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Integrate evidence, clinical experience, and patient values and preferences
Deliver expert chiropractic adjustments, manipulation and other manual treatments
Embody a tradition of caring, effectiveness and patient satisfaction
Collaborate and coordinate care with other health professionals
Enhance patient quality of life and performance
Promote vitality, wellness and patient empowerment
Improve quality of life without drugs or surgery
Offer readily accessible care


The practice of chiropractic includes clinically necessary:


Assessments of a patient’s health status, needs, concerns and conditions by obtaining a case-appropriate history and physical examination, and by acquiring necessary imaging, laboratory or diagnostic studies;
Consideration of axial (spine) and appendicular (extremity) structure and function, including subluxation, and the status of contiguous muscular and neural systems by means of physical evaluation, imaging and/or special test procedures;
Patient-centered management consistent with the obtained history, clinical information and diagnoses;
Care coordination accomplished through goal-oriented management plans that include treatment recommendations intended to favorably influence outcomes, prognosis, risks, behaviors and lifestyle;
Administration of manual therapeutic procedures – such as chiropractic adjustment, manipulation, mobilization or soft tissue techniques – as indicated by the history and clinical examination;
Use of complementary measures, such as passive modalities, active exercise and rehabilitation, nutritional counseling and supplementation, bracing, strapping and orthoses, and other procedures allowed under respective chiropractic practice acts; and
Promotion of health, wellness and disease prevention by evaluating relevant indicators and risk factors, and by providing care directed at mitigating health risks and encouraging healthy lifestyles.


Chiropractors use a variety of non-surgical treatments to treat patients with certain types of:


Lower back pain and/or leg pain (sciatica)
Neck pain
Repetitive strains
Sports injuries
Car accident injuries
Arthritic pain.7
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While primarily focusing on treating neuromusculoskeletal disorders, chiropractors are not exclusively limited to problems with the nervous system and musculoskeletal system.


When appropriate, chiropractors refer patients to medical doctors or other health practitioners for treatment of lower back pain. Many chiropractors have a local referral network or work together with other spine specialists in a multi-disciplinary or multi-specialty spine clinic.