Could Chiropractic Help You Quit Smoking or Ease ADHD Symptoms?



Addictions and compulsive disorders are linked with a disruption in the release of neurotransmitters in the brain. This disruption has been linked with all addictions and compulsive disorders, and includes a wide variety of conditions including ADHD, PTSD, and eating disorders. Neurotransmitters are chemicals that carry and regulate signals between cells of the nervous system and other cells in the body. Dopamine is the neurotransmitter that controls the brain’s reward and pleasure centers, it motivates us, and regulates our movement and emotional responses. When dopamine is released, it acts on specific receptors in the brain and we interpret it as a “reward”.

In order for dopamine to be released at the reward site, a cascade of other neurotransmitters begins in the hypothalamus, which create a domino effect. Serotonin is released, which then stimulates enkephalin, which inhibits GABA, and regulates the amount of dopamine released at the receptor site. This organization is called the “Brain Reward Cascade” and maintains our overall sense of well-being and natural drives.

A genetic defect of one of the five dopamine receptors has been linked with substance abuse and compulsive behaviors. When the receptors do not receive enough dopamine, the individual requires more dopamine to feel good. This is known as Reward Deficiency Syndrome (RDS), and can lead to addictions and compulsive behavior involving alcohol, work, drugs, food, sex and risk-seeking behavior, such as gambling. Alcohol, nicotine, cocaine, marijuana, risk-seeking, and even sugar and carbohydrates cause activation and release of dopamine by the neurons.

The dopamine reward cascade can be disrupted due to genetic factors, or may become derailed simply by environmental stimuli. For example, a cigarette smoker may not have had a genetic predisposition for addiction, but after long-term smoking, the cigarette becomes a reward and the receptors are flooded with dopamine regularly. The neurotransmitter cascade becomes irregular and the individual maintains the reward schedule to maintain dopamine levels or they begin to feel moody and anxious.

The same dopamine receptor defect has been implicated in anorexia, bulimia, ADD, ADHD, Tourette’s syndrome, Asberger’s, most learning disabilities, some autism, and most dyslexia. Researchers have mapped the brain before and immediately following chiropractic treatment (using a low-force high-speed adjusting instrument) with brain electrical activity maps, p300 wave testing, and EEG to show restoration of an abnormal brain reward cascade to normal.

The proposed mechanism by which chiropractic adjustments may stimulate and restore the dopamine cascade is through neurons of the spinal cord that project directly to areas in the limbic system of the brain, the area concerned with instinctual drives and and basic emotions. It is thought that these pathways enable sensory information from the body, including pain, to effect autonomic, endocrine, and behavioral functions.

A randomized, placebo-controlled single-blind study utilizing subluxation-based chiropractic care was implemented with 98 patients from a residential treatment facility for drug addiction. One group received adjustments, one received placebo adjustments, and the other followed the general policies of the residential program. All of the chiropractic group completed the 28 day program, while only 75% of the placebo group and 56% of the usual care group did. After four weeks of treatment, the usual care group and the placebo group tested more likely to relapse, and the group receiving chiropractic care had a significant decrease in anxiety levels the other groups did not. Also, among the chiropractic group, only 9% made one or more visits to the nurse, while 56% of the placebo group and 48% of the usual care group spent time in the nurse’s office.

Chiropractic is not a treatment for addictions and successful recovery requires an addictions councilor, but it should be considered as an adjunct to every cessation program. Chiropractic adjustments are performed to allow the nervous system to express proper function. For an individual with RDS, this may increase their ability to cope with stress and decrease cravings, depression, and anxiety. In addition to chiropractic adjustments, holistic treatment protocols for Reward Deficiency Syndrome should include supplementation, auriculotherapy, proper nutrition and exercise.


Molecular Psychiatry: Increasing retention rates among the chemically dependent in residential treatment: auriculotherapy and subluxation-based chiropractic care

The American Chiropractor: Addiction: A Unique Chiropractor’s Pursuit of the Source

The Handbook of Abusable Drugs: “The Reward Deficiency Syndrome”:

Breakthrough Brain Research Links Chiropractic Treatment to Addictive Behaviors


10 Things Most People Don’t Know About Chiropractic



1. Pain is the last symptom of dysfunction.

A patient’s back is often restricted or unstable for months or years before it presents as a problem and they show up in a chiropractor’s office. In addition, the absence of pain is not health. While medication may be needed, if you take a pill and the pain goes away, the dysfunction that caused it still persists. Muscle, ligament and joint injuries often occur as a result of long-term biomechanical dysfunction, sometimes from past injuries, making the area more susceptible to future injury.

2. Athletes use chiropractors to stay well and perform better, not just for the occasional injury.

Athletes choose chiropractors because we are movement specialists. Chiropractors were spotted all over the Olympic coverage last year, and top athletes such as Michael Jordan, Tiger Woods, Michael Phelps, Tom Brady, Evander Holyfield, and Arnold Schwarzenegger have all been proud patients of chiropractors. These days it’s far more common than not for major athletes and sports teams to keep chiropractors nearby to help prevent injuries, speed injury recovery, improve balance and coordination, and give them a greater competitive edge.

3. The body does not perform as a cluster of separate mechanisms, but rather a cascade of events that all starts with proper control by the nervous system.

