Chiropractic and Sports
Athletes have been benefiting from Chiropractic care for many years; however, it has only recently been receiving attention from the media. Athletes of all types, from the weekend warrior to the world-class athlete, utilize Chiropractic because it is a drug-free way to better health and performance.
Chiropractic adjustments help ensure that the body functions as efficiently as possible, which can maximize healing and recovery from all types of injuries.
“I would estimate that at least 90% of world class athletes use Chiropractic on a regular basis to prevent injuries and to improve their performance.” SEAN ATKINS, Ph.D. Exercise Physiologist
The following is just a partial list of athletes who use Chiropractic care: 31 percent of NFL teams use Chiropractors in an official capacity as part of their staffs and a full 77 percent of the trainers have referred to a Chiropractor for evaluation or treatment. A survey of certified NFL trainers revealed that 100% of them agree that players will use Chiropractic without referral from the team medical staff.
The science of Chiropractic is founded on the premise that a proper nerve supply is essential to controlling and regulating the functioning of the human body. The central nervous system controls every activity in the body by sending and receiving nerve messages and is protected by the bones of the spine called vertebrae.
When the spine is in its optimal structural position, the nerves are protected and optimal communication exists between the central nervous system and the rest of the body.


The vertebra of the spine is susceptible to certain stresses and forces, which can cause them to lose their proper structural position.
These minor misalignments of the spine referred to as “subluxations” cause nerve interference and weaken the entire structure of the spine.
Athletic training can often jar and misalign the spinal column, because the spine is at the center of the body. Impact to the legs, feet, head, shoulders and torso often radiates to the spine.
Doctors of Chiropractic detect and correct vertebral subluxations by physically adjusting the spine. This restores the spine and nervous system to a more optimal level of function, which maximizes the body’s performance and healing potential.
Anyone who engages in athletics can benefit from regular Chiropractic checkups to ensure that their spine is balanced and free from structural stress and subluxations. When the spinal column is brought into balance and alignment, the body’s nervous system and body biomechanics (posture) are maximized.
“Changes in the optimal spinal position produce spinal pathologies and loss of function. Spinal pathologies destroy joint reflexes, arc fibers and cause nerve impedance.” 2 “Postural strength and coordination are essential for injury prevention and sports performance” 3 Thomas Harris, MD The Sports Medicine Guide “Posture affects and moderates every physiological function, from breathing to nervous system function, and despite the considerable evidence that posture affects physiology and function, the significant influence of posture on health is not addressed by most physicians” 4
In an average year, 25 million people visit a doctor for injuries that they suffer as a result of athletics. In professional sports, injury is the number one reason for early retirement. Overall, 67 billion dollars is spent each year for the treatment of athletic injuries. 5 U.S. News and World Report
There are essentially two categories that athletic injuries fall into: acute or traumatic, which is usually the result of a sudden impact or unseen force; and repetitive overuse such as swinging a racket or a golf club. In fact, virtually every workout results in micro-injuries as the body i s torn down and then rebuilt through rest and recovery. As a society, we have been conditioned to believe that symptoms are bad and that the key to health and recovery is their removal. However, symptoms are actually part of the body’s healing and repair process “Symptoms represent the body’s best efforts to heal itself. By treating symptoms, you are suppressing the body s natural response and inhibiting the healing process. Instead of treating symptoms, doctors should stimulate the body’s defenses to allow for completion of the healing process.” 6 Dr. Stephen Cummings If you had a fire in your house, you would not cut off the alarm and then relax, thinking that the fire is gone. The same thing happens to your body when you continue to ignore or mask symptoms. This is why athletes often develop chronic injuries. “Many treatments, compounds and medications claim to speed the rate of healing. I have not read a single scientific article that demonstrates that healing time can be increased artificially. You cannot beat nature. All doctors can do is to be very careful that they do not slow down the natural healing process.” 7 William Southmayd, MD
More sports-related non-fatal injuries are treated in hospital departments than any other type of unintentional injury. Standard medical procedures may be necessary when an athlete is injured.
Traditional medical professionals specialize in the management and care of fractures, dislocations, lacerations and damaged tendons and ligaments.
However, many athletes leave the hospital with as much spinal stress (subluxations) as they were suffering from when they entered.
Doctors of Chiropractic focus on the entire structure of the body rather than just the obviously injured part. For this reason, they can often detect and help to prevent an injury that might normally be overlooked or ignored.
