Why Hands-On + Machine-Assisted Chiropractic Care Works Better Than One-Size-Fits-All Treatment.
- Dr. Doug - Chiropractor

- Jan 21
- 4 min read
Updated: 6 days ago

Modern Chiropractic Care
When it comes to managing pain, restoring mobility, and improving overall quality of life, one truth becomes increasingly clear: no two bodies are the same. Each patient presents with a unique combination of age, health history, injury patterns, and tolerance to treatment. That’s why modern chiropractic care has evolved beyond rigid, one-size-fits-all approaches and toward personalized treatment plans that blend hands-on expertise with advanced technology.
Chiropractic care is often compared with physiotherapy, and while both disciplines share foundational principles, such as improving movement, reducing pain, and supporting musculoskeletal health, their methods and tools can differ in meaningful ways. Understanding these differences helps patients make informed decisions and sets realistic expectations for treatment outcomes.
Many patients are curious to know how physiotherapy treatment and chiropractic care differ from each other. Both use the same principles to resolve common musculoskeletal injury and strain, but there is one significant difference the Chiropractic adjustment.This adjustment is a defining feature of chiropractic care and plays a critical role in how chiropractors address pain and dysfunction, particularly within the spine and joints. Chiropractic has a strong focus on pain relief for stuck or stiff joints, particularly in the spine. Your nervous system uses pain signals to alert you that something in your body is not working properly. The nerves located in a stuck or stiff spine will signal that they need help and this is the scenario where the chiropractic adjustment is so effective. The adjustment will restore correct movement and studies show that this spinal manipulation delivers the most immediate pain relief when compared to other approaches.
From a clinical perspective, restoring joint mobility does more than simply reduce discomfort. Proper joint motion improves nerve communication, enhances muscle coordination, and reduces compensatory movement patterns that can lead to further injury. This is why chiropractic adjustments are often associated with fast and noticeable improvements, especially in acute or mechanical pain conditions.
The most common type of chiropractic adjustment is manual or hands-on, frequently creating the famous “popping” or “cracking” sound associated with chiropractic treatment. This sound is simply the release of gas within the joint and is completely harmless. More importantly, it signals that the joint has moved through its restricted range. I frequently get a smile from my patients as soon as we have done an adjustment; a sign that they are feeling better already. That immediate sense of relief often builds confidence in the treatment process and motivates patients to stay consistent with their care plan. However, while hands-on adjustments are highly effective, they are not universally appropriate for every individual or every condition.
But a one-size-fits-all treatment can be too limited and sometimes a manual adjustment isn’t the right thing to do. For patients with severe arthritis, an adjustment might be too stimulating for their joints. The fragile bones of an osteoporotic patient might fracture if adjusted. And there are some patients who just don’t enjoy the popping sound of an adjustment. For these patients machine-assisted chiropractic care is the better option.
This is where modern chiropractic technology plays an essential role. Rather than forcing all patients into the same treatment style, chiropractors can now adapt their approach to match a patient’s physical needs, comfort level, and safety considerations.
Dr. Doug - Chiropractor uses Neuromechanical Innovation’s Impulse iQ machine to provide machine-assisted chiropractic adjustments. This machine delivers a specific amount of force to a small area… not in one push but a series of taps. When used over spinal joints, the Impulse iQ is able to do a gentle adjustment that loosens the joint. Because the force is precisely controlled, very little pressure is applied, making it an excellent option for individuals with osteoporosis or heightened joint sensitivity. Twisting is not necessary with this tool, which also makes it suitable for patients with advanced arthritis or those recovering from injury. Additionally, the machine provides the adjustment without the telltale “popping” sound, removing a common psychological barrier that prevents some patients from seeking chiropractic care in the first place. Machine-assisted chiropractic care also allows for greater consistency and repeatability, ensuring that the same therapeutic force can be applied across multiple sessions when needed. This level of precision enhances both safety and effectiveness.
Why Combining Both Approaches Works Best
Rather than choosing between manual or machine-assisted care, many patients benefit most from a strategic combination of both. Hands-on adjustments may be ideal for restoring motion in certain joints, while machine-assisted techniques can be used in more sensitive areas or during flare-ups. This blended approach allows care to evolve alongside the patient’s progress. As pain decreases and mobility improves, treatment methods can be adjusted accordingly, ensuring that care remains effective, safe, and comfortable at every stage.
Hands-On + Machine-Assisted Chiropractic Care Works Better Than One-Size-Fits-All Treatment. Achieving safe and effective pain relief for the patient is the ultimate goal. Dr. Doug - Chiropractor offers hands-on chiropractic, machine-assisted chiropractic or a combination of both to his patients so they can live pain free and get back to the things they love to do!
Call Dr. Doug - Chiropractor today! 905-453-1806

Chiropractic Care, Laser Therapy and Spinal Decompression
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