At Santé Chiropractic and Wellness Centre, we’re dedicated to helping our patients achieve optimal health by focusing on the nervous system, our body’s master control system. One of the tools we use to measure and monitor nervous system health is Heart Rate Variability (HRV), an important indicator of resilience, adaptability, and overall well-being. Boosting Heart Rate Variability plays a crucial role in enhancing the body’s ability to recover and thrive. In our clinic, HRV is a key component of the COREscore—a comprehensive assessment that helps us track a patient’s progress and resilience levels over time.

Many patients are also using wearable devices, like the Oura Ring, Fitbit, and Garmin, to track HRV at home. Although these wearables may not be as precise as our in-office equipment, they still provide valuable feedback on daily habits and lifestyle factors. Let’s explore what HRV is, how chiropractic care influences it, and what you can do to support your HRV naturally.
What is Heart Rate Variability (HRV)?
Heart Rate Variability (HRV) measures the variation in time between each heartbeat. Contrary to what some might think, a variable rhythm actually indicates a healthy, adaptable heart. HRV reflects the flexibility of the autonomic nervous system (ANS), which adjusts in response to stress, rest, and changing conditions in the environment. High HRV is associated with a resilient nervous system and better health, while low HRV may suggest a reduced ability to adapt to stress.
HRV and the COREscore: How We Monitor Resilience in Our Office
In our office, HRV is an integral part of the COREscore, which is our primary tool for assessing and monitoring a patient’s nervous system health. By measuring HRV, we can gain insight into how well a patient’s body is managing stress and adapting to life’s demands. Over time, this measurement helps us track the progress of each patient, allowing us to see how their resilience levels improve with chiropractic care.
Chiropractic adjustments help align the spine and restore optimal nervous system function. By addressing spinal misalignments, chiropractic care can improve communication between the brain and body, resulting in a more adaptable and resilient nervous system. The improvements we see in patients’ HRV scores over time reflect these positive changes.
Wearable Devices for HRV Monitoring at Home: Oura Ring, Fitbit, Garmin, and More
Many patients are now using wearable devices to monitor HRV outside of the office. While these wearables may not be as accurate as our in-office HRV assessments, they are still useful for tracking lifestyle patterns and behaviors that can influence HRV. Here’s a quick overview of some popular devices:
- Oura Ring: Known for its advanced sleep tracking and daily HRV insights, the Oura Ring provides users with feedback on their recovery levels, helping them understand how well their bodies are resting and adapting.
- Fitbit: Several Fitbit models include HRV tracking, offering users a convenient way to monitor their nervous system response and track patterns over time.
- Garmin: Primarily known for fitness tracking, Garmin watches also measure HRV, providing athletes and active individuals with insights into how well their bodies are handling training and recovery.
While these devices provide a general look at HRV trends, they aren’t as precise as the COREscore measurement we use in our office. However, they’re still beneficial for patients who want to gain awareness of daily habits that impact HRV, like sleep quality, stress, and physical activity.
Common Patient Question: “What Can I Do for Boosting Heart Rate Variability?“

Patients often ask us what they can do to improve their HRV, especially after seeing their HRV scores through wearables or the COREscore in our office. Improving HRV is not only about monitoring it; it’s about making lifestyle choices that support a healthy nervous system.
Here are some effective, often cost-free, lifestyle practices we recommend to enhance HRV naturally:
- Walking in Nature and Grounding: Spending time in nature and connecting with the earth (such as walking barefoot on grass or sand) can help reduce stress, lower inflammation, and support nervous system health. Nature exposure and grounding help stabilize the body’s natural rhythms, significantly improving HRV.
- Humming and Gargling: Simple actions like humming, singing, or gargling can stimulate the vagus nerve, activating the parasympathetic nervous system. This can promote relaxation and improve HRV by encouraging a balanced nervous system response.
- Breathwork: Practicing controlled breathing techniques, such as diaphragmatic breathing or alternate nostril breathing, can activate the parasympathetic nervous system, calm the body, and improve HRV.