“Chiropractic has helped thousands of athletes, amateur and professional overcome an injury without resorting to surgery.” 9
Because Doctors of Chiropractic are experts in the field of human biomechanics, they are very aware of proper posture and movement. By observing an athlete in action, a Chiropractor can often detect and prevent a structural problem that can lead to injury or poor performance. Athletic injures are often caused by improper biomechanics or muscle imbalances within the spine.
Athletes have also discovered that Chiropractic care allows them to achieve an optimal level of performance when training and competing in their respective sporting event A proper biomechanical structure allows athletes to achieve and maintain their optimal level of performance-safely and naturally. There is a growing body of research and case studies, which clearly show the relationship between Chiropractic care and athletic performance.
A Canadian research team included Chiropractic care in the rehabilitation program of sixteen injured female long distance runners. Not only did these runners recover quickly, seven of them actually scored “personal best” performances while under Chiropractic care. 10 The extent of Chiropractic’s “winning edge” was tested on fifty athletes who were divided into a control group and a group, which added Chiropractic care to their usual training procedures. After six weeks, the group under Chiropractic care scored significantly better on standard tests of athletic ability. When tested on their reaction time, the control group demonstrated less than one percent improvement, while the Chiropractic group achieved reaction times more than eighteen percent faster than their initial scores. 11
A landmark research effort from the New Zealand School of Chiropractic and the University of Auckland, has evaluated the effects chiropractic adjustments may have on reaction times. Two groups were tested to study variations in reaction times; one group received spinal adjustments, while the other group, only receiving a short period of rest, acted as a control group for comparison. There was a marked improvement for the group that received an adjustment over the group that received nothing but rest. The group that got only a rest period did show an average decrease in reaction time: 58 milliseconds, an 8% faster reaction time. The group that received the chiropractic adjustment showed a decrease in reaction time of 97 milliseconds, representing a 14.8% faster reaction time.12
The implications for these findings are far reaching for any activity in the game of life, and the data can objectively support anecdotal evidence of enhanced athletic performance under chiropractic care. The ability to react more quickly to any of the demands life can impose provides added performance enhancement benefits for athletes, who rely on optimum reaction reflexes to perform at their maximum competitive capacity. Field based practice experiences indicate that chiropractic care appears to both enhance an athlete s ability to perform and to recover from injuries when they occur; this study provides objective evidence that a vital component of athletic performance rapid reaction time is markedly improved through the chiropractic adjustment.
TOP ATHLETES UTILIZE CHIROPRACTIC CARE FOR BETTER PERFORMANCE “Athletes are always looking for ways to improve their performances on the field; Chiropractic is one of the best ways to accomplish this.” Dr. Nick Athens, Team DC San Francisco 49ers “I definitely try to get on a basis where I use Chiropractic at least twice a week. I would say definitely say that it helps me to perform at a higher level.” Emmit Smith, Dallas Cowboys
“My shooting has improved because of Chiropractic. If feel more balanced and have more coordination and control. Since I have been under Chiropractic care, I have improved by leaps and bounds.” Gerald Wilkins, New York Knicks “Chiropractic is essential for running. If I could put a percentage value on it, I would say that I compete 8-10% better from regular Chiropractic.” Dan O’Brien, Olympic Decathlete
“I have to have an adjustment before I go into the ring. I do believe in chiropractic. I found that going to a chiropractor three times a week helps my performance. The majority of boxers go to Chiropractors to get that extra edge.” Evander Holyfield, Heavyweight Boxing Champion
More than 700,000 children under the age of 15 are taken to the hospital emergency room for treatment of sports-related injuries. In fact, children between the ages 11-15 account for 55% of all sports-related injuries that require hospitalization.14 Sports and recreational activities account for 4.3 million or 36% of all injuries to children in the United States.15
The increase in emergency-related injuries for children includes well-known injuries such as broken arms and twisted ankles-these injuries are certainly not new. What is new; however, are the types of children s sports injuries seldom seen in past generations. They are overuse injuries caused by small, but repetitive injuries to the body s tissues, joints and spinal column resulting in chronic health conditions.
Chiropractic adjustments for children of all ages are of tremendous benefit for the treatment and prevention of injuries and to maximize performance potential. Chiropractic s focus on the spine and nervous system is also important for children, since it is their nervous system, which controls their entire growth and development
CHIROPRACTIC FACTS Chiropractic is the fastest-growing and second-largest primary health care profession. Doctors of Chiropractic receive extensive, demanding professional education on par with medical doctors (MDs) and osteopaths (DOs). Doctors of Chiropractic are primary health care providers. Doctors of Chiropractic are licensed in all 50 states. Chiropractic is recognized by governmental health care programs. The Doctor of Chiropractic is an effective source of preventative and wellness care. The process of chiropractic adjustment is a safe, efficient procedure which is performed nearly one million times every working day in the United States.
