
18/07/2025
This is what the research has to say about chiropractic care and the condition of ageing spines:
Chiropractic care may improve balance and reduce falls risk in senior patients, as documented in multiple case reports. [Steinberg, 2023; Kotlerman, 2022; Scheer, 2021] Similar improvements in balance following chiropractic care have been found in a randomized controlled trial, further supporting the suggestion that chiropractic care may reduce falls risk through improved balance. [Espi-Lopez, 2023]
There is also case report evidence for the improvement in cognitive function in elderly patients. A 74-year-old male reported an improvement in mental acuity and his ability to think strategically following a 15-week course of chiropractic care. This coincided with a decrease in back pain and headaches. [Seaman, 2023] A narrative review, published in 2023, highlighted the link between chronic pain and cognitive impairment, including Alzheimer’s Disease. The review outlines considerations for practitioners of manual therapies, including screening, treatment, and prevention for individuals presenting for care. [Rogers, 2023]
Although chiropractic care can be recommended for wellness throughout all stages of life, modifications are also recommended for infant or ageing spines. A case report detailed the effective management of an elderly patient who had multiple contraindications to standard chiropractic adjustment. The treating chiropractor utilised muscle relaxation techniques prior to low force chiropractic care, and achieved improvements in cervical lateral flexion and rotation, neck disability index, and physical and social functioning. Despite this case report being an older study, published in the early 2000s, it flags the chiropractic community’s established understanding of the fragility of ageing spines, but also the importance of delivering modified care to achieve positive outcomes. [Johnson, 2002]
There is also evidence for the efficacy of other alternative therapies, such as myofascial mobilisation and resistance exercise, for improving balance and physical function in elderly patients. [Stroppa-Marques, 2020; Wu, 2020]