Many other approaches are available if needed like metabolic regulation, immunological modification and others.
Research for the cause of your pain is the basis for my treatment. For example, the manipulation techniques are insufficient to solve some patients problems. In my opinion “mechanical techniques” (like chiropractic / osteopathic approaches) are adequate to solve dominant mechanical problems. Sometimes a metabolic regulation (acid-alkaline balance / short-term food change / …) must be considered to relieve their symptoms as well. In other patients, the cause of pain could be the immune system.