Manual chiropractic adjustment, also known as manipulative therapy, is a hands-on physical treatment commonly utilized by chiropractors to address musculoskeletal pain and dysfunction.
How Does Manual Chiropractic Adjustment Work?
This form of physical therapy involves direct manipulation rather than using devices or machines. Chiropractors use their hands to apply pressure on muscles and manipulate joints to alleviate pain stemming from muscle tension, spasms, and joint issues.
Benefits of Manual Chiropractic Adjustment
Limited joint movement and range of motion can cause pain, discomfort, and disrupt normal function and posture. Manual chiropractic adjustment aims to improve:
Range of motion
Reduction or elimination of soft tissue inflammation
Pain management
Muscle relaxation
Healing and stabilization of tissues
Easier movement and restored functionality
Types of Manual Chiropractic Adjustment Movements
Manual chiropractic adjustments include various techniques designed to relax tight muscles and release stiff joints. These techniques typically fall into three main categories:
Manipulation
Rapid movements applying shear, rotational, or sudden force, often producing a popping sound due to joint cavitation and gas bubble release.
Massage
Repetitive stripping, kneading, or rubbing of soft tissues to redistribute fluid, relax muscles, enhance circulation, alleviate muscle tension, break down scar tissue, and reduce pain.
Mobilization
Gradual and controlled stretching of soft tissues to improve flexibility.
Mobilization and manipulation involve deliberate movements with varying speeds (slow to fast), forces (moderate to strong), and distances to adjust joints and bones, relieve stiff tissues, reduce joint pain, restore alignment, and enhance flexibility.
Techniques Used in Manual Chiropractic Adjustment
Before starting manual chiropractic adjustment, the chiropractor assesses the nerve and blood supply in the treatment area, along with evaluating bones and muscles. Based on this assessment, the chiropractor may perform one or more of the following techniques:
Soft Tissue Mobilization
Targets rigid or fibrous muscle tissue (such as scar tissue), promotes fluid circulation, restores normal tissue texture, alleviates pain, and reduces muscle tension through rhythmic stretching and deep pressure.
Strain and Counter-Strain
Addresses abnormal neuromuscular reflexes that cause structural and postural issues. The chiropractor identifies tender points, asks the patient when soreness decreases, and holds the patient in a comfortable position for up to two minutes. This mild stretch helps reset muscle tension to normal levels, facilitating healing.
Joint Mobilization
Loosens tight joints and enhances range of motion through slow, controlled movements.
Muscle Energy Technique
Activates restricted joints and lengthens shortened muscles through voluntary muscle contractions by the patient against a counterforce applied by the chiropractor, who positions the muscle precisely.
High Velocity, Low Amplitude Thrusting
Restores proper joint motion by applying a rapid force that stops short of the joint's restrictive barrier.
What to Expect During a Manual Chiropractic Adjustment Session
During a manual chiropractic adjustment session, the chiropractor will:
Conduct a thorough assessment of your condition, including a medical history review and physical examination.
Determine the most appropriate adjustment techniques based on your specific needs.
Explain the procedure and what you can expect during the adjustment.
Perform the manual chiropractic adjustment using hands-on techniques to manipulate and adjust your spine and joints.
Provide post-adjustment advice and possible exercises to support your recovery and maintain the benefits of the adjustment.
The Importance of a Skilled Chiropractor
It's crucial to receive manual chiropractic adjustments from a skilled and licensed chiropractor. Their expertise ensures that the techniques used are safe and effective, tailored to your unique needs, and performed with precision to maximize benefits and minimize risks.
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