Types of Treatments
Below is a list of some of the common treatment
techniques and terminology used in the chiropractic profession. After
your initial examination, we will recommend a treatment program
during your report of findings. The program may include some
of the following treatments.
Diversified Technique is the classic chiropractic
technique, developed by D.D. Palmer, DC. and taught in all chiropractic
colleges. Diversified Technique was refined and developed by the
late Otto Reinert, DC, to address biomechanical failure in each
section of the spine, as it relates to specific subluxation. The
focus is on restoration to normal biomechanical function, and correction
of subluxation. In addition, Diversified methods have been developed
to adjust extremity joints, allowing for beneficial applications
in treating sports injuries and other injuries. Diversified adjusting
of the spine uses specific lines of drives for all manual thrusts,
allowing for specificity in correcting mechanical distortions of
the spine. X-rays and case histories are used in analysis and diagnosis.
No instruments are used in the adjusting procedure. Motion palpatation
and full spine, hands-on techniques are used to deliver a deeper
thrust, which makes an osseous (popping) sound as the adjustment
In the early 1960's word was spreading throughout
the world that there was a healer in a small farming community
in Wisconsin to whom people of all ages, and walks of life, were
flocking. The man was Clarence S. Gonstead. He became a chiropractor
in 1923 following a personal experience with chiropractic that
had helped his body heal from a painful, crippling episode of rheumatoid
arthritis. With a background in mechanical engineering, he would
come to apply the principles of this discipline to the evaluation
of the spine. Based on his studies, he developed the "foundation
principle" to explain how a fixation in one area of the spine
created compensatory bio-mechanical changes and symptoms in another.
He was a pioneer in the chiropractic profession, developing equipment
and a method of analysis that used more than one criteria to verify
the precise location of vertebral subluxation (A subluxation is
a spinal bone that is fixated or "stuck" resulting in
nerve pressure and interfering with the innate ability of the body
to maintain health). One hallmark of the Gonstead Technique is
adjustment of the neck with a very specific maneuver that is completed
with the patient seated. The neck is adjusted in this manner to
eliminate the twisting or rotation aspect of the adjusting procedure.
The Gonstead Technique is recognized throughout the global chiropractic
community as one of the safest systems of evaluating and caring
for conditions related to the spine.
Trigger Point Therapy
The technique and methods of Trigger Point Therapy
were primarily defined and developed by Janet Travell, M.D. Trigger
point therapy's primary focus is the elimination of myofascial
pain syndrome caused by hyper irritable areas in muscles. Because
these pain syndromes are often overlooked, Dr. Travel developed
the techniques of trigger point therapy to help patients find relief.
Trigger point therapy is performed in several ways. The least invasive
is through the application of direct pressure, or ischemic compression
to the effected muscle and the trigger point contained therein.
Application of a vapocoolant spray in conjunction with stretching
of the affected muscle, as well as therapeutic ultrasound may also
be used. More invasive methods are available if the myofascial
trigger points are unresponsive to the above therapies. Trigger
point involves direct pressure to and stretching of the affected
musculature. The amount of force used is dependent on patient tolerance.
The technique affects the body by eliminating the accumulation
of waste in the muscle. Additionally, trigger point therapy allows
for restoration of normal muscle tone and flexibility. Trigger
points are generally located through physical examination. Additional
methods of detection such as thermal imaging are currently being
investigated. The technique can be performed with no equipment
but often will include the use of a "T.bar" for added
pressure, a vapocoolant spray and possibly ultrasound.
The technique can be performed on any muscle
that develops a myofascial trigger point including extremities
and cranial muscles. The Trigger Point Manual by Janet Travell,
M.D. and David Simons, M.D. is the definitive text on the subject.
Many resources are available on the web through a search for "Myofascial
Motion Analysis (Palpation)
Motion Analysis was brought to the United States
in 1981 and quickly gained acceptance as a standard diagnostic
tool for the chiropractic profession. Motion palpation is now taught
in chiropractic colleges throughout the world. Motion Palpation
is a diagnostic technique used by a doctor of chiropractic to locate
joint dysfunction within the spinal column and extremities. This
method of spinal analysis, also called Motion Analysis, is based
upon the conclusion that a vertebra cannot be displaced or remain
displaced if some anomaly in the soft tissues (muscles, ligaments,
articular capsule, etc.) does not cause and perpetuate its malposition.
