Techniques

Diversified Technique [or Full-Spine Specific (FSS)]-This is a widely used type of chiropractic manipulation/ adjustment that includes most of the procedures taught at chiropractic schools. This technique is the most commonly used of all chiropractic techniques and is the one probably most familiar to patients. The Diversified manipulation/adjustment entails a highvelocity, low-amplitude thrust that usually results in a cavitation of a joint (quick, shallow thrusts that cause the  popping noise often associated with a chiropractic manipulation/adjustment). As the name implies, the Diversified Technique can be used to treat many of the joints in the body.

Extremity Manipulating/Adjusting- This is the application of chiropractic manipulation/adjustment to joints other than those of the spine, i.e., shoulder, elbow, wrist/hand/finger, hip, knee, ankle/foot/toe. Examples of conditions treated by extremity manipulation/ adjustment: carpal tunnel syndrome, gait, or posture-related problems.

Activator Method-This is a hand-held, spring-loaded instrument-based manipulation/adjustment protocol. Instead of the manipulating/adjusting forces being delivered by hand, force is generated with the small appliance that delivers a lighter, but quicker, thrust than can be delivered by hand. Activator can be used as a primary treatment protocol for all patients or a selective method for patients who may not desire manual manipulation/adjustment or where manual manipulation/adjustment may be contraindicated.

Gonstead Technique- This chiropractic technique and is a variation of the Diversified technique that utilizes manipulation/adjustment by hand that usually results in joint cavitation. X-ray analysis, palpation, and temperature gradient studies may be used in clinical decision-making (i.e., what segment(s) to manipulate/adjust).

Thompson Technique-This is a specificchiropractic method and is a variation of the Diversified technique that uses a special table with several segments called drop pieces. These segments can be cocked up a fraction of an inch, so when the thrust is delivered, the table will drop this fraction of an inch. The drop pieces assist the thrust while minimizing the force used for the manipulation/ adjustment. Cavitation of the joint may or may not occur.

Sacro Occipital Technique (SOT)-This is a specific chiropractic technique that uses triangular-shaped blocks usually placed under the pelvis of the prone patient to treat problems identified in the low back. Low force, slow pressure types of manipulations/adjustments may be used to address joint problems identified in the skull. SOT may be used as an exclusive treatment technique or as an adjunct method of patient management.