Chiropractic Manipulative Treatment
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“I’m Dr. Dean Wright (DC) and I’m a chiropractor here at South Point Physical Rehab. Today, we’re going to go over the chiropractic manipulation, also known as the adjustments or mobilizations, and spinal mobilization. It is important to know that just because I’m a chiropractor, that’s not all that I do. It’s just a tool that I utilize here. And I’m going to show you that today.
The first thing we want to do is after we go through a full exam, make sure the patient is ok to be treated, to be adjusted, manipulated, then we’ll get them down on the table, face down. And what I’m looking for is I’ll do a visual examination of the spine, see if there’s any curvatures. Maybe the rib cage is rotated, the hips can be rotated. And I’m also going to do some palpation and actually feel for the spinal vertebra if they’re moving correctly or not.
A lot of times what I’m treating would be considered a cassette syndrome or a dorsopathy. And those often present as like pinching or back stiffness. And the adjustment can help a lot with full body mechanics, especially into the shoulder and into the hips. After we go through the full exam, make sure everything’s ok, I’m going to get the patient on the table and then start some palpation findings.
Starts out usually just riding up the spine a little bit, palpating feeling for spinal integrity in the spine go down. Does it have any movement? Is it locked up? So I’ll go through each area, lumbar spine there, thoracic spine, cervical spine.
Today, I’m going to show you a thoracic spine adjustment. And it’s important to note there’s different techniques with adjustments or manipulations. I practice a diversified technique and also could be considered the Palmer Package. But there’s many techniques out there. I really customize my technique to the patients, their body and how they’re presenting.
There’s more than one way to adjust and move different bones and joints in the body.
So on Sierra, I’m feeling a lot of upper back tension and decreased to play. So what I’m going to do is I’m going to use my hands. All of my adjustments are through my hands.
I don’t personally do very many techniques with an instrument. So I’m going to use my hands, apply force into the joints each throughout the spine and the joints angle will change. So that’s why we change the techniques and the moves. When I use my hands, apply a light force into that joint capsule, sometimes as a release, sometimes you can feel it or hear it. And other times there’s you don’t hear or see any.
All right, so we just did a thoracic spine manipulation or adjustment. There were some cavitation or pops of the joints in the back, which isn’t always the goal because we’re trying to get that positive stimulus into the spinal vertebral canal and also the nervous system.”
Chiropractic Care At South Pointe Physical Rehab
At South Pointe Physical Rehab our providers practice “Diversified” chiropractic techniques. While there are multiple forms of chiropractic care, Diversified is the most common spinal manipulation technique used by Doctors of Chiropractic (DC). This technique relies on the objective findings that are found by your doctor during examination. Some of the most common areas of findings include: Range Of Motion Deficits, Pain Symptoms, Postural Findings, and Palpation Findings. Motion Palpation and Static Palpation are also common methods used to determine if a vertebrae does not have an optimal movement path or is rotated and causing pain.
Each patient is different and unique when it comes to spinal curvatures, functional movement, and biomechanics. Diversified manipulation is excellent for providing personalized treatment, especially when compared to other chiropractic spinal manipulation methods that use preconceived patterns of treatment, even though each patients needs are unique – resulting in patients receiving cookie cutter treatment regardless of findings.
Our providers will never use standard preconceived techniques, we recognize that each patient has unique biomechanics and should be treated as so. We differentiate ourselves by not just treating the problem area, but assessing the person as a whole to provide them with the tools for long term healing and pain relief without medications.
What Are Evidence Based Chiropractic Practices?
All of our providers take an evidence based approach to treating patients. While other chiropractic approaches often lead to expensive, long term treatment plans that are designed to keep you coming back and paying for services, our providers main goal is to get patients back to feeling pain free as fast as possible. Treating a patient “forever” is a common misconception about chiropractic care, which we make sure to communicate to our patients from day one.
Evidence based practices utilize the most compelling evidence for a given diagnosis combined with a deep understanding of the patients values, needs and treatment preferences. We often utilize and teach functional movement rehab methods as well as biomechanics to help our patients move better and decrease pain levels.
One of the most common misconceptions of patients receiving chiropractic care is that x-ray’s are a chiropractic staple that are required in the initial evaluation.
Examination via x-ray can still be used as a key part of diagnosis that is used to determine the integrity of the spine, intervertebral discs, and facet joints – but this is only used after an evidence based evaluation deems it necessary. We only recommend imaging at the initial visit if the patient shows signs of trauma or other red flags. For most cases, if a round of conservative chiropractic care utilizing physical mobilizations does not produce the desired progress, then we refer out for x-ray imaging.
What Should I Expect When Receiving Chiropractic Adjustments?
Adjustments, if necessary to your recovery, are highly individualized based on individual needs. Check out the videos below or read the transcripts to see one of our in house chiropractors, Dr. Dean Wright (DC), perform a few different variations of manipulations, and explain how he goes about the chiropractic adjustment process.
Chiropractic Care FAQ's
Unlike many other chiropractic practices that offer discounts and adjustment packages, we are a full integrated medical clinic.
This means that we accept most major insurance carries, and our patients are only subject to the co pay for their insurance.
Please give us a call at (303) 665-8444 to see if your insurance is in network with us and to find out how much your copay is for chiropractic care at South Pointe Chiropractic.
