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Breathing Difficulties? Your Chiropractor for Help

Breathing Difficulties? Your Chiropractor for Help

Key Takeaways

  • Spinal misalignments, particularly in the thoracic and cervical spine, can restrict the nerves and muscles involved in breathing, contributing to respiratory difficulties.
  • Chiropractic care may help improve breathing function by restoring proper spinal alignment and reducing nerve interference that affects the diaphragm and respiratory muscles.
  • Conditions such as asthma, COPD, and anxiety-related breathing issues may benefit from chiropractic adjustments as part of a broader, conservative care plan.
  • The diaphragm is controlled by the phrenic nerve, which originates in the cervical spine — making spinal health directly relevant to respiratory function.
  • Chiropractic care is a non-invasive, drug-free approach that addresses structural contributors to breathing difficulties alongside lifestyle and postural modifications.

Breathing difficulties are common and can be the result of structural spinal problems, asthma, COPD, and anxiety, and are associated with other health problems. Anyone who has suffered from breathing difficulties understands the anxiety and fear that accompanies the terror of- am I going to suffocate?

However, millions of Americans live with breathing difficulties lifestyle modifications, and emotional trauma that can associate with it. In this article, we will discuss some of the common breathing difficulties that people suffer from, their mechanisms, and natural things you can do to help your body's healing system recover lost health.

Breathing Difficulties - Musculoskeletal Causes of Shortness of Breath and Decreased Lung Volume 

Breathing difficulties can often arise from musculoskeletal tightness. The diaphragm is a round muscle that transects the lower abdomen just beneath the bottom boundary of the lungs. The diaphragm is responsible for drawing air into and out of the lungs. When it contracts it moves upwards causing exhalation of the lungs.

When it relaxes it descends and pulls air into the lungs. The diaphragm is controlled by a nerve called the phrenic nerve. This nerve is part of the autonomic nervous system and breathing is an automatic process. Breathing occurs whether you are conscious of it or not.

However, since it is controlled by the central nerve system, structural misalignments in the neck can interfere with normal respiration causing breathing difficulties. Shortness of breath is often due to the spasm of the diaphragm.

Just as your shoulder muscle can spasm so can your diaphragm. When a muscle is tight it is not able to perform its job as well which can result in breathing difficulties.

Tight Intercostal Muscles and Breathing Difficulties

Other muscles that are important to breathing are the intercostal muscles. These muscles also are responsible for the expansion and contraction of the rib cage. The intercostal muscles can also become spasmodic like any other muscle in the body.

If intercostal muscles become tight they can limit the expansion and contraction of the rib cage limiting lung volume capacity. Several research studies in the scientific literature show correcting upper cervical spine misalignments can increase lung volume capacity.

One of the mechanisms involved in the results of these studies would indicate that correcting upper cervical spine misalignments positively affects the nervous system's ability to control the diaphragm and intercostal muscles which affect lung volume. (1)

Breathing Difficulties During Pregnancy

It is common for women who are pregnant to experience breathing difficulties. It is obvious that as the fetus grows the changes that occur due to increased belly size have a structural effect on the spine. Beyond the obvious morphological changes that occur during pregnancy, the stresses and strains that are exerted by a 25-pound belly on the spine can exacerbate an underlying structural weakness that was dormant before pregnancy.

The combination of upward pressure of a growing uterus and spinal stress can both combine to increase the likelihood of breathing difficulties during pregnancy. Regular upper cervical chiropractic visits can help minimize irritation to the nervous system by maximizing structural and neurological function.

Breathing Difficulties in Kids

Many conditions can cause breathing difficulties in kids Asthma is the most common condition in children that affects breathing. Asthma can be significantly helped by upper cervical chiropractic care. 

Because the respiratory centers are located in the brainstem( base of the skull) spinal misalignments can aberrantly impact brain stem function and be a causative agent in the genesis of asthma and other childhood health problems.

Breathing Difficulties in Adults

Several conditions result in breathing difficulties in adults. Asthma, COPD (chronic obstructive pulmonary disease), and emphysema are the three most common causes of breathing difficulties in adults.

