Chiropractic spinal mobilization techniques involve the slow and steady movements of the spine’s joints, reestablishing their range of motion. Because it is a slower treatment style, the techniques are done with the hands. However, a chiropractor can use various instruments/tools as well.
Spinal mobilization treatment has the same focus as spinal manipulation. To get the body back to optimal health and allow the body to heal itself naturally. However, there can be various reasons for utilizing spinal stabilization, with treatment depending on the patient’s needs, if there are underlying conditions, previous injury/s, and individual preference.
Some prefer mobilization because it is gentler and does not generate pops or cracking sounds. And the chiropractor’s style/specialization comes into play. Some work in the firm manipulation high-velocity style, while others utilize the softer mobilization style, and others work in combination.
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This adjustment re-alignment utilizes the necessary force to release the joint from its restricted motion to improve mobility and reduce pain. There are various types of high-velocity, low-amplitude manipulation approaches. These are the more common manipulation techniques:
This high-velocity, the low-amplitude technique is one that is commonly associated with chiropractic manual adjustments. The chiropractor applies a short – low-amplitude, quick, high-velocity thrust of the restricted joints. This is done one at a time to restore the normal range of motion. The patient is positioned in various positions to optimize the adjustment/alignment.
The Gonstead technique is another high-velocity low amplitude adjustment. It is similar to the diversified technique. The difference is the evaluation performed to specifically locate the painful joint and positioning of the body as the treatment is performed. Chiropractic or physical therapy chairs and tables can be used to position the patient for optimal treatment, like a cervical chair or a chest-knee table.
Here specialized treatment tables with sections that drop down during a high-velocity, low-amplitude thrust. The idea is that as the table drops, the piece drops allow for easier joint movement. A cracking sound can sometimes be heard. It depends on the patient and their condition. This type of manipulation can also be done in a gentle fashion, making it a form of spinal mobilization.
Slow, steady motion/movements are performed to mobilize the joint. Spinal mobilization can be recommended for certain individuals for different reasons:
The more common spinal mobilization approaches include:
The Activator is a hand-held, spring-loaded tool that generates a low-force impulse. A patient lies face down on the adjustment table while the chiropractor:
Here a gentle adjustment is designed to adjust the vertebrae by gently stretching the lower spine. This is usually performed in a series of repetitive slow movements like a steady rocking motion.
Here gravity is utilized to apply the adjustment. The chiropractors’ hands are crossed and on top of each other. Then the chiropractor presses down quickly and firmly on the spine while a table section drops. The table sections can be raised and dropped according to the localization of the spinal adjustment.
This technique incorporates active patient involvement, empowerment, and self-care as part of the treatment.
The chiropractor separates the misaligned vertebrae by applying gentle pressure using the fingertips to restore the spine to a natural position.
This technique utilizes wedges/blocks under the pelvis. This allows gravity with added low force to assist the chiropractor to realign the pelvis.
All of these techniques can be utilized by a chiropractor for sciatic nerve pain alleviation or can discover other conditions that could mimic sciatica.
Nerve mobilization techniques have been recently used as a method to adjust radiating pain related to disc disease, and in particular, mobilization techniques for the sciatic nerves improve mobility of the sciatic nerves, decrease mechanosensitivity of the nervous system, and heighten compliance of nerve tissues, relieving low back pain.Jeong, Ui-Cheol et al. “The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.” Journal of physical therapy science vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46
The information herein on "Chiropractic Spinal Mobilization/Manipulation Techniques" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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