For detailed info on the costs of chiropractic industry check out our blog post.
Due to the integrated structure of our medical clinic, our chiropractic treatment is covered by insurance, and our patients are only responsible for their copay.
Generally speaking, the copay does not count towards your deductible, but this may depend on your current insurance provider.
Please give us a call at (303) 665-8444 to find out more about payment and your specific insurnace.
Chiropractors treat a range of musculoskeletal disorders with a wide variety of treatment techniques.
Some of the most common conditions that we treat are:
- Neck Pain
- Back Pain
- Disc Injuries
- Degenerative Disc Disease
- Degenerative Joint Disease
- Whiplash Injuries
- Ligament Sprains
- Joint Dysfunction
- Mobility & Flexibility
- Shoulder Pain
- Hip Pain
- Knee Pain
- Wrist Pain
- Carpal Tunnel Syndrome
- Plantar Fasciitis
- Adhesive Capsulitis (Frozen Shoulder)
- Sports Injuries
- Knee & Hip Arthritis
- Tennis Elbow
- Golfers Elbow
- Rotator Cuff Injuries
Click here to learn more about these common conditions that we treat!
The most common reasons for seeing a chiropractor is usually kinked to unexplained pain in the knee, shoulder, back, hip and elbow.
Also tension headaches and migraines can be significantly reduced due to various chiropractic care methods.
At South Pointe Chiropractic, the first visit usually consists of a physical examination using principals of bio mechanics combined with an overview of the patients medical history.
Our chiropractors must first determine if the patient is healthy enough to receive chiropractic care.
There are many similarities in the training between traditional Medical Doctors (M.D.) and Doctors of Chiropractic (D.C.), including:
- Completed an undergraduate degree focusing on a pre medical path
- Graduated from a four year degree in healthcare from a properly accredited university or college
- Proven diagnosis and treatment competence through working with patients
- Passed a comprehensive medical exam to obtain the required license
Check out our full blog post on the credentials of chiropractors.
“Right now, we’re going to talk about extremity manipulations or adjustments.I don’t just focus on the spine. I also treat all extremity pain, all the other joint pain in the body. I really I have a focus on the musculoskeletal system.
When looking at the foot, we’re going to give a through exam, but check a range of motion, dorsiflexion, plantar flexion, inversion, extraversion and really see where we’re limited as far as range of motion goes and take into consideration the pain as well. For the most part, most people have decreased dorsiflexion and that can occur when the Tallas bone, which is part of our ankle, and moves interior or forward.
What I am going to do is I’m going to work through the ankle and the foot working into that joint space, stretching it out, trying to influence proper biomechanics. I can also look at the calcaneus and the midfoot, so the calcaneus is often where plantar fasciitis originates and gets tight on the calcaneus, pulls on it, and it creates the inflammation on the bottom of the foot.
I can evaluate the range of motion of the midfoot. And the calcaneus, I usually go both ways to both feet.
See how all the foot bones are moving, so it’s pretty good, really, it’s that dorsiflexion that we’re trying to get better here.
So when we when we manipulate the ankle, what we’re going to do is I’m going to bring it into its full dorsiflexion, lock that joint out, and then it’s going to be a slight pull towards me.
Oftentimes you can feel your ankle gaps, you can feel the bones moving back like this. Sometimes they’ll be an audible cavitation or pop, but not all the time.
So a little bit, but we can fill that gap.
And that is one of the things that we would consider with ankle pain or foot.”
Lower Back Adjustment
“This is a side posture move retargeting the lumbar spine and the pelvis. So typically, we’ll get you on your side and we’re going to stretch out your hips first, makes things a little bit easier and gets everything loosened up.
And so what I’m going to be doing is I’m going to be contacting the lumbar spine and contacting her shoulder and doing a little bit of a distraction and then a light drop. And we’re just trying to get these lumbar joints to open up just a little bit right in here. So they’re just going to get this joint gapping. And that’s what makes the cavitation, or a positive sense really helps a lot with decrease in joint pressure and relaxes all of the surrounding soft tissues.”
Neck (Cervical Spine) Adjustment
“Today I will be showing you the cervical adjustment. We use a high velocity, low amplitude technique. And what we’re trying to do is open up those joint spaces in the neck. A lot of times headaches, tension headaches can originate in the upper cervical spine.
So after an exam and a full history, there are certain contraindications, you know, spinal fusions or spinal instability, things we want to be careful of. I don’t do this on every patient. It really depends on the individual patient.
What I like to do is I like to start by any stretch techniques for the muscle tissue and in the muscle down and then stretching it through its active range of motion. And this really helps to loosen up the area and it makes the adjustment easier and better.
Anything from tension headaches to neck pain to maybe abnormal neck posture, this can benefit you.
Right now, I am focusing on the sub occipital group.
This manipulation is real light.
So we removed the head to lock out the joints and then it’s just some light rotation and that’s all that we’re putting into that joint space.”
Chiropractic Manipulative Treatment Specialists
SOUTH POINTE PHYSICAL REHAB
Dr. Megan Moon
- Doctor of Chiropractic (DC)
- Registered Nurse (RN)
- Certified Chiropractic Wellness Practitioner (CCWP)
Dr. Dean Wright
- Doctor of Chiropractic (DC)