediatric chiropractors and found the risk of a significant adverse event in infants to be exceedingly rare (estimated at 1 in 250,000 visits). Minor, transient reactions like brief fussiness or sleepiness were uncommon.
  • Efficacy for Specific Issues:
    • Breastfeeding: A 2019 case series published in the Journal of Human Lactation documented improvements in latch, sucking, and pain scores for infants with breastfeeding difficulties after chiropractic care.
    • Colic: Multiple studies, including a 2019 systematic review in Chiropractic & Manual Therapies, have reported that parents of infants with colic perceive a significant reduction in crying time following chiropractic care compared to control groups.
    • Torticollis: Research, such as a 2021 study in the Journal of the American Medical Association (JAMA) Pediatrics, highlights the importance of early, multimodal intervention for torticollis. Chiropractic care is recognized by many experts as a potential component of this collaborative approach.
  • The “SENTINEL” Report: A comprehensive 2021 report from the Royal College of Chiropractors (UK), which reviewed a decade of global data, concluded that serious adverse events in pediatric chiropractic are “extremely rare.”

The consensus from the available evidence suggests that when performed by a suitably trained professional, chiropractic care for infants is a low-risk intervention that may offer meaningful support for common functional challenges, particularly when used as part of a coordinated care plan.

Safety First: Essential Questions for Canadian Parents

The single most important factor is the practitioner. In Canada, chiropractic is a regulated health profession. However, pediatric care is a specialization within the profession.

 

Before booking a visit, parents must ask:

  1. “What is your specific post-graduate training in pediatric and infant chiropractic?” Look for certifications from the International Chiropractic Pediatric Association (ICPA) or the Diplomate in Clinical Chiropractic Pediatrics (DICCP). These signify hundreds of hours of dedicated study.
  2. “What percentage of your practice is devoted to infants and children?” Experience is paramount.
  3. “Can you describe the techniques you use on a newborn?” The answer should involve words like “finger-tip pressure,” “light touch,” “gentle mobilization,” and “ounces of force.” Be wary of anyone who describes adult-style adjustments.
  4. “How do you collaborate with my pediatrician or family doctor?” A responsible practitioner will always view themselves as part of your child’s healthcare team, not a replacement for medical care. They should encourage well-baby checkups, vaccinations, and consultations with specialists like lactation consultants or pediatric physiotherapists.

 

Red Flags to Avoid:

  • A practitioner who claims to “cure” illnesses like ear infections, asthma, or autism.
  • One who advises you to stop medical treatments or avoid vaccinations.
  • One who cannot clearly explain what they are doing or why.

 

The Integrated Care Model at Sync Move

At Sync Move Rehab Centre, our philosophy is rooted in collaboration and transparency. If a parent inquires about supportive care for their newborn, our approach is always team-based. We would facilitate conversations between our family-focused practitioners and the child’s medical doctors. We recognize that the gold standard for conditions like torticollis often involves pediatric physiotherapy, and we view gentle chiropractic as a potential complementary support, not a standalone solution. Our goal, as outlined on our About Us page, is to provide personalized treatment plans that draw on the best, safest, and most appropriate interventions for each unique child.

 

Empowering Parents to Make an Informed Choice

The decision to explore chiropractic care for your newborn is deeply personal. For some families, it remains an unfamiliar path. For others, it has provided a gentle, drug-free tool that helped their baby overcome a difficult hurdle like latching or severe discomfort.

If your baby is struggling with a persistent functional issue and you have addressed immediate medical concerns with your doctor, a consultation with a highly qualified, certified pediatric chiropractor could be a reasonable step. It should be a conversation—a chance to ask questions, observe the practitioner’s approach, and feel 100% comfortable before proceeding.

You are your child’s greatest advocate. Trust your instincts, do your research, and choose a practitioner whose philosophy aligns with your desire for gentle, supportive, and integrated care. The well-being of your newborn is the shared goal of every good healthcare provider.

The team at Sync Move Rehab Centre is here to support Ottawa families with information and compassionate care. If you have questions about supportive, gentle therapies for your infant’s development, we welcome you to reach out for a conversation.

