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10 Best Spine Adjustments For Marathon Runners

Joey Lee Chiropractor Consult Sarah

February 17, 2026

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Westside Sports Chiro

Marathon runners face unique spinal challenges that can derail their training and performance goals. Hours of repetitive impact create imbalances throughout the vertebral column, affecting everything from breathing efficiency to stride mechanics. While many athletes focus solely on cardiovascular conditioning and leg strength, they often overlook the critical role spinal alignment plays in their success. The difference between breaking personal records and struggling with chronic pain frequently comes down to ten specific adjustments that target the runner's most vulnerable areas.

Lumbar Spine Adjustments for Lower Back Support

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Marathon runners frequently experience lower back pain due to the repetitive impact and biomechanical stress of long-distance training. Lumbar spine adjustments effectively address this common complaint by targeting misalignments that develop from continuous pounding and postural strain during extended runs.

These targeted adjustments restore proper spinal alignment, enhancing overall stability essential for maintaining efficient running posture. When the lumbar spine functions at its best, runners experience reduced fatigue and improved endurance capabilities.

Research demonstrates that regular lumbar adjustments considerably improve range of motion and flexibility in the lower back region, enabling more efficient stride mechanics. Chiropractic care can help prevent overuse injuries by correcting structural imbalances before they progress to serious problems.

Additionally, enhanced lumbar spine support through professional adjustments allows marathon runners to train more intensively while recovering faster between sessions, ultimately leading to superior performance outcomes.

Cervical Spine Realignment for Improved Head Position

While lower back support forms the foundation of proper running mechanics, the cervical spine plays an equally important role in maintaining peak performance throughout marathon distances.

Cervical spine realignment directly improves head position, enhancing running posture while reducing strain on neck and shoulders during extended races. Proper alignment facilitates superior nerve function, leading to improved muscle coordination and overall running efficiency.

Misaligned cervical vertebrae often trigger tension headaches and discomfort that distract runners and compromise marathon performance.

Research indicates that runners maintaining ideal cervical alignment experience considerably less upper body fatigue, enabling sustained energy distribution throughout races.

Regular chiropractic adjustments targeting the cervical spine help maintain correct head positioning, promoting more aerodynamic running form and reducing injury risk while supporting long-distance endurance capabilities.

Thoracic Spine Mobilization for Enhanced Breathing

Deep, rhythmic breathing separates elite marathon runners from recreational athletes, and thoracic spine mobilization serves as the foundation for achieving this respiratory efficiency.

When the thoracic spine maintains proper mobility, rib cage expansion increases considerably, allowing deeper oxygen intake during prolonged runs. This enhanced breathing capacity directly translates to improved performance and stamina over marathon distances.

Regular thoracic spine adjustments alleviate upper back tension while promoting ideal spinal alignment that supports proper running form. The improved function reduces shoulder and neck pain, enabling runners to maintain relaxed upper body positioning throughout their race.

Additionally, thoracic spine mobilization enhances the coordination between breathing patterns and running cadence, resulting in more efficient energy utilization. This synchronized approach allows marathon runners to sustain their pace while maximizing oxygen delivery to working muscles.

Sacroiliac Joint Adjustments for Pelvic Stability

Since the sacroiliac joint serves as the critical connection between the pelvis and spine, its proper alignment becomes paramount for marathon runners seeking peak performance and injury prevention.

Sacroiliac joint adjustments directly enhance pelvic stability, which forms the foundation for maintaining proper running form throughout long-distance training and competition.

When the SI joint becomes misaligned, runners experience compromised biomechanics that can lead to lower back pain and reduced endurance capacity.

Professional adjustments targeting this joint improve force distribution during running, considerably reducing overuse injuries in the hips and knees.

Research demonstrates that regular sacroiliac joint adjustments enhance mobility while supporting ideal alignment, creating better energy transfer throughout the lower body.

This improved efficiency allows marathon runners to train more effectively without discomfort, ultimately contributing to superior running performance.

Atlas and Axis Corrections for Optimal Neck Function

As marathon runners maintain their forward-leaning posture for extended periods, the atlas and axis vertebrae bear tremendous stress that can compromise neck function and overall performance.

These essential C1 and C2 vertebrae support the skull and facilitate head movement, making their proper alignment vital for maintaining strong running posture during long-distance events.

Misalignments in the atlas and axis create restricted nerve function and muscle tension, potentially impacting performance and increasing injury risk.

Chiropractic adjustments targeting these vertebrae enhance blood flow to the brain and upper body, improving coordination and mental focus important for marathon success.

Regular atlas and axis corrections help maintain the cervical spine's natural curvature, promoting better biomechanical efficiency and reducing fatigue during extended running sessions, ultimately supporting ideal neck function.

