Chiropractic care has grown into a respected and widely practised field of natural healthcare, offering drug-free and non-invasive solutions for managing musculoskeletal conditions. Whether addressing chronic pain, posture issues or recovery from injury, chiropractors use a variety of techniques tailored to the needs of each individual. These chiropractic techniques are often misunderstood or lumped into one generic method of spinal adjustment. However, the reality is far more nuanced.
When considering treatment options, it is important to understand the differences between the techniques employed by chiropractors. From precise manual adjustments to instrument-assisted corrections, each method offers its own set of benefits depending on the patient’s condition, anatomy, and response to therapy. Clinics such as Chiropractic Symphony (https://chiropracticsymphony.com.au/chiropractic/) often use a blend of approaches to provide effective and personalised care.
This article breaks down some of the most commonly used chiropractic techniques, including Gonstead, Diversified, Activator Method and others. Understanding these methodologies can empower patients to make more informed choices about their chiropractic treatment and what to expect during sessions.
Gonstead Technique
The Gonstead system is renowned for its precision and systematic approach to spinal health. Developed by Dr Clarence Gonstead in the mid-20th century, this technique relies heavily on a thorough examination process. Before administering any adjustment, chiropractors employing this method use tools such as spinal x-rays, skin temperature analysis, static and motion palpation, and visual inspection.
The main focus of Gonstead is to identify subluxations—misalignments in the vertebrae—that interfere with the nervous system. Once located, these are corrected using a hands-on, manual adjustment. The chiropractor typically places the patient in a specific posture that allows for a focused and controlled thrust into the affected vertebra. Unlike more general techniques, Gonstead adjustments are usually targeted to a single segment of the spine, aiming for maximum correction with minimal force.
Patients often appreciate the thorough diagnostic process that accompanies the Gonstead technique. It is particularly well-suited to those suffering from disc herniations, sciatica, or nerve-related issues, as the specificity of the correction can relieve pressure on the spinal nerves.
Diversified Technique
Arguably the most commonly taught and practised method across chiropractic schools worldwide, the Diversified technique blends various manual adjustment styles into one integrated system. It aims to restore proper movement and alignment to the spine and joints, relying heavily on high-velocity, low-amplitude (HVLA) thrusts.
What makes Diversified unique is its adaptability. Chiropractors trained in this method often combine elements from other chiropractic techniques to meet the needs of their patients. It is not unusual to see the Diversified method used alongside massage therapy, rehabilitative exercises, or even other chiropractic styles in a single session.
A key benefit of the Diversified technique is its broad applicability. It can be used on a wide range of musculoskeletal conditions—from simple neck stiffness to complex postural imbalances. Because of its versatility, many Australian chiropractic clinics include this method in their treatment repertoire.
Activator Method
For patients who prefer or require a gentler approach, the Activator Method offers a compelling alternative. This technique involves the use of a handheld, spring-loaded instrument known as the Activator Adjusting Instrument. It delivers a quick, controlled impulse to the targeted area without the twisting or cracking commonly associated with manual adjustments.
Developed in the late 1960s by Dr Arlan Fuhr, the Activator Method is based on principles of biomechanical analysis and neurological reflexes. It is often employed in cases where traditional adjustments may be too forceful—such as with elderly patients, young children, or individuals with conditions like osteoporosis or arthritis.
One of the defining features of the Activator Method is its reliance on leg length testing and other diagnostic protocols to determine where adjustments are needed. While it may look simple, this technique is highly structured and backed by a significant body of clinical research. Many patients appreciate the low-force nature of the treatment, which can still yield measurable improvements in mobility and pain relief.
Thompson Technique
The Thompson Technique—or Thompson Drop-Table Technique—uses a specially designed chiropractic table equipped with segments that drop slightly as a thrust is delivered. This drop mechanism helps facilitate the adjustment by using gravity to enhance the force of the chiropractor’s push, reducing the physical strain on both the patient and the practitioner.
Chiropractors using this technique often assess leg length discrepancies to help determine misalignments. Once identified, adjustments are made while the patient lies face down on the drop table, allowing for more comfort and precision.
This method is well-suited for those who might be apprehensive about manual spinal manipulation. Because of its controlled nature and comfortable patient positioning, it is often used for those new to chiropractic care or those with sensitivities to forceful adjustments.
Sacro Occipital Technique (SOT)
Developed by Dr Major B. DeJarnette, the Sacro Occipital Technique (SOT) is a comprehensive method that emphasises the relationship between the base of the spine (sacrum) and the base of the skull (occiput). SOT practitioners believe that proper function of these two areas is essential for optimal health and neurological communication.
SOT adjustments are often gentle and may involve the use of specially shaped wedges or blocks placed under the patient’s pelvis. These blocks are designed to encourage the body to naturally realign itself, making the technique ideal for those who prefer non-forceful corrections.
In addition to spinal alignment, SOT also addresses cranial and visceral function. It is often used in conjunction with other techniques to manage complex cases, including those involving headaches, TMJ disorders, or postural abnormalities.
Network Spinal Analysis (NSA)
Network Spinal Analysis, also known simply as Network Spinal, is a newer, more holistic approach to chiropractic care. Developed by Dr Donald Epstein, this method uses very light touches—usually along the spine—to help the nervous system become more aware of itself and reorganise spinal tension patterns.
NSA does not involve forceful adjustments. Instead, it encourages the body to self-correct through a process called “spinal wave,” a rhythmic undulation that allows the body to release stress and restore structural balance.
This technique is often favoured by those seeking a mind-body approach to healing, as it incorporates elements of somatic awareness, energy healing, and neurology. Patients who are interested in personal growth, stress reduction, and emotional well-being may find NSA especially beneficial.
Applied Kinesiology
Applied Kinesiology (AK) is a diagnostic and treatment system that combines chiropractic with muscle testing. Developed by Dr George Goodheart in the 1960s, AK evaluates the functional status of the body through its muscular responses. Practitioners believe that muscle strength or weakness can reflect the health of corresponding organs or systems.
In practice, a chiropractor may ask the patient to hold a limb in a certain position while applying gentle pressure. A weakened response may indicate an imbalance, which can then be addressed through spinal adjustments, nutritional support, or other therapies.
Applied Kinesiology is not limited to spinal work; it often extends to dietary advice, stress management and lifestyle coaching. Though not universally accepted within the chiropractic community, it remains a popular option among practitioners with a holistic or integrative focus.
Choosing the Right Technique
There is no one-size-fits-all when it comes to chiropractic care. Each technique has its own philosophy, tools, and style of application. The most suitable approach depends on several factors, including the patient’s age, health history, pain tolerance and personal preference.
Clinics that offer a broad spectrum of chiropractic techniques can customise care plans for optimal results. It is not uncommon for practitioners to blend multiple methods into a single session, especially in multidisciplinary practices that address complex or chronic health issues.
Patients are encouraged to ask their chiropractor about the techniques being used and what outcomes to expect. Clear communication and individualised treatment planning are key to ensuring a successful chiropractic experience.
Chiropractic care is more than just spinal adjustments—it’s a field rich with diverse techniques designed to support the body’s natural healing processes. From the precision of the Gonstead method to the gentle innovation of the Activator and the versatility of the Diversified technique, chiropractors have a wide range of tools at their disposal.
Understanding the different chiropractic techniques can demystify the process for new patients and enhance trust in the therapeutic relationship. Whether seeking relief from back pain, improved mobility, or a holistic approach to wellness, chiropractic care continues to offer adaptable and evidence-based solutions for a wide range of health concerns.
