Can chiropractic adjustments of the thoracic and lumbar spine immediately reduce hypertension?

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Last updated: February 21, 2025View editorial policy

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From the Research

Chiropractic adjustments to the thoracic and lumbar spine may have a temporary effect on lowering blood pressure, but this effect is not a reliable method for managing hypertension long-term. The most recent and highest quality study on this topic is not directly available, but based on the provided evidence, it appears that chiropractic care may have some benefits for overall well-being, but it should not replace conventional medical treatment for hypertension 1.

For ongoing blood pressure management, it is essential to:

  • Continue with prescribed blood pressure medications as directed by your doctor
  • Monitor your blood pressure regularly at home
  • Maintain a healthy lifestyle with a balanced diet, regular exercise, stress reduction, and limited alcohol and sodium intake
  • Follow up with your primary care physician to discuss any changes in blood pressure and determine if any adjustments to your current treatment plan are necessary

It is also important to note that some studies have reported cases of orthostatic hypotension and other complications following chiropractic manipulation 2, 3. Therefore, it is crucial to approach chiropractic care with caution and under the guidance of a qualified healthcare professional. Additionally, patients with certain medical conditions, such as diabetes mellitus, cardiovascular disease, and age-related vagal dysfunction, may be at greater risk of developing adverse effects from orthostatic intolerance 4.

In summary, while chiropractic adjustments may have some temporary benefits for blood pressure management, they should not be relied upon as a primary treatment method for hypertension. Conventional medical treatment, lifestyle modifications, and regular monitoring of blood pressure are essential for effective management of hypertension.

References

Research

Chiropractic management of a hypertensive patient.

Journal of manipulative and physiological therapeutics, 1993

Research

Management of orthostatic hypotension.

American journal of hospital pharmacy, 1994

Research

Role of dangling when moving from supine to standing position.

British journal of nursing (Mark Allen Publishing), 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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