Acupuncture & spinal adjustment offer a holistic approach to managing pain, improving mobility, and supporting overall wellness. By combining acupuncture therapy with chiropractic spinal manipulation, you tap into complementary techniques that address musculoskeletal issues, stress, and functional limitations. Whether you’re dealing with chronic back pain, tension headaches, or joint stiffness, integrating these therapies can help you reduce reliance on medications and enhance your quality of life.
understanding integrative care
what acupuncture therapy is
Acupuncture involves inserting fine, sterile needles into specific points along your body’s meridians to stimulate healing responses. This practice promotes release of neurotransmitters such as serotonin and endorphins, which modulate pain perception and improve blood flow around irritated nerves [1]. Acupuncture sessions typically last 20 to 40 minutes and are noninvasive, making it a low-risk option for addressing chronic discomfort.
what spinal adjustment is
A spinal adjustment, or spinal manipulation, is performed by a licensed chiropractor who applies controlled force to targeted vertebral joints. This high-velocity, low-amplitude thrust aims to restore joint mobility, reduce muscle tension, and improve nerve function [2]. You might hear a popping sound as gas is released from the joint capsule—this is normal and should not cause pain. Most patients experience almost immediate relief, though you may feel mild soreness similar to post-exercise for 24 hours [3].
how they work together
When you combine acupuncture with spinal adjustment, you address both the structural and neurological aspects of pain. Acupuncture can prime your nervous system to respond more effectively to manual therapies, while adjustments help align your spine, promoting better circulation to acupuncture points. Research shows that this integrative approach can lead to greater pain reduction and functional improvements than either therapy alone [4].
benefits of combined therapy
enhanced pain relief
By blending acupuncture and spinal manipulation, you tap into two distinct pain-modulating mechanisms. Acupuncture needles stimulate A-beta and A-delta fibers, which inhibit pain transmission in the dorsal horn, while chiropractic adjustments mechanically relieve joint restrictions. A trial on lumbar disc herniation patients found that those receiving both acupuncture and spinal manipulation saw a 63% to 68% decrease in pain scores at 3-week and 3-month follow-ups, outperforming either treatment alone (Frontiers in Medicine, 2024).
improved mobility and function
Stiffness and limited range of motion often accompany chronic pain. Adjustments realign vertebrae, reducing nerve compression and muscle spasm. At the same time, acupuncture sessions loosen soft tissues and address trigger points. In a systematic review of 22 randomized controlled trials (2,588 patients), acupuncture significantly improved physical function at immediate, short-term, and long-term follow-ups, with standardized mean differences ranging from –1.74 to –0.89 [5]. When combined with spinal adjustments, you can expect synergistic gains in flexibility and daily performance.
stress reduction and wellness
Chronic pain often stems from or exacerbates stress, creating a cycle that hinders recovery. Acupuncture promotes deep relaxation by balancing your autonomic nervous system, and chiropractic care eases muscular tension associated with stress postures. Together, they help reduce anxiety, improve sleep quality, and support mental well-being. Many patients report feeling calmer and more centered immediately after integrative sessions, laying the groundwork for long-term lifestyle improvements.
safety and side effects
Both acupuncture and spinal adjustment are generally safe when performed by licensed practitioners. Mild side effects—such as local soreness, brief fatigue, or minor bruising—typically resolve within 24 to 48 hours. Serious complications are rare: serious adverse events after spinal manipulation occur in roughly 1 in 20,000 to 1 in 250 million treatments [6], and acupuncture adverse events are mostly limited to transient needle-site discomfort. By choosing a reputable integrative clinic, you minimize risks and optimize your safety.
examining the evidence
spinal manipulation studies
Chiropractic adjustments have strong support for certain types of low back pain. Mayo Clinic notes that spinal manipulation is effective for acute and chronic lower back pain and can also help with neck pain and headaches [2]. A review of 118 systematic analyses found that higher-quality reviews were more likely to conclude that spinal manipulative therapy (SMT) is safe, although evidence quality remains variable [6].
