Chiropractors are the preeminent healthcare specalists when it comes to relieving pain of the lower spine. Doctors of Chiropractic are professionals trained to diagnose and treat physical, mechanical alignment problems of spine pain. Since most lower hip flexor is due to mechanical problems, such as misalignment and abnormal movement of spinal vertebrae, it takes extensive training and skill to perform spinal manipulation. Becoming a chiropractor requires traditional undergraduate training plus five years of education at a college of chiropractic. Chiropractic education institutions provide academic courses in anatomy, physiology, pathology, kinesiology, bio-mechanics and diagnosis. Additionally, clinical courses in manipulation of the spine (which chiropractors term "spinal adjustments") and extremities, the use of physiological therapeutics such as electrical stimulation and cryotherapy and rehabilitative exercise are taught.
The guidelines for conservative treatment of lower spine pain indicate chiropractic spinal manipulation is very safe. This is especially true when one considers possible alternative treatments of opioid narcotic pharmacologics and spine surgery.
Scientific literature investigating financial costs of varying types of treatment for lower back pain also favor chiropractic care. Actual treatment costs performed by Doctors of Chiropractic have been shown to be less than surgery, physical therapy, spinal injections and certain forms of pharmacologic care.