Mild discomfort or soreness following a chiropractic adjustment is common. This temporary soreness is an expected side effect, not a complication, and signals that the body is responding to the treatment. Chiropractic care involves the manual manipulation of the spine and joints. This sensation is often compared to the muscle ache experienced after a new or intense workout session. Understanding why this happens and how to manage it confirms that the adjustment is helping the body move toward better alignment and function.
The Physical Cause of Post-Adjustment Soreness
The spine and joints are surrounded by soft tissues, including muscles and ligaments, that adapt to long-standing misalignments by becoming tense and rigid. When an adjustment restores proper motion to a restricted joint, the surrounding muscles are suddenly required to operate in a new, healthier position. The controlled movements stretch muscles and ligaments that were previously tight or inactive, leading to temporary muscle soreness similar to unaccustomed physical activity. Muscles compensating for poor posture are essentially asked to “relearn their job,” causing tenderness.
This manipulation also stimulates a temporary inflammatory response in the localized area, which is part of the body’s natural healing process. This minor inflammation and increased blood flow contribute to aches and stiffness as the tissues recover and adapt to the new alignment. Furthermore, the release of built-up tension can allow metabolic waste products to be released from the muscle tissue, which contributes to temporary discomfort. This short-term reaction signifies a positive structural change.
How Long Does Soreness Last
The mild soreness following an adjustment is typically short-lived. Most people notice this discomfort within the first 24 hours following the session, and it generally subsides within 24 to 48 hours. It is rare for the soreness to extend beyond 72 hours.
The duration of soreness is influenced by several individual factors. Patients with significant pre-existing muscle tension, chronic conditions like arthritis, or those receiving their first adjustment may experience discomfort for a slightly longer period. If the spine has been misaligned for a long time, the body must adapt more significantly, extending the healing process. If the soreness is not severe and is gradually improving, it is considered part of a normal adjustment phase.
At-Home Strategies for Relief
Managing post-adjustment discomfort can be achieved through simple steps at home.
Staying well-hydrated is important, as drinking plenty of water helps support muscle recovery and aids in flushing out metabolic byproducts. Hydration also keeps tissues pliable, which helps reduce stiffness.
Applying ice to the affected area is recommended in the first 24 hours to reduce localized inflammation. Gentle movement, such as a light walk, promotes circulation and helps the body settle into its new alignment. Avoid intense exercise or heavy lifting for at least 24 to 48 hours to allow the joints and muscles time to adjust. Taking a warm bath, potentially with Epsom salts, can also help relax tight muscles and soothe general body aches.
When Pain is a Warning Sign
While mild soreness is normal, certain symptoms indicate that you should contact your chiropractor or a medical professional immediately. Normal post-adjustment soreness should be mild, localized, and should not significantly worsen over time. Pain that is sharp, intense, or rates higher than a moderate level is a warning sign.
You should seek professional advice if the pain persists or is getting worse after 48 to 72 hours. Neurological symptoms are also a red flag, including new or worsening numbness, tingling, or weakness in an arm or leg. Other serious signs include severe headaches, dizziness, or loss of coordination following the treatment. These symptoms are not typical and warrant further evaluation.