Chiropractic adjustment, or spinal manipulation, is one tool we use, not the whole plan. National guidelines list spinal manipulation among the recommended first-line, non-drug options for both low back pain and neck pain (Qaseem et al., Annals of Internal Medicine, 2017; Blanpied et al., JOSPT, 2017). As your Primary Spine Practitioner, we use it when your exam suggests it will help, alongside movement and exercise, and we track whether it actually moves the needle for you. If it does, we continue and taper. If it does not, we adjust the plan rather than repeat it. You will not be signed up for a long, open-ended schedule of visits here.