Chiropractors have an education in health care that consists of 4620 educational hours, more than a Physiotherapist (3,870) and less than a Medical Doctor (4,800) yet are not routinely employed within the NHS. There is no other profession that receives as many hours in body manipulation (adjustments) than Chiropractors in their undergraduate training.

I have published some figures derived from clinical audit presented as My Track Record. This data set is anonymous and the outcome measured was of an empirical nature and was compared to the Probability of Recovery Curve for Acute Low Back Pain (even-though my figures included all MSK pain presentations). I used the Curve as a validated ‘Placebo’. A placebo that admittedly does not take into consideration subsequent episodes of Back Pain (1). The area under the Curve is the active component of Chiropractic Care.

Subsequent episodes can be as a result of the Care delivered initially. Meaning the type of Care received at first episode can mean greater costs further down the track. The American Speciality Health Plans (ASHP) found 12% savings with Chiropractic Care and Medical Management for back pain over that of Medical Management only. Based upon a cohort of 1.7 million people over four years.

We all know posture is important yet it only takes a forward head carriage of 1.7cm to increase the risk of early death (1.44 OR), increase atherosclerosis, pulmonary disease and poor physical function (2). Posture can speak volumes about the ups and downs of the dynamic process of health.


  1. Fritz J.M. et al (2015) Importance of the Type of Provider Seen to Begin Healthcare for a New Episode of Low Back Pain: Associations with Future Utilisations and Costs. Journal of Evaluation in Clinical Practice
  2. Prospective Cohort Study of 1353 Subjects over 4 years in the Journal of The American Geriatrics Society 2004 Oct p1662