The sound often heard during joint manipulation (in the spine, knuckles, and other similar joints) is called a cavitation. It is caused by the release of gas bubbles in the synovial fluid that naturally lubricates the joint. This phenomenon does not involve bones breaking, rubbing together, or tendons snapping. It occasionally occurs naturally in synovial joints like the wrist, ankle, and even the spine when these joints become restricted.    

The purpose of joint manipulation is to restore normal joint motion that has been altered and restricted due to injury, overuse, lack of use, repetitive strain, and in some cases, stress.  A restricted joint can become painful and unhealthy, negatively affecting other joints and causing improper nerve firing, which leads to a cycle of pain and dysfunction.

The simple answer is no. There are other techniques that do not create the “cracking sound. " All techniques are gentle and performed according to patient tolerance.  Spinal manipulation is just one treatment option at our clinic.  Although joint manipulation is extremely safe, it is not indicated for every condition and may not be used during every treatment or on every patient.  Furthermore, spinal manipulations and mobilizations should not be painful. If you are very inflamed or your condition is acute, it is no uncommon to experience a temporary increase in symptoms following treatment, regardless of the type of treatment used. As always, feel free to discuss any concerns with the doctor.

Disc herniations are common and not a contraindication to chiropractic treatment.  In fact, the vast majority of disc herniations do not require surgery or other invasive measures. Our office provides some of the most effective treatment and therapies for disc herniations and sciatic pain. 

Spinal arthritis is a common condition.  Dr. Smith routinely treats patients with varying degrees of spinal arthritis, including those with bone spurs, disc thinning, and spinal stenosis. He has achieved tremendous success in alleviating their pain and managing their symptoms.  Just because you have arthritis does not mean you have to suffer pain.

Initial examination with treatment 40-60 minutes.

Regular treatment 20-30 minutes.

Most people with low back pain recover within 2 to 5 weeks.  However, each injury is unique, and factors such as age, weight, tobacco use, overall health, activity level, and the severity of the injury all contribute to recovery time. Generally, conditions that have persisted for a longer duration or those with a history of recurrence tend to require more time for recovery. 

Occasionally, more invasive treatments, such as medication, injections, radiofrequency ablation, or surgery, are necessary to properly manage your condition. With a thorough examination and history, Dr. Smith can help determine if more invasive measures may be necessary, and he will work closely with your PCP and/or spinal specialists to ensure that you receive the appropriate treatment for your condition.

Yes, Dr. Smith has seen many patients who have undergone spinal surgery and understands post-surgical care. Chiropractic can assist with pain management, improve mobility, and address muscle stiffness, spasms, and nerve pain that may occur after surgery. Dr. Smith receives referrals from spinal surgeons, some of whom have already had surgery.  

Yes. Experiencing back pain during pregnancy is not uncommon. This is often caused by the loosening of the ligaments in the spine and pelvis due to hormonal and postural changes that occur during pregnancy. Chiropractic therapy has been proven safe and effective for pregnant women suffering from back pain and is frequently recommended by many obstetricians and practitioners.

There are many reasons why someone might want to try chiropractic care; some seek acute pain relief, some pursue treatment for chronic spinal pain, and others look to enhance their physical and spinal health. Consequently, each individual’s care and recommended treatment will vary. Those seeking pain relief as their primary goal may be discharged from care after feeling better, while others might opt to continue chiropractic care to maintain their spinal health or manage a chronic condition. Feel free to discuss your treatment goals with Dr. Smith; how long you benefit from chiropractic care truly remains your decision.