Dr. Shapero often recommends exercise to enhance adjustments and reduce muscle pain and tension. However, a new study finds that, although exercise reduces acute neck and shoulder pain, it alone is not effective at eliminating chronic discomfort, you must have adjustments also. As part of the analysis, 126 women with neck pain were divided into four groups. The women in the exercising groups worked out three times a week and felt immediate pain relief each time, while controls maintained the same amount of pain. Exercise training was discontinued after 10 weeks. All four groups were reevaluated after eight months. The original exercise groups had regressed to experiencing the same pain as they did at the study’s onset. At a three-year assessment, they were still in pain. Physical therapy is helpful but there is simply no substitute for the chiropractic adjustment..