Chiropractic Technique
Core approach
Chiropractic technique requires patient selection, informed consent, positioning, directed force, and reassessment. Understand the difference between manipulation and mobilization, the role of segmental dysfunction, and the importance of biomechanics and comfort. Cavitation is not a reliable measure of success; functional change and symptom response matter more.
Concepts to know
Know general contraindications and precautions: unstable fracture, dislocation, infection, malignancy involving bone, severe osteoporosis, progressive neurologic deficit, and inability to consent. Vascular and coagulation concerns require individualized judgment. Technique should be adapted to body habitus, age, preference, and tissue tolerance. Document consent, area treated, technique, response, and adverse events.
Question traps
Do not assume “more force equals more benefit.” Avoid manipulating every patient with the same technique. Do not treat cavitation as proof of correction or use manipulation as a substitute for diagnosing red flags. Watch for questions that describe a relative contraindication and ask for the safest next step.
Worked example
A patient with suspected unstable spinal fracture or progressive weakness should not receive high-velocity manipulation. Stabilize, refer, or obtain urgent imaging as indicated. For a stable patient with mechanical pain and no red flags, choose a tolerated technique and reassess function. Rule of thumb: if the benefit is unclear or a red flag is present, do not manipulate; evaluate first.
Documentation
Record consent, indications, technique, response, and any adverse reaction.