7 Different Chiropractic Adjustment Methods You Should Know

Daniel David Palmer

Chiropractic care has come a long way since its founding in 1897 by Daniel David Palmer, also known as D.D. Palmer. As the founder of the first chiropractic school, Palmer helped pioneer a non-invasive approach to treating a wide range of conditions — focusing on the alignment of the spine and nervous system. Today, chiropractic techniques continue to evolve, offering patients various options tailored to their unique needs.

In this post, we’ll explore seven different chiropractic adjustment methods commonly used in practices today. Whether you’re new to chiropractic care or looking to learn more about your options, this guide will walk you through some of the most trusted types of chiropractic adjustments.

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1. Palmer Method

Named after the founder of chiropractic, the Palmer Method targets misalignments in the upper cervical spine — particularly the atlas, the first vertebra at the base of the skull. This chiropractic technique is based on the belief that an atlas misalignment can disrupt the entire nervous system.

Chiropractors using the Palmer Method rely on imaging like X-rays to locate the exact position of the atlas and perform precise, gentle adjustments to restore proper alignment. Sometimes referred to as the “hole-in-one” technique, this method emphasizes accuracy and minimal force.

2. Gonstead Technique

The Gonstead Technique views the pelvic girdle as the foundation of spinal health. If this structure is off, the rest of the spine can suffer. This approach aims to detect spinal misalignments, correct them, and avoid unnecessary repeat adjustments unless symptoms return.

Gonstead chiropractors use detailed analysis including X-rays, posture checks, and instrumentation to assess the spine. Adjustments are manual and specific, with an emphasis on structural balance and nerve function.

3. Diversified Technique

When people picture a traditional chiropractic adjustment, the audible “crack” and hands-on manipulation, they’re usually thinking of the Diversified Technique. This widely used method applies a quick, controlled thrust to a joint to restore proper movement and alignment.

As one of the most common types of chiropractic adjustments, the Diversified Technique uses high-velocity, low-amplitude (HVLA) thrusts across various joints to improve range of motion and relieve discomfort.

4. Thompson Drop Technique

This method uses a specialized treatment table called the Thompson Drop Table, which features segments that drop slightly under the patient during the adjustment. The gentle dropping motion works in tandem with a manual thrust to aid joint movement with less force.

The Thompson Drop Technique is known for being gentle and effective, making it ideal for patients who may be sensitive to traditional adjustments.

5. Activator Method

The Activator Method is the second most commonly used chiropractic technique today. Instead of manual adjustments, it utilizes a handheld tool called the Activator Adjusting Instrument to deliver rapid, low-force pulses to specific spinal segments.

Because it targets individual vertebrae with precision, this method is often recommended for children, seniors, or anyone who prefers a low-force approach.

6. Sacro-Occipital Technique (SOT)

The Sacro-Occipital Technique, or SOT, was developed by Major Bertrand DeJarnette and emphasizes the connection between the base of the spine (sacrum) and the base of the skull (occiput). This method takes a full-body approach, focusing on how dysfunction in one part of the body can impact another. SOT practitioners assess patterns and indicators throughout the body to determine the best course of action, often blending spinal corrections with cranial techniques and organ support when necessary.

7. Toggle Recoil Technique

Developed by B.J. Palmer, son of D.D. Palmer, the Toggle Recoil Technique is another upper cervical method designed to adjust the top vertebrae of the spine with very little force. It involves a quick thrust followed by an immediate release — hence the “recoil.”

This gentle approach typically uses a drop table to minimize resistance and allows for precise adjustments without twisting or bending the neck.

Choose the Right Chiropractic Technique for You

Whether you're dealing with chronic pain, limited mobility, or just looking to improve your overall wellness, chiropractic care offers a wide variety of techniques to suit your comfort level and health goals. At our clinic, Dr. Petrak draws on years of experience, trained at Palmer College of Chiropractic, and frequently uses the Palmer Method to help patients restore balance and function.

​Ready to experience the benefits of chiropractic care? Contact us today to schedule your appointment.