Chiropractors primarily utilize manual manipulation as a core treatment approach. This technique involves using hands to enhance spinal movement. As a result, muscle tightness can be reduced by improving joint mobility in specific areas of the spine, neck, middle back, lower back, or pelvis. Additionally, this approach can address irritation of nerves that may cause numbness, tingling, pain, or changes in strength in the arms or legs. In some instances, chiropractors may incorporate additional therapies, such as providing exercise instructions or self-care recommendations to complement manual manipulation.