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What is Chiropractic Adjustment? Purpose, Procedure & Results

Created at:1/13/2025

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A chiropractic adjustment is a hands-on treatment where a licensed chiropractor uses controlled force to move joints in your spine or other parts of your body. This gentle manipulation aims to improve your range of motion and reduce pain when joints aren't moving properly.

Think of it as helping your body's natural alignment get back on track. When joints become stiff or slightly misaligned from daily activities, stress, or minor injuries, an adjustment can help restore normal movement and function.

What is chiropractic adjustment?

Chiropractic adjustment is a therapeutic technique that involves applying precise, controlled pressure to specific joints in your body. The goal is to restore proper movement and position to joints that have become restricted or aren't functioning optimally.

During an adjustment, you might hear a popping or cracking sound. This is completely normal and happens when small pockets of gas are released from the joint fluid. It's similar to cracking your knuckles, but performed by a trained professional with specific therapeutic intent.

Chiropractors use their hands or specialized instruments to perform these adjustments. The technique requires years of training to master safely and effectively.

Why is chiropractic adjustment done?

Chiropractic adjustments are primarily done to relieve pain and improve function in your musculoskeletal system. Many people seek this treatment when they experience back pain, neck pain, or headaches that may be related to joint dysfunction.

The treatment can help with various conditions beyond just back pain. Some people find relief from certain types of headaches, shoulder pain, and even some arm or leg discomfort that stems from spinal issues.

Your body's spine and nervous system work closely together. When joints aren't moving properly, it can sometimes affect how your nervous system functions, which is why some people experience broader benefits from chiropractic care.

What is the procedure for chiropractic adjustment?

Your chiropractic adjustment begins with a thorough consultation and examination. Your chiropractor will ask about your symptoms, medical history, and what activities might have contributed to your discomfort.

The physical examination typically includes checking your posture, range of motion, and specific areas of tenderness. Your chiropractor may also perform orthopedic and neurological tests to better understand your condition.

Here's what happens during the actual adjustment process:

  1. You'll be positioned on a specialized chiropractic table, usually lying face down or on your side
  2. Your chiropractor will locate the specific joint that needs attention
  3. They'll place their hands in precise positions around the joint
  4. A quick, controlled thrust is applied in a specific direction
  5. You may hear a popping sound as the joint releases
  6. The process is repeated for other areas that need treatment

The entire session usually takes 15 to 30 minutes, depending on how many areas need attention. Most people find the experience more comfortable than they expected.

How to prepare for your chiropractic adjustment?

Preparing for your chiropractic adjustment is straightforward and doesn't require any special steps. The most important thing is to wear comfortable, loose-fitting clothing that allows easy movement.

Avoid heavy meals right before your appointment, as you'll be lying in different positions during the treatment. It's also helpful to stay hydrated throughout the day.

If you're taking any medications or have recent X-rays or MRI results, bring them to your appointment. This information helps your chiropractor provide the safest and most effective treatment.

Try to arrive a few minutes early to complete any necessary paperwork and allow yourself time to relax before the treatment begins.

How to understand your chiropractic adjustment results?

The results of chiropractic adjustments can vary from person to person and depend on your specific condition. Some people experience immediate relief, while others may notice gradual improvement over several sessions.

You might feel some soreness or stiffness for 24 to 48 hours after your first adjustment. This is normal and similar to how you might feel after starting a new exercise routine. Your body is adapting to the improved joint movement.

Positive signs that your treatment is working include reduced pain, improved range of motion, and better sleep quality. You may also notice that daily activities become easier and more comfortable.

Your chiropractor will typically reassess your progress at follow-up visits and adjust the treatment plan accordingly. They'll also provide guidance on exercises or lifestyle changes that can support your recovery.

What are the risk factors for needing chiropractic adjustment?

Several factors can increase your likelihood of developing conditions that benefit from chiropractic adjustment. Understanding these can help you take preventive steps when possible.

Your daily habits and lifestyle choices play a significant role in spinal health. Poor posture, whether from desk work or other activities, can gradually lead to joint restrictions and discomfort.