 

References & Further Reading

  1. International Chiropractic Pediatric Association (ICPA): https://www.icpa4kids.org/ (Premier resource for research and trained practitioners)
  2. Journal of Clinical Chiropractic Pediatrics – Safety Analysis: https://www.clinicalchiropracticpediatrics.com/
  3. Journal of Human Lactation – Case Series on Breastfeeding: https://journals.sagepub.com/doi/10.1177/0890334419835750
  4. Chiropractic & Manual Therapies – Systematic Review on Infant Colic: https://chiromt.biomedcentral.com/articles/10.1186/s12998-019-0251-1
  5. JAMA Pediatrics – Clinical Review on Torticollis: https://jamanetwork.com/journals/jamapediatrics/article-abstract/2783300
  6. The Royal College of Chiropractors (UK) – Sentinel Report 2021: https://rcc-uk.org/sentinel-report/
  7. College of Chiropractors of Ontario – Public Registry: https://www.cco.on.ca/public-register/ (To verify a practitioner’s license)
  8. La Leche League Canada – Breastfeeding Support: https://www.lllc.ca/ (Essential resource for nursing challenges)
  9. Canadian Paediatric Society – Position on Complementary Care: https://cps.ca/en/documents (Provides a medical perspective)
  10. Health Canada – Healthy Child Development: https://www.canada.ca/en/public-health/services/health-promotion/childhood-adolescence.html
chiropractic benefits for women

Strengthening Her Core: A Guide to Chiropractic Benefits for Women’s Health in Canada

Let’s talk about something most women know all too well: the unique physical demands that come with being a woman. It might be the nagging lower backache that flares up every month, the hip stiffness that appeared during pregnancy and never quite left, or the tension headaches that seem to build right between your shoulder blades after a long day of balancing work, family, and life. For many women across Canada, these aren’t just occasional nuisances—they’re a persistent background hum to daily life, often accepted as “just part of being a woman.”

But what if it doesn’t have to be that way? What if a significant part of managing women’s health isn’t just about hormones or medication, but about the very framework that holds you up—your spine and musculoskeletal system? This is where chiropractic care steps into the spotlight, not as a niche alternative, but as a powerful, proactive pillar of holistic health for women of all ages.

At Sync Move Rehab Centre in Ottawa, we see the remarkable difference it makes when women’s unique physiology is addressed through skilled, evidence-based chiropractic care. Think of your spine as the central command post for your entire nervous system. When spinal joints are moving properly, information flows freely from your brain to every organ, muscle, and cell. When there’s dysfunction—what chiropractors call a subluxation—it’s like static on the line. For women, whose bodies undergo profound changes through menstruation, pregnancy, childbirth, and menopause, maintaining clear communication along this spinal highway is especially crucial.

This article is for the student in Toronto managing period pain, the new mom in Vancouver navigating postpartum recovery, the professional in Calgary battling desk-related back pain, and the active retiree in Halifax looking to maintain her mobility. We’ll explore the many ways modern, gentle chiropractic care supports women’s health journeys, debunk myths, and provide a clear, Canadian perspective on this drug-free approach to feeling your best.

More Than Back Pain: The Whole-Body Approach to Women’s Wellness

While chiropractors are famously sought after for back and neck pain (and for good reason), their scope for women’s health is beautifully broad. A woman’s body is not a static entity; it’s a dynamic system that evolves. Chiropractic care focuses on optimizing the function of the musculoskeletal and nervous systems, which in turn can positively influence many aspects of health.

The Core Connection: Your Spine and Your Health
Your spine protects your spinal cord, the main information superhighway between your brain and body. Nerves branching out from between each vertebra control specific organs and functions. For instance, nerves from the lower spine influence reproductive organs, while nerves from the mid-back connect to digestive functions. By ensuring spinal joints are mobile and aligned, chiropractic care aims to reduce nerve interference, potentially helping your body’s systems—from digestion to hormone regulation—function with less stress and greater ease. It’s about creating an optimal internal environment for health.

Key Life Stages & How Chiropractic Care Can Help

  1. Menstrual Health & Dysmenorrhea (Painful Periods)

For many women, monthly cycles bring debilitating cramps, low back pain, and headaches. While hormones are the primary driver, musculoskeletal tension can significantly amplify the discomfort.

