Finding the key link is a result of a thorough analysis of the entire locomotor system. We begin with a general picture, not a single lesion. We begin our search with a complete history of the pain location, onset, aggravating and relieving factors, and lifestyle or occupational repetitive strains. Following this is an examination by palpation and inspection. Our goal with this examination is to identify both the anatomical sources of pain and the biomechanical deficits or impairments related to pain.
Palpation of soft tissue (skin, fascia, tendons and ligaments), muscle length, joint mobility, along with inspection of posture, gait, and stereotypical movement patterns leads to the emergence of a picture of the patient’s major functional disturbance. Our goal is to look for a connection between these dysfunctions and the functional pathologies. Then depending on the history and examination a connection can be made. This clinical hypothesis must be checked with treatment and post-treatment evaluations.
The manipulation also stimulates the nervous system to help reduce pain and relax local musculature.
It has been researched and documented that motion is restored following an adjustment but no bones are moved for this to happen. There have been many studies that have proven its effectiveness, safety, and high levels of patient satisfaction. As a result, in 1994 the U.S. Agency for Health Care Policy and Research published this technique as a gold standard for low back pain. Since then more research has been done on neck pain, headaches, carpal tunnel syndrome, infantile colic and rehabilitation, all supporting the role of Chiropractic and its manipulative procedures.