The nerves that travel through and control every function of your body originate at the spinal cord and their transmission may be disrupted if the joints of the surrounding spinal column are not moving properly. This disruption in biomechanical integrity combined with altered physiological function is what chiropractors call a subluxation. Below is a chart that illustrates the relationship of the spinal nerves exiting the vertebra branching off to the various organ systems. You can see why it is not uncommon for a chiropractor to treat a patient with mid-back pain who also suffers from irritable bowel system, a patient with a subluxated sacrum who has been unsuccessfully trying to become pregnant, or a patient with an upper back fixation and acid reflux.


4. Doctors don’t do the healing.

Sorry to disappoint you, but a chiropractor will never fix your back. What we are able to do is restore proper motion in the joints, which relieves tension on the nerves and muscles and allows your body to do the healing that it is inherently made to do. As chiropractors, we believe that the body is a perfect organism in its natural state, and all disease comes from a disruption in the body’s proper transmission of signals by the nerves which affects its ability to heal and to defend against disease-causing agents. We never treat disease. We assess to find which spinal levels are causing the disfunction, and we adjust it to restore proper nerve flow so the nervous system may work as efficiently and effectively as possible.

5. Chiropractic is for all ages.

Many seniors aren’t aware of the benefits of chiropractic care which can help them not only with pain relief, but also increase range of motion, balance and coordination, and decrease joint degeneration. There’s no patient too young for chiropractic either! Chiropractors check infants moments after birth for misalignments of the upper vertebrae that may occur as a result of the birth process. In addition to supporting overall health and well-being, parents also take their children to chiropractors to encourage healthy brain and nervous system development, to assist with colic, asthma, allergies, bed-wetting and sleeping problems, and to assist with behavioral disorders.

6. We know about more than your backbone!

This surprises many people who had no idea that chiropractors give advice on nutrition, fitness, ergonomics and lifestyle, screen for conditions unrelated to the musculoskeletal system and refer out to other practitioners when necessary. Chiropractors are also able to complete specialties in other areas such as pediatrics, sports rehabilitation, neurology, clinical nutrition, and addictions and compulsive disorders.

Other than particular specialties and the differences in learning to adjust and learning to prescribe medication, our training hours are not dissimilar from that of medical doctor. The following are the classroom hours for basic science requirements compiled and averaged following a review of curricula of 18 chiropractic schools and 22 medical schools.


7. Successful chiropractic patients accept responsibility.

When somebody says that they tried chiropractic and it didn’t help, I cringe and get the feeling that they really missed the boat. Of course, there are cases with complicating factors, but I have heard this from people with straightforward chiropractic problems when it is very clear what has happened here. In most cases, one doesn’t acquire back pain over night, and it’s not going to go away over night. If a weak core from years of sitting at your desk is to blame for the additional stress on your joints, I would expect an adjustment to provide relief, but once the condition is no longer exacerbated, I would most definitely prescribe some exercises for you to do at home. I might also suggest we evaluate your nutrition if I suspect an inflammatory diet may be wiring you for pain. Sure, I’m always happy to adjust someone and make a living, but if you’ve been given homework and you don’t do it, I better not hear you blame chiropractic when you’re hurting again!

8. Chiropractic may help you get sick less.

Studies have indicated that adjustments consistently reduce the production of pro-inflammatory mediators associated with tissue damage and pain, and may also enhance the production of immunoregulatory complexes important for healthy immune system defense. As far back as the deadly flu pandemic of 1917-1918, chiropractors noticed that their patients seemed to have fewer fatalities than among the general population and were able to publish their work in an osteopathic journal since no scholarly journals were accepting chiropractic data. The estimated death rate among patients of conventional medical care in the U.S. was estimated at 5 to 6 percent while the fatality rate among influenza cases receiving spinal adjustments was estimated at 0.25%.

9. “I heard I’ll have to go forever” is a myth.

You may want to go to your chiropractor forever once you’ve started because you didn’t realize how great getting adjusted is, but your doctor won’t expect you to come for continuous care without symptoms. Generally, if you come in with pain, once you’ve been treated for your initial complaint, you’ll be scheduled for a few more appointments to make sure proper motion is being maintained, then it will be recommended you return occasionally to be checked just like you would go to the dentist to get checked for tartar buildup and cavities. Of course, many people still choose to see their chiropractor weekly or monthly for wellness or maintenance care.

10. Adjustments don’t hurt.

There is no bone snapping or warrior-style pulling heads off spinal columns! The neck adjustment some chiropractors use causes anticipation for many new patients, but is actually much more gentle than they imagined, and involves a quick, direct thrust to a specific spinal bone. The sound an adjustment makes is called a cavitation and is only space being created within the joint causing gasses to be released from the joint capsule, which creates the popping or cracking noise. Also, chiropractic adjustments will not wear out your joints, as some imagine because they have been warned not to “crack their knuckles” for this reason in the past. Adjustments, unlike “knuckle cracking” or having your friend stomp on you while you lay on the carpet, are applied specifically to improve the motion of your joints and limit the small dysfunctions that over time can lead to arthritis. Most people after an adjustment describe the feeling as being “lighter”, having greater ease in moving the body, and being able to stand up taller.