Treatments
CHIROPRACTIC ADJUSTMENTS
A chiropractic adjustment is a precise, controlled movement applied to a specific joint to restore normal motion, reduce pain and improve function. It is one of the most well-studied and effective treatments for spinal and joint-related musculoskeletal pain, and it is the technique most people associate with chiropractic care.
When a joint becomes restricted, whether from injury, poor posture, repetitive strain or sustained tension, the muscles around it tighten and other joints in the chain start to compensate. Pain, stiffness and altered movement patterns follow. A targeted adjustment addresses the restriction directly, allowing the joint to move properly again and the surrounding muscles to relax.
The evidence base for chiropractic care has matured significantly. A 2025 systematic review and meta-analysis (Emary et al.) pooling data from more than 6 million patients found that those receiving chiropractic care for spine pain were 64% less likely to be prescribed strong painkillers (opioids such as tramadol, codeine or morphine) and 73% less likely to end up on these painkillers long term, compared with standard medical care alone. Patients seen within 30 days of pain onset benefited the most. The 2026 Cochrane review by de Zoete and colleagues, covering 76 randomised controlled trials in 11,866 adults with chronic low back pain, found that spinal manipulation produces clinically meaningful improvements in pain and function, with a safety profile limited to short-term mild soreness and no serious adverse events reported. A 2023 JOSPT systematic review (Minnucci et al.) similarly supports the effectiveness of spinal manipulation for neck pain. Spinal manipulation is recommended as a first-line non-pharmacological treatment for both acute and chronic low back pain in the American College of Physicians clinical practice guideline (Qaseem et al., 2017) and in the NICE guidelines for low back pain in the UK.
We pair every adjustment with a thorough assessment, soft tissue work and any home exercises or stretches needed to support recovery between visits. The adjustment unlocks the joint, but the surrounding muscle and movement work is what keeps the result. This is why our treatment plans are short and goal-driven rather than open-ended courses of repeated visits.
CONDITIONS WE TREAT WITH ADJUSTMENTS
Adjustments are most effective for joint-related musculoskeletal pain where mobility is restricted and joint mechanics are contributing to symptoms. The conditions with the strongest published evidence and clinical-guideline support for spinal manipulation are:
- Acute and chronic low back pain
- Neck pain and stiffness
- Tension-type headaches and cervicogenic headaches
- Sciatica and radiating leg pain
- Sacroiliac joint dysfunction and pelvic pain
- Thoracic spine stiffness and rib joint dysfunction
- Whiplash and post-motor-vehicle-accident neck pain
WHAT TO EXPECT AT A CHIROPRACTIC APPOINTMENT
Every patient starts with a full assessment to identify what is actually driving the pain:
- A detailed history covering your symptoms, lifestyle, training and medical background
- Movement, postural and orthopaedic testing to localise the problem
- A clear explanation of what we have found and what we recommend
- Targeted adjustments where appropriate, plus joint mobilisation and soft tissue work
- Appropriate exercises or stretches to do at home where needed, to support recovery between visits
- Most patients feel an immediate change in mobility and a meaningful reduction in pain after the first one or two visits
- Mild soreness for 24 to 48 hours after the first session is normal and settles on its own
Our approach combines hands-on adjustments with the surrounding work that makes the results last. We do not believe in indefinite treatment plans. We aim to get you out of pain, restore function and equip you with the tools to stay there.
If your symptoms match one of these patterns, our pages on low back pain, neck pain, headaches, sciatica, whiplash and thoracic pain have detailed clinical information.
Located on Rivonia Road in Morningside, we serve patients from Sandton, Bryanston, Fourways, Randburg, Sunninghill, Rivonia and surrounding areas of Johannesburg.
Book a chiropractic appointment online or get in touch if you would like to discuss your symptoms before booking.
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Frequently Asked Questions
Yes. Chiropractic adjustments are widely considered safe when performed by a qualified, registered chiropractor. Serious adverse events are rare. The most common side effect is mild local soreness or stiffness for 24 to 48 hours after the first few treatments, which settles on its own. Your chiropractor will assess your medical history and suitability before any adjustment is performed.
Most adjustments are quick and not painful. The technique is fast and targeted, so the joint moves before the muscles have time to tense up. Some patients describe a brief moment of pressure or a sense of release. If a particular joint is acutely inflamed or guarded, we use gentler mobilisation techniques rather than a high-velocity adjustment.
The audible "pop" is called a cavitation. It is the sound of gas bubbles forming and dissolving inside the joint fluid as the joint surfaces are briefly separated. It is not bones cracking or anything being moved out of place. The sound itself is not the goal of treatment, and an adjustment can be effective even if no sound is heard.
Most patients with acute musculoskeletal pain see meaningful improvement within 3 to 6 visits. Longer-standing or more complex conditions may need 6 to 12 visits. Your treatment plan is based on your assessment, response to early sessions and your goals. We do not lock patients into long-term treatment plans without ongoing reassessment.
Yes, when performed by a registered chiropractor after appropriate screening. Cervical adjustments have been studied extensively and the risk of serious adverse events is very low. We screen all patients for any factors that would make a neck adjustment inappropriate and use mobilisation techniques as a safer alternative when indicated.
No. Chiropractors are primary contact practitioners in South Africa, which means you can book directly without a GP referral. We are trained to diagnose musculoskeletal conditions, identify when something falls outside our scope and refer you on appropriately if needed.
Many South African medical aids cover chiropractic care, with the level of coverage depending on your plan and your benefits. Coverage typically falls under your day-to-day or savings benefits, with some plans offering specific allied health benefits. Contact us with your medical aid details and we can advise on what your plan covers.
Both professions treat musculoskeletal pain and dysfunction, with significant overlap in the conditions seen and the techniques used. Chiropractors typically place more emphasis on spinal and joint adjustments, while physiotherapists often focus more heavily on exercise rehabilitation. In practice, both work well, and many patients benefit from a combined approach. We use manual therapy alongside structured rehabilitation in every treatment plan.
Many patients feel an immediate change in mobility and pain after their first session. Lasting relief usually builds over the course of 3 to 6 visits as the underlying joint and muscle dysfunction is addressed. Some mild soreness for 24 to 48 hours after the first one or two visits is normal and not a cause for concern.
Yes, gentle movement and your normal exercise routine are usually fine after an adjustment. We sometimes advise avoiding very heavy or high-impact training for 24 hours after a first treatment to let the body settle. Your chiropractor will give you specific advice based on your condition and what was treated.
References
- Emary PC, Stuber KJ, Mior SA, et al. Impact of chiropractic care on opioid use for noncancer spine pain: systematic review and meta-analysis. Pain Reports. 2025;10(6):e1313.
- de Zoete A, Rubinstein SM, de Boer MR, et al. Spinal manipulative therapy for adults with chronic low back pain. Cochrane Database of Systematic Reviews. 2026;CD008112.
- Minnucci S, Innocenti T, Salvioli S, et al. Benefits and harms of spinal manipulative therapy for treating recent and persistent nonspecific neck pain: a systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2023;53(9):510-528.
- Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine. 2017;166(7):514-530.