Does Age Impact Chiropractic Outcomes? What New Research Tells Us About Low Back Pain Recovery

Arianna Aaron, DC • August 14, 2025

Low back pain (LBP) is one of the most common reasons people seek chiropractic care, and with good reason. It's the leading cause of disability worldwide and can significantly impact daily life, especially in older adults. As the global population continues to age, understanding how age affects treatment outcomes has never been more important.


A 2025 study published in Chiropractic & Manual Therapies took a closer look at how patients across different age groups respond to chiropractic care for low back pain. The findings may surprise you—and they highlight the importance of personalized, comprehensive care regardless of your age.



What the Study Found


Researchers followed over 2,700 patients who received chiropractic care for a new episode of low back pain. Participants were grouped by age:

  • Young adults (under 40)
  • Middle-aged adults (40–59)
  • Older adults (60 and older)


Key Findings:


  • All patients improved over time, regardless of age.
  • Older adults had slightly higher disability scores and slower improvement, but the differences were minimal.
  • Age was not the strongest predictor of how well a patient recovered.
  • Factors like depression, poor general health, multiple musculoskeletal conditions, and higher initial disability were more strongly associated with slower recovery.



Why This Matters


Many people assume that age is a barrier to recovery, but this study shows that age alone is not a limiting factor in chiropractic outcomes. While older adults may have more health concerns and take longer to improve, their results are still meaningful.


In fact, the research suggests that mental and physical health status, not age, plays a larger role in determining outcomes. This highlights the importance of a biopsychosocial approach, one that considers physical symptoms, mental health, and lifestyle factors in designing care plans.


Chiropractic Care Is Safe and Effective for Older Adults


Despite evidence supporting non-pharmacological care for older adults with back pain, many are still underrepresented in chiropractic settings. That may be due to outdated perceptions about safety or effectiveness.


This study reinforces what we see in our clinic every day:

  • Chiropractic care is safe, gentle, and tailored to your individual needs.
  • Older adults can experience significant improvements in function, comfort, and quality of life.
  • A thorough initial evaluation allows us to consider your complete health history and design a plan that supports your goals.



What We Do at Thrive


At our clinic, we don’t believe in one-size-fits-all care. Whether you’re a young athlete or an active senior, our approach focuses on:


  • Comprehensive assessments
  • Personalized treatment plans
  • Addressing underlying health factors
  • Supporting both physical and mental well-being


You’re not just a number or an age bracket—you’re a whole person, and we’re here to help you move and feel your best.


Ready to Get Back to Doing What You Love?


If you're dealing with low back pain and want a care team that looks beyond the surface, we’re here to support you. Let’s find out what’s really holding you back—and create a plan that works.


Based on: Hansen LA, Hartvigsen J, Jensen RK. Differences in demographics and clinical outcomes in older, middle-aged, and younger adults with low back pain receiving chiropractic care. Chiropractic & Manual Therapies. 2025.

Citation:

Chiropr Man Therap. 2025 Jul 31;33:31. doi: 10.1186/s12998-025-00589-w

https://pmc.ncbi.nlm.nih.gov/articles/PMC12315371/#:~:text=Conclusion,factor%20associated%20with%20disability%20outcomes

October 24, 2025
At our chiropractic office, we focus on more than just pain relief and alignment. True performance and recovery start with how well your body and brain communicate. A new study reminds us that inflammation, often seen as a purely physical issue, also impacts your cognitive performance. A recent cross-sectional study, “Inflammation and cognitive performance in elite athletes” (Wiedenbrüg et al., 2024), explored how inflammatory markers, metabolic hormones, micronutrients, and recovery status relate to cognitive functions in 350 elite athletes. The findings highlight how systemic inflammation and nutritional status influence brain performance, directly affecting how athletes think, react, and recover. Key Takeaways Inflammation matters for cognition. Elevated pro-inflammatory cytokines (like TNF-α) were linked to poorer working memory and reduced cognitive flexibility, particularly in athletes from closed-skill sports. Vitamin D supports brain performance. Higher vitamin D levels correlated with improved cognitive flexibility. Hormones, stress, and recovery are interconnected. Processing speed and attention were best explained by a mix of metabolic hormones and physiological/psychological stress levels. What This Means for Chiropractic Patients Chiropractic care supports nervous system balance, which plays a key role in inflammation regulation and brain–body communication. This research highlights that cognitive performance isn’t just about “mental focus”, it’s influenced by your physiology. Chronic inflammation can dull your brain. Even low-grade inflammation affects how quickly your nervous system processes information. Recovery is brain training. Sleep, nutrition, and stress management enhance both musculoskeletal and cognitive recovery. Chiropractic care supports total performance. By optimizing nervous system function and joint mobility, chiropractic helps reduce physiological stress and improve neuromuscular communication. Actionable Tips for Athletes and Active Adults Prioritize sleep and active recovery to reduce systemic inflammation. Support your body with anti-inflammatory nutrients (omega-3s, vitamin D, and antioxidants). Include regular mobility and chiropractic care to keep your nervous system adaptable and responsive. Address stress holistically, mental, physical, and nutritional. In Summary The brain and body are one system. Your training, recovery, and inflammation levels shape how effectively that system functions. Chiropractic care fits into this picture by helping regulate the nervous system, support recovery, and optimize both movement and cognition. Reference: Wiedenbrüg, C., et al. (2024). Inflammation and cognitive performance in elite athletes: A cross-sectional study. Brain, Behavior & Immunity – Health, 36, 101431. https://doi.org/10.1016/j.bbih.2024.101431
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