Vagus Nerve, Polyvagal Theory, and Chiropractic Care
From Stress to Stability: Understanding the Polyvagal Connection in Chiropractic
In today’s fast pace, many of us live in chronic tension—tight necks, shallow breathing, restless minds, and a constant background hum of stress. What if there was a way to understand why our bodies get stuck in that state—and how chiropractic care can help the system shift? That framework is called polyvagal theory.
This article explores how polyvagal theory connects to chiropractic principles and why adjustments may help you move from stress toward stability in your body and nervous system.
The Stress Trap – Why our system gets “stuck”
Your autonomic nervous system (ANS) is always scanning for cues of safety or threat—even when you’re not consciously aware of it. That scanning process is called neuroception (see Pubmed).
When the system senses danger or threat (real or perceived), it shifts into protective modes: fight/flight or freeze/shutdown. Over time, if those modes are chronically activated, the system becomes less flexible. You may feel constant tension, poor sleep, difficulty relaxing, heightened reactivity, or sluggishness and fatigue. Polyvagal theory gives us a more nuanced map of these states—and shows why “just relax more” often doesn’t work.
The Polyvagal Ladder: Three Major States
Stephen Porges’ polyvagal theory refines the classic “sympathetic vs. parasympathetic” model by showing that the parasympathetic branch has two functional faces: ventral (connected, social) and dorsal (shutdown) (Frontiers in Integrative Neuroscience).
The ventral vagal state represents safety and connection—the “rest and engage” system that supports healing, growth, and social connection. The sympathetic state prepares us for fight or flight when we face challenge or danger, while the dorsal vagal state is a protective fallback when threat feels overwhelming, leading to shutdown or numbness.
In healthy functioning, we move up and down this ladder fluidly in response to life’s demands. Problems begin when the nervous system remains pinned in either the upper (sympathetic) or lower (dorsal) regions for too long. Polyvagal theory suggests that feeling safe is not just emotional—it’s foundational for the body’s systems such as digestion, immunity, and repair to work properly.
Why the Spine Matters: The Neuroscience of Chiropractic and Nervous System Regulation
As chiropractors, we work with the body’s communication highway—the spine, spinal cord, and network of nerves that connect brain and body. When that highway is clear, signals travel freely. When there’s interference from misalignment, tension, or restriction, it can act like a traffic jam on those signals.
Here’s how that connects to polyvagal theory:
The vagus nerve and autonomic pathways
The vagus nerve plays a central role in regulating our state of calm and safety. While much of it runs outside the spine, the principle remains: when mechanical interference is reduced, autonomic pathways can function more smoothly.Autonomic shifts and chiropractic techniques
Some research suggests chiropractic adjustments may influence the balance between sympathetic and parasympathetic activity over time (Pubmed).Restoring regulation, not just mobility
When you restore movement to restricted spinal joints and reduce tension, the nervous system receives a signal of safety. This may support a shift from survival mode to balance. Over repeated visits, the system can become better at recovering and adapting to stress.Cross-system effects
Because autonomic balance affects digestion, inflammation, immune function, and mood, improvements in regulation may ripple outward. Some researchers suggest that therapies influencing autonomic tone may aid recovery in conditions linked to chronic stress and low vagal activity (PMC8023121).
In short, chiropractic care can act as a regulatory cue—not just for joints and muscles, but for the nervous system’s ability to move between stress and safety.
From Stress Toward Stability: What Clients Experience
Many clients describe feeling lighter, calmer, or more grounded after adjustments. Polyvagal theory offers a framework for why that happens: when interference eases, the nervous system becomes more capable of accessing the ventral vagal state—the zone of integration, connection, and healing.
Regular chiropractic care, combined with supportive lifestyle habits, may help reduce baseline stress, improve resilience, enhance recovery, and support overall balance. The nervous system becomes better at adapting to life’s pressures rather than being overwhelmed by them.
Practical Strategies to Support Polyvagal Regulation (Alongside Chiropractic)
Chiropractic adjustments are most effective when supported by daily practices that promote regulation:
Breathing and vagal activation: Slow, deep, diaphragmatic breathing helps stimulate the vagus nerve. Even a few minutes of steady breathing (inhale for 4–5 seconds, exhale for 6–7 seconds) can promote calm (Positive Psychology).
Movement and gentle stretching: Movement helps the body feel safe in motion. Walking, gentle yoga, or joint mobility exercises can support healthy proprioception and regulation.
Social connection: Polyvagal theory highlights co-regulation—our ability to settle through safe connection with others. Time with loved ones, laughter, and trust-based relationships all strengthen this.
Grounding and sensory anchors: Activities like barefoot walking, humming, or mindful touch provide sensory cues of safety.
Rest and recovery: Adequate sleep, hydration, and balanced nutrition allow the nervous system to replenish.
Integrating Chiropractic and Polyvagal Insight in Practice
For chiropractors, polyvagal awareness means adjusting with the whole nervous system in mind. Assess beyond pain—ask about sleep, energy, and stress. Present each adjustment as a cue for the nervous system: “Here is more safety, less interference.” Offer gentler approaches for clients who are sensitive or dysregulated, and use calm tone, rhythm, and rapport to promote co-regulation during sessions. Encourage simple home strategies that reinforce safety between visits.
Over time, chiropractic care becomes a process of teaching the nervous system flexibility—helping it move freely between states of activation and calm.
Conclusion
When we view chiropractic through the lens of nervous system regulation rather than only pain relief, we begin to appreciate its broader influence on health and adaptability. From stress to stability isn’t just a phrase—it’s the process of helping the body rediscover safety and balance.
If you’ve been feeling tense, anxious, or “stuck in stress,” consider giving your nervous system the same attention you give your posture or muscles. Chiropractic care, informed by the principles of polyvagal theory, can help you reconnect body and mind—and restore your system’s natural rhythm of resilience and calm.


