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Chiropractic Adjustment: Definition, Uses, Types, Treatment & Research Studies

Chiropractic Adjustment: Definition, Uses, Types, Treatment & Research Studies

 

What is Chiropractic Adjustment?

A chiropractic adjustment it is also called joint manipulation or joint mobilization. Chiropractic adjustment involves the chiropractor manually manipulating of the spine. Chiropractic adjustments may treat low back pain and any other abnormal functions of the body. It can also help with a “fixed” or “locked” joint, or joint that is not moving. The goal of an adjustment is to increase range of motion, reduce nerve irritability and improve function.  

What does a Chiropractic Adjustment do?

A chiropractic adjustment is done to avoid any degeneration of soft tissue and to help normalize spinal function. The body’s natural healing process can begin to work properly once the nervous system is functioning well. 

Types of Chiropractic Adjustment

An adjustment can either be a high velocity, low amplitude adjustment or manipulation. A quick thrust applied to the vertebrae releases the gas (joint cavitation) which releases the pressure within the joint.

Chiropractic Adjustment Research Studies

  1. A systematic review is a type of literature review that collect and critically analyze multiple research studies or papers. A systematic review by Rubinstein et al. researched the the effectiveness of spinal manipulation therapy for those suffering from chronic lower back pain.24 This study assessed 26 randomized controlled trials including 6070 participants.24  Evidence showed no significant difference between spinal manipulation therapy and other intervention approaches.24 
  2. A systematic review is a type of literature review that collect and critically analyze multiple research studies or papers. A systematic review published by Canter and Ernst studied the effectiveness of spinal manipulation for treatment of multiple regions of pain, including, but not limited to, back and neck pain.32 16 trials were included for the purpose of this study.32 Evidence suggested that spinal manipulation was ineffective for all evaluated forms of pain.32 

Based on the evidence presented in the included systematic reviews, spinal manipulation does not appear to be an effective form of treatment for different pain types, including back pain.  While spinal manipulation is seen as ineffective, ASTR treatment has shown evidence in a recent study that show it can be effective for many evaluated forms of pain. ASTR stands for Advanced Soft Tissue Release, a manual therapy specialty developed by Dr. Joesph Jacobs, DPT. ASTR takes a holistic approach to treating the source of soft tissue restriction in a way that is virtually pain-free and highly effective.

References:

24. Rubinstein SM, Terwee CB, Assendelft WJ, Boer MRD, Tulder MWV. Spinal manipulative therapy for acute low-back pain. Spine. 2011;36(13):825-846. doi:10.1002/14651858.cd008880.pub2.

25. Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2017;47(3):133-149. doi:10.2519/jospt.2017.7096.

26.  Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Physical Therapy Reviews. 2014;19(4):252-265. doi:10.1179/1743288x13y.0000000118.

27. Morihisa R Eskew J McNamara A, et al. Dry Needling in subject with muscular trigger points in the lower quarter: a systematic review. Int J Sports Phys Ther. 2016;11(1):1-14. 

28. Cotchett MP, Landorf KB, Munteanu SE. Effectiveness of dry needling and injections of myofascial trigger points associated with plantar heel pain: a systematic review. J Foot Ankle Res. 2010;3:18.

29. Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review.Arch Phys Med Rehabil 2001;82:986-92. 

30. Xue CC, Helme RD, Gibson S, et al. Effect of electroacupuncture on opioid consumption in patients with chronic musculoskeletal pain: protocol of a randomised controlled trial. Trials. 2012;13:169. doi:10.1186/1745-6215-13-169.

31.  Scott N. A., Guo B., Barton P. M., Gerwin R. D. Trigger point injections for chronic non-malignant musculoskeletal pain: a systematic review. Pain Medicine. 2009;10(1):54–69. doi: 10.1111/j.1526-4637.2008.00526.x. 

32. Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. Journal of the Royal Society of Medicine. 2006;99(4):192-196.

