What happens during a visit to a chiropractor?

The first visit usually lasts about an hour. The chiropractor takes a complete health history, including information on past injuries and illnesses; current conditions and medications; lifestyle; diet; sleep habits; exercise; mental stresses; and use of alcohol, drugs, or tobacco. During a physical exam, the chiropractor also tests the extent of spinal mobility and may perform various diagnostic tests, such as blood pressure and x-rays, to rule out other conditions. Treatment generally begins at either the first or second visit. Patients are typically asked to lie on a specially designed table; this is where the chiropractor performs the spinal manipulations. The most common maneuver is manual manipulation, which involves movement of the selected joint to the end of its range, followed by a low-force thrust. The chiropractor may, however, use other treatments including massage and soft-tissue therapies.