  • How Chiropractic Helps: Misalignments in the lumbar spine and pelvis can affect nerves that go to the reproductive organs and the muscles of the lower back and abdomen. Gentle adjustments can help reduce tension in these areas, improve pelvic alignment, and decrease the severity of cramping and referred back pain. A more balanced pelvis and relaxed musculature can make those difficult days more manageable.
  1. Prenatal & Pregnancy Care

Pregnancy is a time of incredible change: shifting center of gravity, the hormone relaxin loosening ligaments, and the physical strain of carrying extra weight. This often leads to sacroiliac joint pain, sciatica, round ligament pain, and general backache.

  • How Chiropractic Helps: Prenatal chiropractors use specialized techniques and tables to accommodate a growing belly. Gentle adjustments focus on maintaining proper pelvic alignment. This is vital because a misaligned pelvis can reduce the amount of room available for the baby (a condition known as intrauterine constraint) and may lead to a more difficult, prolonged labour. By supporting spinal and pelvic health, chiropractic care can help reduce pregnancy-related pain, improve nervous system function, and may even facilitate an easier birthing process. As highlighted on the Sync Move website, our comprehensive services are designed to create personalized care plans, and this is especially true for our expecting mothers.
  1. Postpartum Recovery

The “fourth trimester” is about healing and adaptation. The body has been through a major event, and the demands of newborn care (nursing, lifting, carrying) often strain an already vulnerable back and neck.

  • How Chiropractic Helps: Postpartum care focuses on restoring balance. Adjustments can help close the pubic symphysis, realign the pelvis that may have shifted during delivery, and address the upper back and neck pain associated with breastfeeding postures. This supportive care is crucial for helping a new mother’s body heal strongly and correctly, setting a foundation for the physical demands of motherhood. Our blog discusses various therapeutic approaches in our post on Making Sense of the Moves: A Friendly Guide to the Classification of Therapeutic Exercise, which complements hands-on chiropractic care perfectly during recovery.
  1. Menopause and Bone Health

During and after menopause, declining estrogen levels accelerate bone loss (osteoporosis) and can lead to increased joint stiffness and aches.

  • How Chiropractic Helps: Chiropractors are trained to screen for osteoporosis and use extremely low-force, gentle techniques (like the Activator Method or drop-table techniques) that are safe for osteoporotic bones. The goal shifts to maintaining mobility, flexibility, and spinal alignment without high-impact force. Care can help manage arthritic pain, improve posture to prevent fractures, and support an active, independent lifestyle.
  1. Stress, Anxiety, and Tension

Women often juggle multiple roles, and chronic stress manifests physically—most commonly as tension in the neck, shoulders, and jaw (TMJ dysfunction), leading to headaches and insomnia.

  • How Chiropractic Helps: Spinal adjustments, particularly to the upper neck (cervical spine), have been shown to reduce muscle tension and decrease the body’s physiological stress response. By calming the nervous system and relieving physical tension points, chiropractic care can be a powerful tool for managing the physical symptoms of stress and improving sleep quality.

The Evidence and Statistics: What Does the Research Say?

Chiropractic care for women is not based on anecdote; it’s supported by a growing body of research and widespread use:

  • Pregnancy Care: A pivotal 2019 study published in JMPT (Journal of Manipulative and Physiological Therapeutics) found that 72% of pregnant women receiving chiropractic care reported clinically significant relief of back pain. Furthermore, research suggests women under chiropractic care may report shorter labour times and reduced need for pain interventions.
  • Dysmenorrhea: A 2016 systematic review in the Journal of Alternative and Complementary Medicine concluded that spinal manipulation showed promise for reducing the pain and duration of primary dysmenorrhea compared to placebo.
  • Popularity in Canada: According to Statistics Canada, women are significantly more likely than men to use chiropractic services. This reflects a proactive approach to managing the unique musculoskeletal stresses they face.
  • Safety Profile: The safety of chiropractic care, including during pregnancy, is well-documented. Techniques are modified, and care is always tailored to the individual’s condition and stage of life.

