Spinal Manipulation

AI representation of Dr. Charno adjusting a patient's back

I know...you come into the office and I “crack” your spine.It feels great, but why does it work?

This is a little geeky, but hopefully I will make this clear.

Each of your 24 vertebra are attached to the one above and below by a small pair of joints. Those joints, called “facet joints,” are located on the right and left side of the process of bone that you feel when you touch your spine.

It’s very important that these joints move freely, through all of their ranges of motion. This movement helps to keep your vertebra, discs and back muscles healthy, and also creates nerve impulses that go into your spinal cord and brain that help manage your balance, coordination and certain aspects of your overall health.

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Spinal Movement

For a number of reasons those joints, instead of moving freely, become locked up. This can be caused by injury, stress, sedentary living, repetitive motions, strain, computer use, poor posture, etc. Over time, this can cause:

  • Pain and Muscle Spasm
  • Disc Degeneration / Herniation
  • Spinal Arthritis or Stenosis
  • A Chronic Stress Response
  • Irritation of Nerves

When I manipulate your spine, I carefully feel how your facet joints are moving and then I use a gentle force to “unstick” the joints that are locked up. I then encourage my patients to move and exercise at home to further promote normal spinal movement.

Why Does Manipulation Have to be Done Repeatedly?

Usually it takes manipulating the spine repeatedly over a period of time to restore normal movement. Just like physical therapy or exercise, it takes repetition and time to re-pattern the way your body moves.

For some people, their spines begin to move more freely in just a few visits. For others it takes longer. For many of us general life stress, spinal degeneration/arthritis, disc disease and aspects of our lifestyles (i.e. computer work and sitting), necessitate getting manipulation intermittently to keep our spines healthy and pain-free.

Manipulation is safe and very effective, but I don’t do traditional manipulation with everyone. Some people have conditions that make manipulation contraindicated, and others just aren’t comfortable with it. For those patients I use more gentle “non-force” techniques to mobilize the joints in your spine.

There are many techniques to normalize the motion of spinal joints, and I’ll always what’s best for you. Combined with soft tissue treatments, exercise rehab, good nutrition, management of stress and lifestyle modifications, spinal manipulation gets most people feeing better and stronger, and more able to do what they want to do…free of pain.

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