 

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Reviews collected from various websites

5/5
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“I have been troubled with the worsening effects of Ankylosing Spondylities (spine arthritis, back pain). After having lived with the disease for over 40 years, I was skeptical that any relief would be possible. To my astonishment, I experienced immediate relief after one session. I am very appreciative of the work you do.”
William KBack Pain
“After having 18 months of traditional physical therapy after two knee surgeries to replace my ACL, I was skeptical that anything more could be done to help my knee pain and stiffness. After just one visit, I was amazed with the results that Doctor Jacobs was able to produce with his Advanced Soft Tissue Release technique! .... I was very impressed with how my knee responded and loosened up, especially since it has been two years since my original surgery. I went in a skeptic and now I’m a believer!” 
Mychal TKnee Pain
“For a year, I couldn’t open my hand. My thumb had very limited movement without a lot of pain. It was difficult to lift anything, even small, or move my hand a certain way without pain. Last year I had two injections put into the area for pain management. And before that, I did about 5-6 months of chiropractic, but the pain would always come right back. As of today, I’ve had 3 ASTR treatments. I can open my hand completely and feel no pain at all. ASTR works! Without a doubt, it does work!“
CarolHand Pain
"Along with the elimination of medication. ASTR technique reduced my migraines in frequency and intensity tremendously"
Jessica YMigraines
“I have recovered quickly thanks to Doctor Jacobs; my pain has not only gone down significantly, but has been eliminated entirely. Doctor Jacob’s ASTR technique works quickly. My favorite thing about it is that it’s pain free. I would definitely recommend his therapy to anyone I know with chronic pain.”
Candace PJaw Pain
"I was able to resume all of my normal activities following his treatment and the headache did not return.”
Jeremy RHeadache
“I was experiencing muscle strain in my forearm and my bicep. I had limited range of motion, I wasn’t able to sleep, and I wasn’t able to extend my arm. After 3 sessions, I was pain-free. And after my fourth session had full range of motion again, was able to sleep, and I’m actually going back and starting to work out. I’m very happy with the therapy and the results!”
KathyElbow Pain
"I was having headaches about 50% of the time for the past several months. After several treatments my headaches started to diminish and I've been headache free for the past couple of months. It's wonderful not to have pain."
Liz SHeadache
"I have been in the physical therapy industry for over 3 yrs now. 6 months ago, I started working with Dr.Jacobs and I have to say that I have never witness such a successful rate of patient recovery as I have here. Dr Joseph Jacobs definitely knows how to get to the root of the patients ailment by his patented tools and methods of physical therapy. I was skeptical at first, but after repeatedly witnessing patients recovery, I have come to believe in his practice. I am proud to be a part of helping patients with their recovery."
Dee Ann PopePrevious Coworker
"I was having bad headaches just about every day after work. After just the first visit my headaches were gone and have't come back"
Drew AHeadache
“For the past year, I was getting numb and tight in my foot. The numbness was horrendous and I didn’t know what to do. After 7 ASTR treatment, now I feel no pain at all. It’s all been very comfortable.”
RichardFoot Pain
“I walked in with TMJ, limited range of motion and pain in my neck and shoulders (with shooting pain above my right ear). After just one treatment, my neck and shoulders got immediate relief! After 3 treatments, my sharp shooting pain above my ear was gone. I’m confident that with “Advanced Soft Tissue Release,” and my diligence in following the exercise program provided, I will soon feel like new again.”
Margarete EJaw Pain
“Before treatment, I had very limited range of motion when turning my neck from side to side or bending forward. After one treatment, I felt a release and could bend and turn my neck with less stress. The treatment was pain free, not invasive and better than any massage I’ve ever had!"
CathyNeck Pain
"I felt back to normal after about a week. My wrist has nearly gained back all of its range of motion after two weeks and pain has reduced substantially. I would highly recommend ASTR to anyone.”