What to Expect: A Visit Tailored for Women’s Health

Walking into a chiropractor’s office for women-specific care involves a thoughtful, respectful process.

  1. In-Depth Consultation: Your chiropractor will ask detailed questions about your health history, lifestyle, and specific goals—whether it’s managing period pain, preparing for pregnancy, or dealing with menopausal joint stiffness. Honesty here is key.
  2. Comprehensive Examination: This includes posture analysis, range of motion tests, orthopedic and neurological exams, and specific palpation to locate areas of spinal dysfunction or joint restriction.
  3. Personalized Treatment Plan: You’ll receive a clear explanation of the findings and a proposed plan. This plan will outline the gentle techniques to be used (which may include soft tissue therapy and specific adjustments) and will often integrate advice on posture, ergonomics (like desk setup), and targeted exercises.
  4. Gentle, Adapted Techniques: For women, especially during pregnancy or with conditions like osteoporosis, chiropractors utilize a toolbox of low-force methods. The classic “high-velocity, low-amplitude” adjustment is only one option; others include the Activator instrument, drop-table techniques, and gentle mobilization.

Chiropractic as Part of a Holistic Health Team

The most effective approach to women’s health is collaborative. A great chiropractor will view themselves as part of your wellness team. They should:

  • Encourage you to maintain regular check-ups with your family doctor and gynecologist.
  • Be willing to communicate with your other healthcare providers (with your consent).
  • Integrate their care with other supportive therapies, like the physiotherapy and therapeutic exercise programs offered at centres like Sync Move, to ensure you’re not only adjusted but also strengthened and stabilized.

Taking the Next Step Towards Balanced Health

Navigating the various stages of a woman’s life comes with enough challenges without adding preventable pain and dysfunction to the list. Chiropractic care offers a pathway to not only address pain but to actively support your body’s structure and function through every transition.

It’s a proactive choice—a way of investing in your physical foundation so you can live, work, move, and thrive with greater ease and less discomfort. Whether you’re dealing with a specific issue or simply want to maintain your spine’s health as a core component of your overall wellness, chiropractic care provides a safe, drug-free, and evidence-informed option.

If you’re in the Ottawa area and curious about how chiropractic care can be tailored to support your unique health journey, the team at Sync Move Rehab Centre is here to listen and help. We believe in empowering women with knowledge and providing compassionate, expert care.

Your health is your greatest asset. Discover how supporting your spine can support your whole life. Contact Sync Move Rehab Centre today to book a consultation and explore the benefits of chiropractic care for you.

 

References & Further Reading

  1. The Canadian Chiropractic Association – Women’s Health: https://www.chiropractic.ca/patients/health-information/womens-health/
  2. Journal of Manipulative and Physiological Therapeutics (JMPT) – Chiropractic Care for Back Pain in Pregnancy: https://www.jmptonline.org/article/S0161-4754(18)30446-9/fulltext
  3. American Pregnancy Association – Chiropractic Care During Pregnancy: https://americanpregnancy.org/healthy-pregnancy/is-it-safe/chiropractic-care-during-pregnancy/
  4. Journal of Alternative and Complementary Medicine – Spinal Manipulation for Dysmenorrhea: https://www.liebertpub.com/doi/10.1089/acm.2015.0188
  5. International Chiropractic Pediatric Association (ICPA): https://www.icpa4kids.org/ (Excellent resource for prenatal and family care)
  6. Statistics Canada – Use of Alternative Health Practitioners by Sex: https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310009603
  7. The North American Menopause Society – Managing Menopause Symptoms: https://www.menopause.org/for-women
  8. Harvard Health Publishing – The benefits of chiropractic care for back pain: https://www.health.harvard.edu/pain/the-benefits-of-chiropractic-care-for-back-pain
  9. PubMed Central – A review of the safety of chiropractic during pregnancy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647084/
  10. The Society for Women’s Health Research: https://swhr.org/ (For broader context on women’s health research)

 

Modern Chiropractic Therapy

Your Backbone to Better Living: A Canadian’s Guide to Modern Chiropractic Therapy

Have you ever had one of those mornings where you get out of bed and something just feels… off? Maybe it’s a stubborn crick in your neck that appeared out of nowhere, a dull ache in your lower back that’s become an unwelcome tenant, or a headache that seems to start right between your shoulder blades. If you’re like millions of Canadians, your first thought might be to pop an over-the-counter pain reliever, try some stretches you saw online, or just hope it goes away with time.

