• Brief discussion: The chiropractor will review your forms and ask clarifying questions about pain quality, onset, frequency, aggravating/relieving factors, prior treatments, and functional limitations.

Clinical assessment

• Examination of range of motion and other orthopedic tests to determine diagnosis

Treatment

• Soft tissue release prior to spinal manipulation

• Spinal manipulation will be performed to comfort and explained prior

Always feel free to ask questions and state what you are comfortable with so care can be tailored to meet your needs

While many patients experience significant benefit, it is important to understand potential side effects so you can make informed choices and recognize when to seek further care.

Common, mild side effects

• Soreness or ache: Mild soreness in the treated area is common and usually resolves within 24–72 hours. It often feels similar to post-exercise muscle stiffness.

• Temporary increased pain: A slight, short-term increase in pain or stiffness can occur as tissues adapt to adjustments.

• Headache: Mild headaches may follow cervical (neck) adjustments and typically subside within a day.

• Fatigue: Some patients report feeling tired after a session as the nervous system responds to treatment.

When to contact your provider or emergency services

• New or worsening neurological symptoms (numbness, weakness, coordination problems)

• Symptoms that persist or worsen beyond a few days

• Rest briefly: Sit or lie quietly for 5–10 minutes. Allow your nervous system and spine to settle into the new alignment; sudden activity can counteract the adjustment.

• Hydrate: Drink a full glass of water within the first hour. Hydration supports disc health and helps flush metabolic byproducts released during treatment.

• Gentle movement: Walk slowly for 5–10 minutes or perform light, controlled movements (neck rolls, shoulder rolls, gentle hip circles) to encourage circulation and integration of the adjustment.

• Apply heat or cold as needed: Use moist heat (warm compress) for muscle tightness or cold packs for acute inflammation. Generally, heat for chronic stiffness and cold for new soreness—apply 10–15 minutes at a time.

• Avoid heavy lifting and strenuous exercise for 24–48 hours: Give tissues time to adapt. Note that exercise after adjustments can be ideal, just not strenuous.

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