Baby Breathing Difficulties

Breathing Difficulties shortly after birth is common. As the new infant transitions from a wet environment to a dry one, the transition can often be difficult.  We are not going to go into depth on infant breathing difficulties but wanted to mention it because it often can relate to birth trauma of the upper cervical spine with forceps and vacuum extraction deliveries. 

It is not well known that sleep difficulty and breathing difficulties at night are highly correlated to migraine headaches. There are multiple reasons why breathing difficulty at night can be a causative agent in migraine headaches.

Migraine Breathing Difficulties

Having breathing difficulty at night can inflame and irritate the sinus membrane. Sinus membrane nerve endings are highly correlated to migraine headaches when they are irritated. Snoring induces an irritating effect on the sinus cavity and can affect the sensitive nerve endings in the tissue located in the sinuses.

“For example, if the nerve endings in your sinuses are suddenly extra sensitive, then you’ll feel pain, pressure, nasal congestion, and post-nasal drip. It’s been shown that the vast majority of chronic sinus headaches and pain sufferers have a variation of a migraine, with normal CAT scans. Many people are placed on oral antibiotics empirically when there’s no bacterial infection.

The central nerve system composed of the brain, the brainstem, the spinal cord, and spinal nerves control and coordinate ALL body functions. Health is the byproduct of the body functioning at one hundred percent. Since health is a function and the nervous system controls function, monitoring whether the nervous system is functioning optimally or not is paramount to health.

When a new patient visits an upper cervical chiropractor a history and exam are taken which tells the doctor if you have a spinal misalignment and its location. Once determined precision X-rays are taken to view the joints in the neck to measure the direction and magnitude of spinal misalignment.

This information is then used to make a precise spinal correction that involves no twisting, popping, or pulling of the neck. Once corrected, the patient is monitored over time to ensure the interference is clear or not. The goal of upper cervical care is to keep each patient free of nerve interference so the body can heal and repair to the best of its ability and normalize function and health. 

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalized medical guidance. If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Frequently Asked Questions

Can a chiropractor help with breathing difficulties?
Yes, chiropractic care may help with certain types of breathing difficulties. When spinal misalignments — particularly in the thoracic or cervical spine — compress nerves that control the diaphragm and respiratory muscles, breathing can become restricted. Chiropractic adjustments aim to restore proper alignment and reduce nerve interference, which may improve respiratory function for some patients.
What is the connection between the spine and breathing?
The phrenic nerve, which controls the diaphragm — your primary breathing muscle — originates in the cervical spine (C3–C5). Misalignments in the thoracic spine can also restrict rib cage expansion. When these spinal structures are out of alignment, the nerves and muscles involved in breathing may not function optimally, potentially contributing to shortness of breath or reduced lung capacity.
What spinal areas does a chiropractor focus on for breathing problems?
Chiropractors typically assess the cervical spine (neck), where the phrenic nerve originates, and the thoracic spine (mid-back), which directly supports rib cage movement during breathing. Restrictions or misalignments in either region can limit the chest's ability to expand fully. Adjustments to these areas, combined with soft tissue work and postural correction, are common approaches.
Is chiropractic care safe for people with asthma or COPD?
Chiropractic care is generally considered safe and may serve as a complementary approach for patients with asthma or COPD. It does not replace medical treatment for these conditions, but some patients report improved comfort and easier breathing following spinal adjustments. Always inform your chiropractor of any diagnosed respiratory conditions so care can be tailored appropriately.
How does poor posture affect breathing?
Forward head posture and rounded shoulders — common in people who sit for long periods — compress the chest cavity and limit diaphragm movement. This forces the body to rely on shallow, accessory-muscle breathing rather than deep diaphragmatic breathing. Chiropractic adjustments combined with postural exercises and stretching may help open the chest and restore more efficient breathing patterns.
How many chiropractic visits might be needed to notice improvement in breathing?
The number of visits varies depending on the underlying cause and severity of the breathing difficulty. Some patients notice changes within a few visits, while others with chronic postural issues or long-standing spinal restrictions may require a longer care plan. Your chiropractor will typically recommend a reassessment after an initial series of visits to evaluate progress.

Sources

  1. Asthma: Overview, Causes, and Management — National Heart, Lung, and Blood Institute (NHLBI) (2022)

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