What Is a Chiropractic Adjustment?
A chiropractic adjustment is a hands-on technique where a licensed chiropractor applies controlled pressure to a joint. This is usually done on the spine but can also be done on other joints such as shoulders, hips, knees, or wrists. The purpose of the adjustment is to improve movement, restore alignment, and reduce pain.
Some people call it “spinal manipulation.” The idea is that when the spine or joints are not moving properly, it can lead to discomfort, stiffness, or even nerve irritation. By gently moving the joint back into its normal position, chiropractors help the body work the way it should.

How Do Chiropractic Adjustments Work and What Happens Inside the Body?
1. Alignment of the Spine and Joints
The spine is made of small bones called vertebrae. These bones protect the spinal cord, which is part of the nervous system. Between the vertebrae are discs that act as cushions. If the spine is slightly misaligned, it can cause pressure on nerves or lead to limited movement. A chiropractic adjustment helps restore alignment so that the joints and surrounding muscles can move more freely.
2. Release of Trapped Gases
Many people hear a popping or cracking sound during an adjustment. This is called cavitation. It happens when gas bubbles that build up in the fluid of a joint are released. It is similar to the sound when you crack your knuckles. This sound is not bone breaking but simply gas escaping as the joint space changes.
3. Improved Nerve Function
When a joint is restricted or out of position, it may irritate nearby nerves. These nerves send signals that affect pain, muscle function, and body movement. By correcting joint motion, chiropractic adjustments can reduce irritation and allow the nervous system to work better.
4. Muscle Relaxation and Blood Flow
Adjustments can help relax tight muscles that are trying to protect or stabilize a stiff joint. Better blood circulation often follows, bringing oxygen and nutrients to the area and supporting healing.
How Do Chiropractors Perform an Adjustment?
The Process Before Treatment
Before making an adjustment, chiropractors perform a full evaluation. This usually includes:
- Asking about health history.
- Physical examination.
- Sometimes imaging, like X-rays or MRI scans, if needed.
This helps the chiropractor understand the patient’s condition and decide if adjustments are safe and appropriate.
The Technique
During an adjustment, the patient may lie on a special chiropractic table. The chiropractor places their hands or a small instrument on a joint and applies a quick, controlled force. The pressure is precise, and the goal is to move the joint in a specific direction.
Different methods are used:
- Diversified technique: A quick thrust with the hands.
- Activator method: A handheld device applies gentle pressure.
- Drop table technique: A table section drops slightly when pressure is applied, making the adjustment smoother.
- Flexion distraction: Gentle stretching movements, often for lower back pain.

What Do Chiropractic Adjustments Feel Like?
Most people feel little to no pain during an adjustment. The sensation is often described as relief, with reduced stiffness or pressure. Some patients feel a sense of lightness or relaxation. It is common to hear the popping sound, but not everyone hears it every time.
After an adjustment, mild soreness can happen, similar to the feeling after exercise. This usually fades within 24 hours. Regular patients often report less soreness as their body adapts.
What Conditions Can Adjustments Help With?
Chiropractic adjustments are used for many musculoskeletal problems, such as:
- Lower back pain.
- Neck pain.
- Tension headaches and migraines.
- Sciatica.
- Joint pain in the shoulders, hips, or knees.
- Stiffness from poor posture or sitting too long.
- Recovery after minor injuries.
Some people also use chiropractic care as part of ongoing wellness, even when they are not in pain. They believe it helps them stay flexible and maintain better posture.

