In the realm of alternative medicine, chiropractic care stands out as a powerful, non-invasive treatment option for a myriad of musculoskeletal issues. At the heart of chiropractic practice lies the adjustment, a technique that many have heard of but might not fully understand. In this guide, we’ll delve into what chiropractic adjustments are, break down the different types, and explore their many benefits backed by scientific studies..
What is an Adjustment?
Simply put, an adjustment, also known as spinal manipulation, is a precise procedure performed by chiropractors to restore proper joint mobility. Chiropractors are trained to apply controlled force to a joint, often using their hands or a small instrument, to move it beyond its usual range of motion. This manipulation helps to improve function, reduce nerve irritability, and restore range of motion to the affected area.
Types of Adjustments
- Diversified Technique:
This is the most commonly used adjustment technique by chiropractors. It involves a high-velocity, low-amplitude thrust that aims to restore proper movement and alignment to the spine or other joints. This technique is often accompanied by an audible “pop” or “crack,” which is the release of gas bubbles in the joint.
- Gonstead Adjustment:
The Gonstead technique is similar to the Diversified technique but involves more specific analysis and adjustment of the spine. Chiropractors using this technique focus on a thorough assessment of the spine before applying targeted adjustments to the affected vertebrae.
- Activator Technique:
This technique involves the use of a small, handheld instrument called an Activator Adjusting Instrument. Chiropractors use this tool to deliver a gentle, targeted impulse to specific areas of the spine or joints. It’s particularly useful for patients who prefer a low-force adjustment.
- Thompson Drop Technique:
This technique utilizes a specialized adjusting table with sections that can be raised and then quickly dropped during the adjustment. The dropping motion helps facilitate the adjustment with less force, making it comfortable for patients.
- Flexion-Distraction Technique:
This technique is commonly used to treat disc herniations, sciatica, and other lumbar spine conditions. The chiropractor uses a specialized table to apply a gentle stretching motion to the spine while applying manual adjustments.
Benefits of Adjustments
- Pain Relief:
Numerous studies have shown that chiropractic adjustments are effective in reducing pain, particularly in the lower back and neck. A 2017 study published in the Journal of the American Medical Association found that spinal manipulation resulted in significant improvement in pain for acute low back pain compared to usual medical care.
- Improved Range of Motion:
Adjustments can help restore mobility to joints that are restricted or have become stiff due to injury or repetitive strain. A study in the Journal of Manipulative and Physiological Therapeutics found that spinal adjustments improved cervical range of motion in patients with neck pain.
- Enhanced Function
When joints are properly aligned and moving freely, it can improve the overall function of the body. Chiropractic adjustments can positively impact nerve function, leading to better communication between the brain and the rest of the body.
- Headache Relief:
Chronic headaches, including migraines, can often be alleviated through chiropractic care. A study published in the Journal of Manipulative and Physiological Therapeutics found that spinal manipulation reduced migraine frequency and intensity.
- Adjunct to Other Treatments:
Chiropractic adjustments can complement other treatments such as physical therapy, massage therapy, and exercise programs. Integrating chiropractic care into a comprehensive treatment plan can enhance overall outcomes.
Chiropractic adjustments are not only about the satisfying “crack” or “pop” that many associate with the treatment. They are sophisticated techniques grounded in anatomical knowledge and scientific research. Whether it’s the Diversified, Gonstead, Activator, Thompson Drop, or Flexion-Distraction technique, each adjustment has its unique benefits.
If you’re considering chiropractic care, remember that it’s crucial to consult with a licensed chiropractor. They will conduct a thorough examination to determine the most suitable adjustment technique for your specific condition.
Through a combination of skilled hands-on manipulation and evidence-based care, chiropractors unlock the body’s innate ability to heal itself. So, the next time you hear about someone visiting their chiropractor for an adjustment, know that it’s not just a crack of the back; it’s a scientifically backed treatment aimed at restoring health and vitality.
Since 1992, our Chiropractic Physicians have been dedicated to treating patients with expertise and skillful adjustments. With years of experience, we are adept at differentially diagnosing conditions to ensure precise and effective treatments. Committed to excellence in chiropractic care, we operate across multiple clinic settings in Kent, Federal Way, and Tacoma. Our focus extends beyond mere treatment; we prioritize patient wellness, offering education on active musculoskeletal rehabilitation and injury prevention. Contact one of our clinic offices to experience the difference firsthand.
References:
Bier JD, Scholten-Peeters WGM, Staal JB, et al. Clinical practice guideline for physical therapy assessment and treatment in patients with nonspecific neck pain. Physical Therapy. 2018;98(3):162-171.
Blanchette MA, Stochkendahl MJ, Borges Da Silva R, et al. Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies. PLoS One. 2016;11(8):e0160037.
Chiropractic & Manual Therapies. (2022). “Spinal manipulative therapy for acute low back pain: a clinical practice guideline.” [online] Available at: https://chiromt.biomedcentral.com/articles/10.1186/s12998-017-0152-1 [Accessed 8 Apr. 2024].
Dunning JR, Butts R, Mourad F, et al. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskeletal Disorders. 2016;17(1):64.
Thiel HW, Bolton JE. Predictors for immediate and global responses to chiropractic manipulation of the cervical spine. Journal of Manipulative and Physiological Therapeutics. 2008;31(3):172-183.