Houston Methodist. Leading Medicine

Neck FAQ

Question:

Sometimes when I see my chiropractor, she manipulates my back with me lying down and sometimes sitting up. Why is that?

Answer:

There are different types of manipulation procedures that can be done on the spine. Some techniques can be done in more than one position. The location of the problem and the patient's individual anatomic variations may direct some of the chiropractor's decision about the techniques (and positions) used. For some patients, it may be possible to get better leverage by using a supine (on your back) position. The force of the patient's body along with the downward thrust of the manipulation may be needed to make the necessary correction of spinal alignment. Sometimes the chiropractor's size (compared with the patient's size) figures in on the equation. The more specific the manipulative treatment can be, the better the results. These are just some general thoughts on your experience. You will have to ask in order to know for sure why your chiropractor uses different positions and techniques. K. M. Cross, PT, PhD, ATC, et al. Thoracic Spine Thrust Manipulation Improves Pain, Range of Motion, and Self-Reported Function in Patients with Mechanical Neck Pain:Systematic Review. In Journal of Orthopaedic & Sports Physical Therapy. September 2011. Vol. 41. No. 9. Pp.633-643.

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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