What is Spinal Manipulation?
Spinal manipulation is a hands-on therapy used to restore mobility, relieve pain, and improve spinal function. It involves applying controlled force to specific joints in the spine to correct misalignments, reduce nerve irritation, and enhance overall musculoskeletal health.
When is Spinal Manipulation Recommended?
Spinal manipulation is often suggested for individuals experiencing:
- Lower back pain – Especially for acute or chronic non-specific low back pain.
- Neck pain – Helps relieve stiffness and tension in the cervical spine.
- Tension headaches – Effective in reducing frequency and intensity.
- Sciatica – May alleviate nerve compression causing leg pain.
- Limited spinal mobility – Improves range of motion and flexibility.
How is Spinal Manipulation Performed?
The provider uses their hands or a specialized instrument to apply controlled force to spinal joints. Techniques may include:
- High-velocity thrusts – Quick, targeted pressure to realign vertebrae.
- Mobilization techniques – Gentle stretching movements to improve motion.
- Drop table adjustments – Using a segmented table to aid adjustments.
Recovery after Spinal Manipulation
Most patients experience immediate relief, though mild soreness may occur for 24–48 hours. Staying hydrated, performing gentle stretches, and avoiding strenuous activities can help optimize recovery.
Risks of Spinal Manipulation
While generally safe, risks may include:
- Temporary soreness or stiffness
- Headaches or dizziness
- Rare nerve irritation or injury
Benefits of Spinal Manipulation
- Pain relief – Reduces discomfort from spinal misalignment.
- Improved mobility – Enhances flexibility and movement.
- Non-invasive – An alternative to medications or surgery.
- Better posture – Helps correct spinal imbalances.
What is Neuromodulation?
Neuromodulation is a medical treatment that alters nerve activity using electrical stimulation or drug delivery to target specific areas of the nervous system. It is commonly used to manage chronic pain, movement disorders, and neurological conditions that do not respond well to conventional treatments.
When is Neuromodulation Recommended?
Neuromodulation is considered for:
- Chronic pain – Especially neuropathic pain, failed back surgery syndrome, or complex regional pain syndrome.
- Movement disorders – Such as Parkinson’s disease, essential tremor, or dystonia.
- Severe migraines – When traditional treatments are ineffective.
- Bladder or bowel dysfunction – Neuromodulation can help regulate urinary and fecal incontinence.
- Epilepsy – Vagus nerve stimulation (VNS) may reduce seizure frequency.
How is Neuromodulation Performed?
The procedure depends on the type of neuromodulation therapy:
- Electrical stimulation – Electrodes are implanted near the spinal cord, brain, or peripheral nerves to deliver mild electrical pulses.
- Drug delivery systems – A small pump is implanted under the skin to release medication directly to the spinal cord.
- Minimally invasive techniques – Many neuromodulation treatments involve minor surgical procedures with minimal recovery time.
Recovery after Neuromodulation
Recovery varies based on the procedure but typically involves:
- Mild discomfort at the implantation site.
- A gradual return to normal activities within a few weeks.
- Adjustments to device settings for optimal pain or symptom relief.
Risks of Neuromodulation
- Infection at the implantation site.
- Device malfunction or lead displacement.
- Unwanted stimulation effects (e.g., tingling or discomfort).
