Yes and no. Once you have been released from care, follow up care is up to you. Think of chiropractic like exercise. If you exercise daily for several weeks and get into shape, you feel good. When you stop exercising, you slowly begin to lose what you have gained. Like exercise, chiropractic is a great way to stay in shape (spinal shape!). The normal wear and tear of daily activity can cause misalignment even after your initial treatment. How well you maintain your spinal health is completely up to you.