Common risk factors include:

  • Sedentary lifestyle or prolonged sitting
  • Poor posture during work or daily activities
  • Repetitive motions or heavy lifting
  • Previous injuries to the spine or other joints
  • Age-related wear and tear on joints
  • Stress and muscle tension
  • Lack of regular exercise
  • Sleeping in uncomfortable positions

While some risk factors like aging can't be changed, many others can be modified through lifestyle adjustments and proper self-care.

What are the possible complications of chiropractic adjustment?

Chiropractic adjustments are generally safe when performed by licensed professionals, but like any medical treatment, they do carry some potential risks. Serious complications are rare, but it's important to be aware of them.

The most common side effects are mild and temporary. These include soreness, stiffness, or mild headaches that typically resolve within a day or two after treatment.

Here are potential complications to be aware of:

  • Temporary increase in pain or discomfort
  • Muscle soreness or stiffness
  • Headaches (usually mild and short-lived)
  • Fatigue on the day of treatment

More serious complications are extremely rare but can include:

  • Herniated or worsened disc problems
  • Nerve compression or irritation
  • Stroke (extremely rare, typically associated with neck adjustments)
  • Broken ribs (very rare, usually in people with osteoporosis)

Your chiropractor will discuss these risks with you and determine if you're a good candidate for adjustment based on your health history and current condition.

When should I see a doctor for chiropractic adjustment?

You should consider seeing a chiropractor when you experience persistent pain or stiffness that interferes with your daily activities. This treatment can be particularly helpful for mechanical problems with your spine and joints.

Many people benefit from chiropractic care for back pain, neck pain, and headaches that haven't responded well to rest, over-the-counter medications, or other conservative treatments.

Consider chiropractic adjustment if you experience:

  • Chronic back or neck pain lasting more than a few days
  • Stiffness that limits your range of motion
  • Frequent headaches that seem related to neck tension
  • Pain that radiates into your arms or legs
  • Discomfort that worsens with certain movements or positions
  • Muscle spasms or tension that won't resolve

However, you should see a medical doctor first if you have severe pain, numbness, weakness, or if your symptoms followed a significant injury or accident.

Frequently asked questions about Chiropractic adjustment

Yes, chiropractic adjustment can be very effective for many types of back pain, especially when the pain is related to joint dysfunction or muscle tension. Research shows that chiropractic care can provide significant relief for acute lower back pain and some types of chronic back pain.

The treatment works best for mechanical back pain, which means pain caused by problems with how your spine moves rather than from serious structural damage. Many people experience improvement within a few sessions, though the exact timeline varies by individual.

The risk of stroke from chiropractic adjustment is extremely low, with studies showing it occurs in fewer than 1 in 100,000 to 1 in 5.85 million treatments. This rare complication is typically associated with neck adjustments and usually involves people who already have underlying blood vessel abnormalities.

Licensed chiropractors are trained to screen for conditions that might increase this risk and will avoid certain techniques if they identify any concerns. If you have a history of stroke, blood clotting disorders, or take blood-thinning medications, discuss these with your chiropractor before treatment.

The frequency of chiropractic adjustments depends on your specific condition, overall health, and how you respond to treatment. For acute problems, you might need adjustments 2-3 times per week initially, then less frequently as you improve.

For chronic conditions, many people benefit from weekly or bi-weekly adjustments initially, then monthly maintenance visits. Your chiropractor will develop a personalized treatment plan and adjust the frequency based on your progress and needs.

Chiropractic adjustment can help with certain types of headaches, particularly tension headaches and some cervicogenic headaches that originate from problems in the neck. If your headaches are related to neck tension, poor posture, or joint dysfunction, chiropractic care may provide significant relief.

However, not all headaches respond to chiropractic treatment. Migraines, cluster headaches, and headaches caused by other medical conditions may require different approaches. Your chiropractor can help determine if your headaches are likely to respond to adjustment.

Yes, it's completely normal to feel some soreness or stiffness for 24-48 hours after your first chiropractic adjustment. This mild discomfort is similar to what you might experience after starting a new exercise routine and indicates that your body is adapting to improved joint movement.

The soreness is usually mild and can be managed with gentle movement, applying ice for 15-20 minutes, or taking over-the-counter pain relievers if needed. If you experience severe pain or symptoms that worsen significantly, contact your chiropractor promptly.

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