Diversified Technique [or Full-Spine Specific (FSS)] -
This is a widely used type of chiropractic manipulation/ adjustment that includes most of the procedures taught at chiropractic schools. This technique is the most commonly used of all chiropractic techniques and is the one probably most familiar to patients. The Diversified manipulation/adjustment entails a highvelocity, low-amplitude thrust that usually results in a cavitation of a joint (quick, shallow thrusts that cause the popping noise often associated with a chiropractic manipulation/adjustment). As the name implies, the Diversified Technique can be used to treat many of the joints in the body.
Extremity Manipulating/Adjusting -
This is the application of chiropractic manipulation/adjustment to joints other than those of the spine, i.e., shoulder, elbow, wrist/hand/finger, hip, knee, ankle/foot/toe. Examples of conditions treated by extremity manipulation/ adjustment: carpal tunnel syndrome, gait, or posture-related problems.
Activator Method -
This is a hand-held, spring-loaded instrument-based manipulation/adjustment protocol. Instead of the manipulating/adjusting forces being delivered by hand, force is generated with the small appliance that delivers a lighter, but quicker, thrust than can be delivered by hand. Activator can be used as a primary treatment protocol for all patients or a selective method for patients who may not desire manual manipulation/adjustment or where manual manipulation/adjustment may be contraindicated.
Manipulative/Adjustive Instruments -
These are techniques, other than Activator, that include the use of instruments to deliver a manipulation/adjustment to the patient. Many of these procedures are used specifically in the upper cervical region, but not all. Precision of the direction of the thrust is claimed to be the advantage of these techniques.
Cox Flexion/Distraction -
This is a specific chiropractic technique that uses mechanical and hands-on manipulation/ adjustment utilizing a special table where the spine is tractioned and flexed forward. This technique is primarily utilized to treat cervical and lumbar disc herniations, nondisc spinal disorders, and to increase mobility of spinal joints.
Thompson Technique -
This is a specific chiropractic method and is a variation of the Diversified technique that uses a special table with several segments called drop pieces. These segments can be cocked up a fraction of an inch, so when the thrust is delivered, the table will drop this fraction of an inch. The drop pieces assist the thrust while minimizing the force used for the manipulation/ adjustment. Cavitation of the joint may or may not occur.