Occasionally, we use adjusting techniques called “Diversified” and Thompson. As patient care is always priority, if after careful evaluation of the spine we find a joint that is moving poorly and affecting the patients nerve system we may choose one of these types of adjusting.
This approach often involves motion palpation and leg checks to determine exactly where the imbalance lies within your nerve system. The imbalance is found by feeling the joint while it moves during slight bending and rotation.
Once the imbalance is found, a specific manual thrust is given to create the proper movement back into the joint. The direction, speed, depth and angle that are used is the result of years of experience, practice and a thorough understanding of spinal mechanics. Occasionally we use a drop piece on the table to make the patient even more comfortable. The cushion raises ½” and then moves back into place as the doctor delivers the specific manual thrust.
The type of thrust delivered may produce a “popping” noise when gas and fluids shift in the joint. This sound is of no value in determining if the adjustment was effective or not, though it is common. Improved bio-mechanics, or proper motion, of a joint is important, especially in the spine and nervous system.