Chiropractic care is a natural and non-invasive approach to healthcare that focuses on diagnosing and treating musculoskeletal disorders, particularly those related to the spine. If you are passionate about holistic health and helping others achieve wellness, a career in chiropractic care may be right for you. This guide outlines the steps required to become a licensed chiropractor, from education to certification.

Step 1: Obtain a Relevant Undergraduate Degree

Before enrolling in a Doctor of Chiropractic (D.C.) program, aspiring chiropractors must complete undergraduate coursework. Most chiropractic programs require at least 90 semester hours of undergraduate study, typically in subjects such as:

Biology

Anatomy and Physiology

Chemistry

Physics

Psychology

Some students choose to earn a bachelor's degree in a related field, such as health sciences or kinesiology, to strengthen their foundational knowledge.

Step 2: Enroll in an Accredited Doctor of Chiropractic Program

After completing undergraduate coursework, students must enroll in an accredited Doctor of Chiropractic (D.C.) program. These programs typically last four years and include both classroom instruction and hands-on clinical training. Coursework covers topics such as:

Spinal Manipulation Techniques

Neurology

Radiology and Diagnostic Imaging

Nutrition and Wellness

Business and Ethics in Chiropractic Practice

Accredited programs ensure students receive the necessary education and training to practice chiropractic care effectively.

Step 3: Complete a Clinical Internship

A significant component of chiropractic education involves hands-on clinical experience. During the latter part of a D.C. program, students participate in supervised internships, where they:

Work with real patients

Learn diagnostic and treatment techniques

Gain experience in patient communication and care

This practical training is essential for developing the skills needed to become a competent chiropractor.

Step 4: Pass the National Board Exams

To practice as a chiropractor in the United States, graduates must pass the National Board of Chiropractic Examiners (NBCE) exams. These exams are divided into four parts:

Basic Sciences – Covers anatomy, physiology, pathology, and microbiology.

Clinical Sciences – Focuses on diagnostic imaging, chiropractic techniques, and case management.

Clinical Competency – Involves hands-on assessments and patient interactions.

Optional Physiotherapy Exam – Required in some states for those who wish to incorporate physiotherapy into their practice.

Step 5: Obtain State Licensure

After passing the NBCE exams, chiropractors must obtain a license in the state where they wish to practice. Licensing requirements vary by state but often include:

Background checks

Jurisprudence exams (state-specific laws and regulations)

Continuing education requirements

It’s important to check with the state’s chiropractic licensing board for specific requirements.

Step 6: Consider Specialization

Chiropractors may choose to specialize in a specific area of practice, such as:

Sports Chiropractic

Pediatrics

Neurology

Orthopedics

Specializing often requires additional coursework, certification, and experience.

Step 7: Start Your Chiropractic Career

Once licensed, chiropractors can choose to:

Work in an Established Chiropractic Clinic

Start Their Own Practice

Join a Multidisciplinary Healthcare Team

Work with Sports Teams or Rehabilitation Centers

Building a successful chiropractic career may also involve networking, marketing, and continued education to stay updated with the latest industry advancements.

Conclusion

Becoming a chiropractor requires dedication, education, and hands-on training. By following these steps—completing an undergraduate program, earning a D.C. degree, passing national exams, obtaining licensure, and gaining experience—you can embark on a fulfilling career in chiropractic care. If you have a passion for holistic health and helping others, this profession offers a rewarding path with opportunities for growth and specialization.