But what if that nagging pain is more than just a temporary nuisance? What if it’s your body’s way of sending a signal—a text message from your nervous system saying, “Hey, we’ve got a communication problem here”? That’s where chiropractic therapy comes in. Far from the spine-cracking stereotype you might have seen in old movies, modern chiropractic care is a sophisticated, evidence-based approach to health that focuses on your body’s innate ability to heal itself.

Think of your spine not just as a stack of bones, but as the central information highway of your body. The nerves that branch out from your spinal cord control everything from your muscle movements and organ function to your sense of touch and pain. When the joints of your spine (the vertebrae) lose their normal motion or alignment—a condition chiropractors call a subluxation—it can create interference on that vital communication line. It’s like having a kink in a garden hose; the flow is disrupted, and everything downstream is affected.

Here at Sync Move Rehab Centre, we take a collaborative view of health. While chiropractic is a distinct and powerful discipline, we often see how it fits perfectly within a broader rehabilitation team—working alongside physiotherapists and massage therapists to address not just the symptom, but the root cause of your discomfort. This guide will walk you through everything you need to know about chiropractic therapy in Canada: what it really is, how it works, what the science says, and how it might be the key to unlocking a more active, pain-free life.

 

Beyond the “Crack”: What Modern Chiropractic Care Really Is

Let’s clear the air right away. The most famous (and sometimes infamous) aspect of chiropractic is the adjustment—that quick, precise thrust that often results in a popping sound. That sound is just gas releasing from the joint fluid, like opening a soda bottle. It’s not bones grinding, and it’s certainly not the main event. The adjustment is simply the tool; the goal is restoration.

At its core, chiropractic is a health profession that diagnoses, treats, and helps prevent mechanical disorders of the musculoskeletal system, particularly the spine, and their effects on the nervous system and general health. Chiropractors are primary care practitioners; you don’t need a referral to see one. They complete a rigorous academic program (typically a 4-year doctoral degree after undergraduate studies) and are licensed and regulated in every Canadian province.

 

The Core Philosophy: Your Body as a Self-Healing Machine

Chiropractors operate on several key principles:

  1. Your body has an inborn, intelligent ability to maintain health and heal itself.
  2. Your nervous system is the master controller of this process.
  3. When spinal joints are dysfunctional, they can interfere with nervous system function.
  4. By restoring proper motion and alignment to the spine, chiropractors aim to remove that interference, allowing your body to function at its optimal capacity.

It’s less about “fixing” you and more about removing the obstacles so your body can do what it’s designed to do. It’s a proactive, drug-free, and non-surgical approach.

 

What Does a Chiropractor Actually Do? A Step-by-Step Visit

Walking into a chiropractor’s office for the first time can feel unfamiliar. Here’s what you can typically expect during an initial visit at a clinic like Sync Move:

Step 1: The Detailed Consultation
This isn’t a rushed chat. Your chiropractor will sit down with you and take a full history. They’ll want to know:

  • The specifics of your main complaint (Where does it hurt? When did it start? What makes it better or worse?).
  • Your overall health history, past injuries, and current lifestyle (job, hobbies, stress levels).
  • Your health goals (Is it just pain relief, or do you want to improve your golf swing, sleep better, or have more energy?).

Step 2: The Comprehensive Physical Exam
Next comes a thorough examination. This goes far beyond just poking your sore spot. It will likely include:

  • Postural Analysis: How do you stand? Is your pelvis level? Are your shoulders even?
  • Orthopedic and Neurological Tests: Checking your reflexes, muscle strength, sensation, and range of motion. They’ll perform specific tests to rule out serious conditions and pinpoint the dysfunctional joints.
  • Palpation: Using their hands to feel for muscle tension, tenderness, and the motion of individual spinal joints.