The Benefits of Chiropractic Adjustments
- Pain Relief
Adjustments can reduce pain in the back, neck, and joints. For many people, it helps decrease the need for pain medication.
- Improved Range of Motion
When joints move better, daily activities become easier. Tasks like bending, lifting, or turning the head feel more natural.
- Better Posture
Chiropractic care often helps correct posture problems caused by sitting for long periods or using electronic devices.
- Headache Relief
Some headaches are linked to neck tension. Adjustments can ease that tension and lower headache frequency.
- Support for Chronic Conditions
Conditions like arthritis or scoliosis may not be cured, but chiropractic adjustments can help manage discomfort and improve quality of life.
Are Chiropractic Adjustments Safe?
When performed by a licensed professional, chiropractic adjustments are generally safe. Most side effects are minor, such as soreness, tiredness, or temporary headaches. Serious complications are very rare but can include nerve irritation or disc injury.
The key is making sure adjustments are only done by trained chiropractors. Patients should also share their full medical history so the chiropractor can avoid risky techniques in cases where adjustments are not recommended, such as severe osteoporosis or certain spinal conditions.
What Happens After an Adjustment?
After a session, the chiropractor may suggest ways to maintain the benefits. This may include:
- Simple stretching exercises.
- Posture tips for sitting, standing, and sleeping.
- Heat or ice therapy for soreness.
- Nutritional advice to reduce inflammation.
- Stress management techniques.
It is also common for people to feel a little sore or tired for a day after their first adjustment. Some even describe feeling as if their body is “detoxing.” This happens because when joints move more freely and blood flow improves, the body can flush out built-up waste products like lactic acid that were stored in tight muscles.
This temporary reaction may cause mild fatigue, headache, or general achiness, but it usually passes within 24 hours. Drinking water, resting, and gently stretching can help the body adjust.
These at-home steps and short-term reactions are all part of the healing process and support long-term improvements.
How Many Adjustments Are Needed?
The number of sessions varies. Some people feel relief after just one or two visits. Others with chronic conditions may need ongoing care. Chiropractors usually create a personalized plan based on the patient’s needs, health goals, and lifestyle
The Science and Evidence
Research shows that chiropractic adjustments can be effective for conditions like lower back pain, neck pain, and certain types of headaches. Studies suggest improvements in mobility, pain reduction, and patient satisfaction.
However, chiropractic care is not a cure-all. For serious medical problems such as fractures, infections, or tumors, medical treatment is necessary. Chiropractors often work alongside other healthcare providers to ensure patients get the right kind of care.
Myths About Chiropractic Adjustments
Myth 1: Chiropractors just crack bones.
Truth: The popping sound is only a gas release. The real goal is improved joint function.
Myth 2: Adjustments are painful.
Truth: Most people feel relief, not pain.
Myth 3: Chiropractic is unsafe.
Truth: Licensed chiropractors provide safe care for most people, and risks are very rare.
Myth 4: Once you start, you must go forever.
Truth: Patients choose how long to continue care. Some go only until pain improves, while others choose regular visits for wellness.
Conclusion
Chiropractic adjustments work by restoring joint motion, improving alignment, and supporting the nervous system. They relieve pain, reduce stiffness, and promote overall mobility. The popping sound often heard during treatment is just gas releasing from joints, not bones cracking.
When done by a licensed chiropractor, adjustments are a safe and effective option for many people with back pain, neck pain, or other musculoskeletal issues. They are not a replacement for all medical care but can be a valuable part of a person’s overall health plan.
If you are considering chiropractic care, talk with your primary healthcare provider to see if it is right for you. With proper screening and professional care, chiropractic adjustments can be a powerful tool for pain relief and better health.
Contact APEX Chiropractic & Wellness Center for expert chiropractic treatments in Greenacres, Florida.

FAQs
1. What does a chiropractic adjustment do?
A chiropractic adjustment restores proper movement and alignment of joints, especially the spine. This can reduce pain, improve posture, and support the nervous system.
2. Why does my back pop during a chiropractic adjustment?
The popping sound is caused by gas bubbles releasing from the joint fluid, a process called cavitation. It is not bones breaking, and it is generally harmless.
3. Do chiropractic adjustments hurt?
Most people do not feel pain during an adjustment. Some experience mild soreness afterward, similar to what you feel after exercise.
4. How many chiropractic adjustments do I need?
The number of visits depends on your condition and goals. Some patients feel better after one or two sessions, while others may need ongoing care for chronic issues.
5. Are chiropractic adjustments safe?
When performed by a licensed chiropractor, adjustments are safe for most people. Serious complications are rare, and minor side effects usually resolve quickly.
6. Can chiropractic care help headaches?
Yes, adjustments can help certain headaches, especially those linked to tension in the neck or poor posture.
7. Who should not get a chiropractic adjustment?
People with severe osteoporosis, spinal cancer, or certain bone conditions may not be good candidates. A chiropractor will review your medical history before treatment.