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Dr. Andre Rodrigues

How Do Chiropractors Know Where to Adjust?


Woman receiving a chiropractic adjustment on shoulder and neck

One of the most common questions people have about chiropractic is how we know where to adjust. This process involves a combination of thorough examination, diagnostic tools, and a deep understanding of the body’s musculoskeletal system. Chiropractors are trained to identify areas of misalignment and dysfunction that may be causing pain or other health issues.


The first step in determining where to adjust is a comprehensive patient evaluation. During the initial consultation, we will take a detailed medical history, including information about any past injuries, surgeries, or chronic conditions. This history provides valuable context for understanding the patient’s current health status and potential problem areas.


Following the medical history, a physical examination is conducted. This examination may include assessing posture, range of motion, muscle strength, and reflexes. Chiropractors use their hands to palpate the spine and surrounding tissues, feeling for areas of tenderness, swelling, or abnormal positioning. This hands-on approach allows them to detect subtle changes in the alignment and movement of the spine and joints.


In addition to the physical examination, chiropractors may utilize diagnostic tools such as X-rays or MRI scans. These imaging techniques provide a detailed view of the spine and surrounding structures, helping to identify misalignments, degenerative changes, or other abnormalities. By combining the information from the physical examination and diagnostic imaging, we can develop a precise and personalized treatment plan.


Chiropractors also use specific tests and techniques to identify areas of dysfunction. For example, we may use orthopedic tests to assess joint stability and function or neurological tests to evaluate nerve function. These tests help pinpoint the exact location and nature of the problem, guiding the chiropractor in selecting the most appropriate adjustments.


Once the areas of misalignment or dysfunction have been identified, we use a variety of adjustment techniques to correct them. These techniques may involve manual adjustments, where we apply a controlled force to a specific joint, or instrument-assisted adjustments, which use specialized tools to deliver precise and gentle adjustments. The goal of these adjustments is to restore proper alignment, improve mobility, and alleviate pain.


Chiropractors also consider the patient’s overall health and lifestyle when determining where to adjust. We may provide recommendations for exercises, stretches, or ergonomic changes to support spinal health and prevent future issues. By taking a holistic approach, chiropractors aim to address the underlying causes of pain and dysfunction, promoting long-term health and well-being.


Chiropractors use a combination of patient history, physical examination, diagnostic tools, and specific tests to determine where to adjust. This comprehensive approach ensures that adjustments are precise, effective, and tailored.

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