Spinal adjusting is the primary form of care that chiropractic is based upon. Over time numerous adjusting techniques or methods have been developed. Some are well founded and some not. This can create confusion among patients on which chiropractor to choose. So we offer this information to help you. Methods vary based on their analysis of the problem and manner by which the spine is adjusted, manually by hand or instrument assisted adjusting. No one technique works for all conditions or patients.