- Cold Showers or Cold Exposure: Cold exposure, through activities like cold showers, can stimulate the autonomic nervous system. This short-term stressor helps your body learn to adapt, boosting resilience and HRV.
- No Snacking Between Meals: Allowing time between meals gives your digestive system a break, supporting metabolic flexibility and reducing stress on the body. This practice can help regulate blood sugar and improve HRV.
- No Food 3 Hours Before Bed: Eating close to bedtime can disrupt sleep and digestion. By finishing meals earlier, you support better rest and recovery, which is crucial for nervous system health and HRV.
- Limiting Phone Use Before Bed: Blue light from screens can interfere with sleep by disrupting melatonin production. Reducing screen time at least an hour before bed supports restful sleep, helping your nervous system reset and improving HRV.
- Gratitude Practice: Regular gratitude or mindfulness practices shift your body into a “rest and digest” state, helping to balance the nervous system and improve HRV.
- Prioritizing Sleep: Quality sleep allows the body to repair itself and reset the nervous system. Better sleep leads to a higher HRV, reflecting better resilience and adaptability.
- Morning Sunlight Exposure: Exposure to morning sunlight helps regulate your circadian rhythm, supporting overall health and a balanced nervous system, which can boost HRV.
- Intermittent Fasting: Taking breaks from eating can support metabolic health and has been linked to increased HRV. Fasting intermittently promotes flexibility in how your body uses energy, improving adaptability.
- Avoiding Alcohol and Reducing Sugar Intake: Excessive sugar and alcohol consumption can contribute to inflammation and stress on the body, which may lower HRV. Limiting or avoiding these substances supports better nervous system function.
- Chiropractic Care: Last but not least, regular chiropractic adjustments have been shown to positively influence HRV by improving nervous system function. A multisite clinical study found that chiropractic care can significantly enhance HRV and reduce pain, supporting resilience and adaptability in the body (Zhang J, Dean D, Nosco D, et al. Effect of Chiropractic Care on Heart Rate Variability and Pain in a Multisite Clinical Study. Journal of Manipulative and Physiological Therapeutics 2006;29(4):267-74).
Combining these practices with regular chiropractic adjustments creates a strong foundation for enhancing HRV and resilience to stress. Patients often find that consistent care and lifestyle changes lead to meaningful improvements in both their COREscore and wearable HRV readings.
Understanding the Vagus Nerve: The Key to HRV and Resilience
The vagus nerve plays a crucial role in HRV and nervous system health. It’s the longest nerve in the body, connecting the brain to major organs like the heart, lungs, and digestive system. The vagus nerve helps regulate functions such as heart rate and digestion, and it supports the body’s ability to relax and recover. A well-functioning vagus nerve can increase HRV, allowing the body to shift smoothly between states of rest and action.
Chiropractic adjustments have been shown to positively influence vagus nerve function, supporting a balanced nervous system and improving HRV. In our office, tracking HRV as part of the COREscore gives us a way to measure these improvements and helps us guide patients toward a state of greater resilience and vitality.
Why HRV Matters for Long-Term Health
HRV is not just a number; it’s a key indicator of your body’s resilience, adaptability, and overall well-being. By working to improve HRV through chiropractic care, lifestyle adjustments, and mindful stress management, you’re investing in long-term health. Higher HRV has been linked to lower mortality rates, improved cardiovascular health, and reduced risk of chronic diseases.
Boosting HRV doesn’t require expensive treatments or complicated routines. By incorporating simple, effective habits like spending time in nature, practicing gratitude, reducing screen time before bed, and committing to regular chiropractic care, you’re building a foundation for lifelong resilience and health.
Take the Next Step Towards Better Health
If you’re ready to take control of your health, increase your resilience, and optimize your body’s adaptability, consider scheduling an assessment with us. At Santé Chiropractic and Wellness Centre, we’re passionate about empowering you with the knowledge and tools you need to thrive. By improving HRV and supporting your nervous system through chiropractic care, you’re setting yourself up for a healthier, more balanced life.
