When Chiropractic Care May Not Be the Right Choice: Understanding Contraindications
Chiropractic care is a safe, natural, and effective way to help with back pain, neck pain, headaches, and many musculoskeletal issues. Most people can benefit from adjustments—but like any form of healthcare, there are times when it’s not recommended. These are called contraindications, or situations where chiropractic adjustments may not be safe.
The good news? These cases are rare, and a qualified chiropractor always takes a careful health history and exam before starting care. Let’s look at when chiropractic may not be the best option—or when extra care is needed.
When Chiropractic Adjustments Should Be Avoided
Some conditions make chiropractic adjustments unsafe. In these cases, other forms of care are more appropriate:
- Recent fractures or dislocations – Adjustments should never be done on broken bones or unstable joints.
- Severe osteoporosis – Fragile bones are at risk of fracture with spinal manipulation.
- Spinal cancer or active infection – Adjustments are avoided if there’s cancer in the bones or a spinal infection.
- Nerve emergencies – Conditions like cauda equina syndrome (sudden loss of bladder/bowel control, severe leg weakness) need emergency medical attention, not chiropractic.
When Extra Caution Is Needed
Sometimes chiropractic can still help, but the chiropractor will modify techniques or work alongside other providers:
- Mild osteoporosis or bone thinning – Gentle approaches may be used.
- Previous spine surgery – Adjustments may be adapted depending on your history.
- Disc herniation with nerve symptoms – A chiropractor will evaluate carefully and may use gentler techniques.
- Bleeding disorders or blood thinners – Low-force methods are safer.
- Rheumatoid arthritis or connective tissue conditions – Certain areas may need to be avoided.
- Pregnancy – Adjustments are often safe but modified for comfort and safety.
Why This Matters for You
Your chiropractor’s first priority is your safety. That’s why they’ll ask about your medical history, medications, and past injuries before beginning treatment. If something raises concern, they may order imaging, refer you to another specialist, or adapt their approach.
The Bottom Line
Most people are excellent candidates for chiropractic care—but there are a few situations where it’s not the right choice, or where a gentler touch is needed. By being open with your chiropractor about your health history, you help ensure that your care is safe, effective, and tailored to your needs.
If you’re unsure whether chiropractic care is right for you, the best first step is a consultation. Your chiropractor will guide you through the safest options for your specific situation.
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