• Thoracic adjustment | 34
    Adjusting the thoracic spine
  • resisted neck exercise | 34
    Learning a resisted neck exercise
  • patella adjustment | 34
    Michael prepares to adjust the patella
  • using cold gel | 34
    Using a cold gel on the forearm
  • TMJ adjustment | 34
    Adjusting the temperomandibular joint
  • knee soft tissue therapy | 34
    Soft tissue therapy to the knee
  • tennis elbow adjustment | 34
    Adjustment to help reduce tennis elbow pain
  • low back mobilisation in a child | 34
    Low back mobilisation in a child
  • seat wedge | 34
    Learning to use a seat wedge
  • car seat advice | 34
    Michael helped me improve my car seat position
  • occiput exercise | 34
    Exercise for the upper neck
  • Applying a neck roll  | 34
    Applying a neck roll to the pillow
  • Low back massage | 34
    Massaging the low back
  • shoulder exercise with band | 34
    Exercising the shoulder with a band
  • exercise teaching | 34
    Michael coached me through my exercises
  • blocks | 34
    Using "blocks" to adjust the pelvis
  • pillow advice | 34
    Now I know how my pillow should support my neck at night
  • neck toggle | 34
    A "toggle" adjustment to the neck
  • Activator adjustment | 34
    Activator neck adjustment in a 93 year old patient
  • Thoracic adjustment | 34
    Adjusting the thoracic spine
  • Acupuncture for shoulder pain | 34
    Kate applies needles for migraine and headaches
  • Applying ice to the knee | 34
    Using ice therapy for the knee
  • massage to the upper back | 34
    Remedial massage to the upper back
  • thoracic massage | 34
    Remedial massage to the upper back
  • taping the leg | 34
    Kate applies tape to the leg and ankle
  • breathing exercises | 34
    learning to breath more fully
  • Teaching the Piriformis Stretch  | 34
    Teaching the Piriformis Stretch exercise
  • Low back adjustment | 34
    Adjusting the low back
  • shoulder adjustment | 34
    Adjusting the shoulder
  • Applying needles for back pain | 34
    Michael applies needles to relieve back pain
  • Soft tissue therapy to the shoulder | 34
    Soft tissue therapy to the front of the shoulder
  • elbow adjustment | 34
    Elbow soft tissue therapy on an older patient
  • low back toggle | 34
    A toggle adjustment to the low back
  • Soft tissue therapy to the shoulder | 34
    Deep soft tissue therapy to the shoulder

A typical Chiropractic treatment

 Once you fully understand the report of findings and have given your consent, your chiropractor will make the necessary adjustments (manipulations) to your spinal or other joints. Some adjustments may make a popping sound, due to gas bubbles released when a stiff joint is freed up, but treatment is usually not painful and often brings considerable immediate relief.

Adjustments may be augmented with manual or massage therapy to muscles, ligaments and other soft tissues, ice and heat or physical therapy such as ultrasound. Acupuncture “Dry Needling” therapy may applied for pain relief. Sometimes "strapping" of a joint can be helpful or advice given on shoe inserts or "orthotics".

You will usually be given exercises designed to help "hold" the adjustment and advice may be given on sleeping, adjusting your pillow or adjusting your seating to reduce pain. At work you may need to adjust your workstation and if you drive for your living advice can be given to optimise the car seat and steering wheel positions.

Use these links to fast forward to sections on this page:

Typical low back adjustments

Typical middle back adjustments

Typical Cervical Adjustments

Extremity Adjustments

Soft Tissue Therapy and Massage

Acupuncture Dry Needling

Exercises

Advice on daily living, sporting activities and working positions

 

Typical low back adjustments:

lumbar rolltoggle

The "lumbar roll", one of the most common low back adjustments, is shown on the left.     

The "toggle drop" on the right shows the patient lying face down on a special couch that drops away a few centimetres when a fast downward adjustment is made over the joint. It is used when the patient finds difficulty lying on the side.    

blocks

 

Specially designed wedges, known as "blocks" are sometimes used. Placed under points on the pelvis they use gravity to gently move one side of the pelvis against the other, as shown on the left.

child low back

 

On the right a child is adjusted using a gentle rocking movement through the hip

 

 

 

 

Typical middle back adjustments

cross bilateralmcp

 

 

 

 

 

 

 

anterior thoracic

 

 

 

Kate is shown using typical prone thoracic adjustment techniques, above, whilst Michael uses an "anterior thoracic" adjustment, left.