Mid-Back Adjustments for Shoulder Blade Alignment

The thoracic spine serves as the foundation for proper shoulder blade positioning, directly influencing a marathon runner's upper body mechanics and endurance capacity.

Mid-back adjustments target this vital region, correcting misalignments that commonly develop from repetitive running motions and poor posture habits.

Proper shoulder blade alignment achieved through these adjustments enables even force distribution across the upper body, reducing strain on shoulders and neck muscles.

This optimization facilitates improved arm swing mechanics, directly translating to enhanced running efficiency and performance outcomes.

Regular mid-back adjustments alleviate muscle tension surrounding the shoulder blades while enhancing joint mobility and flexibility.

The improved alignment supports expanded lung capacity and breathing efficiency, essential factors for maintaining endurance during marathon events.

These adjustments effectively address the interconnected relationship between spinal health and athletic performance.

Lumbosacral Junction Treatments for Hip Mobility

Moving beyond thoracic spine considerations, lumbosacral junction treatments address the critical connection point where the spine meets the pelvis, directly impacting hip mobility for marathon runners.

This junction transfers forces between the upper body and legs, making proper alignment essential for efficient running mechanics. Restricted movement in this area decreases hip mobility, creating compensatory patterns that increase injury risk in the hips and knees during long-distance running.

Chiropractic adjustments targeting the lumbosacral junction enhance hip flexion and extension by improving joint mobility.

Specific techniques include spinal manipulations and soft tissue therapies that alleviate tension in surrounding muscles and ligaments.

Regular assessment and treatment help identify misalignments early, allowing runners to maintain ideal hip function and reduce overuse injury likelihood.

Upper Cervical Adjustments for Balance and Coordination

Balance and coordination form the foundation of effective marathon running, with the upper cervical spine playing a crucial role in maintaining these essential functions. Upper cervical adjustments target the top two vertebrae, creating significant improvements in a runner's stability and control.

When misalignment occurs in this region, proprioception becomes compromised, leading to decreased coordination and increased fall risk.

Research demonstrates that proper upper cervical alignment enhances athletic performance by improving brain-body communication pathways. These adjustments reduce muscle tension while increasing range of motion, resulting in more efficient running mechanics.

Marathon runners who receive upper cervical treatments frequently experience enhanced balance and coordination, enabling more confident training sessions. The improved stability allows athletes to maintain proper form throughout long distances, ultimately reducing injury risk and optimizing performance outcomes.

Thoracolumbar Spine Corrections for Core Stability

Core stability represents the cornerstone of efficient marathon running, with thoracolumbar spine corrections serving as the primary mechanism for enhancing this essential foundation.

These adjustments target the lower thoracic and lumbar vertebrae, directly improving core muscle function and pelvic stabilization during extended running sessions.

Proper thoracolumbar alignment greatly reduces lower back pain risk while promoting superior biomechanics throughout marathon training.

The targeted corrections increase flexibility and range of motion, enabling runners to achieve more efficient stride patterns and improved overall performance metrics.

Regular chiropractic care addressing thoracolumbar spine issues creates ideal force distribution during running, effectively minimizing fatigue accumulation and enhancing endurance capacity.

This systematic approach to spinal health allows marathon runners to maintain consistent performance levels while reducing injury susceptibility across training cycles.

Full Spine Decompression for Overall Performance Enhancement

Maximizing spinal health through full spine decompression techniques provides marathon runners with extensive performance enhancement that extends far beyond isolated vertebral adjustments.

This thorough approach alleviates pressure on spinal discs, promoting superior nerve function while reducing pain from prolonged physical stress. Enhanced spinal alignment optimizes biomechanics, enabling more efficient running form that can improve performance and reduce the risk of injury during training and competition.

Full spine decompression increases range of motion, facilitating longer strides and improved endurance capacity.

Research demonstrates that regular decompression accelerates post-run recovery, allowing athletes to resume training schedules more quickly while maintaining consistent performance levels.

The technique supports enhanced blood flow and oxygen delivery to working muscles, enabling marathon runners to sustain energy levels throughout extended distance events and demanding training sessions.

Conclusion

Marathon runners who incorporate these nine essential spinal adjustments into their training regimen can expect significant improvements in performance and injury prevention. From lumbar support to cervical realignment, each adjustment targets specific biomechanical needs vital for distance running. Regular implementation of these spinal corrections enhances breathing efficiency, core stability, and overall running mechanics. Athletes prioritizing spinal health through these targeted adjustments will likely experience enhanced endurance, reduced pain, and optimized training outcomes.

