Chiropractic Adjustment

Chiropractic adjustment, manual manipulation, is key to chiropractic practice. Also called Chiropractic Manipulative Therapy (CMT), or Spinal Manipulative Therapy (SMT)

We use our experience and exam findings to decide our best way of resolving your complaint.

Many of the manipulative procedures we perform use no more pressure than you can comfortably place with a finger on your closed eye. We will discuss with you what is recommended, safe, and your comfort level.

The evidence-based purpose of the chiropractic adjustment, as we use it, is used to restore motion to joints so that corrective exercises and daily activities can be effectively and safely performed.

We get great gains with manual technique and teach you the home care to maintain physical gains and continue improvement. It is consistency of home exercise prescription made possible by our in-office procedures that make a long-term difference.

Below are some out-takes from recent articles published in leading medical journals about chiropractic adjustments. Research shows your evidence-based doctor of chiropractic is the place to start with musculoskeletal complaints such as low back pain.

*Among patients with acute low back pain, spinal manipulative therapy was associated with modest improvements in pain and function at up to 6 weeks (about 1 and a half months). Goertz CM, Long CR, Vining RD, Pohlman KA, Walter J, Coulter I. Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members with Low Back Pain: A Comparative Effectiveness Clinical Trial. JAMA Netw Open. 2018;1(1):e180105. doi:10.1001/jamanetworkopen.2018.0105

JAMA Network May, 2018

**In general, side lying and supine thrust SMT techniques prove a short term significant difference when compared to non thrust SMT techniques for the outcomes of pain, functional status, and recovery. Rubinstein SM, Terwee CB, Assendelft WJJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low back pain. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD008880. DOI: 10.1002/14651858.CD008880.pub2.

***The results of this trial suggest that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP. Goertz CM, Long CR, Hondras MA, et al. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine (Phila Pa 1976). 2013;38(8):627-634. doi:10.1097/BRS.0b013e31827733e7

"Paracetamol (Tylenol) is ineffective for acute LBP even for patients who comply with treatment. This reinforces the notion that management of acute LBP should focus on providing patients advice and reassurance without the addition of paracetamol."

Schreijenberg M, Christine CL, Mclachlan AJ, Williams CM, Kamper SJ, Koes BW, Maher CG, Billot L. Paracetamol is ineffective for acute low back pain even for patients who follow treatment: complier average causal effect analysis of a randomized controlled trial. Pain. 2019 Aug