How Care and Custom Orthotics Work Together to Relieve Chronic Pain and Improve Posture
- Advanced Correction Chiropractic

- Aug 12
- 8 min read
Updated: Sep 8

Chronic pain and poor posture impact millions worldwide, causing discomfort, limited mobility, and reduced quality of life. Many people try various treatments with little lasting success. However, combining chiropractic care with custom orthotics offers a powerful, holistic solution by targeting the root causes of pain and postural issues.
At Atlantic Chiropractic in Baltimore, MD, we specialize in this integrated approach. We know that spinal health and foot mechanics are closely connected—misalignments in the feet can affect your spine, leading to poor posture and chronic pain. Custom orthotics support and correct foot alignment, while chiropractic adjustments realign the spine, working together to restore balance and function.
This combined therapy can help a range of conditions including back, neck, and joint pain, plantar fasciitis, sciatica, and postural imbalances. By addressing both the foundation (feet) and the structure (spine), we promote long-term relief rather than just masking symptoms.
If you’ve struggled with chronic pain or poor posture despite other treatments, this approach might be ideal for you. At Atlantic Chiropractic, we tailor each plan to your unique needs, aiming to improve your posture, reduce pain, and enhance your overall quality of life.
Understanding the Foundations: Chronic Pain and Posture
Before diving into treatments, it’s important to understand why chronic pain and posture problems develop and how they are connected. Poor posture often begins gradually, caused by habits such as prolonged sitting, improper ergonomics, or repetitive movements. Over time, these habits place uneven stress on muscles, joints, and the spine, leading to imbalances and misalignments. When the spine is out of alignment, it can irritate nerves and cause muscle tension, resulting in chronic pain.
Chronic pain itself can also contribute to poor posture. When pain causes you to favor certain parts of the body or move differently, it can create compensations that further worsen your posture. For example, pain in the lower back might cause you to lean forward or shift your weight improperly, which then adds strain to other areas.
Foot mechanics play a critical role in this process as well. Since your feet are the foundation of your body’s alignment, issues like flat feet or high arches can throw off the balance of your entire musculoskeletal system. This imbalance travels upward, affecting knee, hip, and spinal alignment.
Understanding these connections helps explain why addressing both spinal alignment and foot support simultaneously is often essential for lasting relief from chronic pain and posture problems.
What Exactly is Chronic Pain?
Chronic pain is pain that persists beyond the usual healing period, generally lasting more than three months. Unlike acute pain, which is a direct response to injury, chronic pain can continue even after the original cause has resolved. It often involves:
Musculoskeletal issues: such as arthritis, degenerative disc disease, or muscle imbalances.
Nerve irritation: like sciatica or pinched nerves.
Inflammation: which can linger and perpetuate discomfort.
Compensatory movement patterns: where the body adapts poorly to dysfunction.
Chronic pain can manifest in various forms: persistent lower back pain, neck stiffness, headaches, joint soreness, or foot discomfort. It often leads to a vicious cycle where pain causes altered movement, which in turn worsens posture and biomechanical stress.
Why Is Posture So Important?
Good posture isn’t just about looking confident—it is vital for your body’s health and function. When your posture is misaligned, your muscles, ligaments, and joints experience uneven pressure. This causes:
Muscle fatigue and spasms.
Increased wear and tear on joints.
Compression of nerves leading to pain or numbness.
Decreased lung capacity and circulation.
Poor balance and higher risk of falls.
Poor posture often develops due to lifestyle factors like prolonged sitting, incorrect ergonomics, weak core muscles, and improper footwear. Over time, it leads to chronic pain and discomfort that interferes with everyday activities.
What Is Chiropractic Care and How Does It Help?
Chiropractic care centers on the diagnosis, treatment, and prevention of musculoskeletal disorders, particularly those involving the spine. Chiropractors use hands-on spinal adjustments and other techniques to correct misalignments, improve joint function, and reduce nerve irritation. These adjustments help restore proper alignment and mobility, which can relieve pain and improve overall function.
