Chiropractic Techniques: A Comprehensive Guide to Care
Chiropractic was founded in 1895 in Davenport, Iowa, on the principle that the body has an innate ability to heal when the nervous system is free of interference. A Chiropractor’s primary tool is the Chiropractic adjustment, a highly skilled and specific movement designed to improve function in the spine and nervous system.
By restoring this function, adjustments address the mechanical root causes of various issues – from restricted mobility and back pain to generalised physical fatigue – offering a corrective alternative to simply masking symptoms with medication.
How an Adjustment Works
A Chiropractic adjustment is more specific than a general spinal manipulation. It is a natural, drug-free approach aimed at alleviating discomfort and increasing mobility. There are over 200 different techniques within the profession, each with its own unique approach:
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Manual Adjustments: Using the hands to perform a quick, firm movement.
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Instrument-Assisted: Using tools for a lighter, more targeted touch.
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Table-Assisted: Utilising “drop pieces” on a specialised table to assist the adjustment.
The ultimate goal of any technique is to improve spinal alignment, reducing interference to the nervous system and allowing your body to reach its full performance potential.
Commonly Taught Chiropractic Techniques
While every practitioner develops a unique style, several foundational techniques are taught in the 40+ Chiropractic schools worldwide.
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Diversified Technique: The most commonly used manual adjustment for spinal alignment.
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Gonstead Technique: A specific method using X-ray analysis and precision adjusting.
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Activator Methods (AMCT): A handheld instrument providing a gentle, low-force impulse.
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Thompson Technique (Drop Table): Uses a weighing mechanism to assist the adjustment.
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Sacro-Occipital Technique (SOT): Focuses on the relationship between the pelvis and the cranium.
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Upper Cervical: Specialised focus on the top of the spine to address headaches and migraines.
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Applied Kinesiology & Cox Flexion-Distraction: Often used for disc-related issues and functional muscle testing.
Advanced and Specialised Techniques
Beyond the foundational methods, many Chiropractors pursue post-graduate training in specialised techniques to help with specific patterns, such as pregnancy or paediatric care for babies. These may include:
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Advanced BioStructural Correction (ABC)™: A structural method focused on correcting misalignments the body cannot fix itself.
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Network Chiropractic & Neuro Emotional Technique (NET): Approaches that address the connection between physical tension and the stress response.
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Cranial-Sacral Technique (CST) & Koren Specific Technique (KST): Gentle methods often used for sensitive systems or newborns.
Integrated Modalities for Recovery
To support the adjustment and improve the healing of soft tissues, many Chiropractors incorporate complementary modalities:
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Soft Tissue Therapy: Including Myofascial Release, Graston Technique, or Dry Needling.
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Thermal & Electrical Therapies: Such as Cold Laser, Ultrasound, or EMS.
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Taping & Exercise: Kinesio Taping and therapeutic exercises to support long-term posture.
Our Approach at Peak Chiropractic
Most Chiropractors are experienced in a range of methods and will modify their approach to the needs of the individual. Whether you are dealing with a stiff neck or looking to optimise your overall health, the choice of technique is tailored to your clinical findings.
During their education and experience both in South Africa and overseas, our Chiropractors at Peak Chiropractic Centre in Cape Town have learned a variety of techniques. While our preferred method is Advanced BioStructural Correction™, we utilise other techniques and modalities where indicated to ensure you receive the most effective corrective care.
References
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Gatterman, M. I. (2005). Foundations of Chiropractic: Subluxation. Elsevier Health Sciences. (Overview of the 200+ techniques and the definition of the adjustment).
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Haavik, H., & Murphy, B. (2012). The role of spinal manipulation in modulating sensorimotor integration. Journal of Electromyography and Kinesiology. (Explaining the specific neurological impact of the adjustment). Study Link.
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Bergmann, T. F., & Peterson, D. H. (2010). Chiropractic Technique: Principles and Procedures. Elsevier. (Detailing Diversified, Gonstead, and Thompson methods).
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Jutai, J., et al. (2007). Chiropractic care for musculoskeletal pain: A systematic review. Journal of the Canadian Chiropractic Association.


