The high-velocity, low-amplitude technique, or HVLA thrust for short, is one of the oldest and most commonly used approach to spinal manipulation. In fact, it is now considered as the traditional chiropractic technique. A voluminous amount of chiropractic clinical researches have focused on the evaluation of the efficacy of this type of spinal manipulation. It can be used to alleviate different musculoskeletal and nervous complaints, particularly low back, mid back, and neck pain.
What are the Common HVLA Techniques?
The HVLA approach used in spinal manipulation further branches out to different techniques. Below are a few of the common HVLA spinal manipulation techniques.
As the most frequently used technique, the diversified technique is the form of HVLA thrust that is considered as the traditional chiropractic technique. To perform this, the chiropractor applies a high-velocity, which means quick, and low-amplitude, which translates to gentle, thrust at the affected parts and joints. This is done to each affected area one at a time. In order to optimize the treatment, the patient may be asked to move and twist his or her body during the treatment.
The Palmer-Gonstead method, which is shortened to the Gonstead adjustment, is also an HVLA adjustment similar to the diversified technique. However, the difference is in the process of evaluating and locating the problematic joint and determining the specificity of body positioning. In order to further optimize the treatment, specially designed chairs such as the cervical chair, and tables such as the chest-knee table, may be used to position the patient.
As its name suggests, the Thompson Terminal Point technique or the drop technique, involves dropping a short distance. A specialized treatment table features sections that can drop during the HVLA thrust. This table was designed with the belief that dropping the surface facilitates joint movement. During this treatment, the audible pop that is usually heard when performing spinal manipulation may or may not occur. Because of this, the technique may be considered as a kind of spinal mobilization, which is gentler than spinal manipulation.
Why Is There A Cracking Sound? Is That Dangerous?
As aforementioned, an audible pop is usually associated with HVLA techniques. This cracking sound is called cavitation and it is caused by a release of gas when the joint is pushed. Even if the joint is only pushed a short distance past its passive range of motion of the joint, it is enough to let loose the gas. This occurrence is very similar to what happens whenever you crack your knuckles.
For some chiropractors and patients, this audible pop is considered an indication of a successful treatment. However, there is not enough scientific data from studies with enough patient populations to back this belief up.
HVLA Thust and Other Chiropractor 37416 treatment
If you are interested in learning more about HVLA techniques and how it may help your condition, please feel free to contact us at Total Health Chiropractic. By availing a Chiropractor 37416 treatment for the first time, new patients can get a free consultation as well as free examination and one set of x-rays.