Chiropractors take many factors – including size, weight, and muscle structure into consideration when deciding on which adjustment to make. Sometimes, ice, electrical stimulation, or massage therapy (including traction massage) are used prior to a spinal manipulation in order to relax the muscles.
In some cases, it may necessary to perform an adjustment while you are sedated.
Spinal manipulation under anesthesia, which is considered a very safe procedure, is usually reserved for patients with conditions such as chronic neck, back, and joint pain, muscle spasm, shortened muscles, and fibrous adhesions.
Another form of adjustment called craniosacral therapy, or “CST,” involves exerting very mild pressure to the body’s craniosacral system, which is comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. This includes craniumâ€”which is composed of the skull, face and mouth, and the “sacrum,” or tailbone.
CST has been shown to provide relief from chronic neck and back pain, scoliosis, brain and spinal cord injuries, migraines, chronic fatigue, nervous system disorders, jaw joint problems, and stress disorders. (Conditions such as aneurysm and intracranial hemorrhage prohibit this kind of therapy.)
Adjustments almost always do not involve any pain or discomfort. The important thing for a patient to keep in mind is to remain relaxed, because stiffening up may impede the adjustment process. Popping sounds are sometimes heard during adjustments; these are usually pockets of air being released behind a joint or other bony structure.
Adjustments can leave you with a greater sense of well-being, calm, and most importantly, on the road to a life without pain. Following an adjustment, some patients experience mild aching or soreness in their spinal joints or muscles, which can usually be relieved by an ice or heat pack.