A chiropractic initial evaluation is a first-time visit with a chiropractor who specializes in the diagnosis and treatment of disorders of the musculoskeletal and nervous systems. Chiropractic care is a hands-on, drug-free therapy that is used to treat back pain, headaches, neck pain, and other health conditions. During the initial evaluation, the chiropractor gets perspective on the injury and how to best treat the pain. The doctor may have an X-ray done to establish a baseline of the condition and help determine treatment needed. A physical examination and medical history will also be taken into consideration when creating your treatment plan.