Adjustments and Manipulation

chiropractic adjustment

A chiropractic adjustment, also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is the primary chiropractic treatment method for back pain. Unlike some chiropractors, Dr. Zach adjusts FULL SPINE on every patient as the spine acts as a whole. In addition, different adjustments will be given to every individual as every person has different anatomy and different areas of concern.

Spinal manipulation relieves pressure on joints, reduces inflammation, and improves nerve function. It has been a trusted form of treatment since the ancient Greek Hippocrates documented manipulative techniques in his writings back in 1500 B.C. Today, spinal manipulation is used to treat back pain as well as conditions such as allergies, menstrual cramps, headaches, nerve pain, heart burn and hundreds of other symptoms.

How Does Spinal Manipulation Work?

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Some practitioners may use force and twisting, while other techniques are more gentle. Regardless of how they are performed, these techniques are intended to restore or enhance joint function with the objectives of reducing pain and resolving joint inflammation.

Dr. Zach Winkelmann is a graduate of Palmer College of Chiropractic where he was trained in many different techniques. He is trained in manual manipulation, light mechanical manipulation as well as specific drop techniques. Depending on the patient and their condition a variety of adjustments may be used. Below is a list of adjustments that Dr. Zach utilizes which include Thomspon, Diversified, Gonstead, Activator as well as muscle work.

  • Prone Diversified - Patient lies face down while getting the cervical spine adjusted.
  • Supine Diversified - Patient lies face up while getting the cervical spine adjusted.
  • Cervical Chair - Patient is seated in a chair while getting the cervical spine adjusted.
  • Prone Thoracic - Patient lies face down while getting the thoracic spine adjusted.
  • Anterior Thoracic - Patient lies face up while the doctor places hands between the patient and the table.
  • Thompson Drops - A drop table is utilized to adjust the pelvis.
  • Side Posture - Patient lies on their side to adjust the pelvis and lumbar spine.
  • Activator - A mechanical device is used to adjust the full spine.  
  • Cervical Drops - Patient lies on their side while a light drop force is used on the cervical spine.

If you have a technique you had in the past that works better than others please let Dr. Zach know so that he can tailor your care accordingly.

When vertebrae shift out of place, there is an overall systemic response from the muscular system to the central nervous system. Without proper alignment and flow, our nerves, our immune system, and our minds cannot function at their highest peak.

Overall, spinal adjustments and manipulations are an excellent way to keep the body functioning at its highest level without any discomfort. When the body is adequately aligned, it becomes able to respond and perform as it was built to do.

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850 Val Vista St. Suite A | Sheridan, WY 82801

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7:30 am-5:30 pm


7:30 am-5:30 pm


7:30 am-5:30 pm


7:30 am-5:30 pm


7:30 am-12:30 pm


By Appointment


By Appointment