U.S. Chiropractic Market Size, Share & Trends Analysis Report By Designation (Clinic, Wellness Center, Rehab Center, Franchise), By Location (Urban, Suburban, Rural), And Segment- Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2024-2033

The U.S. chiropractic market size reached USD 571.20 million in 2023 and is projected to hit around USD 5,946.48 million by 2033, expanding at a CAGR of 26.4% during the forecast period from 2024 to 2033.

Key Takeaways:

• The suburban segment dominated the market and accounted for the largest revenue share of around 63.0% in 2023.
• The rural segment is expected to advance at the fastest CAGR of 27.3% during the forecast period.
• The clinic segment accounted for the largest revenue share of around 46% in 2023.
• The franchise segment is expected to expand at the fastest CAGR of 28.6% over the forecast. period

U.S. Chiropractic Market Overview

The U.S. chiropractic market is a significant segment within the healthcare industry, providing alternative and complementary solutions to traditional medical care. Rooted in the principles of spinal health and nervous system function, chiropractic services have gained widespread acceptance and popularity across the nation.

U.S. Chiropractic Market Growth

The growth of the U.S. chiropractic market can be attributed to several key factors. Firstly, there is a rising awareness among consumers about the benefits of non-invasive and drug-free approaches to healthcare, leading to an increased demand for chiropractic services. Additionally, the growing emphasis on preventive healthcare has fueled interest in holistic treatment modalities, further driving the market's expansion. The integration of chiropractic care into mainstream healthcare practices has played a pivotal role, as medical professionals increasingly recognize its value in providing comprehensive and patient-centered solutions. Moreover, technological advancements, such as the use of digital imaging and telehealth services, have enhanced the efficiency and accessibility of chiropractic treatments. As the market continues to evolve, the collaborative efforts between chiropractors and other healthcare providers contribute to its sustained growth, offering diverse and effective solutions for individuals seeking musculoskeletal care.

U.S. Chiropractic Market Report Scope

U.S. Chiropractic Market Dynamics

Drivers

• Growing Consumer Awareness: The increasing awareness among consumers about the benefits of non-invasive and drug-free healthcare options has driven demand for chiropractic services.
• Preventive Healthcare Emphasis: A societal shift towards preventive healthcare has fueled interest in holistic approaches, with chiropractic care emerging as a proactive solution for maintaining overall health and well-being.

Restraints

• Insurance Coverage Challenges: Despite growing acceptance, a significant challenge in the U.S. chiropractic market is the inconsistency in insurance coverage for chiropractic services, limiting accessibility for some patients.
• Collaboration Barriers: Integrating chiropractic care into mainstream healthcare encounters barriers related to collaboration with traditional medical practitioners, hindering seamless coordination of patient care.

Opportunities

• Collaborative Care Models: Opportunities abound for chiropractors to further integrate into collaborative care models, working alongside traditional healthcare professionals to provide comprehensive and well-rounded patient care.
• Research Initiatives: Investing in research initiatives to build a robust body of evidence supporting the efficacy of chiropractic interventions can enhance the credibility of the field and expand its acceptance within mainstream healthcare.

Challenges

• Insurance Coverage Disparities: Inconsistencies in insurance coverage for chiropractic services pose a significant challenge, limiting accessibility for a portion of the population and impacting the financial sustainability of chiropractic practices.
• Collaboration Hurdles: Integrating chiropractic care into mainstream healthcare encounters challenges related to collaboration with traditional medical practitioners, hindering seamless coordination of patient care and the establishment of interdisciplinary healthcare teams.

Segments Insights:

Location Insights

The suburban segment dominated the market and accounted for the largest revenue share of around 63.0% in 2023. Chiropractic care has grown more rapidly in the U.S. suburbs than urban regions. The suburban population, frequently made up of families and people with established lives, show a larger propensity for holistic medical treatments.

In suburban locations, where space is more readily available, chiropractors can open larger clinics with plenty of parking, which might be difficult in highly populated metropolitan settings. In addition, the strong sense of community and close-knit relationships that may be found in suburban neighborhoods contribute significantly to the expansion of chiropractic clinics through word-of-mouth referrals and recommendations.

The rural segment is expected to advance at the fastest CAGR of 27.3% during the forecast period. The segment is projected to witness a significant increase in healthcare expenditure. The availability of limited healthcare facilities and the need for non-invasive treatments are the key factors driving market growth in this segment. In addition, chiropractic care is more affordable than other types of healthcare, which appeals to people with limited financial resources.

According to the U.S. Bureau of Labor Statistics, the average cost of a chiropractic visit in the U.S. is relatively affordable at USD 65, making it an attractive option for people seeking healthcare services. This lower cost compared to other medical procedures allows individuals to access chiropractic care more easily, leading to its popularity as a preferred choice for managing musculoskeletal issues and promoting overall health and wellness.

Designation Insights

The clinic segment accounted for the largest revenue share of around 46% in 2023. In comparison to wellness centers, chiropractic clinics have grown significantly. They provide specialized treatments for musculoskeletal diseases, especially those connected to spine-related diagnosis, treatment, and prevention. Patients are seeking out these clinics due to growing public knowledge of the advantages of chiropractic treatment. Additionally, the ease of direct access flexible scheduling, and the integration of chiropractic care with conventional healthcare systems, all contribute to their expansion.

However, wellness centers, which provide a wider range of holistic treatments, are not necessarily on the decline because chiropractic clinics are growing. In the U.S., there are approximately 95,438 licensed chiropractic businesses. Among the states, California and Florida have the highest number of chiropractor clinics, with each state having over 10,000 establishments offering chiropractic services. Chiropractic care is a popular form of complementary and alternative medicine, and these clinics cater to a diverse range of patients seeking relief from musculoskeletal issues and improve overall well-being.

The franchise segment is expected to expand at the fastest CAGR of 28.6% over the forecast period in the U.S. chiropractic market. The franchise segment offers a tested business structure that enables chiropractors to launch their practices with the backing of a well-known name. Franchises with a proven track record get more clients due to their credibility and reputation, accelerating segment growth.

Franchise systems support marketing and advertising, providing efficient service promotion both locally and nationally. The reputation of the clinics is improved through training programs that keep the level of services uniform across all franchise sites. Chiropractic professionals open new clinics at a faster pace due to the expansion strategies of franchise systems and financial aid availability.

Key Companies & Market Share Insights

Companies focus on research and development to introduce technologically advanced products and gain a competitive edge. They are also engaging in acquisitions, mergers, and partnerships to increase their manufacturing capacities & strengthen product portfolio, as well as provide competitive differentiation. For instance, in April 2022, FV Hospital announced the acquisition of American Chiropractic Clinic (ACC). The acquisition enabled FV Hospital to enhance its medical treatment and services and chiropractic services.

Key U.S. Chiropractic Companies:

• Magen David Community Center, Inc.
• The Joint Corp.
• Lbi Starbucks DC 3
• Allied Health of Wisconsin, S.C.
• Sherman College of Chiropractic
• Chiropractic Strategies Group, Inc.
• Chiro One Wellness Centers, LLC
• Landmark Healthcare Services, Inc.
• Parsons Gregory V Advanced Chiropractic Clinic
• Silverman Chiropractic Center, DC PCA
• Emergency Chiropractic
• Multi-Specialty Healthcare Group, LLC

Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2033. For this study, Nova one advisor, Inc. has segmented the U.S. Chiropractic market.

By Designation 

• Clinic
• Wellness Center
• Rehab Center
• Franchise

By Location 

• Urban
• Suburban
• Rural