Solved! Why Do Doctors Disagree With Chiropractors?

doctor disagreeing with chiropractor assessment

Many patients find themselves caught between their medical doctor’s advice and their interest in chiropractic care. While both fields aim to relieve pain and improve health, they often take different approaches, leading to disagreements between medical doctors and chiropractors.

Despite studies showing that medical and chiropractic treatments can be effective, the tension between these professions has persisted for over a century. Understanding the reasons behind this divide can help patients make informed decisions about their care.

🔑 Key Takeaways

✅ The divide between medical doctors and chiropractors dates back to 1895 when D.D. Palmer introduced spinal adjustments, leading medical groups to challenge chiropractic legitimacy.

✅ Medical doctors focus on drugs and surgery, while chiropractors rely on spinal adjustments and natural healing, creating fundamental differences in treatment philosophy.

✅ Limited research funding and fewer clinical trials on chiropractic care lead many doctors to question its scientific backing.

✅ Collaboration is increasing as more hospitals integrate chiropractors into their medical teams to provide drug-free pain relief.

✅ Medical education is evolving, with more doctors learning about chiropractic benefits, helping bridge the gap between these professions.

doctor discussing issues with chiropractor

⚖️ The History Behind the Disagreement

Tensions between medical doctors and chiropractors began in the early 1900s when D.D. Palmer introduced chiropractic care. The medical community saw this new practice as a threat rather than a complementary form of healthcare.

🔹 Early Opposition from Medical Groups

As chiropractic care grew in popularity, medical associations—including the American Medical Association (AMA)—actively worked to discredit it. They argued that spinal adjustments lacked scientific support and limited chiropractors’ ability to practice by imposing strict licensing requirements.

Chiropractic treatments were labeled as “unscientific,” leading to negative press campaigns that shaped public and professional perceptions for decades.

🔹 Competition Between Medical and Chiropractic Practices

At the heart of the divide is a competitive struggle for patients.

  • Medical doctors use medications, physical therapy, and surgery to treat pain and injuries.
  • Chiropractors use hands-on spinal adjustments and manual therapies, focusing on drug-free, natural healing.

Because chiropractors cannot prescribe medication or perform surgery, many medical professionals hesitate to refer patients to them, often because they are unfamiliar with chiropractic methods.

Despite this history, chiropractic care has gained greater acceptance over time, with some doctors recognizing its effectiveness in treating certain conditions.

🔍 Key Reasons for Disagreements

1️⃣ Difference in Treatment Philosophy

The fundamental difference between medical doctors and chiropractors lies in how they approach healing.

🔹 Medical doctors (MDs) focus on treating diseases and symptoms using medications, physical therapy, and surgery.

🔹 Chiropractors (DCs) believe that spinal misalignments contribute to various health issues and use spinal adjustments to restore function and reduce pain.

This difference leads to skepticism among medical doctors, who often see spinal adjustments as too narrow a treatment for complex conditions.

“Many medical doctors are trained to look for chemical imbalances or structural abnormalities as the root cause of pain, while chiropractors focus on restoring normal joint function and movement. Both perspectives have value, but integrating them leads to better patient outcomes.” — Dr. Evan Norum, DC, Advantage Chiropractic

2️⃣ Perceived Lack of Scientific Evidence

One of the main criticisms from the medical community is that chiropractic care lacks large-scale, high-quality clinical trials.

🚩 Why is there less research on chiropractic treatments?

  • Limited research funding—Pharmaceutical companies fund most medical studies, but chiropractic care doesn’t rely on medications, making funding scarce.
  • Smaller sample sizes—Many chiropractic studies lack the large patient populations seen in drug trials.

While growing evidence supports chiropractic care for back and neck pain, some doctors hesitate to recommend it due to the lack of long-term studies on its effectiveness.

🤝 Areas of Agreement and Collaboration

Despite past conflicts, the relationship between medical doctors and chiropractors is improving. More doctors now recognize chiropractic care as a legitimate option for pain relief.

✅ 1. Shared Goals in Patient Care

Both chiropractors and medical doctors want to:
✔️ Reduce pain and improve mobility
✔️ Avoid unnecessary surgeries and medications
✔️ Enhance patient well-being

This common goal has led to increased cooperation, especially in treating:

  • Chronic back pain
  • Neck pain
  • Muscle and joint issues

✅ 2. Growing Recognition of Chiropractic Benefits

Research has shown chiropractic adjustments can be effective for certain conditions, leading to more doctors referring patients to chiropractors.

Studies show that spinal adjustments can help:
✔️ Reduce lower back pain
✔️ Improve mobility in neck pain sufferers
✔️ Decrease dependence on opioids for pain management

As a result, some hospitals now include chiropractors on their medical teams, combining chiropractic adjustments with physical therapy and medical care.

“The medical field is starting to acknowledge that spinal mobility and alignment play a huge role in pain management. Chiropractors help restore movement and function, which can reduce the need for invasive procedures.” — Dr. Evan Norum, DC, Advantage Chiropractic

🔎 Addressing Misconceptions

📚 1. The Role of Education and Research

One of the biggest barriers between doctors and chiropractors is misinformation. Many doctors receive little to no training in chiropractic care in medical school, leading to outdated views.

  • More medical schools now include chiropractic topics in their curriculum, helping doctors better understand its role.
  • Chiropractors undergo extensive education, often including four years of specialized training, yet some medical professionals underestimate their qualifications.

By increasing awareness and collaboration, both fields can work together to provide well-rounded patient care.

🔚 Conclusion: A Shift Toward Cooperation

Medical doctors and chiropractors have operated in separate worlds for decades, often competing rather than collaborating. But as research evolves and patient demand for alternative treatments grows, the gap between these two professions is slowly narrowing.

While differences in treatment philosophy remain, many doctors now acknowledge chiropractic care as a valid approach to pain management—especially for spinal and musculoskeletal conditions.

🚀 The Future of Integrative Healthcare

✅ More hospitals and clinics are incorporating chiropractic care into treatment plans.
✅ Doctors and chiropractors are working together to find the best drug-free solutions for pain relief.
✅ As medical education expands, more doctors understand the benefits of chiropractic adjustments.

For patients, this means better access to a variety of healthcare options—ensuring more choices for safe and effective pain relief.

doctor evan norum

About the Author

Dr. Evan Norum, co-owner of Advantage Chiropractic in New Berlin, WI, holds a Doctorate of Chiropractic from Northwestern Health Sciences University. Inspired by personal experiences with chiropractic care, he specializes in family-based treatments and is board-certified in chiropractic care, neuropathy, and the Torque Release Technique®. With internships at leading chiropractic centers and co-founding Advantage Chiropractic in 2017, Dr. Evan Norum is dedicated to promoting health from within.