High Velocity Low Amplitude (HVLA) Manipulation
Typical spinal manipulation that introduces a small quick movement into the joint to improve proper joint mechanics. Chiropractors refer to spinal manipulation as an “adjustment.” Often times an audible noise “crack” is heard. This sound corresponds to the release of gases within the joint.

Low Velocity Low Amplitude (LVLA) Manipulation
Gentler form of manipulation that utilizes coordinated breathing and muscle contraction to improve proper joint mechanics. Audible “cracks” are not typically heard with this type of manipulation

Distraction Manipulation
Opens joint spaces within the spine while increasing movement of fluids and nutrients into the disc.

Manipulation Under Anesthesia (MUA)                                                                                 MUA offers a final non-surgical approach for people suffering from neuromusculoskeletal pain.  It releases painful fibrotic adhesions in joints, muscles, and nerves. This multidisciplinary approach employs board certified anesthesiologists for medical management to ensure patient safety.   MUA sets the stage for people to benefit from rehabilitative programs with an improved prognosis.  MUA is best suited for patients with intense chronic pain unresponsive to conservative or therapeutic treatment.