When Should You NOT Get a Chiropractic Adjustment? Red Flags to Stay Aware Of
Searching for “chiropractor near me” can be the first step toward relief from back pain, neck pain, or discomfort. But did you know that there are certain situations where chiropractic adjustments may not be the right choice? While chiropractic care is generally safe, there are red flags and medical conditions where you should reconsider—or delay—getting an adjustment.
In this guide, we’ll explore key situations when chiropractic care might not be appropriate and when you should seek other forms of medical care first.
1. Recent Trauma or Injury (Not Yet Assessed by a Doctor)
If you’ve been in a recent accident, fall, or sports injury and haven’t yet been checked by a physician, you should wait on chiropractic care. Sometimes hidden injuries like fractures or internal trauma don’t show up right away and could worsen with spinal manipulation.
What to do instead: Visit your primary care physician or urgent care and request imaging such as X-rays or MRI before booking with a chiropractor.
2. Severe Osteoporosis or Fragile Bones
Critical osteoporosis or other conditions that weaken the bones can make chiropractic adjustments risky. While chiropractors often modify techniques for safety, fragile bones can still be vulnerable.
Alternative options: Consider gentle therapies such as soft tissue work, stretching, or low-force adjustments like the Activator Method.
3. Symptoms of a Neurological Issue
If you experience symptoms like:
- Numbness or tingling in arms or legs
- Leg weakness
- Loss of bladder or bowel control
…you should see a doctor before visiting a chiropractor. These could indicate spinal cord compression or a severe herniated disc that requires immediate medical attention.
4. Infections or Active Inflammatory Conditions
Conditions like spinal infections or active flare-ups of diseases such as rheumatoid arthritis or ankylosing spondylitis should be approached with caution. Manipulations during an active infection or inflammatory phase could worsen symptoms.
Advice: Only proceed with chiropractic care under guidance from your primary physician or rheumatologist.
5. Severe Cardiovascular Problems
If you have uncontrolled high blood pressure, a recent heart event, or conditions like aneurysms, consult with your doctor before scheduling chiropractic care. Manipulations—especially in the neck—may have an impact on circulation and blood pressure in sensitive individuals.
6. Cancer That Has Spread to the Bones
Patients with metastatic cancer to the spine should avoid manual adjustments unless a care plan has been developed with input from their oncologist. Manipulating cancer-compromised bones could lead to injury.
Final Thoughts: Communication Is Key
Chiropractic care is a highly effective tool for many people—but like any healthcare treatment, it’s not one-size-fits-all. Your chiropractor should take a complete health history and may order imaging before beginning treatment. And you, as the patient, should feel empowered to share all relevant details of your medical history.
Not sure whether chiropractic is righ