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What is the difference between spinal adjustments and spinal manipulation

Updated: May 30

When it comes to spinal health, terms like spinal adjustment and spinal manipulation are often used interchangeably. However, while both involve manual techniques to restore movement and function to the spine, there are key differences in their precision, intent, and application. Understanding these distinctions can help patients make informed decisions about their care.


What is Spinal Manipulation?

Spinal manipulation is a broad term used to describe various manual techniques applied to the spine. It is commonly used in osteopathy, physiotherapy, and some chiropractic approaches. The goal is generally to improve joint mobility and reduce muscle tension.


🔹 Characteristics of Spinal Manipulation:

  • Uses general force applied to a region of the spine.

  • May involve twisting, stretching, or mobilization techniques.

  • Often performed without in-depth analysis of spinal alignment.

  • Can provide temporary pain relief and increased mobility.


While spinal manipulation can be beneficial for short-term symptom relief, it may not always address the underlying cause of the dysfunction.


What is a Spinal Adjustment?

A spinal adjustment is a highly precise and targeted chiropractic technique used to correct vertebral subluxations—misalignments of the spine that can interfere with the nervous system. Chiropractors who use this approach, particularly those trained in the Gonstead Method, rely on a detailed assessment process before performing an adjustment.


🔹 Characteristics of a Spinal Adjustment:

  • Based on X-ray analysis, palpation, and nerve function assessment.

  • Involves a specific high-velocity, low-amplitude (HVLA) thrust to restore alignment.

  • Adjustments are applied to one vertebra at a time, rather than a general spinal region.

  • Aims to improve nerve function, rather than just relieve pain.


Since spinal adjustments are based on objective findings, they are designed to offer long-term spinal correction, rather than just symptom relief.


Key Differences Between Spinal Adjustment and Spinal Manipulation

Aspect

Spinal Adjustment

Spinal Manipulation

Approach

Specific and targeted

Generalized

Goal

Correct misalignments and restore nerve function

Improve joint mobility and relieve tension

Assessment

X-ray analysis, palpation, and nerve function testing

Basic physical examination

Techniques Used

Precise HVLA thrust to one vertebra at a time

Broader mobilization of spinal regions

Long-Term Benefits

Restores spinal health and prevents future issues

Temporary relief of stiffness and discomfort

Spinal dysfunction

Which One is Right for You?

If you’re looking for a general mobility improvement, spinal manipulation may provide temporary relief. However, if you want a targeted approach that corrects spinal misalignments and optimizes nervous system function, a chiropractic spinal adjustment is the better option.

At MDemetriou Chiropractic, we specialize in the Gonstead Method, ensuring that each adjustment is based on a thorough spinal analysis and tailored to your specific needs.


Experience the Difference with Precision Chiropractic Care

Choosing the right spinal care approach can make a significant difference in your long-term health. If you’re experiencing back pain, nerve-related symptoms, or postural imbalances, a precise chiropractic adjustment may be the solution you need.

Book an appointment today at MDemetriou Chiropractic and take the first step toward better spinal health!


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