- Stump, J, DC, Redwood, D, DC, JMPT, March/April 2002, Volume 25 – Number 3, The use and role of sport Chiropractors in the National Football League
- Wyke, B (1987) Backache Diary 3. Harris, T. The Sports Medicine Guide
- Lennon, J. (1994, Jan.) American Journal of Pain Management
- S News and World Report, (1989, July 31)
- Cummings, S. Everyone s Guide to Homeopathy, Putnam Publishing, New York, 1997
- Southmayd, W. MD Sporthealth, p.35
- Edwards, J. PhD (1994, Aug) “Nerve dysfunction and tissue healing” Journal of Neurological Science” p. 146
- Edelson, E. Sports Medicine, p. 68
- Grimston, SK, Engsberg JR, Shaw L &Vetanze NW, (1990) “Muscular rehabilitation Prescribed in coordination with prior Chiropractic therapy as a treatment for sacroiliac subluxations in female distance runners” Chiropractic Sports Medicine p.2-8
- Lauro, A. &Mouch B. (1991) “Chiropractic Effects of Athletic Ability” “The Journal of Chiropractic Research and Clinical Investigation” pp. 84-87
- Kelly DD, Murphy BA, Backhouse DP, J Manipulative Physiologic Therapeutics 2000 May; 23(4):246-51. Use of a mental rotation reaction time to measure the effects of upper-cervical adjustments on reaction time.
- Christensen, K. DC, (1997, May/June). Sports Related Back Injuries in Young Athletes. The American Chiropractor
- Zipperer, R. MD (1996, March) Sports Sense Consumers Research Magazine
- Bijur, P.E. MD (1996, March) Incidence of Sports Injuries in Children and Adolescents American Family Physician, p. 1349
Chiropractic Sports Physician has the tools and skills
Chiropractic care is one of many forms of natural health care, specifically a non-invasive, drug-free alternative that can help patients find relief from a variety of musculoskeletal issues. Athletes in particular, can greatly benefit from chiropractic treatments both before and after they practice and perform.
Professional sports leagues, including Major League Baseball (MLB) and the National Football League (NFL), have recognized these benefits for years. In fact, most professional teams employ their own official sports chiropractor. National University of Health Sciences (NUHS) graduates Marc Legere, Doctor of Chiropractic (DC), and Randy Cybulski, DC, (who himself was an NFL player) have also treated these professional athletes in private practices.
Beyond the United States, athletes from many other parts of the world utilize chiropractic treatment. As Dr. Carlo Guadagno noted:
“At the 2016 Olympics Games, I treated these athletes first-hand. As part of the Olympic Village polyclinic sports medicine staff, I saw a wide variety of treatment needs. Many athletes were referred to us for neck, lower back, and extremity conditions. We helped them achieve their goals by getting them back into play after an injury, or helping them increase their strength and flexibility so they could perform at their optimum level.”
A chiropractic sports physician has the tools and skills necessary to optimize the performance of an individual’s musculoskeletal system, as well as their nervous system. This specialized training allows sports chiropractors to provide therapies that are geared towards maintaining strength and rebounding after an injury. It’s also important to help athletes avoid injuries altogether, or if that’s not possible, to effectively manage the associated pain and healing.
One factor that is relatively consistent among top athletes is their constant desire to improve their sports performance. Additionally, when this performance is hindered in any way, it can have a dramatic impact.
This is something Steven W. Whitelaw, DC, CCSP, has witnessed firsthand over his past 20 years as chiropractic provider for the Arkansas Razorbacks. In fact, he recalls one rather memorable experience in particular.
“We were about to play our first game at a college world series,” says Whitelaw, “and leaving the locker room to go to my seat, I saw our starting pitcher. He was over by the warm up cage and was very frustrated and distraught. I asked him what was wrong as he was usually very calm and collected before a start.”
The pitcher soon revealed that his wrist was hurting and the pain was so intense it was affecting his ability to throw accurately across the plate. Whitelaw conducted a quick evaluation, adjusted the athlete’s wrist and elbow, and had him throw a couple pitches.
Immediately, the player returned to his normal pre-game self and went on to pitch seven innings, helping the team secure a win. “He found me after and thanked me,” says Whitelaw, “saying if it weren’t for the adjustment, he would have had an awful night.”
