High-quality research shows that chiropractic interventions can play a helpful role in managing common musculoskeletal conditions. Clinical guidelines from the American College of Physicians and other organizations recommend non‑pharmacologic therapies such as spinal manipulation for acute and chronic low back pain before trying medications. Studies of veterans and other patient groups suggest that people who first seek chiropractic care for back pain have significantly lower odds of receiving opioids and may experience reduced pain and improved function.

Randomized trials and systematic reviews generally find that spinal manipulative therapy provides modest improvements in pain and mobility for low back pain, neck pain and certain types of headaches when compared with usual care. These benefits are similar to those of other conservative treatments such as exercise and physical therapy. Research also suggests that chiropractic care may improve patient satisfaction and overall quality of life for many people dealing with musculoskeletal issues.

It is important to note that results vary by individual and condition. Chiropractic care does not cure diseases, and it should be part of a comprehensive approach that includes self‑care, activity modifications and collaboration with other healthcare providers when necessary. Serious side effects are rare when spinal manipulation is performed by a qualified chiropractor, and most patients experience only mild, temporary soreness.