The spine is a crucial structure because it houses and protects the spinal cord, which transmits nerve signals between the brain and the rest of the body. When the spine is misaligned, it can disrupt these signals, leading to pain, muscle weakness, or numbness. Chiropractic care aims to restore proper spinal alignment, allowing the nervous system to function optimally and supporting the body’s natural ability to heal itself.
Beyond spinal adjustments, chiropractors may also recommend exercises, lifestyle changes, and ergonomic improvements to support long-term musculoskeletal health. This holistic approach helps not only in alleviating symptoms but also in preventing future issues.
Chiropractic care is widely used to treat a variety of conditions, including back and neck pain, headaches, sciatica, and joint problems. It offers a non-invasive, drug-free alternative that addresses the root causes of pain and dysfunction rather than merely masking symptoms, making it an effective option for many people seeking lasting relief.
The Science Behind Chiropractic Adjustments
The spine protects the spinal cord, which connects your brain to the rest of your body. Misalignments (known as subluxations) can interfere with nerve function and cause pain, muscle tension, and reduced mobility. Chiropractors use precise manual adjustments to:
Realign the vertebrae.
Release joint restrictions.
Reduce inflammation.
Improve nerve function.
Restore normal movement patterns.
Common Chiropractic Techniques
Spinal manipulation: quick, controlled thrusts to adjust vertebrae.
Mobilization: gentle movements to increase joint mobility.
Soft tissue therapy: massage and myofascial release to relieve muscle tension.
Rehabilitative exercises: to strengthen supporting muscles and improve posture.
Conditions Treated by Chiropractic Care
Lower back pain and sciatica.
Neck pain and tension headaches.
Shoulder, knee, and hip pain.
Sports injuries.
Postural problems.
Work-related musculoskeletal disorders.
What Are Custom Orthotics and How Do They Work?
Your feet are your body’s foundation, but often overlooked when it comes to posture and pain. Custom orthotics are prescription shoe inserts designed specifically for your feet based on detailed biomechanical assessments.
Why Not Just Use Over-the-Counter Insoles?
Over-the-counter insoles offer generic cushioning but don’t address your individual foot structure or gait patterns. Custom orthotics:
Are molded from casts or 3D scans of your feet.
Correct specific imbalances such as flat feet, high arches, or uneven weight distribution.
Provide targeted support and shock absorption.
How Orthotics Impact the Whole Body
Your feet affect the alignment of your ankles, knees, hips, pelvis, and spine. Improper foot mechanics can cause:
Overpronation (rolling inwards).
Supination (rolling outwards).
Leg length discrepancies.
Increased joint stress.
By correcting these issues, orthotics reduce abnormal forces that lead to pain and postural imbalances.
How Do Chiropractic Care and Custom Orthotics Work Together?
The Kinetic Chain Connection
Your body functions as a kinetic chain—a series of interconnected joints and muscles. Problems in the feet can cascade upward, causing compensations and misalignments throughout the legs and spine.
When orthotics correct foot mechanics, they create a stable base.
Chiropractic adjustments then more effectively realign the spine and joints.
Together, they restore normal movement patterns and reduce abnormal strain.
Real-Life Example
Imagine someone with flat feet who experiences chronic lower back pain. Their feet collapse inward, causing the knees to rotate and hips to tilt. This misalignment forces the spine into a compensatory curve, irritating nerves and muscles.
Orthotics correct foot positioning, preventing inward collapse.
Chiropractic care realigns the hips and spine.
The combined effect decreases nerve irritation and muscle tension, providing lasting pain relief.
Enhanced Postural Improvements
Good posture depends on symmetry and balance from the ground up. Orthotics balance foot placement, while chiropractic care ensures spinal vertebrae and joints are aligned. Together, they promote:
Upright, balanced posture.
Reduced muscle fatigue.
Improved core stability.
Decreased risk of posture-related pain.
Conditions That Benefit From This Combined Approach
Plantar fasciitis: orthotics relieve foot pain; chiropractic care addresses related back and hip tension.
Lower back pain: improved foot mechanics reduce stress; spinal adjustments relieve nerve irritation.
Knee pain: orthotics balance knee alignment; chiropractic care improves hip and pelvic stability.
