spinal manipulations

Introduction: Spinal Manipulations

There are a hundred several types of spinal manipulations. These are used by chiropractors. The common goal of spinal manipulation is to restore joint function.  The focus is also to reduce joint inflammation. Spinal manipulations also help reduce pain. Some approaches of spinal

spinal manipulations

spinal manipulations

manipulation use force. Some are gentler. In addition to spinal manipulations some chiropractors will add therapy. These therapies include ice, heat, and physical therapy.  Chiropractors may adapt treatment to meet patient needs.

High-Velocity Low Amplitude (HVLA Techniques)

High Velocity Low Amplitude technique is one of the most frequently used chiropractic techniques. These types of spinal manipulations are used in treating back pain. They are also used in treating the misalignment of vertebrae. The spinal manipulations involve positioning patients into a relaxed position. Then the chiropractor will perform a short, powerful arm thrust. There are many several types of HVLA techniques. These include diversified technique, gonstead adjustment, and Thompson terminal technique.

Diversified Technique


This is a form of high velocity low amplitude technique. This is also a form of manual spinal manipulation. Chiropractors apply a short, quick thrust. They do this over any restricted joints. They do this one at a time with each joint. The patient may be placed in a specific position. Placement will optimize the adjustment. When the joint is adjusted it will release an audible gas. This is caused by the release of oxygen, nitrogen, and carbon dioxide. It is the traditional popping or cracking sound one hears during chiropractic treatment.  This will release joint pressure.


Gonstead adjustment


This is also a form of high velocity low amplitude technique. It is similar to the diversified technique. The difference is in locating the problematic joint. It focuses on body positioning. When using this technique, chiropractors use specific chairs and tables. The chairs and tables are specifically designed to position the patient. This helps with the accuracy of the adjustment. A cervical chair is used to treat the neck. This will eliminate twisting and rotating of the neck.


Thompson Terminal Point (drop) Technique


This is also a form of high velocity low amplitude technique. This technique requires specialized treatment tables. These tables have drop sections. When using the HVLA technique the patient will drop a short distance during the thrust. This will facilitate movement of the joint. This type of adjustment can be used in addition to the diversified technique. It may also be used in place of the diversified technique. The traditional cracking sound may or may not occur with this type of spinal manipulation. This type of manipulation may also be a form of gentle adjustment.

ProAdjuster Pulstar

 The ProAdjuster is another form of spinal manipulations.  It is a gentler technique. This is a computerized technique. It taps each vertebra with a precise amount of pressure. This test to see if there is movement in the spine. If there is no movement the Proadjuster will tap the designated vertebrae. This will manipulate the spine into place. This is a more accurate form of spinal manipulations. The computer detects which vertebrae are out of place or locked. Then corrects the vertebrae. This allows a chiropractor to effectively treat a patient. This happens without twisting, popping, or cracking of the spine.


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