Why Your Body Might Feel Tender Even When You’re Not in Pain: Understanding Maintenance Chiropractic Care
- Dr Michael Elliott MSc, D.C., CFMP.
- Sep 4, 2025
- 2 min read

Have you ever walked into a chiropractic session feeling fine—no noticeable pain—only to find that certain areas feel tender when the chiropractor begins their assessment? This is a common experience and underscores why maintenance chiropractic care is so valuable.
Understanding Pain Thresholds
Pain isn’t always the first sign of a problem. Your body often adapts to mild restrictions or tension over time, masking discomfort until it crosses your individual threshold.
These underlying imbalances—like minor joint restrictions, muscle tension, or early inflammation—can go unnoticed until the practitioner applies gentle pressure during palpation, bringing them into your awareness.
The Role of Maintenance Chiropractic
Even when symptoms are absent, your practitioner may detect stiffness or tenderness. This is an opportunity—not a mistake—to address small issues before they escalate into pain or limited movement.
A randomized controlled trial (the Nordic Maintenance Care program) found that patients who received scheduled maintenance care reported 12.8 fewer days with bothersome low back pain over 12 months compared to those receiving symptom-driven treatment. doc.vortala.com+4postgraddc.com+4BMJ+4doc.vortala.com+8PLOS+8chiropractic.org.nz+8
Another study showed that patients undergoing regular maintenance chiropractic sessions maintained their improvements in function and pain relief, while those who stopped care typically returned to previous levels of disability. Murphy Family Chiropractic+1
A case report of quality-of-life improvement found that signs like spinal tenderness decreased over 9 months of maintenance care, even as the patient moved from symptomatic to asymptomatic status. chironexus.net+15chiro.org+15chiro-trust.org+15
What This Means for You
Feeling fine doesn’t always mean everything is optimal underneath—it just means the tipping point hasn’t been reached.
Maintenance care helps detect and support areas of the body showing early signs of stress, keeping alignment, nervous system function, and mobility on track.
Regular check-ins allow your body to perform smoothly and potentially prevent flare-ups before they start.
Summary
Tenderness during a routine visit often reflects early imbalances, not a misdiagnosis. Through proactive maintenance care, these subtle dysfunctions are managed before they become painful, supporting long-term musculoskeletal health.