While this is just one example of how chiropractic can benefit athletes, Whitelaw says that he and his team at Millennium Chiropractic Sports Medicine and Rehab in Fayetteville, Ark. —which includes Bobby R. Pritchett, DC, CCSP and David M. Sence, DC, CCSP — have identified seven specific ways chiropractic can boost sports performance.
- Better hand–eye coordination
Though hand-eye coordination is helpful for daily living activities such as using utensils to feed yourself and folding the laundry, it is absolutely critical for athletes wanting to master their sports of choice. Research has found that chiropractic can improve this level of coordination, especially if neck pain is present, by changing the interaction between the cerebellum and motor cortex.
- Improved reaction time
Studies have also found that chiropractic has a positive effect on reaction time, helping athletes respond more quickly to their opponents’ actions. For instance, one study published in the journal Trials involved 120 special-operation military personnel, individuals with extremely physical roles. After just one session, the participants receiving chiropractic care were able to complete a complex whole-body motor response task in less time.
- Faster recovery from concussions
Concussions, and their subsequent neck pain, are a major issue for athletes, with the Brain Injury Research Institute estimating that as many as 3.8 million recreation-related concussions occur each year within the United States alone. Whitelaw and his team have found that chiropractic helps reduce the players’ recovery time from this type of injury.
- Decreased healing time associated with other athletic injuries
Chiropractic is helpful for speeding healing time associated with other sports injuries as well. For instance, one survey of the National Football League revealed that chiropractors are often used to help these pro players heal from low back pain and a variety of other musculoskeletal issues, some of which include those related to “stingers” and “burners,” as well as play-related headaches.
- Reduced need for medications
Research indicates that athletes tend to use pain medications and oral antibacterials more often than the rest of the population. Additionally, many of these medicines negatively impact these players’ sports performance. Therefore, treating the cause of the original issue via regular chiropractic reduces the need for these types of medications, ultimately improving performance as a result.
- Increased muscular function
Muscular function is important in athletics because it allows for increased strength. According to one study published in the Journal of Manipulative and Physiological Therapeutics, spinal manipulation has been found to reduce muscle inhibition by 7.5 percent, an action that, by default, increases muscular function.
- Decreased joint stiffness and pain
Whitelaw and his team also note that chiropractic can decrease joint stiffness and pain, leading to increased mobility and, therefore, increased athletic function and proprioception. It’s highly effective too.
“After my second season with football, the assistant trainer and I took a look back over the past four years of time missed in practice and games due to low-back pain,” says Whitelaw. “That number dropped by almost 90 percent after starting regular chiropractic care both during the week and on game day.”
Sports performance can be improved with regular chiropractic care
Athletes have been benefiting from Chiropractic care for many years; however, it has only recently been receiving attention from the media. Athletes of all types, from the weekend warrior to the world-class athlete, utilize Chiropractic because it is a drug-free way to better health and performance.
Chiropractic adjustments help ensure that the body functions as efficiently as possible, which can maximize healing and recovery from all types of injuries.
“I would estimate that at least 90% of world class athletes use Chiropractic on a regular basis to prevent injuries and to improve their performance.” SEAN ATKINS, Ph.D. Exercise Physiologist
The following is just a partial list of athletes who use Chiropractic care: 31 percent of NFL teams use Chiropractors in an official capacity as part of their staffs and a full 77 percent of the trainers have referred to a Chiropractor for evaluation or treatment. A survey of certified NFL trainers revealed that 100% of them agree that players will use Chiropractic without referral from the team medical staff.
The science of Chiropractic is founded on the premise that a proper nerve supply is essential to controlling and re
Benefits of Chiropractic for Athletes
Whether they play in a neighborhood sports league or are elite competitors, an increasing number of athletes rely on chiropractic doctors who specialize in sports injury treatment to get them back in the game.
Traveling sports start at a younger age, which usually means more practices per week and tournaments multiple weekends per month. Tee ball starts by age 4. Travel baseball and football begins by age 8. Kids committing to one sport, also called specializing, is seen by middle school.
According to a study by The American Journal of Sports Medicine, athletes who specialize at a younger age are injured more often. Whether or not you agree with this practice, the fact is, it’s happening all over the country. Chiropractic medicine has a real niche in this environment as well as the knowledge base to treat these kinds of athletes.
Dr. Shelby Plante, a graduate of NUHS’ Florida Campus, notes that there are many benefits of applying chiropractic medicine to younger athletes, including:
- Chiropractic treatments can decrease recovery time.
