Chiropractic Services
Evidence-informed, patient-centered care using Diversified, SOT, Drop-Assist, Activator, and Flexion-Distraction techniques—tailored to your goals for pain relief, health, and performance.
Diversified (HVLA) | Sacro Occipital Technique (SOT) | Thompson / Drop Assisted | Activator (Instrument Adjustment | Flexion/Distraction (Cox Technique)
Personalized Plans
Every visit blends manual care with movement prescriptions and load management appropriate to your condition and sport.
Gentle to High-Velocity Options
From low-force instrument and pelvic blocking to classic HVLA adjustments and decompression-style mobilization.
Evidence-Informed
Aligned with current guidelines and research on pain science, neuromodulation, and spine biomechanics.
Diversified (HVLA)
The classic hands-on chiropractic adjustment
Diversified is a high-velocity, low-amplitude (HVLA) manual manipulation used to restore joint motion and reduce pain. It’s the most widely taught and practiced chiropractic technique.
Benefits
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Rapid pain modulation for mechanical neck and low back pain
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Improved segmental mobility and range of motion
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Short-term neuromodulatory effects that may down-regulate nociception
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Often combined with exercise for longer-term results
Physiology
A quick, precise thrust stimulates joint mechanoreceptors (type I/II) and inhibitory interneurons in the dorsal horn, which can elevate pressure-pain thresholds and reduce central sensitization. Studies also report short-term changes in corticospinal drive and autonomic balance (e.g., HRV).
For Pain
Useful for acute, subacute and chronic nonspecific spine pain when there are motion restrictions. Clinical guidelines include spinal manipulation as an evidence-based, non-pharmacologic option.
For Health
By restoring normal joint kinematics and proprioceptive input, HVLA may improve movement quality and reduce protective muscle guarding.
For Sport
May acutely improve ROM, strength output, and motor control in select athletes—helpful pre- or between training blocks when motion restriction limits performance.
Activator (instrument Assisted)
Very low-force
Spring-loaded instrument adjustments
Benefits
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Precise force vectors with reproducible settings
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Well tolerated in post-acute, hyperalgesic or osteoporotic populations (when appropriate)
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Can be applied to extremities as well as the spine
Physiology
The brief impulse stimulates articular and periarticular mechanoreceptors with minimal joint excursion, producing neuromodulatory effects similar to manual HVLA but with lower peak forces.
For Pain
Appropriate for focal facet or costotransverse pain, cervicogenic headache patterns, or when guarding limits manual methods.
For Health
Supports gentle proprioceptive retraining with minimal soreness.
For Sport
Useful for precision tune-ups on wrists, elbows, ankles and feet without affecting training load.
Activator delivers a controlled, high-speed, low-amplitude impulse at specific points without manual cavitation. It’s ideal for patients who prefer or require minimal force.
Flexion-Distraction (Cox® Technique)
Decompression-style mobilization for discs.
Benefits
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May lower intradiscal pressure and tension on nerve roots
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Improves segmental mobility with minimal pain provocation
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Commonly used for disc herniation, radiculopathy and spinal stenosis
Physiology
Biomechanical studies demonstrate reduced intradiscal pressure during Cox flexion-distraction and manual cervical distraction. Decompression plus oscillatory mobilization may improve nutrient diffusion and reduce chemical nociception.
For Pain
Often selected for discogenic pain, radiculopathy and stenosis where traction-like unloading is beneficial.
For Health
Gentle motion can restore normal movement patterns and reduce paraspinal spasm.
For Sport
Supports recovery when axial loading and disc irritability limit training capacity.
Performed on a specialized table that gently flexes and distracts the spine to reduce intradiscal pressure, open foramina, and mobilize segments without thrust.
Thompson / Drop-Assist
Precision thrusts with drop-piece assistance
Benefits
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Lower perceived force with effective segmental correction
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Efficient for pelvic, lumbar and thoracic listings
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Often comfortable for older adults or acute pain presentations
Physiology
The rapid impulse with reduced tissue drag increases the rate of force development while minimizing amplitude. Mechanoreceptor activation and reflex inhibition may decrease hypertonicity and pain sensitivity.
For Pain
Helpful when guarding makes traditional HVLA uncomfortable; can reduce local pain sensitivity and improve motion quickly.
For Health
Supports upright posture and balanced gait mechanics through targeted lumbopelvic corrections.
For Sport
Good between sessions or competitions when a lighter-force approach is preferred.
Drop tables momentarily release under a targeted region during a light thrust. The drop reduces peak force on the patient while allowing a fast, accurate adjustment.
Sacro Occipital Technique (SOT)
Gentle pelvic blocking and craniosacral-informed methods
Benefits
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Very gentle—often well tolerated in sensitive or chronic cases
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Targets lumbopelvic imbalance, sacral nutation/counternutation patterns
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May reduce myofascial tone and improve postural symmetry
Physiology
Sustained positioning and low-force contacts provide prolonged afferent input that can reduce paraspinal hypertonicity, alter pelvic ligament tension, and modulate dural meningeal strain through the sacrum-cranium connection.
For Pain
A conservative option for persistent low back/pelvic pain or when higher-force thrusts are not indicated.
For Health
Emphasizes whole-body balance; may support breath mechanics and gentle autonomic downshift in tense individuals.
For Sport
Useful during deload weeks or when athletes need pelvic symmetry without post-adjustment soreness.
SOT uses wedge-shaped pelvic blocks and low-force contacts to influence lumbopelvic mechanics, dural tension and craniosacral dynamics. It is individualized to the patient’s category and indicators.
Research: Chiropractic Works!
Health is really about one thing – function. How well you are functioning determines how truly well you are. Health and wellness are about more than just ‘feeling good'; they are about functioning at your ultimate potential. When your body is functioning at 100%, you have the innate ability to adapt to anything that occurs in your environment and you can continually maintain optimal health. This is how we can manage STRESS!
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[1] Short-Term Effects of Spinal Manual Therapy on the Nervous System: Systematic Review (2025).
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[4] American College of Physicians Guideline for Nonradicular Low Back Pain (2017).
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[6] Single session spinal manipulation increases plantar flexor strength and cortical drive (2018).
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[7] Lumbar spinal manipulation reduces local pain sensitivity acutely in chronic LBP (2024).
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[8] Cox Flexion-Distraction: Intradiscal pressure reduction cadaveric pilot (2022).
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[9] Manual cervical distraction reduces intradiscal pressure (2013).
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[10] Activator Adjusting Instrument: Systematic review of clinical trials (2012).
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[11] Chiropractic treatment approaches overview (2014) – notes on Thompson/Drop usage.
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[12] Recent LBP clinical practice guidelines summary (2024).
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