Understanding the different chiropractic techniques and approaches
October 20th, 2025Chiropractic Care, chiropractic techniquesTCHCUnderstanding the different chiropractic techniques and approaches
Chiropractic care focuses on how the spine, joints, and nervous system work together to support movement and health. Chiropractors use many techniques to adjust the body, reduce pain, and help people move more easily. Each method has a specific purpose, depending on the patient's needs, comfort, and condition.
Manual Adjustments
The most common approach in chiropractic care is the manual adjustment. The chiropractor uses their hands to apply a gentle, controlled force to a joint. This helps restore normal movement and alignment. Patients often hear a popping sound, which is caused by a small release of gas in the joint. Manual adjustments can reduce pain, improve flexibility, and support proper posture.
Instrument-Assisted Techniques
Some patients prefer a lighter form of adjustment. In these cases, chiropractors may use small tools that deliver quick, gentle impulses to the spine or other joints. One popular tool is the Activator Adjusting Instrument. It allows the chiropractor to target a specific area without twisting or bending the patient’s body. This method is often used for children, older adults, or patients with conditions that make manual adjustments uncomfortable.
Flexion-Distraction
Flexion-distraction is a gentle, non-force technique used for people with disc problems, sciatica, or lower back pain. The chiropractor uses a special table that moves in a slow, rhythmic motion. This motion helps stretch the spine and reduce pressure on the discs and nerves, excellent for sciatica. It can improve circulation and ease muscle tension while keeping the spine in a safe position.
Drop Table Technique
In the drop table method, the adjusting table has sections that lift slightly and then drop when pressure is applied. The drop allows gravity and the chiropractor’s motion to work together, creating a precise adjustment. This technique helps reduce joint stress and can make the adjustment smoother and more comfortable for the patient.
Gonstead Technique
The Gonstead method uses careful analysis before any adjustment. Chiropractors study X-rays, posture, and spinal movement to find the exact area of misalignment. The adjustment itself is specific and performed by hand, with the goal of restoring normal function in one focused area. This detailed approach is often used for spinal pain and nerve irritation.
Thompson Technique
The Thompson technique also uses a drop table but adds a full-body assessment. The chiropractor checks leg length and other body markers to locate imbalances in the spine and pelvis. Adjustments are made with the drop sections of the table to support gentle correction and improve alignment throughout the body.
Soft tissue therapies
Chiropractors may also use methods that focus on muscles and connective tissue. Myofascial release and trigger point therapy help reduce muscle tension and improve range of motion. These techniques can be used alone or along with spinal adjustments for better results.
Choosing the right approach
Each chiropractic technique has its benefits, and the right one depends on the patient’s age, health, and comfort level. Chiropractors often combine methods to match the patient’s needs and goals. By understanding the different approaches, patients can take an active role in their care and feel more confident about their treatment plan.