Testimonials

Real Stories, Real
Results

Sarah T.
"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalised approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"
mike li
Great knowledge and experience , Great job Jason!!Definitely will recommend
N “Neens” A
Wow! What an amazing experience! Dr Joey is absolutely brilliant! He was able to diagnose & treat a multitude of issues I have with my neck, back, shoulders & ankle. He was compassionate and understanding with all my concerns and I am forever grateful! There aren’t enough gold stars to show how amazing he is!
DJ NIKCO
I travel 2 hours each way every 2 weeks to see Jason and its worth it! He works with the whole body and is able to give detailed answers to all my questions. My injury was super complex as I have seen many specialists but no one has made any progress but now with jason I continue to see improvement each session! High Recommend.
Ralph
Good vibes as soon as you walk in,professional service,attention to details in adressing issues and providing plenty of explanation and a professional approach to move forward.muchly recommended 👍
Lyle Tacadena
Jason! He knows his stuff! I've had knee pain for months and with one treatment, the pain went from 90% to 10%. Hoping he can work his magic on the rest of the body. Amazing work and THANK YOU!
Shanny Ho
Thankyou Jason for your wealth of knowledge. I saw Jason as a new patient for a chronic issue I have had for quite a few years! It has stopped me from moving as much as I have in the past as the pain associated afterwards was always debilitating: tightness in the hips, pain on pressure on the heel of the foot. Just with the treatment provided in one session it feels better the day after with weight on the heel and my hip feels much more agile. Hopefully with the next couple of appointments I’ll be back to cycling and lifting !
Gordon Holloway
With my experience with Jason great personality very reliable and trustworthy he listens to your problems and I would recommend him to anyone. Thank you.
Ramzy Shublaq
Easily the best of the best in the business. I have been seeing Jason for over a year and he has helped me more than any other health practitioner. I am also a PT and currently refer a lot of my clients in to him, and they have all had glowing reviews and feedback. Thanks Jason ✌🏼
CHUNG-WEI TSAO
Thanks to Jason's treatment, I feel liberated after each session, and he also tells me how I can take care of myself, which is very useful , I wish I could meet him earlier.
Country life “Dragon” In Sydney
Jason is amazing i felt releif from a long time neck shoulder and foot pain from first session , he take his time treating his patients , very professional. i have been with my previous chiropractor for years spend too much money and i didn’t benefit , thank westside clinic for best service and treatment
Steve L
I had the pleasure of visiting Jason this past Saturday, and I must say, it was a fantastic experience. Jason is not only incredibly skilled but also honest and informative. I appreciated how he took the time to explain everything clearly and made sure I understood the treatment plan. What impressed me most was Jason's dedication to his craft and his genuine concern for his patients' well-being. He didn't rush through the session; instead, he took the time to address my concerns and tailor the treatment to my specific needs. I purposely waited more than 24 hours before writing this review to let the effects of the session settle and to give an honest opinion after a workout. I can confidently say that I feel a significant improvement, and I am grateful for Jason's expertise. If you're looking for a chiropractor who combines skill with a caring attitude, I highly recommend Jason. Thank you, Jason, for a truly exceptional experience!
Raffi Omer
Dr Jason Lee the man with full knowledge and experience. Highly recommend this place. If don't want to drag your pain with continuous appointments please come and visit place your well see the difference in 2 sessions..
John
Jason addressed my neck and shoulder issue in just one session and is now making significant improvements to my lower back. His expertise is evident, and I highly recommend him.
Jason Fong

Have been visiting Jason at Westside Sports Chiropractic for several months now and am really impressed with his thorough assessment and treatment. He takes the time to understand the root cause and focuses on correcting that, not just a short term fix. I've seen a lot of improvement in my condition so far. Would highly recommend.

Tim Booth

Jason is fantastic. He knows his stuff and every issue I have brought to him has been solved with a logical approach and with confidence.I wish I had found him much sooner then I did.Highly recommended.

Travelling Soldier

Jason is a wholistic health professional. Saw him for a long standing shoulder pain. Clear ultrasounds and x-rays. He accurately diagnosed the underlying cause and offered rapid yet sustainable relief in just one session. Now looking at rehab with him in the on-site gym and continue to strength and conditioning long term. Glad I called in !

Oscar Marulanda

I’ve been in treatment with Jason for over a year. I went with a back injury and Jason basically “fixed” me. Along the way, he has provided guidance and advice about how to improve my back.Recently, I have sessions with Joey. His skills and experience are aligned with Jason’s which made you feel comfortable that either one of them is equally doing the best for you.I’ve recommended Jason to my mum, brother and brother-in-law. They all agree that Jason has miracle hands.

Daniel Eishou

Iv had 2 sessions with Jason, iv had neck/shoulder a shoulder issue for years now. He has no joke found the issue given me things to work on and only after 2 sessions it actually feels it's getting better. Very knowledgeable and the session is worth it.

Sarah T.

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

John Lee

"I've been struggling with chronic shoulder pain for years, but after just a few sessions at Westside Sports Chiro, I've experienced a dramatic improvement. Their personalized approach and advanced techniques have truly made a difference in my recovery. I couldn't be happier with the results!"

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