In our view, prevention and optimization of spinal health are preferable to reactive care since symptoms may manifest only after years of functional alterations. To this end, our assessment includes objective measures that are independent of subjective symptoms. Regular periodic assessments are recommended, even for patients who do not exhibit symptoms, to allow for early detection and adjustment of misalignments. This approach helps prevent the body from becoming habituated to a misaligned state, and reduces the risk of spinal deterioration that can lead to a recurrence of pain.