Six techniques, explained
Diversified
The most widely used chiropractic technique. A quick, precise, low-amplitude push with the hands to a specific joint of the spine or pelvis, to improve how a restricted joint moves. You may hear a click. It is the technique most people picture when they think of an adjustment.
Activator
A small handheld instrument delivers a light, quick impulse to a specific point on the spine or a limb. It feels like a light tap. Because it is low force and involves no twisting, it is often used for children, older adults, people with reduced bone density and anyone who prefers a gentler approach.
Upper cervical
Techniques that focus on the joints between the skull and the top two bones of the neck, using very specific, often low-force, adjustments. Used for some neck pain and neck-related headaches.
Gonstead
A systematic approach to assessing the spine and pelvis, developed by Dr Clarence Gonstead in the 1920s. The chiropractor examines each segment closely and applies a specific, hands-on adjustment to the joints identified, using particular positions and tables.
Sacro Occipital Technique (SOT)
A gentle approach that uses padded wedges (blocks) placed under the pelvis, so that your own body weight does the work of easing the pelvis and lower spine, together with light contact techniques. Often used where a low-force option is preferred.
Network Spinal
A very light-touch approach that uses gentle contacts along the spine rather than manipulation. There is no twisting or cracking. Some people prefer it for that reason; the research base for it is limited, and we say so.
How we choose
The technique depends on what your assessment finds, your age and bone health, whether you are pregnant, and what you are comfortable with. Many people receive a mix: a manual adjustment for a stiff mid-back, a low-force instrument for the neck, soft tissue work for the muscles. If you would rather avoid manual adjustments altogether, say so; that is a normal request and there is always a gentler option.
Whatever the technique, the aim is the same: to improve how a restricted joint moves and to reduce pain and muscle tension around it. We do not claim that any technique treats conditions unrelated to the spine and joints. More about adjustments and what to expect.
Alongside the hands-on care
Our chiropractors also offer practical advice on sleep, exercise, nutrition, breathing, mindfulness and ergonomics. Ask your chiropractor about anything you would like help with.
