Why am I sore after chiropractic adjustments?
It is normal to feel sore after a chiropractic adjustment, mild muscle soreness or stiffness is one of the most common short-term responses following chiropractic treatment. For most people, it feels similar to post-exercise soreness and settles within 24-48 hours. It is typically mild, temporary, and part of the body adapting to changes in movement.
If you’re feeling sore after visiting the chiropractor, here’s why it can happen and what you can do about it.
WHAT MAKES US SORE
Chiropractic adjustments apply controlled force to joints and surrounding tissues to restore movement. When a joint has been restricted or stiff for a period of time, improving that motion changes how the muscles and nervous system around it behave.
There are a few reasons this can lead to temporary soreness:
Mechanical tissue stress
- Muscles, ligaments and joint capsules that haven’t been moving well are suddenly asked to move differently. This new mechanical input can create mild irritation, similar to how your body feels after returning to the gym.
Nervous system response
- Adjustments stimulate joint and muscle receptors. This increased sensory input can temporarily heighten awareness in the treated area while your body recalibrates.
Circulatory and inflammatory changes
- Manual therapy influences local blood flow and chemical signalling within tissues. Short-term changes in these processes can contribute to mild tenderness before settling.
These responses are considered minor and self-limiting, and they tend to reduce as your body adapts to care.
HOW TO FIX TREATMENT SORENESS
If you feel sore after chiropractic treatment, simple strategies can help:
Heat and gentle warming
- Applying gentle heat, like a heat-pack, for 10–15 minutes can relax muscles, improve circulation and reduce stiffness.
Light movement
- Light movement, such as walking or gentle mobility work, is usually better than complete rest. Staying active encourages normal circulation and recovery.
Prescribed rehab exercises
- If your chiropractor has recommended specific exercises, they are designed to help your body adapt to the changes from treatment. These exercises can support joint stability, improve strength, and reduce the likelihood of ongoing soreness.
Most post-treatment soreness improves within a day or two.
WHEN SHOULD YOU BE CONCERNED?
Mild soreness is common. However, you should contact your chiropractor if pain is severe, worsening, or lasting longer than a few days. Clear communication ensures treatment can be adjusted to suit your comfort and goals.
Feeling sore after a chiropractic adjustment is normal for some people, especially in the early stages of care. It is usually mild, short-lived, and manageable with simple strategies like heat and movement. As your body adapts and movement improves, post-treatment soreness typically becomes less frequent.
References
Funabashi M, Carlesso LC. Symptoms patients receiving manual therapy experienced and perceived as adverse: a secondary analysis of a survey of patients’ perceptions of what constitutes an adverse response. J Man Manip Ther. 2021 Feb;29(1):51-58. doi: 10.1080/10669817.2020.1761139. Epub 2020 May 13. PMID: 32401185; PMCID: PMC7889082.
Paanalahti K, Holm LW, Nordin M, Asker M, Lyander J, Skillgate E. Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2014 Mar 12;15:77. doi: 10.1186/1471-2474-15-77. PMID: 24618345; PMCID: PMC3995636.
Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: a systematic review. Man Ther. 2010 Aug;15(4):355-63. doi: 10.1016/j.math.2009.12.006. Epub 2010 Jan 22. PMID: 20097115.
Chu J, Allen DD, Pawlowsky S, Smoot B. Peripheral response to cervical or thoracic spinal manual therapy: an evidence-based review with meta analysis. J Man Manip Ther. 2014 Nov;22(4):220-9. doi: 10.1179/2042618613Y.0000000062. PMID: 25395830; PMCID: PMC4215103.