Chiropractic adjustment description
A chiropractic adjustment typically involves:
Chiropractic adjustment techniques
There are many different manipulative techniques that can be utilized in chiropractic, and there is a certain skill level and "art" involved with high velocity, low amplitude adjustment or manipulation. It is perhaps more important for the chiropractor to determine when not to apply the adjustment.
Chiropractic treatment plan
Goal setting for the chiropractic treatment plan is driven by the patient's pain and disability issues and activity intolerance.
Consistent among all guidelines of low back pain treatment is the prevention of chronicity. The use of active care (care that is patient-driven such as exercise, activity modification, ergonomic modifications, etc.) is emphasized to accomplish this goal.
1.Rubinstein SM, van Middelkoop M, et. al, "Spinal manipulative therapy for chronic low-back pain," Cochrane Database Syst Rev (2): CD008112. doi:10.1002/14651858.CD008112.pub2. PMID 21328304.
2.Dagenais S, Gay RE, Tricco AC, Freeman MD, Mayer JM (2010), "NASS Contemporary Concepts in Spine Care: Spinal manipulation therapy for acute low back pain," Spine J 10 (10): 918–940. doi:10.1016/j.spinee.2010.07.389. PMID 20869008.
3.Leininger B, Bronfort G, Evans R, Reiter T, "Spinal manipulation or mobilization for radiculopathy: a systematic review," Phys Med Rehabil Clin N Am 22 (1): 105–25 (2011). doi:10.1016/j.pmr.2010.11.002. PMID 21292148.
4.Hahne AJ, Ford JJ, McMeeken JM, "Conservative management of lumbar disc herniation with associated radiculopathy: a systematic review," Spine 35 (11): E488–504 (2010).