Chiropractic Care

What is Chiropractic?

Chiropractic originally consisted of adjustments made to the spine, by hand only; the word itself is derived from the Greek words cheir (hand) and praktos (done), literally “done by hand.” It has since evolved to include both manual and instrument assisted techniques to both the spine and extremities (knees, shoulders, etc.)


Also known as manipulations by the medical field, the adjustment is the first line of treatment for virtually all chiropractors. It involves locating a fixated or mal-positioned segment (sometimes colloquially referred to as a subluxation) of the spine or extremities and delivering a corrective force to restore normal function both to the joint and its accompanying nervous tissue. Most chiropractic adjustments are highly specific and involve a low force, high speed thrust delivered either by hand or with the aid of an instrument.


Grostic Procedure
(Upper Cervical Specific)

Utilized by Dr. Orsino, the Grostic Procedure utilizes x-rays to determine misalignment of the top three bones in the spine relative to the rest of the neck. Misalignment of just 3mm is enough to distort the spinal cord as a result of stabilizing ligaments that attach the cord to the atlas (C1) vertebra. Treatment involves a gentle adjustment to the atlas with a unique vector for each patient. This is considered a low speed, low amplitude adjustment without any twisting or cracking.

Activator Methods
(Instrument Assisted)

The Activator (or similar device) is a small handheld instrument used by the doctor to correct spinal misalignment and stimulate joint position sensors. By utilizing a mixture of palpation and reflex arcs, the doctor locations the effected spinal segments or extremities then delivers pinpoint thrusts with the device. This technique is effective for patients that dislike adjustments or that have conditions that weaken their bone structure, such as osteoporosis.

Palmer Package
(Full Spine Manual)

Consisting of several modified technique packages (Gonstead, Diversified, Toggle Recoil, and Thompson Drop), Palmer Package adjusting consists of a variety of different high velocity, low amplitude hand delivered adjustments designed to correct dysfunction in the spine and extremities, some of which are assisted by a dropping mechanism in the table. It is appropriate for all ages of patients and can be modified based on the patient’s needs and preferences.

What is a “subluxation?”

If you’ve visited a chiropractor in the past, you may have heard the term “subluxation.” Subluxation is a legacy term used by the chiropractic profession to refer to various segmental disorders of the spine and extremities that impact neuromuscular function and in some cases visceral activity. While there is some contention as to the term’s use due to its different meaning in medical terminology (e.g., an incomplete or partial dislocation), it is still a widely popular way to describe the primary condition most chiropractors treat.

Therapies Offered

Paladin Chiropractic offers a number of other treatments to augment more traditional chiropractic treatments. Most therapies are meant to speed up healing, decrease pain, or increase the effectiveness of adjustment procedures. We offer the following therapies:

Instrument Assisted Soft Tissue Manipulation (IASTM): Also known as Gua Sha or its proprietary name, Graston Technique®, IASTM involves the use of dull edged tools to treat soft tissue conditions such as adhesions, nerve entrapments (for instance carpal tunnel syndrome), and chronic conditions (for instance tennis elbow and plantar fasciitis). This technique is typically performed in conjunction with adjusting and helps stimulate healing.

Electrical Stimulation: Designed to reduce muscle spasm and alleviate pain, E-Stim is typically applied over effected areas for 10-20 minutes. Electricity is used to stimulate contractions in the target muscles, fatiguing the target tissue and allowing it to relax. It can be used before or after adjustments, depending on the patient’s needs.

Diathermy: Muscle and fat can make it difficult to apply heat to deeper tissues of the body. Diathermy solves that by providing heat to tissues by heating water inside of cells at a specified depth. It is used to increase blood flow and loosen muscles, typically in hard to reach locations such as the hip joint, shoulder joint, or mid back.

Cold Laser: Unlike “hot laser,” which heats and can even be used to cut tissue (as in surgery), cold laser stimulates energy production in tissue and helps to reduce pain and increase healing speed. Because of its lower energy, cold laser does not heat tissue and as such cannot cause burns. Cold laser can be effective for stubborn chronic complaints such as knee pain, arthritis in the hands, and even headaches.

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