Dr. Piering has a variety of expertise and skills that can be utilized for patient care. This list is accompanied by desciptions that would be used for patient education.
Chiropractic Adjustments
Dr. Piering utilizes several different adjusting techniques, including:
Activator Method
The Activator Method chiropractic technique uses a spring-loaded, hand-held mechanical instrument called the Activator adjusting instrument. This instrument allows chiropractors to provide a quick, low-force impulse at specific points.
Diversified
Considered a traditional chiropractic manual adjustment. For this method, chiropractors apply a short (low-amplitude), quick (high-velocity) thrust over restricted joints (one at a time) with the goal of restoring normal range of motion in the joint. The patient’s body is positioned in specific ways to optimize the adjustment of the spine.
Gonstead
Similar to the diversified technique, the difference is in the evaluation of (locating) the problematic joint and the specificity of body positioning.
Thompson Terminal Point or Drop Technique
This technique involves specialized treatment tables that have sections that drop a short distance during an thrust; the dropping of the table piece facilitates the movement of the joint. This adjustment approach is sometimes used in addition to or, in place of, a more traditional diversified adjustment. Here, the traditional "cracking sound" may or may not occur and therefore this type of manipulation may also be considered a form of mobilization, or a gentle adjustment approach.
Toggle Drop
Using crossed hands one on top of the other, the chiropractor presses down quickly and firmly on a particular area of the spine while a section of the drop table falls, taking advantage of gravity to apply the adjustment. The table has different sections that can be raised and dropped in accordance with the localization of the spinal adjustment.
Release work
Applying gentle pressure using the fingertips, the chiropractor separates the misaligned vertebrae with the goal of restoring them back to their natural positions.
Sacro-Occipital Technique (SOT)
This method involves placing wedges or blocks under the pelvis, allowing gravity - with some addition low force assistance by the provider - to realign the pelvis.
Cox Flexion Distraction
Cox Technique is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on a specially designed chiropractic table. This table permits the effective administration of flexion-distraction and decompression adjustment and manipulation.
It is used to reduce pain attributable to:
- Disc herniation
- A slipped disc
- A ruptured disc
- Facet syndrome
- Stenosis
- Spondylolisthesis
- And other conditions