Types of Adjusting Techniques

Extremities Adjustment

• Although poor spinal alignment and function is proven to cause improper body mechanics, induce nerve pressure and abnormal alignment of the joints, extremities have a vital role in bridging the gap between pain and performance in you overall health. There are 206 bones in your body and 33 bones in your spine, which leaves 173 reasons why just one small misalignment of one of a joint in the extremities can lead to myriad of health problems and areas of discomfort that will only increase if they go untreated. A few extremity locations are TMJ (jaw), shoulders, elbows, wrists, hips, knees, ankles and feet.


• Diversified adjustments are considered the most effective chiropractic corrective technique. It is differentiated from other techniques in that its objective is to restore proper movement and alignment of the spine and joint dysfunction. It is characterized by specific high-velocity, low-amplitude adjustment to correct misalignments and remove interference to the central nervous system.

• There is something called synovial fluid present in your joints that acts as a lubricant. The fluid consists of oxygen, nitrogen, and carbon dioxide. When you cavitate a joint, you are stretching the joint capsule. The gasses in the synovial fluid are rapidly released, which creates the popping sound.

Thompson Drop

• The Thompson Technique is a full spine adjusting technique that utilizes a specially designed segmented drop table that allows for minimal force to be applied to areas of concern.  This table allows patients to lie face down at an angle that provides a more natural position for effective adjustments. This technique is also a gentler approach as it focuses more on the release of pressure of the hands instead of the force of the thrust.

Flexion Distraction Method

• Cox Method is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on the flexion distraction table. The goal of flexion distraction is to decompress the spine by applying gentle stretching or traction to the lower spine. The table applies very gentle pressure utilizes flexion-distraction and decompression to increase the disc height between vertebrae, decompressing the spinal column and restoring the spinal joints to their proper alignment and range of motion. We can adjust the different sections of the table to neutralize the effects of gravity and then apply gentle pressure to the affected areas as they move through a more normal range of motion. Movements are repetitive and usually slow, without any quick thrusts or undue pressure.


• Activator Method technique is a type of manual manipulation treatment used by chiropractors to treat various types of back and neck pain, as well as extremities complaints. This technique uses a spring-loaded, hand-held mechanical instrument called the Activator. This instrument allows chiropractors to provide a quick, low-force impulse at specific points.

• There are two advantages of an Activator instrument-assisted treatment:

High speed. The instrument is so quick that the body's muscles are less likely to tense in response and resist the treatment. The lack of muscle resistance may facilitate the treatment’s effectiveness.

Controlled force. The applied force is localized and does not put the joint in any compromised positions, such as bending or twisting.


• The Gonstead system uniquely emphasizes specificity, as it applies to which levels are being targeted for adjustments. Rather than a "shotgun" approach to care where any or all levels of involvement are adjusted on the same visit, Gonstead adjustments are directed at specifically selected levels of involvement for maximum restoration and balance of function.

• Gonstead adjustments can best be described as short lever, high velocity and low amplitude, with long lever assist force application. The short lever is the specific contact on the vertebra near or on the vertebral midline. The high velocity is the quick application of force. The low amplitude is the force depth being controlled at a shallow level, just enough to affect the disc and joint sufficiently. The long lever assist applies to the stabilization of the region above and/or below the contact area being adjusted, usually employing the chiropractor's hand or thigh.

Myofascial release

• Myofascial release is a type of therapy often used to treat myofascial pain syndrome. Myofascial pain syndrome is a chronic pain disorder caused by sensitivity and tightness in your myofascial tissues. These tissues surround and support the muscles throughout your body. The pain usually originates from specific points within your myofascial tissues called “trigger points.”

• Normal myofascia should feel pliable and elastic. Massage therapy is recommended to help aid with the tissue and supportive sheath in releasing pressure and tightness. The process is repeated multiple times on the same trigger point and on other trigger points until the therapist feels the tension is fully released.