Normal wear and tear occurs often to a healthy athlete’s body. A baseball pitcher uses a repetitive throwing motion. A volleyball player jumps, repeatedly blocking and hitting. A football player takes multiple body blows during a single game. At some point during a season, usually multiple times, an athlete experiences muscle fatigue and soreness. There are usually only one to two days between practices or games, and at times younger athletes need more than simple rest to get them game-ready.
After a practice or a game, a chiropractic physician may utilize soft tissue techniques such as massage or instrument-assisted soft tissue techniques to make the tissue more moveable and relaxed, decrease lactic acid, and improve blood flow. Physiotherapy equipment such as an ultrasound or cold laser may be utilized to help with areas that have exceptionally high inflammation. An adjustment may be provided to improve joint mobility. Recommendations for rehydrating properly and dietary adjustments to assist with athletic recovery may also be discussed.
Combining these options or others not discussed above, based off of the chiropractic physician’s expertise, will help younger athletes recover and be better-prepared for the next practice or game.
- Chiropractic treatments can assist in injury repair.
Each sport has body areas that are more prone to injury due to the stress the sport puts on the area. According to the American Orthopedic Society for Sports Medicine, dancers most commonly experience leg injuries, golfers experience arm injuries, lacrosse players experience knee issues and muscular strains—the list of sports injuries go on through each sport.
Once an injury occurs, the athlete and their family often want to return to their sport as quickly as possible. Many of these techniques discussed earlier can be modified by intensity and duration to assist in injury repair.
Adjusting joint segments that are no longer moving can enhance mechanical motion. Soft tissue techniques will improve muscle tone and blood flow to injured areas as well as decrease adhesions or buildup around injured areas. Ultrasound and cold laser, among other therapy options, can significantly reduce inflammation and pain levels felt by the athlete. In addition, Kinesio Taping can provide support and certain taping techniques can assist in blood flow to the injured area.
Most importantly, chiropractic physicians are trained to understand anatomical and physiological response to movement patterns, as well as optimal treatment options. It is imperative that the athlete’s doctor has an intimate understanding of injury repair, as well as the proper guidelines for safely returning the young athlete to his or her sport.
- Chiropractic treatments can lead to optimal wellness.
Taking care of an athlete’s body should not begin the first day of practice or after the first tournament of the season. Athletes should focus on body awareness, health, and optimal function all year.
A chiropractic physician can assist an athlete in proper diet and nutrition, sleep guidelines, and proper training strategies that should be utilized as a life-long habit. Proper spinal and extremity alignment through adjustments, body mechanic evaluation, and gait analysis can assist with muscular patterns and development that are essential in a developing youth athlete.
By continually keeping an athlete’s body in his or her healthiest form, he or she will train more efficiently and effectively year round.
- Chiropractic medicine plays a vital role in supporting the athlete as a whole.
With athletes training year round and specializing at a younger age, there should be a team in place to assist the athlete in being the best he or she can be. Although sports for younger athletes do not have a formal medical team established like college or professional sports teams, they should still have a support team that is entrusted with their care.
For example, a trainer helps with muscle development and ligament/tendon stability, while the coach teaches young athletes how to play a sport and develop a love for the game. A chiropractic physician, on the other hand, plays a vital role in facilitating whole body wellness.
Before beginning a sport, the child’s physician should complete a thorough physical exam to ensure the child is healthy enough to participate in the activity. Some states allow the primary care physician to be a chiropractor. Other states have differing guidelines. Check your state for specific requirements.
- More time and attention from their doctors
Chiropractic doctors typically spend more time with each of their patients than MDs. Chiropractic treatment includes a whole health assessment to ensure there are no underlying issues that may be contributing to an injury, or have the potential to cause future problems. They will continue to evaluate progress with each visit.
NUHS graduate Lindsey Polaskey, DC, says she often sees sports enthusiasts such as gymnasts, runners, crossfit athletes, and baseball players at Impact Sports Rehab and Chiropractic in Oswego, Ill.
“Growing up, I was a gymnast and often dealing with injuries,” recalled Dr. Polaskey. “I saw many orthos and other doctors. They didn’t seem to listen or understand my sport or individual injury. My parents eventually took me to a chiropractor,” she explained. “It was refreshing to have someone take the time to make an individualized plan of care and action.”
Curious about Chiropractic ?
Ultimately, if you’re an athlete who wants to maintain your physical strength and range of motion, or if you want to recover from an injury without the use of prescription drugs and invasive treatments, you may want to consider seeing a chiropractic doctor on a regular basis. You may be surprised by how much better you feel and how much your performance improves when your body is in alignment and pain-free!