Alex BBack & Wrist Pain
“I had a neck spasm three days ago and I couldn’t move my neck. My neck was stiff and my shoulder was really numb. Now I have almost no pain. I had three treatments and now I can move my neck.”
AnthonyNeck Pain
" It was frustrating process to receive 3 months of physical therapy, 2 cortisone shots, and 3 different orthotics with minimal relief....Thank you so much Dr. Jacobs for relieving my chronic plantar fasciitis pain. I decided to follow the whole program and in just 3 visits I was able to hike 3 miles without pain.You know your stuff and very smart to invent ASTR tools and treatment. I hope more doctors to learn from you."
Elsie JPlantar Fasciitis
"I have been suffering from chronic neck, shoulders, knees pain due to fibromyalgia for the last 12 years. I tried massage, physical therapy, chiropractic and medication but I still experiencing pain. After following Dr. Jacobs diet plan, behavior modification, ergonomics and supplements recommendations my fibromyalgia symptoms has been decreased by 90%."
Liam MFibromyalgia, neck, shoulders & knees pain
"Amazing technique worked to help me break up scar tissue in my jaw, neck, stomach and after breast implant surgery. I am amazingly out of pain"
Janice SalmonJaw, neck & stomach pain
"I saw Dr. Jacobs 3 years ago for daily tension headaches. I was miserable and taking Advil everyday. After several treatments, the scar tissue which I didn't even realize I had on my head and neck finally began to disappear. After about 6 weeks, I no longer had headaches. To this day I still do not! Thank you!"
Melissa KHeadache
"The ASTR tools have been extremely useful in heading off my headaches or migraines as I feel them coming on, as well as tight muscles and other aches"
Stacy HMigraine
"Not your everyday physical therapy, they have an understanding of your body and method to rehabilitation that I have not seen at other places. I would highly recommend this place as they are friendly and take extra steps to help you to become physically whole again."
Maher SBack Pain
"I had a treatment for my morton neuroma for which I had been suffering for 2 years. I had medical treatment but nothing changed. The doctor asked me to do a surgery. I did not want to. I flew 24 hours to have Dr Jacob's treatment: it was really worth. After the first treatment the result was obvious: no pain anymore and I could wear shoes again. Just astonishing! 2 weeks after, there is no more sign of pain. My foot doesn't hurt anymore. I can walk and run. I can sleep a whole night without being woken up by the pain. It's great!"
Christine DMorton's Neuroma
" My back pain had been present for 7 years and after one treatment it was as if it was a new back. I can move it properly now and there is no more pain. The treatment is really a good one, an incredible one!"
Christine DBack & Neck Pain
"I was experiencing lower back pain for over 5 years. My back pain was getting worst in the last year so I tried massage therapy, chiropractic care, physical therapy and pain medication but I did not experience relief.....I sew him twice and my pain is totally gone. Now I am able to walk, sleep and drive without back pain. I am a believer of Dr.Jacobs inventive treatment that called ASTR. I highly recommend ASTR treatment for back or muscle pain."
Shea GBack Pain
" I finally got relief from my knee pain after going to see Dr. Jacobs ..... His approach to physical therapy is very holistic. I wasted several months going to traditional medical doctors who decided that it was my diet or "in my head" without getting anywhere before finding Dr. Jacobs."
Norma FKnee Pain
"...Within only a few minutes of my first treatment, the pain levels and tightness in my jaw and neck went from an 8 to a 2"
Tiffany AJaw Pain
" I am doing just great after a couple sessions with Dr. Jacobs. I have little to no pain now. What a relief! My experience with Dr. Jacobs has been great. Thank you!"
Lola GBack Pain
" I have suffered from SI joint pain for the past 2 years. It was so bad, I had to stop dancing and even had to brace myself fro something as simple as a sneeze... After just a few visits, I could already tell that ASTR technique was working!
Alexandra GonzalezBack Pain
"I could not walk, drive or sit. With the 2 first visit, I felt huge difference I can drive and walk, on the 3rd week my back almost normal"
Nayibe RahimSciatica
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