Some patients with low back or buttock pain resulting from sacroiliac joint dysfunction may favor a more gentle chiropractic treatment over the traditional spinal manipulation techniques. Less forceful spinal manipulation involves slower (low-velocity) techniques that allow the joint to remain within its passive range of motion. Gentle chiropractic techniques include:

• Gravity traction using adjusting blocks: Padded “blocks” that vary in shape and size are strategically placed underneath the body. With the patient lying face down, the practitioner can gently reposition the sacroiliac joint and other areas, employing gravity from the block instead of relying solely on force.

• Respiratory-assisted adjusting, long-axis leg traction techniques: While the chiropractor gently pulls a leg at a specific angle, the patients takes deep breaths to facilitate the adjustment.

• A “drop-piece” adjustment using a special chiropractic table: This table has sections that can be raised up to be dropped at the same time as the thrust, allowing gravity to assist the adjustment.

• A specialized adjusting tool or device called an Activator: The Activator is a spring-loaded instrument that is used during an adjustment to provide a low- force impulse directed at specific locations along the spine.

• "Flexion distraction” technique: Flexion distraction involves the use of a specialized table that gently distracts, or stretches, the spine. The chiropractor is able to isolate the area of pain while slightly flexing the spine in a pumping rhythm, to decompress the lumbar discs and sacroiliac joints.

Presented as a service to the community by: Union County Chiropractic Clinic, 110 Skyline Drive, Maynardville, TN (865) 992-7000 www.unioncountychiropractic.com.