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ADJUSTMENTS/ MANIPULATION The adjustment made by Dr. Fern consists of a high velocity, short lever arm thrust applied to a vertebra, which is often accompanied by a "popping" sound (joint cavitation). The sound is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation). The sensation is usually relieving, though minor discomfort has been reported if the surrounding muscles are in spasm or the patient tenses up during the chiropractic procedure. This discomfort is most often short lived, and most patients report relief from their original complaints. There are times when joint cavitation or popping does not occur. This is often due to either significant muscle spasming or lack of relaxation on the patients part, during the chiropractic adjustment. At times like this, Dr. Fern may apply ice, have the patient rest, or do electrical stimulation and massage prior to attempting spinal manipulation. |