Step 3: Diagnostic Imaging (If Needed)
Not every patient needs X-rays. They are only used when clinically necessary—for instance, if there’s a history of trauma, suspected pathology, or for a patient with certain risk factors. Chiropractors are trained to read and diagnose from X-rays, MRIs, and other imaging.

Step 4: Diagnosis and Report of Findings
This is a crucial conversation. Your chiropractor will explain what they found, answer the “What’s wrong with me?” question in clear language, and show you any relevant imaging. They will then present a customized treatment plan tailored to your condition and goals. This plan will outline the recommended frequency of visits, the techniques to be used, and what you can expect in terms of progress. No treatment should begin until you fully understand and agree to this plan.

Step 5: The Treatment Itself
Now for the hands-on part. A chiropractic treatment session is often a combination of therapies:

  • The Spinal Adjustment (Manipulation): Using their hands or a small, precise instrument, the chiropractor applies a controlled, sudden force to a specific spinal joint. The goal is to restore its normal range of motion. There are dozens of techniques, from the direct, high-velocity thrust to gentler, low-force methods suitable for babies or those with osteoporosis.
  • Adjunctive Therapies: Most visits include more than just the adjustment. You might also receive:
    • Soft Tissue Therapy: Massage or instrument-assisted techniques to relax tight muscles.
    • Therapeutic Exercises & Stretches: Prescribed to do at home to strengthen weak muscles and maintain the adjustment.
    • Lifestyle & Ergonomic Advice: Tips for sitting at your desk, lifting properly, or choosing a pillow.
    • Modalities: Like ultrasound, electrical stimulation, or heat/ice therapy to reduce pain and inflammation.

Step 6: The Wellness & Maintenance Phase
Once your initial pain is resolved, many patients choose to continue with periodic “wellness” or “maintenance” adjustments. Think of this like dental check-ups or changing the oil in your car—it’s proactive care to prevent minor issues from becoming big problems and to support overall spinal health and function.

 

The Evidence Files: What Science Says About Chiropractic Care

Chiropractic isn’t just philosophy; it’s backed by a growing mountain of research. Major health bodies have recognized its effectiveness for specific conditions:

  • For Low Back Pain: This is where the evidence is strongest. The American College of Physicians lists spinal manipulation (the chiropractic adjustment) as a first-line, recommended treatment for acute and chronic low back pain, ahead of medication. A landmark 2017 study in the Journal of the American Medical Association (JAMA) reinforced this, showing that chiropractic care was more effective than medication for neck pain and offered significant, long-lasting relief for back pain.
  • For Neck Pain and Headaches: Research, including systematic reviews in the journal Spine, consistently shows that chiropractic spinal manipulation is effective for treating neck-related pain and tension-type headaches. For many, it’s a drug-free alternative to managing chronic headache pain.
  • Beyond the Spine: Evidence also supports chiropractic care for certain extremity problems, like shoulder impingement or knee pain, as joint dysfunction can occur anywhere in the body.

 

Statistics in the Canadian Context:

  • Chiropractic is the third-largest primary health care profession in Canada, after medicine and dentistry.
  • According to a Statistics Canada survey, over 4.5 million Canadians visit a chiropractor each year.
  • The vast majority of Canadian employee benefit plans include chiropractic coverage, recognizing its role in effective health management.

 

What Conditions Can Chiropractic Therapy Help With?

While famous for back pain, chiropractors treat a wide array of neuromusculoskeletal issues. Common reasons for visits include:

  • Back and Neck Pain: Acute strains, chronic pain, disc issues, and sciatica.
  • Headaches and Migraines: Particularly cervicogenic headaches (originating from the neck).
  • Joint Pain: In shoulders, elbows, wrists, hips, knees, and ankles.
  • Sports Injuries: From weekend warrior sprains to repetitive strain in athletes.
  • Pregnancy-Related Discomfort: Helping manage back and pelvic pain as the body changes.
  • Repetitive Strain Injuries: Like carpal tunnel syndrome or tendonitis.
  • General Wellness & Prevention: Maintaining mobility, reducing stress on the body, and optimizing function.

 

The Sync Move Difference: Chiropractic in a Collaborative Setting

One of the unique strengths of receiving care at a multidisciplinary centre like Sync Move Rehab Centre is the seamless integration of services. Chiropractic care isn’t delivered in a silo.

