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Diversified Technique
Diversified is the technique that generally results in the popping sound as the chiropractor makes a manual adjustment to correct misaligned or subluxated spinal segments of the neck or back, and is one of the most widely used forms of manipulation in the chiropractic field. The focus is on restoration to normal biomechanical function, and correction of subluxation. In addition, Diversified methods have been developed to adjust extremity joints, allowing for beneficial applications in treating sports injuries and other injuries.
Diversified adjusting of the spine uses specific lines of drives for all manual thrusts, allowing for specificity in correcting mechanical distortions of the spine. X-rays and case histories are used in analysis and diagnosis. No instruments are used in the adjusting procedure. Motion palpatation and full spine, hands-on techniques are used to deliver a deeper thrust, which makes an osseous (popping) sound as the adjustment is given. Diversified adjustive procedures consist of high velocity, low amplitude thrusts that usually results in a cavitation of a joint. These techniques attempt to use the normal biomechanics of the spine and extremities in order to create motion in spinal or extremity joints, with the goal of restoring function and structure to the joint.
The term "adjustment" refers to the specific manipulation chiropractors apply to vertebrae that have abnormal movement patterns or fail to function normally. The objective of the chiropractic treatment is to reduce the subluxation, which results in an increased range of motion, reduced nerve irritability and improved function.
The adjustment made by the chiropractor consists of a high velocity, short lever arm thrust applied to a vertebra, which is often accompanied by an audible release of gas (joint cavitation). The audible sound is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation). The sensation is usually relieving, though minor discomfort has been reported (that usually lasts for only a short time duration) if the surrounding muscles are in spasm or the patient tenses up during the chiropractic procedure.
There are times when joint cavitation or cracking does not occur and this is often due to either significant muscle splinting or the patient may not be adequately relaxed during the chiropractic procedure. At times like this, it is sometimes best for the chiropractor to apply ice, have the patient rest, or do electrical stimulationand massage prior to attempting spinal manipulation.
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