How Do Chiropractors Know Where To Adjust?

Your spine holds the key to nearly every movement, yet 80% of people will experience back pain at some point in their lives. How do chiropractors know precisely where to adjust? It's not magic; it’s science—and years of training.

Chiropractors use a blend of advanced imaging, physical assessments, and hands-on expertise to target the exact spots that need realignment. By understanding the signs your body is already giving, they tailor adjustments that not only relieve pain but also help your body function better overall.

Curious about the process? Axiom Chiropractic has you covered.

Let’s dive into the fascinating methods chiropractors use to pinpoint and treat the exact sources of discomfort, so you can move with ease and confidence again!

A chiropractor in Calgary, Alberta points to a specific vertebrae on a spine model

The Role of Chiropractors in Pain Relief

What is Chiropractic Adjustment?

A chiropractic adjustment is a carefully targeted treatment that focuses on aligning the joints and improving body function. Chiropractors apply controlled force to a specific area, usually the spine, to help relieve pain and tension.

But it’s not just about cracking bones—an adjustment works on a deeper level to encourage the body’s natural healing process.

When a chiropractor adjusts a joint, they’re helping to reduce nerve irritation, increase joint movement, and ultimately improve the way your body functions as a whole. When performed correctly and precisely, chiropractic adjustments are completely safe.

Why Accurate Adjustment is Important

Precision is key in chiropractic care. Misaligned joints can create a cascade of issues, including pain, muscle strain, and poor posture. That’s why it’s essential for chiropractors to identify and adjust only the areas that truly need it.

Accurate adjustments ensure the joint is returned to its ideal position, helping to restore balance and reducing discomfort over time.

Targeted adjustments can have long-lasting effects, so getting it right is critical for both immediate relief and long-term wellness. So, how do chiropractors know where to adjust?

Dr. Matt (owner of Axiom Chiropractic in Calgary, Alberta, Canada) smiles in front of the welcome sign at Axiom Chiropractic

Diagnostic Techniques Chiropractors Use

Patient Symptoms as Initial Clues

When you visit a chiropractor, they’ll first ask about your symptoms—pain, numbness, or even tingling can all provide clues about where to start. Every sensation has a story; for instance, lower back pain might suggest a herniated disc, while tingling in the hands or arms could point to issues in the neck.

Chiropractors use these symptoms as a map, guiding them toward specific joints or areas of tension that might need attention.


Here’s a general guide to how symptoms can lead to specific adjustments:

  • Back Pain: Might indicate vertebral misalignment or joint stiffness.

  • Neck Pain and Headaches: Often linked to cervical spine issues.

  • Tingling in Limbs: Suggests nerve compression, possibly in the neck or lower back.

By listening to the body’s signals, chiropractors can develop a more personalized, effective treatment plan for each patient.

Hands-On Examination (Palpation and Muscle Testing)

One of the core diagnostic techniques used in chiropractic care is palpation—a hands-on method to identify areas of tension or misalignment. Chiropractors use their fingers to feel along the spine and surrounding muscles, assessing for any unusual tightness, heat, or tenderness.

Over time, trained chiropractors develop a heightened sensitivity that allows them to detect even the smallest of shifts or tension spots. This hands-on assessment gives them a “feel” for what’s going on beneath the surface, often providing a three-dimensional perspective of problem areas.

In addition, some chiropractors perform muscle testing. By applying pressure to various muscles and observing how they respond, they can pinpoint weaknesses or imbalances, which can suggest joint misalignment.

Muscle testing is an especially useful tool for refining the treatment plan, ensuring that each adjustment targets exactly what needs to be addressed.

Imaging Tools for Deeper Insight

While palpation and patient symptoms are critical, imaging tools like X-rays or MRIs take diagnostics to the next level. Chiropractors may use these tools during your initial consultation to see what’s happening beneath the skin, which can be especially helpful for identifying hidden issues like fractures or severe spinal misalignments.

X-rays show bone structure and alignment, revealing any curvatures, prior injuries, or degenerative changes that may be contributing to your pain.

MRIs, on the other hand, provide detailed images of soft tissues, helping to spot issues with discs, muscles, or ligaments that might be inflamed or strained. Calgary chiropractors are able to order MRI’s when clinically necessary for patient care.

Together, these tools help chiropractors determine the safest, most effective way to adjust, adding precision to the hands-on methods they use.

A chiropractor in Calgary sets up to perform an adjustment to correct a subluxation in a patient's spine

Common Chiropractic Techniques

The Chiropractic Adjustment

The standard chiropractic adjustment is the bread and butter of chiropractic care. During this procedure, chiropractors use a controlled, quick force to adjust the joint back into alignment.

Adjustments can be done manually or with instruments like an activator—a small, handheld device that delivers a gentle thrust without the “crack” of manual adjustments. The purpose here is to reduce pressure on the nerves, relieve pain, and restore normal joint function. This is much different than the treatment from say, an osteopath. And you can simply click on this link if you want to know What is the Difference Between a Chiropractor and an Osteopath?


