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Technique Breakdown

Instrument-assisted adjusting

A small spring-loaded handheld instrument delivers a very light, precise impulse — no twisting, no cracking sound from the joint.

METHOD

Sound

What You Hear

A quick click from the instrument itself, similar to a stapler. Joints usually make no sound with this method.

Sensation

What You Feel

A light, fast tap — many people compare it to a firm finger flick. It is one of the gentlest options available.

Technique in practice

The setup, shown before it is felt.

Dr. James Palmer holding a handheld adjusting instrument
01 / Dr. Palmer shows the handheld instrument before using it.
Dr. James Palmer applying a handheld adjusting instrument to a patient's upper back
02 / The instrument rests against a specific contact point while the patient remains seated.

How it works

A handheld, spring-loaded instrument delivers a very small, very fast impulse to a precise spot. Because the impulse is faster than a hand thrust, it can use far less force. You stay in a neutral, comfortable position — usually lying face down — with no twisting.

Who often prefers it

Children, older adults, people with sensitive or acutely painful areas, and anyone who dislikes the feeling or sound of manual adjusting. If you are nervous, ask to feel the instrument on your forearm first; that is a normal request.

The sequence

  1. Dr. Palmer identifies the specific contact point from your exam.
  2. He shows you the instrument and demonstrates the click.
  3. The instrument rests against the spot and delivers a quick, light impulse.
  4. He rechecks the area and repeats only if needed.

Before Treatment

Questions Worth Asking Before Treatment

  1. 01 Why would you choose the instrument over your hands for me?
  2. 02 Can I feel the instrument on my arm first?
  3. 03 Is this the approach you would use for my child?

Next step / 01

Ready for a calm, clear first visit?

Call our Jackson office at (517) 750-7790 to discuss appointment availability, technique preferences, and insurance verification.