What Is a Chiropractic Adjustment and How Does It Work?

By RUBMD 8 Min Read

Chiropractic care focuses on the relationship between the spine and the nervous system, with the belief that spinal misalignments can lead to pain and dysfunction. 

A chiropractic adjustment, also known as spinal manipulation, is a procedure performed by licensed chiropractors to restore proper alignment, reduce pain, and improve mobility. 

It involves applying controlled force to specific joints, primarily in the spine, to correct misalignments and enhance the body’s overall function. 

This technique is widely used to address musculoskeletal issues, particularly those related to back pain, neck pain, and headaches.

How Chiropractic Adjustments Work

Chiropractors use manual techniques or specialized instruments to manipulate joints and correct spinal misalignments, also known as subluxations. These misalignments can place pressure on surrounding nerves, leading to discomfort, inflammation, and restricted movement. 

By restoring proper alignment, chiropractic adjustments help reduce nerve interference, promoting the body’s natural healing process. 

The procedure often involves a quick, controlled thrust applied to the affected joint, sometimes producing a cracking or popping sound due to the release of gas bubbles within the joint. This audible release is not a sign of bones cracking but rather the release of pressure within the joint space.

Chiropractors conduct a thorough assessment before performing an adjustment. This includes evaluating the patient’s medical history, symptoms, and physical condition. 

Diagnostic tools such as X-rays or MRI scans may be used to identify spinal misalignments and determine the most appropriate treatment approach. 

The adjustment itself is usually performed on a padded chiropractic table, with the patient lying in a specific position to allow the chiropractor to target the affected joint effectively. The force applied during an adjustment is precise and controlled, ensuring safety and effectiveness.

Common Techniques Used in Chiropractic Adjustments

Several techniques are used in chiropractic care, each designed to address specific conditions and patient needs.

  • Diversified Technique: A high-velocity, low-amplitude thrust to correct spinal misalignments. It is widely used for general spinal adjustments to improve joint mobility and reduce pain.
  • Gonstead Technique: Focuses on detailed spinal analysis and precise adjustments. This technique involves a thorough evaluation using X-rays and specific hand placements to ensure accuracy.
  • Activator Method: A gentle approach that uses a handheld instrument to deliver a controlled, low-force impulse to the spine. It is suitable for patients who require a softer adjustment, such as those with osteoporosis or chronic pain conditions.
  • Thompson Drop-Table Technique: Uses a specialized chiropractic table with drop mechanisms that assist in delivering adjustments with minimal force. It helps reduce joint restriction while ensuring comfort during the procedure.
  • Flexion-Distraction Technique: Commonly used for patients with disc-related issues, such as herniated discs or sciatica. It involves a gentle stretching motion to decompress the spine and relieve nerve pressure.

Each technique is selected based on the patient’s condition, symptoms, and overall health. 

Chiropractors may combine multiple techniques to achieve the best results. 

Regardless of the method used, the goal remains the same: to restore proper spinal alignment, improve mobility, and alleviate discomfort.

Benefits of Chiropractic Adjustments

Chiropractic adjustments offer several benefits, particularly for individuals experiencing musculoskeletal pain and dysfunction. 

One of the primary benefits is pain relief, as adjustments help reduce pressure on nerves and improve joint function. Many patients report significant improvements in back pain, neck pain, and headaches after undergoing chiropractic care. 

Adjustments also enhance mobility by restoring proper joint movement, making it easier for individuals to perform daily activities without discomfort.

Another key benefit of chiropractic adjustments is their ability to promote overall wellness by improving nervous system function. 

Since the spine plays a crucial role in transmitting nerve signals throughout the body, correcting misalignments can enhance communication between the brain and the rest of the body. This improved nerve function can contribute to better posture, increased energy levels, and enhanced immune system function.

Chiropractic care is also known to support injury recovery by reducing inflammation and improving circulation, which accelerates the healing process.

In addition to addressing pain and mobility issues, chiropractic adjustments can improve overall quality of life. Many patients experience reduced stress and tension as spinal misalignments are corrected, leading to better relaxation and sleep quality. 

Chiropractic care can also complement other treatments, such as physical therapy and massage therapy, providing a comprehensive approach to musculoskeletal health. 

By focusing on natural, drug-free solutions, chiropractic care offers a holistic alternative for individuals seeking long-term pain relief and improved well-being.

Safety and Considerations of Chiropractic Adjustments

Chiropractic adjustments are generally considered safe when performed by a licensed and trained professional. However, as with any medical treatment, there are certain considerations and potential risks. 

Most patients experience mild soreness or discomfort after an adjustment, similar to the sensation felt after an intense workout. This usually resolves within 24 to 48 hours. 

Some may also experience slight fatigue or temporary headaches due to the body’s response to spinal realignment.

While rare, more serious complications can occur. The most commonly discussed risk is the potential for arterial dissection leading to stroke, particularly with neck manipulations. 

Though the likelihood of this occurring is extremely low, individuals with a history of cardiovascular issues or conditions such as osteoporosis should discuss their medical history with a chiropractor before undergoing treatment. 

Additionally, chiropractic care is not recommended for individuals with severe spinal instability, fractures, or infections affecting the spine.

Chiropractors conduct thorough assessments before performing adjustments to ensure patient safety. This includes reviewing medical history, performing physical examinations, and, in some cases, using imaging techniques to assess the condition of the spine. 

Patients should also communicate any existing health concerns, such as herniated discs or neurological conditions, to their chiropractor before treatment. 

Chiropractic care is most effective when tailored to individual needs, and proper assessment plays a crucial role in minimizing risks.

Conclusion

A chiropractic adjustment is a non-invasive treatment designed to restore spinal alignment, improve joint function, and alleviate musculoskeletal pain. 

By applying controlled force to specific joints, chiropractors help reduce nerve interference, enhance mobility, and promote overall wellness. 

Chiropractic care is commonly used to address conditions such as back pain, neck pain, headaches, and sciatica, and it can be beneficial for individuals seeking natural alternatives to pain management.

While generally safe, chiropractic adjustments should be performed by a licensed professional after a thorough assessment. 

Patients should communicate their medical history and symptoms to ensure the most effective and safe treatment. 

Chiropractic care is not only about pain relief but also about improving posture, enhancing nervous system function, and supporting long-term musculoskeletal health.

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