An adjustment can:

  • Reduce muscle tension: Relieving tightness that may be adding to pain.

  • Improve range of motion: Allowing you to move more freely.

  • Decrease nerve irritation: Reducing the risk of tingling or numbness.

Whether you hear a “pop” or not, adjustments are designed to help joints move more freely, leading to an overall improvement in how you feel. That is how chiropractic adjustments work for pain relief.

Mobilization Techniques

Mobilization is a gentler approach than traditional adjustments, focusing on gradually improving a joint’s range of motion. Instead of a sudden thrust, chiropractors use slow, gentle pressure to help loosen up stiff joints and relieve muscle tightness. Mobilization is ideal for patients who may need a softer approach or are dealing with significant stiffness that needs easing over time.


Benefits of mobilization include:

  • Improved flexibility: Reducing stiffness over multiple sessions.

  • Relief for sensitive areas: Offering a softer option for painful joints.

  • Postural support: Helping correct minor imbalances in the spine.

Mobilization is especially beneficial for patients who need gradual progress, such as those recovering from an injury.

Manipulation for Severe Cases

When mobilization alone doesn’t provide enough relief, chiropractors may turn to manipulation, which requires a bit more force. This technique is usually reserved for cases where joint stiffness is more extreme, or for certain types of injury-related pain.

Manipulation is a carefully controlled technique, where chiropractors apply a forceful, precise push to restore movement. It’s safe and highly effective, but it does require skill and timing to prevent discomfort.

Chiropractors only use manipulation when it’s truly necessary, ensuring every adjustment is tailored to the patient’s tolerance and needs.

A chiropractor in Calgary points to a specific vertebrae on a spine model

How Chiropractic Care Benefits Your Health

Immediate and Long-Term Pain Relief

Chiropractic adjustments provide quick relief for many patients, especially those suffering from acute pain in the lower back, neck, or shoulders. While the relief might be immediate, chiropractic care also offers long-term benefits, particularly for those dealing with chronic conditions.

By regularly realigning the spine and improving posture, chiropractic care helps reduce muscle strain, joint stiffness, and nerve pressure. Over time, patients often find they experience fewer flare-ups and enjoy greater flexibility.

Beyond Pain Relief: Other Health Benefits

The benefits of chiropractic care don’t stop at pain relief. Many patients experience improvements in areas they didn’t expect, like better balance, enhanced energy levels, and even improved digestion. A well-aligned spine promotes healthier nerve communication, which has a ripple effect throughout the body.

Here are some benefits you might not expect from chiropractic adjustments:

  • Improved sleep: Less pain and better posture contribute to better rest.

  • Increased flexibility: More freedom of movement in your joints.

  • Reduced stress: Aligned joints mean less tension throughout the body.

Chiropractic care supports both your physical and mental well-being, making it an excellent choice for holistic health.

Chiropractic Care for Specific Injuries and Conditions

Chiropractors commonly treat a wide range of injuries and conditions beyond just back pain. From shoulder pain and headaches to plantar fasciitis and carpal tunnel syndrome, chiropractic adjustments are designed to target the root cause of discomfort.

Chiropractic care is especially effective for athletes and individuals recovering from sports injuries, as adjustments help realign the body, support muscle recovery, and prevent re-injury.


Conditions often treated include:

  1. Neck pain from poor posture or muscle tension.

  2. Headaches linked to cervical spine misalignment.

  3. Sports injuries affecting joints and muscles.

  4. Carpal tunnel and other nerve-related pain.

By focusing on the underlying issues, chiropractic care provides not only relief but also helps strengthen the body against future pain.

Is Chiropractic Care Right for You?

When to Consider Chiropractic Treatment

If you’re dealing with pain that doesn’t seem to improve with over-the-counter meds or physical therapy, chiropractic care might be worth exploring. It’s particularly beneficial for those with chronic pain, joint stiffness, or recurring headaches. Now you know how chiropractors know where to adjust!

Chiropractic care is generally safe, but chiropractors will conduct a thorough exam to ensure it’s the right fit for you. A consultation can help determine if chiropractic adjustments are appropriate for your specific needs.

Finding the Right Chiropractor

Choosing the right chiropractor is key to getting the best results. Look for a licensed professional who will take time to understand your health history and goals.

A good chiropractor should be willing to walk you through the process, answer any questions, and explain why specific adjustments are being recommended.

Personalized treatment plans and clear communication are essential for a positive chiropractic experience.

There is some mysteriousness to how chiropractic adjustments work and how chiropractors know where to adjust. In this video, Dr. O'Guin answers both of these questions. Chiropractic adjustments remove restrictions from joints, relax surrounding muscle tension, relieve pain, and improve coordination. Chiropractors know where to adjust by palpating for joint and soft tissue (muscle) restrictions.

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