Safety

Is chiropractic safe?

For most people, yes. Here’s what the research says about the risks, what you might feel after treatment, and the steps we take to look after you.

What you might feel after treatment

The most common side effects are mild and short-lived: some soreness or stiffness, a headache, or feeling tired. They usually start within a day of treatment and settle within a day or two. Studies suggest around half of people notice something like this after one of their first few visits, and it tends to ease as your body gets used to treatment.

Let us know how you felt at your next visit and we’ll adjust your care.

Serious problems are rare

Serious complications from spinal manipulation are rare. Reviews of the research on risk find that most reported side effects are mild and temporary, and that serious events are uncommon.

What about stroke?

A rare type of stroke can follow a tear in an artery in the neck. These tears often cause neck pain or a headache first, which is when people seek help from a chiropractor or GP. Large studies have found people who see a chiropractor are no more likely to have this type of stroke than people who see their GP, which suggests the link comes from people seeking care for early symptoms rather than from treatment.

More on this in our myths & facts →

How we keep you safe

  • A full health history and examination at your first visit, before any treatment.
  • Screening for red flags (signs that something needs medical attention) and referral to your GP or hospital when needed.
  • X-rays or other imaging arranged through other providers only when they’re clinically useful.
  • Gentle, low-force options such as the Activator and drop-table techniques if you’d prefer not to have manual adjustments.
  • Care adapted for pregnancy, children and older adults.
  • Registered chiropractors with current annual practising certificates.

When to get urgent help

Call 111 or go to your nearest emergency department if you have:

  • a sudden, severe headache unlike any you’ve had before
  • neck pain with dizziness, double vision, slurred speech or trouble swallowing
  • weakness, numbness or tingling in your face, arm or leg
  • loss of bladder or bowel control, or numbness around your groin or inner thighs
The evidence
  1. Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22(4):435–440.
  2. Rubinstein SM, et al. The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study. J Manipulative Physiol Ther. 2007;30(6):408–418.
  3. Swait G, Finch R. What are the risks of manual treatment of the spine? A scoping review for clinicians. Chiropr Man Therap. 2017;25:37.
  4. Cassidy JD, et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine. 2008;33(4 Suppl):S176–183.
  5. Kosloff TM, et al. Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations. Chiropr Man Therap. 2015;23:19.
  6. The Safety of Chiropractic Care, New Zealand Chiropractors’ Association review, 2020.

Updated October 2026. This page is general information, not medical advice.

Questions about your own situation?

Talk to us before or at your first visit. We’re happy to explain what we’d recommend and why.