Therefore a study of the normal and abnormal mobilities of all
the vertebral articulations and eventually all the extra spinal
points was done to determine whatever anomalies in motion could
be found in relation to subluxations. Intimate methods of palpating,
and later of measuring mobilities, were developed before and after
different adjustments. Motion Analysis/Palpation was created as
a system of spinal analysis, which permits an easy examination
of the spine, both in pinpointing the different subluxations and
in determining their types. This system also serves in determining
direction and force of adjustment. It was found that subluxations
can be classed according to the degree of restriction of mobility.
It was also found that correction of the fixation usually has a
spontaneous correcting effect on smaller fixations. Furthermore,
when the key fixation in any series is discovered and corrected,
there was found to be a series of fixations which usually occured
together and disappeared together. Medical diagnosis is used to
determine if a subluxation to be adjusted is the site of any pathology.
Clinical diagnosis is also necessary to determine if a medical
specialist is needed before proceeding with adjustment. Motion
Analysis is a comprehensive diagnosis that helps the doctor to
apply treatment in the most beneficial way. References: http://www.motionpalpation.org
(and) Researchers: H. Gillet, D.C. & M. Liekens, D.C.
Activator is based on the postulate that understanding
body mechanics and force is the key to understanding how to move
bones. A leg test is utilized to tell the doctor if the subluxation
exists, chiefly in the lumbo-sacral area or cervical region of
the spine. With further research into body mechanics, W.C. Lee
D.C. and A.W. Fuhr D.C. were able to analyze the body and produce
from the analysis consistent changes using a light non-force specific
chiropractic adjustment. Lee and Fuhr understood that force was
not necessary to correct subluxations in the body. Two components
are necessary for fast, effective reduction of nerve pressure caused
by subluxations. They are speed and line of drive. Speed and line
of drive are what make chiropractic the distinct and dynamic art
and science that it is. The activator instrument was designed to
deliver this specific dynamic thrust. It is a small hand-held gun-type
mechanism that delivers a sharp percussive thrust upon triggering.
The activator instrument controls the force and speed of the adjustment
exceptionally well and with the activator, the line of drive can
be more specific.
Cox Technique founder, Dr. Cox explains Cox
Technique / Flexion-Distraction as a marriage of chiropractic principles
with osteopathic principles. These principles were set forth by
Alan Stoddard, DO, in his book, 'Manual of Osteopathic Technique'
written about the manipulative procedures developed by John McManis,
DO, in the early 1900's. Since the early 1970's, Dr. Cox has refined
the technique; developed a manipulation instrument for effective
use of the technique; conducted clinical, as well as participated
in experimental, research; lectured around the world; and written
well-received articles, chapters for textbooks, and textbooks.
Cox Flexion-Distraction is a gentle, non-force adjusting procedure
that works with the body's natural design to aid it in healing.
Dr. Cox has developed a special table for effective use of the
technique. The Cox Table (www.coxtable.com), a Flexion -Distraction
table, is used to apply the distraction spinal manipulation adjustment.
What to expect from this technique: Tractioning the spine and then
flexing it can resolve pain from joint and disc problems painlessly.
It is a powerfully effective, conservative approach to low back
and leg pain, and an alternative to explore before recommending
surgery. For patients with non-disc related conditions causing
back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis,
transitional vertebra, sacroiliac subluxation, stenosis), Cox Flexion-Distraction
provides all of the above benefits plus the ability to place spinal
joints into normal movements to restore spinal motion without pain.
Sacro Occipital Technique
Sacro Occipital Technique of Chiropractic (SOT)
and Chiropractic Craniopathy is grounded in scientific research.
Since the early 1900's, SOT has consistently delivered exceptional
results while emphasizing patient comfort. SOT is a total body
technique. Its broad scope includes not only the back and neck
but also the internal organs, extremities and cranial structures.
In SOT the primary focus is upon structural stability and integrity
as well as neurological function. The basis of the human structure
is the pelvis and the cranium. The spine, shoulders, neck and head
sit upon the pelvis and are subject to the stresses and strains
of gravity. These structures, as well as the rest of the body,
are functionally maintained and controlled by the brain through
the nervous system. Brain function is dependent upon optimal motion
and alignment of the cranial bones and cranial dura. Located below
the pelvis is the locomotion system: the legs and feet. All structures
of the body are essential to the integrity of the whole. Additionally,
organ function depends upon proper nerve supply from the spine.
The spine in turn receives nerve reflexes from the organs that
can compromise spinal mechanics. Therefore, the alignment, balance
and optimal function of the cranium, pelvis, each spinal segment,
organs and all of the extremities are essential to optimal health.