US Chiropractic Market Size, Share, Latest Insights and Forecast 2026-2034

IMARC Group has recently released a new research study titled “US Chiropractic Market Size, Share, Trends and Forecast by Designation, Location, and Region, 2026-2034”, offers a detailed analysis of the market drivers, segmentation, growth opportunities, trends and competitive landscape to understand the current and future market scenarios.

Market Overview

The US chiropractic market size reached USD 5,199.73 Million in 2025 and is projected to reach USD 9,959.12 Million by 2034, growing at a CAGR of 7.49% during the forecast period 2026-2034. Key growth factors include legislative support like the Chiropractic Medicare Coverage Modernization Act, expansion of franchise networks led by major companies such as The Joint Corp, and increasing recognition of chiropractic care as a non-opioid alternative for pain management per CDC guidelines.

Study Assumption Years

• Base Year: 2025

• Historical Years: 2020-2025

• Forecast Period: 2026-2034

US Chiropractic Market Key Takeaways

• Current Market Size: USD 5,199.73 Million in 2025

• CAGR: 7.49% (2026-2034)

• Forecast Period: 2026-2034

• Legislative support through acts like the Chiropractic Medicare Coverage Modernization Act is expanding chiropractic access.

• Franchise models, especially in suburban regions, are rapidly expanding service accessibility.

• Growing clinical acceptance of chiropractic care as a safer opioid alternative supports increasing adoption.

• Digital health integration, including telehealth and AI for practice management, improves operational efficiency.

• Challenges include inconsistent insurance coverage, misconceptions about chiropractic credibility, and fragmented state regulations.

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US Chiropractic Market Growth Factors

Expansion of Legislative Support and Franchise Networks

The US chiropractic market is propelled by legislative initiatives like the Chiropractic Medicare Coverage Modernization Act, facilitating broader Medicare chiropractic coverage and improving access, especially for aging populations. Franchise networks led by major players such as The Joint Corp pursue aggressive expansion strategies, especially in suburban regions where real estate costs are lower and demand for wellness services is growing. These networks offer fixed pricing, walk-in services, and standardized care, enhancing patient accessibility and operational efficiency.

Growing Recognition as a Non-Opioid Pain Management Alternative

The market benefits significantly from increasing clinical evidence promoting chiropractic care as an effective alternative to opioid-based pain management aligned with CDC guidelines. This trend drives higher patient adoption and integration into healthcare systems as providers seek non-pharmaceutical treatments for musculoskeletal conditions. The rising public awareness surrounding musculoskeletal health and preference for non-invasive therapies further fuels demand.

Technological Advancements and Digital Health Integration

Artificial intelligence and digital health technologies are transforming chiropractic practice management by automating electronic health records, insurance billing, and documentation, reducing administrative burdens. Telehealth platforms with AI capabilities expand access for remote consultations and follow-ups, especially in underserved areas. Additionally, advanced equipment such as spinal decompression machines, posture-tracking wearables, and remote monitoring sensors improve treatment accuracy, patient outcomes, and operational efficiencies.

US Chiropractic Market Segmentation

Breakup By Designation:

• Clinic: Traditional chiropractic clinics offering standard chiropractic services.

• Wellness Center: Facilities providing holistic care including chiropractic services alongside other wellness treatments.

• Rehab Center: Centers focusing on rehabilitation therapies incorporating chiropractic care.

• Franchise: Chain-based models offering standardized chiropractic services across multiple locations.

Breakup By Location:

• Urban: Chiropractic services located in metropolitan and city centers.

• Suburban: Facilities situated in suburban areas catering to growing residential communities.

• Rural: Clinics operating in rural and less densely populated regions.

Breakup By Region:

• Northeast: Regional chiropractic market covering North-eastern US states.

• Midwest: Market sector encompassing Midwestern states.

• South: Southern US regional market.

• West: Western US regional chiropractic market.

Regional Insights

The report provides a comprehensive analysis of all major US regions: Northeast, Midwest, South, and West. Specific region-wise market statistics such as market shares or CAGR are not provided in the source. However, franchise expansion and accessibility improvements are noted prominently in suburban areas across these regions.

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Recent Developments & News

• In September 2025, the US House approved an amendment to restore chiropractic services at military bases addressing opioid concerns among active-duty personnel. This amendment, introduced by Rep. Greg Steube, aims to reopen closed clinics and enhance pain management options and is part of the National Defense Authorization Act, awaiting Senate consideration.

• In April 2025, Dr. Ivi Bifsha launched Spine Labs, a chiropractic franchise focused on standardizing non-surgical spine treatment, with two locations sold and a startup cost of USD 200,000 emphasizing affordability and consistency.

Key Players

• The Joint Corp

• Spine Labs

If you require any specific information that is not covered currently within the scope of the report, we will provide the same as a part of the customization.

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