Not always.  The body is highly-adaptive and can accommodate some spinal distortion without pain. 

 However, damage to the spine is cumulative.  The degenerative effects of uncorrected spinal problems worsen with time.  Generally pain doesn't result until there is incident to which the body can no longer adapt. 

Ill health, fatigue, and many other disorders can occur long before the presence of pain or other obvious symptoms.

Pursue the path of having optimal health with chriropractic care and nourish your nervous system so that your body and spirit can experience the glorious power of renewed health naturally.