acupuncture clinical trials
A 2025 NIH-funded BackInAction trial demonstrated that older adults with chronic low back pain who received up to 15 acupuncture treatments over three months experienced greater improvement in physical function and reduced pain intensity compared to those who received usual medical care alone, with benefits lasting up to 12 months [7]. The trial highlighted acupuncture’s safety profile, supporting it as a non-addictive alternative to medication.
combined treatment research
Multiple studies underscore the added value of integrative sessions. In one clinical report, a patient with chronic tension-type headaches and migraines achieved a 90% reduction in headache intensity after five combined acupuncture and spinal manipulative therapy sessions, with no recurrence at one year [8]. The synergistic mechanism involves activation of large-diameter nerve fibers and modulation of neurotransmitters like GABA, glycine, and serotonin, creating a powerful analgesic effect.
preparing for your sessions
initial consultation process
Your first visit typically begins with a comprehensive evaluation of your medical history, pain patterns, and functional goals. Expect to discuss any previous treatments, medications, and lifestyle factors. Your practitioner will perform a physical exam, which may include orthopedic and neurological assessments, to determine whether acupuncture & spinal adjustment suit your condition.
typical session procedures
During an integrative session you may receive acupuncture first, followed by chiropractic adjustment—or vice versa—depending on your care plan.
- Acupuncture: We’ll clean targeted areas, insert needles, and allow them to rest for 20 to 30 minutes. You should feel minimal discomfort—often described as tingling or pressure.
- Spinal adjustment: You’ll lie on a treatment table while the chiropractor applies controlled thrusts to specific vertebrae. Adjustments are quick, precise, and may produce a popping sound.
post-treatment care
After your session you may rest briefly in the clinic’s recovery area. Drinking water, gentle stretching, and applying a heat pack can help alleviate mild soreness. Your practitioner may recommend follow-up stretches or home exercises to support lasting benefits. Consistent care—typically 4 to 8 sessions over several weeks—tends to yield the best results.
choosing the right provider
credentials and certifications
Look for practitioners who are licensed by your state’s chiropractic board or certified by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). This ensures they meet rigorous education and safety standards.
clinic offerings and services
An integrative provider should offer both disciplines under one roof, streamlining your care. Search for acupuncture and chiropractic center or acupuncture clinic associated with chiropractor to find clinics that coordinate schedules, share medical records, and build unified treatment plans. You might also explore integrative chiropractic acupuncture or holistic chiropractic acupuncture combo options.
patient reviews and referrals
Personal recommendations and reviews can highlight real-world outcomes. Ask friends or family if they’ve tried combined therapies—many people seeking holistic pain relief charlotte or natural pain therapy charlotte report high satisfaction with integrative care. Online testimonials often mention improved function, reduced medication use, and better overall well-being.
taking the first step
booking your appointment
Most clinics allow online scheduling or a quick phone call. Be ready to share basic health information and your primary concerns. Early morning or late-afternoon slots can fit busy schedules. Clinics offering chiropractic + acupuncture services or acupuncture and chiropractic bundle may have promotional packages for new patients.
creating a personalized plan
Your practitioner will develop a customized roadmap based on your goals—whether that’s targeting acupuncture for back and neck pain, addressing acupuncture for musculoskeletal pain, or easing acupuncture for joint pain. A balanced plan often includes lifestyle advice, ergonomic tips, and supplemental therapies such as exercise or nutrition counseling.
integrating with other therapies
Integrative care extends beyond acupuncture & spinal adjustment. You may benefit from complementary therapies chiropractic such as massage, physical therapy, or dry needling. Many clinics also provide integrated wellness services and bowker integrative wellness care to support your journey toward lasting health.
By choosing acupuncture & spinal adjustment today, you embrace a patient-centered, evidence-based approach to holistic pain management. This combined therapy can help you reduce discomfort, improve function, and restore confidence in your body’s ability to heal. Take the first step by scheduling a consultation with an experienced integrative team and discover how these time-tested modalities can transform your wellness journey.


