The difference between evidence-based and 'vitalistic' chiropractic

Chiropractic has developed considerably in recent decades. While its roots lie in a vitalistic approach - the concept that so-called "subluxations" disrupt the flow of the body's own vital energy - modern chiropractic is increasingly based on scientific research, clinical experience and interdisciplinary collaboration. This modern approach is known as evidence-based chiropractic.

In Germany, however, many practices continue to work according to a more traditional, vitalistic model.

This can be confusing for patients who want safe, targeted and comprehensible treatment. A better understanding of these two approaches helps to make conscious and informed decisions for their own health.

What does evidence-based chiropractic mean?

Evidence-based chiropractic combines the latest scientific findings with clinical experience and the individual needs of the patient. The focus is on musculoskeletal disorders such as back pain, neck pain, poor posture, joint blockages and restricted movement.

Why this approach is convincing:

• Scientifically sound: Treatment is based on research and recognized medical guidelines.
• Targeted and measurable: progress is documented through tests and functional analyses.
• Interdisciplinary: Cooperation with general practitioners, physiotherapists and trainers is a matter of course.
• Transparent and individual: patients are actively involved in the treatment process.
• Adaptable: The therapy depends on the current condition, the goals and the progression.

In short: evidence-based chiropractic provides practical solutions for real complaints - at eye level, safely and comprehensibly.

Why is vitalistic chiropractic still so widespread in Germany?

In many German practices, the focus is still on a vitalistic understanding. The aim here is often to detect and correct subluxations in order to "normalize" the body's energy flow. The treatments are often sold as long-term health care - regardless of whether there is an acute complaint.

Why this approach is still so present:

1. lack of information

Chiropractic is poorly regulated in Germany and often misunderstood. Many people do not understand the difference between chiropractic, osteopathy and naturopathy, which is why they often choose a practice based on advertising rather than sound information.

2. little access to qualified chiropractors

Only a few chiropractors in Germany have completed an internationally recognized academic degree. Many who call themselves "chiropractors" have no formal training in modern chiropractic - this leads to major differences in quality and methodology.

3. strong influence of alternative healing methods

Germany has a long tradition of naturopathy. This can be enriching in many areas, but can also lead to non-scientifically based concepts being adopted without scrutiny.

4. simplified, emotional communication

Vitalistic chiropractic often uses catchy terms such as "holistic", "natural", "energy flow" or "self-healing". These seem appealing, but are often not scientifically proven.

What you should look out for in a vitalistic practice

Not every vitalistic practice is dubious - many work with great commitment. Nevertheless, it is important to critically scrutinize certain aspects:

Far-reaching promises without clear specialization

Be careful if a practice claims to solve a variety of health problems - e.g. asthma, allergies, ADHD or digestive problems - through back treatments alone. Reputable treatments explain clearly why and how a treatment can help.

Very frequent or long-term treatment plans

Some practices recommend comprehensive package solutions with 20, 30 or more sessions at the first appointment - without precise findings. Good care is based on your individual progress, not on prefabricated plans.

No well-founded examination or follow-up

A professional start to treatment requires a thorough medical history, physical examination and regular follow-up. Without this basis, there is no orientation for meaningful therapy.

Focus exclusively on subluxations

If the entire diagnosis and therapy is only aimed at correcting subluxations - without taking posture, movement, muscle strength or everyday life into account - this is an outdated model.

Differentiation from other healthcare professions

If you are advised to forego medical check-ups, physiotherapy or medical examinations, caution is advised. Good chiropractic sees itself as part of an integrative health network.

Open treatment rooms with several people at the same time

In some vitalistic practices, several patients are treated in one room at the same time - often with 3 to 8 treatment tables in parallel. Even if this is efficient from an organizational point of view, it often means that privacy, individual interaction and the opportunity to adapt therapy in a targeted manner are compromised. In evidence-based practices, the focus is usually on personal care.

Conclusion: Chiropractic should strengthen - not addict

Modern chiropractic means that you move more freely, feel better and understand your health. It should be transparent, individualized and scientifically based - not ideological or based on long-term contracts.

At Hender Chiropractic, we offer evidence-based, movement-oriented chiropractic care based on internationally recognized standards. Our aim is to strengthen you - with clear communication, functional tests and targeted measures that really suit you.

If you are unsure what type of chiropractic treatment you are currently receiving - or if you are curious about how modern chiropractic works - please feel free to contact us. Openly. Honestly.