 

 

 

 

Typical Cervical Adjustments

neck adjustmentsitting neck

 

Using a very specific contact on just one joint the aim of any adjustment is to open, or "gap" the fixed joint, enabling it to move again.

On the left is a "supine" adjustment - on the right a "sitting" one.

 

 

 

A joint can also be freed using a "toggle drop" method. The headpiece is raised on a set spring and the neck positioned so the"contact" lies over the joint. A very light, fast "thrust" overcomes the spring and the headpiece drops. The recoil frees the joint with the minimum of force, as shown below, to the left.

cervical toggle The "activator" uses a similar spring method. The instrument is placed against the locked joint and the trigger releases a light measured impulse that restores motion. These "non-force" adjustments are used when standard manual adjustments are unsuitable, as shown here on a 93 year old patient.

activator

 

 

 

 

 

 

 

 

 

 

Extremity Adjustments

Chiropractors are also trained to manipulate other joints, in addition to the spinal adjustments they are famed for. Here we show a selection of adjustments to the upper and lower limbs, as well as an adjustment to the temperomandibular joint (jaw). There are many different types of adjustment that can be applied to any one joint.

shoulderwrist

 

 

 

Shoulder (Left)

 

and

 

wrist/hand (Right)

 

 

 

 

elbowknee

 

 

Elbow (Left)

 

and

 

knee/patella (Right)

 

 

 

 

 

ankle

 

Ankle (Left)

 

TMJ (temporomandibular joint) adjustment, below

TMJ

 

 

 

 

 

 

 

 

 

Soft Tissue Therapy and Massage

A wide variety of "soft tissue" and massage techniques can be used and a small selection are shown here.

low back massmid back forearm mass

 

 

 

 

 

 

 

 

upper trap massthoracic mass

 

 

 

 

 

 

 

 

scalenescapular lift

 

 

 

 

 

 

 

 

Hot/Cold packs or  Cooling gel can be used

 ice kneecooling gel

 

 

 

 

 

 

 

 

Acupuncture Dry Needling

There is stong research evidence to show that Acupuncture "dry needling" is valuable in the treatment of neck, low back, shoulder and knee pain. Kate also uses acupuncture for a number of stress related conditions, including migraines, and she has a special interest in women's health.

dry needling shoulder

dry needling low back

 

 

 

 

 

 

 

 

Click Acupuncture to go the the Acupuncture page for more detailed information

 

Exercises

Specific exercises can play a valuable role in maintaining the effects of the chiropractic adjustment. The following pictures show patients being instructed in exercises to do at home.

S/I stretchgym ball 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

resisted neck

occiput ex

 

 

 

 

 

 

 

 

 

 

 

 

 

door stretchshoulder band

 

 

 

 

 

 

 

 

 

 

 

 

 

 

superman

 

 

Advice on daily living, sporting activities and working positions

Advice may be given on a wide range of daily living activities such as diet, fluid intake, relaxed breathing and physical exercise. If you are a sports person we will want to know what pre and post exercise "warming up" and "cooling down" routines you may following. At work you may need to review your work surfaces and lifting habits if you have a physical job, to adjust your workstation if you are desk bound and to optimise the car seat and steering wheel positions if you drive for your living. Sometimes using an angled seat wedge can take tension away from the low back. At home we may review and give you advice on your mattress, adjusting your pillow or altering your seating position to reduce pain. Learning to use an ice pack can rapidly reduce inflammation and we will teach you how to apply one at home.

These pictures illustrate advice on car seating, adapting a pillow, positioning a seat wedge, applying a hot/cold pack and coordinating shoulder and diaphragm movements to enhance relaxed breathing.

car advicepillow advice

 

 

 

 

 

 

 

 pillow advice

 

 

 

 

 

 

 

 

seat wedgeice position 

 

 

 

 

 

 

 

 breathing

 

 

 

 

 

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Healthcare 2000 Clinics
Wingfield Chiropractic Clinic
Trowle House
Wingfield
Trowbridge
Wiltshire
BA14 9LE

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