"Is chiropractic care actually backed by science?" It is one of the most common questions we hear — and a fair one.

The short answer: yes, especially for several well-studied conditions.

Strong evidence:

• Low back pain — Multiple systematic reviews (including Cochrane) support spinal manipulation as effective for acute and chronic low back pain.
• Neck pain — Combined manipulation and exercise outperforms either alone.
• Cervicogenic and tension headaches — Manual therapy reduces frequency and intensity.
• Sciatica — Effective as part of a multimodal approach.

Recognized internationally: Chiropractic is regulated in the Netherlands through the NCA, and recommended in many international guidelines (including the Lancet Low Back Pain Series).

Good chiropractic care is patient-centered, evidence-informed, and integrates with the broader healthcare system. At TOPCHIRO we work with measurable outcomes so you can see your own progress.