U.S. Chiropractic Market (By Designation: Clinic, Wellness Center, Rehab Center, Franchise; By Location: Urban, Suburban, Rural) - Industry Analysis, Size, Share, Growth, Trends, Revenue, Regional Outlook and Forecast 2024-2033

The U.S. chiropractic market size was estimated at around USD 0.61 billion in 2023 and it is projected to hit around USD 6.28 billion by 2033, growing at a CAGR of 26.33% from 2024 to 2033.

Key Pointers

• By Designation, the clinic segment held the largest revenue share of 46% in 2023.
• By Designation, the franchise segment is anticipated to grow at the noteworthy CAGR of 28.53% from 2024 to 2033. 
• By Location, the suburban segment led the market with largest revenue share of around 63% in 2023.
• By Location, the rural segment is estimated to expand the fastest CAGR 27.28% between 2024 to 2033.

Market Growth

The growth of the U.S. chiropractic market can be attributed to a confluence of factors propelling its expansion. Firstly, an increasing awareness of the limitations and potential side effects of conventional medical treatments has spurred a demand for alternative, non-invasive healthcare solutions. Chiropractic care, with its focus on natural healing and wellness, aligns with this shifting consumer preference. Additionally, a rising aging population, coupled with a surge in musculoskeletal issues, has driven the need for holistic approaches to pain management, where chiropractic interventions excel. Furthermore, the mainstream integration of chiropractic services within broader healthcare models has expanded access, fostering a more inclusive patient demographic. As health consciousness grows, individuals are proactively seeking preventive measures, positioning chiropractic care as a proactive and personalized approach to well-being. These converging factors create a fertile ground for sustained growth in the U.S. chiropractic market, marking it as a pivotal player in the evolving healthcare landscape.

Report Scope of the U.S. chiropractic Market

Market Dynamics

Drivers

• Shifting Healthcare Preferences: Increasing awareness and concern about the side effects of traditional medical treatments drive individuals to seek non-invasive alternatives.
• Aging Population and Musculoskeletal Health: The aging demographic in the U.S. is experiencing a surge in musculoskeletal issues, leading to a heightened demand for chiropractic care as an effective solution for pain management.

Restraints

• Perception and Education Gap: There exists a persistent perception gap and lack of understanding among some segments of the population regarding the efficacy and scope of chiropractic care, impacting its widespread acceptance.
• Dependency on Out-of-Pocket Payments: As insurance coverage remains limited, chiropractic care often relies heavily on out-of-pocket payments, making it less accessible for individuals without the financial means to cover these expenses.

Opportunities

• Expanded Insurance Coverage: Opportunities lie in advocating for and achieving expanded insurance coverage for chiropractic services, making it more accessible to a broader population.
• Advancements in Telehealth Services: Embracing telehealth services offers the potential to reach a wider audience, providing consultations, guidance, and follow-ups remotely.

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 28.53% 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.

Location Insights

The suburban segment dominated the market with largest revenue share of around 63% 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 grow at the fastest CAGR of 27.28% 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.

Key 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

U.S. Chiropractic Market Report Segmentations:

By Designation 

• Clinic
• Wellness Center
• Rehab Center
• Franchise

By Location 

• Urban
• Suburban
• Rural