Imagine this scenario: You come in with low back pain. Our chiropractor performs an adjustment to restore joint function in your pelvis. Immediately after, you might see one of our physiotherapists who prescribes specific exercises to stabilize that newly mobile joint and correct the movement pattern that caused the problem in the first place. You could also see a massage therapist to address the surrounding muscle tension. This team-based approach ensures you’re not just getting a quick fix, but a comprehensive solution for lasting results. You can learn more about our collaborative model and the other services we offer on our About Us page.

 

Safety, Regulation, and Finding the Right Chiropractor in Canada

Is Chiropractic Safe?
When performed by a licensed, trained professional, chiropractic care is widely recognized as extremely safe. The risk of serious complication is very rare—estimated to be a fraction of that associated with common over-the-counter pain medications. Your chiropractor will screen for any contraindications (reasons not to adjust) during your initial exam.

How is it Regulated?
Chiropractic is a regulated health profession in every Canadian province. Practitioners must:

  • Graduate from an accredited chiropractic college.
  • Pass rigorous national and provincial board exams.
  • Be licensed by their provincial regulatory College (e.g., the College of Chiropractors of Ontario).
  • Engage in ongoing continuing education to maintain their license.
    These Colleges protect the public by setting standards of practice and handling any complaints.

What to Look for in a Chiropractor:

  • Good Communication: They should listen, explain things clearly, and make you feel comfortable.
  • A Focus on Active Care: Look for a practitioner who emphasizes your role through exercise and lifestyle advice, not just passive adjustments.
  • A Collaborative Spirit: A great chiropractor will be willing to communicate with your family doctor or other therapists (with your permission).
  • A Clean, Professional Clinic Environment.

 

Taking the First Step Toward a Healthier Spine

Living with pain or stiffness isn’t something you have to accept as a normal part of life. Whether you’re dealing with a recent injury or decades of wear and tear, your spine—and the nervous system it protects—is central to your well-being.

Chiropractic therapy offers a proven, natural pathway to better health by addressing the mechanical source of many common problems. It empowers you to take an active role in your own recovery and long-term vitality.

If you’re in the Ottawa area and curious about whether chiropractic care is right for you, the team at Sync Move Rehab Centre is here to help. We offer thorough consultations to discuss your concerns and goals, and we’ll work with you to build a personalized plan that may include chiropractic as part of your journey back to optimal health.

Your body is designed to move, feel, and function at its best. Don’t let spinal dysfunction hold you back. Contact Sync Move Rehab Centre today to schedule your initial consultation and discover how modern chiropractic care can be your backbone to better living.

 

 

References & Further Reading

  1. The Canadian Chiropractic Association: https://www.chiropractic.ca/
  2. College of Chiropractors of Ontario (Regulatory Body): https://www.cco.on.ca/
  3. Journal of the American Medical Association (JAMA) – Study on Spinal Manipulation for Back Pain: https://jamanetwork.com/journals/jama/fullarticle/2678370
  4. American College of Physicians Guidelines for Low Back Pain: https://www.acpjournals.org/doi/10.7326/M16-2367
  5. World Health Organization (WHO) – Guidelines on Basic Training and Safety in Chiropractic: https://www.who.int/publications/i/item/9789241593717
  6. Spine Journal – Efficacy of Spinal Manipulation for Headaches: https://journals.lww.com/spinejournal/Abstract/2011/10010/Evidence_Based_Guidelines_for_the_Chiropractic.15.aspx
  7. Statistics Canada – Use of Alternative Health Practitioners: https://www150.statcan.gc.ca/n1/pub/82-003-x/2019001/article/00001-eng.htm
  8. National Center for Complementary and Integrative Health (NCCIH) – Spinal Manipulation: https://www.nccih.nih.gov/health/spinal-manipulation-what-you-need-to-know
  9. The Arthritis Society (Canada) – Chiropractic Care and Arthritis: https://arthritis.ca/about-arthritis/arthritis-types-(a-z)/types/osteoarthritis/treatment/chiropractic-care
  10. PubMed Central – A Review of the Safety of Chiropractic Care: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1784103/