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Chiropractic is a hands-on method of improving the spine, posture and coordination of the body. It started in Canada with a gentlemans hearing being restored after his neck was adjusted by D.D Palmer, the first chiropractor. It is based on the principal that structural misalignments, called subluxations, in the spine affect the surrounding musculature as well as neurological output of the spinal levels causing back pain and neck pain as well as other health issues. Chiropractors use various techniques to correct the misalignments, from very gentle manoeuvres on the spine to manual manipulation, it is often accompanied with soft tissue methods such as trigger point therapy and massage, dry-needling and pelvic adjustments. The hands on care is also associated with a rehabilitation programme to ensure the structural changes are sustained. In the UK the training to become a chiropractor is 5 full time years and all Chiropractors must be registered with the General Chiropractic Council who govern the profession to ensure all patients recieve the highest standard of care.