Manual Manipulation

Our chiropractors are knowledgeable on a variety of chiropractic techniques, however, the diversified technique is widely used and worth explaining.

A diversified adjustment is characterized by a high-velocity, low amplitude thrust. The objective of a diversified adjustment is to restore proper movement and alignment of the spine. The thrust delivered by the chiropractor usually results in the "popping" noise associated with a chiropractic adjustment. This noise comes from a cavitation of the joint.

There is something called synovial fluid present in your joints that acts as a lubricant. The fluid consists of oxygen, nitrogen, and carbon dioxide. When you cavitate a joint, you are stretching the joint capsule. The gasses in the synovial fluid are rapidly released, which forms a popping  sound.

Once your joint is opened up, the synovial fluids re-lubricate the joint surfaces and normal motion is restored. This is why you'll typically feel relief from your pain after an adjustment. However, in order to avoid symptoms returning it's important to maintain proper movement and alignment with regular chiropractic care. So make sure to visit your chiropractor regularly!.

This is the application of chiropractic manipulation (adjustment) to joints other than those of the spine, i.e., shoulder, elbow, wrist, hand, fingers, hip, knee, ankle, foot and toes.
Extremity manipulations restore normal motion to the joints of the extremities, relaxes tight muscles, improves coordination and inhibits (decreases) pain.
Extremity manipulation is directed at the extremity joints to improve their function and reduce pain.
Extremity manipulation (adjustment) can be used to treat carpal tunnel syndrome, gait problems and posture related problems, among others.  Dr. Welker has worked with Olympic athletes, professional athletes (bicyclists, tri-athletes, baseball, football) and many college and high school athletes (all sports) as well as those practicing martial arts for extremity injuries.  Our doctors are well versed in examination and treatment of extremity injuries.

Table adjustments - The patient lies on a special table with a "drop piece". The chiropractor applies a quick thrust at the same time the table drops. The dropping of the table allows for a lighter adjustment without the twisting positions that can accompany the manual adjustment.