Golden Bear Chiropractic
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Our Techniques

Adjusting styles we offer

We keep things simple in the office — no need for fancy equipment or jargon when it comes to clearing the joint restrictions that form in your body. Every technique below is matched to what your body responds to best.

Diversified

General, traditional chiropractic adjustments performed by hand, without any special equipment. This is the classic technique most people picture when they think of a chiropractic adjustment.

Thompson / Drop Table

A great option for patients who don't respond as well to traditional manual adjustments. A drop piece in the table assists the adjustment, reducing the force needed by hand.

Activator

A gentler option for those who don't do well with more forceful techniques. This method uses a small handheld instrument that delivers a quick, low-force impulse, traditionally guided by a leg-length check. A review of clinical trials found it gave benefits comparable to hands-on adjusting for spinal pain, though the studies were small.[2]

MET (Muscle Energy Technique)

A good fit for patients who prefer to avoid manual adjusting altogether. MET uses gentle muscle contractions against light resistance, followed by relaxation and stretch. It is thought to work partly through your proprioceptors, the sensors that tell your brain where your body is in space and matter for posture and balance, though research on MET is still limited and low quality.[3]

Not sure which is right for you? That's exactly what your first visit is for — Dr. Corey evaluates your body and builds a plan around what you actually respond to, not a one-size-fits-all protocol.

What the research says: most research on chiropractic adjustments studies hand-delivered spinal manipulation, which works about as well as other recommended treatments for long-lasting low back pain.[1][4] Research on drop-table, instrument, and muscle energy techniques is smaller, which is one more reason your plan is built around how you respond.

Sources

Retrieved through PubMed, plus Souza's chiropractic differential diagnosis text. Numbers in brackets above refer to this list.

  1. Rubinstein SM, de Zoete A, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ. 2019;364:l689. doi:10.1136/bmj.l689
  2. Huggins T, Boras AL, Gleberzon BJ, Popescu M, Bahry LA. Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. J Can Chiropr Assoc. 2012;56(1):49-57. PMC3280118
  3. Franke H, Fryer G, Ostelo RWJG, Kamper SJ. Muscle energy technique for non-specific low-back pain. Cochrane Database Syst Rev. 2015;(2):CD009852. doi:10.1002/14651858.CD009852.pub2
  4. Souza TA. Differential Diagnosis and Management for the Chiropractor: Protocols and Algorithms. 3rd ed. Sudbury, MA: Jones and Bartlett; 2005:127.

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