Study: Use of Chiropractic in the VA Rising Steeply

Arlington, Va. –The use of chiropractic services in the Department of Veterans Affairs (VA) health care system has seen a steep rise over more than a decade, according to research published in the Journal of Manipulative and Physiological Therapeutics (JMPT), the official scientific journal of the American Chiropractic Association (ACA).

The study’s authors, who analyzed VA national data collected between 2004 and 2015, discovered an increase of more than 800 percent in the number of patients receiving the services of doctors of chiropractic. While authors attribute the increase to a natural growth of the chiropractic service, which was only implemented on-site at the VA in 2004, they also suggest it may be attributed to the successful performance of VA chiropractors and the perceived value of their care, among other factors.

“The fact that these services have expanded consistently and substantially beyond the minimum mandated level may suggest that some VA decision-makers perceive value in providing chiropractic care,” the study notes.

Key findings from the study show that:

  • The annual number of patients seen in VA chiropractic clinics increased by 821 percent;
  • The annual number of chiropractic visits increased by 694 percent;
  • The total number of chiropractic clinics grew from 27 to 65 (9 percent annually);
  • The number of chiropractor employees rose from 13 to 86 (21 percent annually); and
  • Female and younger patients received chiropractic care at VA clinics at a greater rate than the national VA outpatient population. “This demographic tendency is consistent with the cohort of veterans from the recent conflicts in Iraq and Afghanistan, which is known to have a high prevalence of musculoskeletal conditions,” the study authors note.

“ACA commends the VA for its important work to expand access to chiropractic services to the nation’s veterans,” said ACA President David Herd, DC. “It’s vitally important that all of our veterans have access to non-drug approaches to pain management such as those offered by chiropractic physicians, particularly in light of the opioid epidemic that is gripping our country. Many veterans returning from overseas suffer from musculoskeletal ailments, which respond well to chiropractic’s patient-centered and drug-free approach.”

Doctors of chiropractic – often referred to as chiropractors or chiropractic physicians – practice a hands-on, drug-free approach to health care that includes patient examination, diagnosis and treatment primarily of disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling.

Read the full study in JMPT.


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About the Journal of Manipulative and Physiological Therapeutics (JMPT)

JMPT is dedicated to the advancement of chiropractic health care. It provides the latest information on current developments in therapeutics, as well as reviews of clinically oriented research and practical information for use in clinical settings. The Journal’s editorial board includes some of the world’s leading clinical low-back and spine researchers from medicine, osteopathy, chiropractic and post-secondary education. The Journal of Manipulative and Physiological Therapeutics ( is) the official scientific journal of the American Chiropractic Association.

About the American Chiropractic Association

The American Chiropractic Association based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at