Sciatica: correcting leg length discrepancies and spinal misalignments eases nerve pressure.
Postural dysfunction: combined treatment retrains the body’s alignment and balance.
What Happens During Your Visit at Atlantic Chiropractic?
Step 1: Comprehensive Assessment
Your treatment begins with an in-depth consultation and examination to understand your unique pain and posture challenges. This includes:
Medical history review.
Physical exam of spine, joints, and muscles.
Postural analysis using digital imaging.
Gait analysis and foot scanning.
Step 2: Custom Orthotic Fabrication
Using data from your foot assessment, we craft orthotics tailored precisely to your feet and walking style. These orthotics support your arches, redistribute pressure, and enhance foot function.
Step 3: Chiropractic Treatment Plan
Simultaneously, a personalized chiropractic care plan is created, including adjustments, soft tissue therapies, and exercises. The care plan works in harmony with your orthotics to maximize benefits.
Step 4: Ongoing Care and Monitoring
Both your orthotics and chiropractic adjustments are regularly evaluated and adjusted for optimal performance. Education on posture, ergonomics, and lifestyle modifications supports lasting improvement.
Long-Term Benefits of Combining Chiropractic Care and Orthotics
Sustained Pain Relief: By addressing both spinal and foot causes of pain.
Improved Posture: Balanced from feet to head, reducing wear and tear.
Increased Mobility and Function: Enhanced balance and joint mechanics.
Lower Risk of Injury: Correct biomechanics prevent future musculoskeletal problems.
Enhanced Athletic Performance: Optimal alignment improves strength and endurance.
Patient Success Story: Meet Sarah
Sarah, a 42-year-old graphic designer, came to us with severe lower back pain and frequent headaches. She spent long hours sitting at her desk and had noticed worsening posture.
Initial examination revealed flat feet, pelvic tilt, and spinal misalignment.
Custom orthotics were fitted to stabilize her feet.
Chiropractic adjustments focused on realigning her spine and pelvis.
Over three months, Sarah’s pain significantly decreased.
Her posture improved, and she returned to daily activities without discomfort.
Frequently Asked Questions (FAQs)
Q1: How often should I visit the chiropractor while using orthotics?Initially, visits may be weekly or biweekly to monitor progress, then taper to monthly or as needed once alignment stabilizes.
Q2: Are custom orthotics uncomfortable to wear?It’s common to experience mild adjustment discomfort initially, but your body adapts quickly. Our team will help you with a gradual break-in schedule.
Q3: Can I wear orthotics if I have diabetes or other medical conditions?Yes, custom orthotics are often recommended for diabetes to prevent ulcers and improve foot health. Inform us of any health conditions during your consultation.
Q4: Will chiropractic care help if I have a herniated disc?Many patients with herniated discs benefit from chiropractic care. We tailor treatments to your condition and refer you if additional medical intervention is needed.
Q5: How do I know if my posture is bad?Signs include rounded shoulders, forward head, uneven hips or shoulders, and frequent back or neck pain. We can assess your posture and guide improvements.
Q6: How much do custom orthotics cost?Costs vary, but we work with most insurance plans and provide transparent pricing during your consultation.
Conclusion
Chronic pain and poor posture are not inevitable parts of life. With the right approach, you can restore balance, reduce pain, and enjoy a healthier body. The combination of chiropractic care and custom orthotics offers a comprehensive solution that addresses both spinal alignment and foot mechanics — the foundation of your entire musculoskeletal system.
At Atlantic Chiropractic, our expert team is dedicated to helping Baltimore residents overcome chronic pain and improve posture through personalized, evidence-based treatments. Whether you’re an athlete, desk worker, or active senior, this integrative approach can help you move better, feel better, and live better.
Take the Next Step Toward Pain-Free Living
Don’t wait for pain or posture issues to worsen. Reach out today to schedule your comprehensive evaluation and learn how our custom orthotics combined with chiropractic care can transform your health.
📞 Call Now: 410‑347‑3590📍 Visit Us: 516 N Charles St, Baltimore, MD 21201🌐 Learn More: https://www.acchiro.com/
Your body deserves the best foundation and alignment—let us help you build it!



