My Chiropractic Adjustment / Manipulation

Dear Valued Patient

Please check out this blog pertaining to some elements of the Chiropractic adjustment or manipulation.

A chiropractic adjustment, also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is a common and well recognised therapeutic treatment for lower back pain, headache, sciatica, a prolapsed disc

A chiropractic adjustment refers to a chiropractor applying manipulation or inducing corrective movement to the vertebrae that have abnormal movement patterns or fail to function normally.

The objective of this chiropractic treatment is to reduce the subluxation or restriction, with the goals of increasing range of motion, reducing nerve irritability and improving function and decreasing pain, inflammation and muscle spasm.

A chiropractic adjustment typically involves:

  • A high velocity, short lever arm thrust applied to a vertebra
  • An accompanying, audible release of gas (joint cavitation) that is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation).
  • A relieving sensation most of the time, although minor discomfort has been reported (that usually lasts for a short time duration) if the surrounding muscles are in spasm or the patient tenses up during this chiropractic care.

There are many different manipulative techniques that can be utilized in chiropractic, and there is a certain skill level and “art” involved with high velocity, low amplitude adjustment or manipulation. It is perhaps more important for the chiropractor to determine when not to apply the adjustment.(history of pathology, cancer, fracture, osteoporosis, osteomalacia, severe constant headache, no hard neurological signs, aortic  aneurism history…)

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.

The common goal of most chiropractic techniques to restore or to enhance joint function, with the general goals of resolving joint inflammation and reducing pain. Some approaches use some force (spinal manipulation), while others are more gentle spinal mobilization

Chiropractic Manipulation Techniques

Chiropractors adapt treatment plans to meet the specific needs of each patient. Typically chiropractic treatment plans involve some forceful and less forceful spinal adjustment techniques during the same visit or over the course of treatment (6 to 10 visits for a typical patient).

Spinal Manipulation (High-Velocity Low-Amplitude Thrust)
The most frequently used chiropractic technique, spinal manipulation, is the traditional high-velocity low-amplitude (HVLA) thrust. The manipulation often results in an audible “pop,” as chiropractors use their hands to apply a controlled sudden force to a joint while the body is positioned in a specific way.

Spinal Mobilization (Low-Force or Gentle Chiropractic Techniques)
Some conditions (such as osteoporosis), pathology, the patient’s size, patient comfort, or patient preference, may require a gentler approach generally referred to as spinal mobilization. In addition, some patients and/or clinicians prefer mild spinal mobilization techniques that do not involve twisting of the body or a forceful thrust.

In addition to manipulation, many chiropractors (like I do) will employ adjunctive therapy, such as ice or heat or physical therapy modalities (such as electrotherapy, ultrasound, etc.), as part of an overall treatment plan. Patients should discuss their symptoms and preferences with their chiropractor, whose role it is to perform a thorough examination to determine the best course of treatment.

Trust you enjoyed this blog, please ask questions and enquire about other topics you may well be interested in. Hope to blog at least once a week, time permitting…

Stay well, keep moving and remember, your Spinal health is your greatest wealth.

 

Dr. Sean Lewis