A chiropractic exam is a type of health care concerning the relationship between the nervous system and the musculoskeletal system. If any of the 24 vertebrae in the spine are out of position, this can disrupt nerve impulse transmission, which directly impairs the nervous system and causes discomfort. A doctor of chiropractic (DC) locates the spinal misalignment or issue and adjusts the body in order to reduce its impact on the nervous system and alleviate pain. A DC is required to complete 4 to 5 years of chiropractic college after completing a pre-medical undergraduate program, and acquire in-depth training in academic areas of study including orthopedics, physiology, neurology, and clinical diagnosis. Chiropractic treatment can be administered in both hospitals and outpatient clinical facilities, and is likely an eligible procedure for most Health Savings Accounts.