Treatment Methods

While chiropractic is typically associated with the “cracking” style of joint manipulation, there are many treatment methods employed in modern chiropractic offices. Ultimately, the method of treatment depends on the diagnosis of your condition, but our chiropractic physicians utilize the following methods:

Joint Manipulation (Adjustments)

The doctor will speak to you about the different types of manipulation and often utilizes “non-cracking” methods. If you’re nervous about joint manipulation, and many are, don’t let your fears keep you from seeking help. They also use Flexion/Distraction, Activator and Drop Table manipulation which has been proven effective for patients who cannot have traditional techniques used with them.

Soft Tissue Therapy

Specifically, Graston Technique (instrument assisted soft tissue mobilization) which utilizes instruments that detect aberrant movement patterns and adhesions in the fascia, the underlying support tissue that runs from head to toe, and enables muscle tissues to glide smoothly over one another. This technique is very effective in treating conditions such as sprained ankles, tennis elbow, and back and neck pain when the fascia is determined to be a pain generator.  Dr. Ducat is a Level 2 Certified Graston Technique Provider.

End Range Loading

Disc pain can often lead to the “pins and needles” feeling associated with the leg or arm pain that often accompanies it. When these symptoms are present at end range loading exam is utilized to determine what exercises should be performed (or avoided) so the patient will be able to manage their condition at home. An end range loading exam involves the patient moving through certain ranges of motion at their own pace to determine the effect the movement will have on the patient’s symptoms.  You’ll hear this technique referred to as the McKenzie Method.


Often, scar tissue prevents nerve tissues from moving appropriately, which can lead to pain. Neuro-mobilization can free these tissues and decrease pain. Once the correct method of mobilization is discovered in the exam, the patient can continue the treatment at home with exercises.  You’ll hear us call this nerve flossing.

Therapeutic Exercise or Physical Therapy

The most important part of your treatment will be the things you can do for yourself. This means exercises to strengthen the stabilizing muscles of the spine which will give you a means to manage your own symptoms. Our doctors will instruct you in the office with a minimum number of exercises that have been proven effective in the management of back and neck pain. Again, self-advocacy is the most important part of your treatment, and we strive to give patients a sense of independence in managing their condition.  Our clinicians are proficient in a number of techniques including SFMA and FMS and pelvic floor rehabilitation through Herman & Wallace.  Dr. Ducat is Board-Certified by the American Chiropractic Board of Rehabilitation and has been taught by world-renowned clinicians including Craig Liebenson DC and Stuart McGill PhD

Modalities and Acupuncture

Depending on your condition, our chiropractic physicians might use various modalities such as IFC electrical stimulation, ultrasound, cervical traction or acupuncture to help reduce your pain more quickly in the initial stages of treatment.  Since these treatment methods lose their effectiveness over time, they will help you transition smoothly to therapeutic exercises to gain long-term relief.