What is a chiropractic adjustment?
An adjustment, sometimes called manipulation, focuses on joints that are stiff or not moving as well as they should. After your exam, Dr. Davis positions you on the treatment table and applies a precise, controlled movement to the targeted joint.
You may hear a popping sound. It comes from gas releasing within the joint fluid as pressure changes. It isn't bones cracking, and an adjustment can do its job whether or not you hear it.
Spinal adjustments
Spinal adjustments focus on the joints of the neck, mid back, low back and pelvis. They are the most common type of chiropractic adjustment and are often part of care for back pain, neck pain and spinal stiffness. Joints outside the spine, such as the shoulder or knee, are treated with extremity adjustments.
Manual spinal adjustments
A manual adjustment is delivered by hand, using a quick, controlled movement called a thrust. It is the traditional style of chiropractic adjustment and the one most people picture.
If you'd rather avoid the quick thrust, Dr. Davis also offers soft adjustments using lighter hand pressure or a handheld adjusting instrument. Compare the adjustment approaches.
Who this care may be appropriate for
Adjustments are commonly used for back pain, neck pain and joint stiffness. They aren't right for everyone. Conditions such as advanced osteoporosis, a recent fracture, certain circulation problems, or recent spine surgery can change what is recommended, which is why your health history and exam always come first.
Common reasons patients ask about it
- Low back or mid-back pain
- Neck pain and stiffness
- Reduced range of motion in the spine
- Some types of headaches
Commonly used as part of care for
Individual results vary. Your care plan depends on your exam and health history.
What to expect
Health history and exam
Dr. Davis reviews your health history and examines the area of concern. Your first visit takes about 30 minutes.
Your options, explained
You hear the exam findings and whether this care is a reasonable option for you. You decide how to proceed.
The treatment
Dr. Davis explains which areas would be adjusted and how before starting. Adjustments may be combined with dry needling or spinal decompression when appropriate.
Follow-up
Dr. Davis checks how you responded and adjusts the plan as needed.
Questions about chiropractic adjustment
What's the difference between a chiropractic, spinal and manual adjustment?
Does an adjustment hurt?
Most people feel pressure and movement rather than pain. Mild soreness for a day or so afterward is fairly common, similar to the feeling after new exercise. Tell Dr. Davis if anything feels uncomfortable during treatment.
How much does an adjustment cost?
A chiropractic adjustment is a flat $50 per treatment at Davis Chiropractic. If you receive another treatment in the same visit, each one is $50. There's no separate fee for your first visit, and cash and card are accepted.
How many visits will I need?
That depends on your exam, your goals and how you respond. Dr. Davis will explain a recommended plan and check your progress along the way. Individual results vary. Some patients later choose optional wellness care.
This page also covers Spinal Adjustments and Manual Spinal Adjustments.
Reviewed by Dr. Joshua Davis, licensed chiropractor (TX 11909, OK 4291)
Last reviewed October 2026